2. Department of Family Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
Background: Population growth rate is rising and family planning is one way of controlling it especially when the male partners are involved.
Objectives: This study compares the family planning practices of urban and rural men in Anambra state, South-East Nigeria.
Methods: Comparative, cross sectional study design with multi-stage sampling techniques to select 194 eligible men from each of two Local Government Area, urban (Onitsha North) and rural (Ayamelum). Structured questionnaire and data was analysed with SPSS version 16 and p-value at <0.05.
Results: More urban respondents (41.2%) compared with their rural counterparts (26.8%) used a family planning method (p<0.05). Condom was the commonest method used (29.9% for urban and 15% for the rural respondents) (p<0.05), while vasectomy was totally rejected by all respondents (X2=12.751, Df=3, p<0.05). Reasons for non-use of family planning include being unaware that men use family planning 57.8% and 53.6%, against my belief 17.5% and 23.2%, no child yet 9.8% and 12.9%; only female staff work in centres, 8.3% and 1.5%, urban and rural respondents, respectively (X2=15.001, Df=5, p<0.05). Reasons given for not supporting their spouses in family planning include; husband using condom, 30.4% and 20.1% being against their belief, 17.5% and 23.2%; can cause cancer 10.3% and 13.9% and barrenness 4.1% and 9.3%; wives desire for more children 2.6% and 4.1%, respectively (X2=24.14, Df=6, p<0.05).
Conclusion: There is a low level of family planning practice particularly among the rural respondents. Condom was the commonest method used, while vasectomy was totally rejected. Belief, religion, fear of cancer and barrenness are other reason for non-use of family planning.
Keywords: Family planning, male involvement, practices, determinants of family planning in men