Evaluation of Knowledge and Attitude to Uptake of Vasectomy among Male Health Care Workers in a Tertiary Health Facility: A Cross-sectional Study

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DOI: 10.21522/TIJPH.2013.10.02.Art026

Authors : Abiodun S. Adeniran, Grace G. Ezeoke, Ganiyat A. Akera-Adegboyega, Ishaq F. Abdul, Afusat O. Olabinjo, Basir O. Lawal


Vasectomy is a safe and effective permanent male contraceptive, although its acceptance remains low in low-income countries. A cross-sectional study was conducted at the University of Ilorin Teaching Hospital, Ilorin, Nigeria, between 1st July and 31st August 2020. Participants were 247 consenting male health care workers recruited using systematic sampling based on their profession. Data collection was through a self-administered questionnaire, and analysis was performed using IBM-SSPS Version 23.0; p-value<0.05 was significant. The modal age group was 31-39 years (61.1%), 96.8% had tertiary education, 63.2% were Doctors, 21.5% were Laboratory Scientists, 12.1% Pharmacists, 1.6% Nurses, and 1.6% Physiotherapists; 68.0% had two or more children. Awareness about vasectomy was 93.5%, the commonest source of information was the health facility (55.3%), 76.5% supports the role of men in family planning while 84.0% were willing to share family planning responsibility with their partners 16.6% intend to undergo vasectomy on completion of their family size. The identified hindrances to the uptake of vasectomy were fear that it may lead to sexual dysfunction (87.0%), fear of other side effects (70.3%), irreversibility of the procedure (37.0%), cultural factors (25.0%), and concerns about possible infidelity (20.9%). Knowledge about vasectomy was negatively associated with its uptake (p<0.001). This study reports aversion to vasectomy among male health workers despite adequate awareness and Knowledge due to concerns about possible side effects, including the irreversibility of the procedure. Therefore, while advocacy for vasectomy continues, researchers should expedite actions to make reversible male contraceptives readily available.

Keywords: Health care workers, Male contraception, Reproductive health, Vasectomy.


[1] Nigeria Demographics, 2020, Available from https://www.worldometer.info. [Accessed July 4th, 2020].

[2] United Nation, 2013, World population prospect: the 2012 revision, key findings, and advance tables. Available from https://www.un.org. [Accessed July 4th, 2020].

[3] National Population Commission (NPC) [Nigeria] and International Classification of Functioning, Disability, and Health (ICF), 2028, Nigeria Demographic and Health Survey.

[4] Victor, E., 2018, The menace of overpopulation in Nigeria. Available from

https://www.tunza.eco.generation.org. [Accessed July 4th, 2020].

[5] Miller, G., & Babiarz, K. S., 2016, Family planning program effects. Evidence from microdata. Population Dev Rev. 42, 7-26.

[6] World Health Organization, 2017, Contraception. Available from https://www.who.int. [Accessed July 4th, 2020].

[7] Fayehun, F., 2020. Contraceptive use in Nigeria is incredibly low: A lack of Knowledge may be why. Available from https://www.theconversation.com [Accessed July 4th, 2020].

[8] Vouking, Z. M., Evina, D. C., & Tadenfok, N. C., 2014, Male involvement in family planning decision making in sub-saharan Africa- what the evidence suggests. Pan Africa Medical Journal 19, 349. Doi: https://doi.org/10.11604/pamj.2014.19.349.5090.

[9] Nmadu, A. G., Joshua, I. A., Omole, V.N., Usman, N. O., Igboanusi, C. J., & Gobir, A. A., 2019, Male involvement in family planning in Northern Nigeria: A review of the literature. Journal Medicine in the Tropics 21, 6-9.

[10] Balogun, R., Adeniran, A., Fawole, A., Adesina, K., Aboyeji, A., & Adeniran, P., 2016, Effect of male partner’s support on modern spousal contraception in a low resource setting. Ethiopian Journal of Health Science 26, 439-48.

[11] Kai, Z., Li, W., Xiangbin, K., Yaoping, C., Honggang, L., Yigun, G., et al, 2018, Long-term safety, health, and mental status in men with vasectomy. Scientific Report 8, 15703. Doi: https://dx.doi.org/10.1038%2Fs41598-018-33989-5.

[12] Perry, B., Packer, C., ChinQuee, D., Zan, T., Dulli, L., & Shattuck, D., 2016, Recent experience and lessons learned in vasectomy programming in low-resource settings: a document review. Durham, NC: FHI 360 and Washington, DC: The Population Council, the Evidence Project.

[13] Sharlip, I., Belker, A., Honig, S., Labrecque, M., Marmar, J., Ross, L., et al, 2012, Vasectomy: AUA guideline. Linthicum, MD: American Urological Association Education and Research, Inc.

[14] Akpamu, U., Nwoke, E. O., Osifo, U. C., Igbinovia, E. N., Adisa, A. W., 2010, Knowledge and acceptance of ′vasectomy as a method of contraception′ amongst literate married men in Ekpoma, Nigeria. African Journal of Biomedical Research 13, 153-156.

[15] Ebeigbe, P. N., Igberase, G. O., Eigbefoh, J., 2011, Vasectomy: A survey of attitudes, counselling patterns and acceptance among Nigerian resident gynaecologists. Ghana Medical Journal 45,101-104.

[16] Nishtar, N. A., Sami, N., Faruqi, A., Khowaja, S., & Ul-Hasnain, F., 2012, Myths and fallacies about male contraceptive methods: a qualitative study among married youth in slums of Karachi, Pakistan. Global Journal of Health Sciences 5, 84-93.

[17] Roy, J., 2015, The kindest cut: Global need to increase vasectomy availability. Available from https://www.intrahealth.com [Accessed July 2nd, 2020].

[18] United Nations, 2011, World contraceptive use. Available from: https://www.un.org. [Accessed July 4th, 2020].

[19] Kana, M. A., Tagurum, Y. O., Hassan, Z. I., Afolanranmi, T. O., Ogbeyi, G. O., Difa, J. A., et al. 2016, Prevalence and determinants of contraceptive use in rural Northeastern Nigeria: results of a mixed qualitative and quantitative assessment. Annals Nigerian Medicine, 10, 3-10.

[20] Daniel, G., Okoli, N., Kumzhi, P., Wina, F., Ari, E., & Onyejekwe, G., 2016, Awareness and use of family planning methods among men in Mista Ali District, Jos, Plateau State, Nigeria. African Journal of Midwifery Women’s Health 10, 120-125.

[21] Slovin’s formula. Research Assignment. Available from https://www.prudencexd.weebly.com. [Accessed August 24th, 2020].

[22] Owopetu, C., Chukwuma, S., & Nwozichi, C., 2014, Knowledge and attitude of men about vasectomy as a method of family planning among married men working in Babcock University, Ogun State, Nigeria. International Journal of Nursing and Midwifery 7, 30–35.

[23] Onasoga, O. A., Edoni, E. E. R., & Ekanem, J., 2013, Knowledge and attitude of men towards vasectomy as a family planning method in Edo State, Nigeria. Journal of Research in Nursing and Midwifery 2, 13-21.

[24] Ntakirutimana, C., Umuziga, P., Nikuze, B., White, R., Meharry, O., 2019, Vasectomy as family planning: Factors affecting uptake among men in Eastern Province of Rwanda. Rwanda Journal of Medicine and Health Sciences 2, 126-137.

[25] Alemayehu, B., 2012, Assessment of male involvement in family planning use among men in southeastern zone of Tigray, Ethiopia. Scholarly Journal of Med 2, 1-10.

[26] Appiah, S., Agyen, J. K., & Garti, I., 2018, Married men and vasectomy: A focused group study in an urban community in Ghana. Sage Open Nursing 4, 1-10.

[27] Pallangyo, E. S., Msoka, A. C., Brownie, S., & Holroyd, E., 2020, Religious beliefs, social pressure, and stigma: Rural women’s perceptions and belief about vasectomy in Pwani, Tanzania. PLoS ONE. 15, 0230045. Doi: https://doi.org/10.1371/journal.pone.0230045.

[28] Alireza, D., Shahriar, S., & Abdolah, K., 2017, Nursing staff’s views regarding barriers to vasectomy: A cross-sectional survey. The Open Public Health Journal 10, 57-62. Doi: http://dx.doi.org/10.2174/1874944501710010057.