DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20195865

A cross-sectional study on preference of tubectomy over vasectomy among eligible couples in Bengaluru, Karnataka

Nivedita Basavaraj Mayani, Pradeep C., Mangala Subramanian

Abstract


Background: Population policies, family planning and welfare programmes undertaken by the Government of India, have led to continuous decrease in the fertility rate but sustainability and target of net reproduction rate 1 is not yet achieved. With increase trend of adopting the permanent method of contraception by eligible couples, the preferences of tubectomy over vasectomy is still remarkable. Hence, the present study is taken up to find Knowledge, Attitude and Practice regarding sterilization and factors influencing it.

Methods: A cross-sectional study is conducted in the year 2017 among eligible couples who have completed their family size or pregnant women who came for second confinement to Vydehi Institute of Medical Sciences and Research Centre and Shreyas Maternity Home, Hoskote and Shreyas maternity home are included. An institutional ethics committee (IEC) is given on vasectomy, the better method of sterilization and responses are recorded.

Results: A total 92.6% couples were aware of permanent family planning methods. Among them only 30.6% couples are aware of vasectomy. There is a significant association between number of children in a family and to undergo sterilization (p=0.02) method. Reason for not choosing vasectomy are unawareness (49.3%) and social stigma (38%) mainly. 11 couples (7.3%) changed their opinion to undergo vasectomy after giving an IEC.

Conclusions: Many couples were knowledgeable about tubectomies and opted for it. Only a small number of couples changed their opinion from tubectomy to vasectomy after being given an IEC.


Keywords


Eligible couples, Family planning methods, Institutional ethics committee, Tubectomy, Vasectomy

Full Text:

PDF

References


Phukan RS. Overpopulation in India - Causes, Effects and How to Control it?, August 5, 2019. Available at: www.mapsofindia.com/my-india/india/ overpopulation-in-india-causes-effects-and-how-to-control-it. Accessed on 15 April 2019.

National Health Portal, India. National Programme for Family Planning. Available at: https://www.nhp. gov.in/national-programme-for-family-planning_pg. Accessed on 01 November 2019.

Ministry of Health and Family Welfare. Annual Report 2017-18. Chapter 6: family Planning: 85-108. Available at: https://mohfw.gov.in. Accessed on 01 November 2019.

National Family Health Survey, India. Fact sheet: NFHS-4(2015-16). Available at: http://rchiips.org/ nfhs/factsheet_nfhs-4.shtml. Accessed 20 October 2019.

Soutik Biswas. India’s dark history of sterilisation. BBC NEWS Asia India. Nov 2014. Available at: http://www.bbc.com/news/world-asia-india-30040790. Accessed on 01 November 2019.

Suwarna M, Pavithra M. A study about perceptions, attitude, and knowledge among men toward vasectomy in Bangalore rural population. Int J Med Sci Pub Health. 2015;4(8):1066-70.

Otovwe A, Okandeji-Barry RO. Knowledge and perception of vasectomy among male staffs of Novena University Ogume Delta State Nigeria. J Nurs Health Sci. 2018;7(1):71-6.

Nair GR, Wadke R, Relwani N, Mahadik V, Anjenaya S. Knowledge and attitude of married men towards vasectomyin an urban slum of Navi Mumbai. Int J Comm Med Pub Health. 2017;4(12):4563-8.

Sood A, Pahwa P. Vasectomy: a study of attitudes, beliefs, knowledge and practices among literate men in Punjab, India. Int J Reprod Contracept Obstet Gynecol. 2014;3(2):418-23.

Geeta Lakshmi S et al. A study on Factors Influencing in Acceptance of Vasectomy. IOSR J Dental and Med Sci. 2018;17(12):31-8

Lakshmi SG, Chandrasekhran PA, RadhaRani GA. study on factors influencing the choice of permanent method of family planning at Government Maternity Hospital, S. V. Medical College, Tirupati. IOSR J Dent Med Sci. 2015;14(6):16-22.

Keramat A, Zarei A, Arabi M. Barriers and facilitators affecting vasectomy acceptability (a multi stages study in a sample from north eastern of Iran) 2005-07. Asia Pacific Fam Med. 2011;10(1):5.

Khan MM, Shaik ST, Shroff AG. Study of knowledge and practice of contraception in urban slum community, Mumbai. Int J Current Med Appl Sci. 2014;3(2):35-41.