DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20200431

Knowledge, attitude and practices regarding no scalpel vasectomy in married men attending urban and rural health facilities in Maharashtra, India

Pallavi A. Uplap, Vaidehi Malvi

Abstract


Background: India will soon surpass China as the world’s most populous nation by 2022. Though India was the first to launch family planning in 1952, population stabilization remains a distant dream. No scalpel vasectomy (NSV) is a modified and sophisticated technique of vasectomy which can be performed in low resource settings. However, acceptance of NSV is declining in India including Maharashtra. Hence a study was conducted to evaluate factors affecting acceptance of NSV amongst married men visiting urban and rural health facilities of Maharashtra.

Methods: A cross sectional study was conducted amongst randomly selected 50 married males of 21 years old and above each in conveniently selected urban and rural health centre under a medical college. After obtaining written informed consent from the participants, data was collected from November to December 2018 with the help of semi structured questionnaire. Socio-demographic information, knowledge, attitude and practices were entered and analyzed in Epi Info 7. Study was approved by the institutional ethics committee.

Results: Majority (60%) of men attending the urban health care setup knew about NSV compared to those attending rural set up (34%). More number of participants from rural area (62%) were of opinion that NSV affects sexual performance as compared to urban area (44%). Willingness to recommend NSV to others was 62% and 32% in urban and rural men respectively. None of the participants (0%) underwent NSV.

Conclusions: There is a huge gap between knowledge, attitude and practices regarding NSV in the study participants. It shows a need to revise strategies for its promotion.


Keywords


KAP, Married men, Maharashtra, NSV

Full Text:

PDF

References


K. Park. Park’s Textbook of Preventive And Social Medicine. Demography and family planning. 24th ed. India: Bhanot Publishers; 2015: 515.

India to cross China's population by 2027: United Nations. Available at: https://www.indiatoday.in/ india/story/india-population-china-united-nations-report-world-1550962-2019-06-18. Accessed on 15 August 2019.

National Family Health Survey IV, 2014-2015. Available at: http://rchiips.org/nfhs/NFHS-4Reports/India.pdf. Accessed on 16 August 2019.

National Family Health Survey III, 2005-2006. Available at: http://rchiips.org/NFHS/nfhs3.shtml. Accessed on 16 August 2019.

National Family Health Survey III, 1998-1999. Available at: http://rchiips.org/NFHS/nfhs2.shtml. Accessed on 18 August 2019.

Shattuck D, Perry B, Packer C, Quee DC. A review of 10 years of vasectomy programming and research in low-resource settings. Global Health: Scie Pract. 2016;4(4):647-60.

Population Enumeration Data (Final Population). Available at: http://www.censusindia.gov.in/ 2011census/populatio n_enumeration.aspx. Accessed on 14 September 2019.

State Fact sheet 2007-2008. District level household & facility survey (DLHS-3), 2007-2008. http://rchiips.org/DLHS-4.html. Accessed 11 November 2019.

Dasgupta A, Das MK, Das S, Shahbabu B, Sarkar K, Sarkar I. Perception towards no scalpel vasectomy (NSV): A community based study among married males in a rural area of West Bengal. Int J Health Sci Res. 2015;5:30-6.

Garg PK, Jain BK, Choudhary D, Chaurasia A, Pandey SD. Nonscalpel vasectomy as family planning method: a battle yet to be conquered. ISRN Urology. 2013; 2013.

Family Planning 2020. Global data and core indicators. Washington(DC): United Nations; c2015 Available at: http://www.familyplanning2020.org/ entities. Accessed on 24 February 2016.

Chavan KR. Knowledge and attitude assessment on no scalpel vasectomy among married men in south india: a correlation study. Age. 2014:21(30):19.

Mahapatra S, Narula C, Thakur CP, Kalita TJ, Mehra R. Assessment of knowledge and perception regarding male sterilization (non-scalpel vasectomy) among community health workers in Jharkhand, India. Ind J Comm Health. 2014;26(4):428-33.

Shattuck D, Perry B, Packer C, Quee DC. A review of 10 years of vasectomy programming and research in low-resource settings. Global Health: Scie Pract. 2016;4(4):647-60.

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

Shafi S, Mohan U, Singh SK. Barriers for low acceptance of no scalpel vasectomy among slum dwellers of Lucknow City. Ind J Public Health. 2019;63(1):10.