Knowledge and attitudes of men and women Towards vasectomy as a family planning Method, in Winam Division, Kisumu District

Abstract

This study investigated the knowledge and attitude of men and women towards vasectomy and how this influenced its uptake at Marie Stopes International, Kibuye in Winam division. The research contributes to the body of knowledge on vasectomy. At policy level, the research provides more insight to the use of vasectomy as a family planning method. The study also examines the knowledge and information available on vasectomy. The study applied the Theory of Planned Behaviour which questions the classical model of Belief, Attitude, and Behaviour. The theory speaks to the concept of perceived control over the opportunities, resources and skills necessary to perform a behaviour. It operates from the premise that, behaviour is determined by one's intention, and intention is determined by the person's attitude toward the behaviour and the influence of the person's social environment or norms attitude towards behaviour; and that specific behaviour will have concrete consequence. The data were collected using a survey questionnaire, key informant guide, FGD guide and a narratives guide. A total of 40 respondents, 4 key informants and 6 narratives and 2 spouses of men who have undergone vasectomy were interviewed. The finding of the study indicates that a majority of the respondents had knowledge on vasectomy; however, the uptake is low. This is because there is a general lack of understanding of facts on vasectomy, due to incorrect or misinformation on vasectomy; and insufficient documented information on the effectiveness of vasectomy, as a family planning method. The study recommends better advocacy, more publicity and efficient dissemination of accurate information on vasectomy. Also that the government should formulate a policy which will ensure vasectomy is offered as one of the family planning options; through ongoing monitoring and evaluation of services and that the use and effectiveness of vasectomy is effectively evaluated and documented.