Knowledge and Perceptions of men towardsVasectomy among men of reproductive age inOtuke District-a cross-sectional study

Abstract

Objective: This study aimed to assess the knowledge and perceptions of vasectomy as a family planningmethod among men in rural northern Uganda. Methods: A cross-sectional study was conducted involving 624 participants. Sociodemographiccharacteristics, use of vasectomy, number of children, and knowledge of vasectomy were assessed.Perceptions of vasectomy were measured, focusing on cultural, religious, and gender-related aspects. Results: The study revealed a predominantly adult, married, and Catholic population with low educationalattainment. Only 2% of participants had undergone vasectomy, indicating limited utilization. Whileapproximately half demonstrated awareness of vasectomy, negative perceptions prevailed, with 63.5%expressing unfavorable opinions. Cultural and religious beliefs, along with concerns about promiscuity,played a signifi cant role in shaping negative perceptions. The majority believed in male dominance infamily planning decisions, and a considerable portion endorsed sterilization exclusively for women. Conclusion : This study highlights the low utilization and predominantly negative perceptions ofvasectomy among men in rural northern Uganda, emphasizing the need for targeted interventions toaddress cultural and religious misconceptions and enhance education on family planning options. Publichealth campaigns should focus on dispelling misconceptions about vasectomy, particularly addressingcultural and spiritual concerns. Educational programs should target men and their communities,emphasizing the benefi ts of shared family planning decisions. Further research incorporating qualitativemethods could provide a deeper understanding of the cultural aspects infl uencing vasectomyperceptions in this population.