2. Department of Family Medicine, Nnamdi Azikiwe University Teaching Hospital, Nnewi, Anambra State, Nigeria.
Background: Men's involvement in family planning is being seen as important in the enlightenment campaign for family planning especially in the rural areas.
Objectives: This study compared family planning knowledge and attitude among men in urban and rural areas of Anambra state, South-East Nigeria.
Methods: Men aged 19-61 who were sexually active and in a current sexual relationship with women aged 15-49 regardless of marital status were studied using a structured questionnaire. Data was analysed using inferential statistical techniques, i.e., Chi-square and Fishers exact tests. The statistical software used was SPSS version 16 and p-value at <0.05 for significance.
Results: Findings show a high level of knowledge of the meaning of family planning, 98.5% and 92.8% for urban and rural respondents, respectively. The difference is statistically significant (OR=4.952, 95% CI=1.39- 17.51 p<0.05). Similarly, negative response to all artificial family planning cause infertility, 61.9% and 49.5%, for urban and rural population, respectively (OR=1.66, 95% CI=1.10-2.48, p<0.05); family planning is necessary for good health of the family, 91.8% and 81.4% for urban and rural population respectively (OR=2.5, 95% CI=1.35-4.74; p<0.05). Analysis of attitude towards family planning is positive as 96.4% and 76.3% urban and rural respondents, respectively believe that using contraceptive doesn't mean that one is wayward (X2=36.6, Df=2, P-value=0.0; p<0.05); birth control is not a sin, 75.3% and 59.3% for urban and rural populations, respectively (X2=12.24, Df=2, P-value=0.0, p<0.05); and family size has effect on well-being of the family, 85.6% and 69.6% for urban and rural populations, respectively (X2=14.51, Df=2, P-value=0.0; p<0.05).
Conclusion: Although, there is a high level of knowledge and positive attitude to family planning among men in both urban and rural populations studied, the urban men have a significantly higher percentage of knowledge and positive attitude to family planning than their rural counterpart.
Keywords: Family planning, male involvement, knowledge, attitude