Department of Gynecology

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Browsing Department of Gynecology by Author "Natnael Legesse"

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    Intention To Use Vasectomy and Its Predictors Among Married Men Attending Reproductive Health Services at Public Health Facilities of Asella Town, Arsi Zone, Oromia, 2025
    (2025-05-01) Natnael Legesse
    Abstract Background: Vasectomy is a safe, simple, and highly effective method of permanent male contraception. Despite its benefits such as cost-effectiveness, minimal invasive nature, brief procedure duration (10 – 20 minutes), and fewer complications than female sterilization, it is still notably underused in low- and middle-income nations, including Ethiopia. Considering the inconsistencies present in the literature and clear knowledge gaps, it is essential to investigate the factors that affect men's intention to consider vasectomy to develop effective reproductive health strategies and encourage male participation in family planning. Objective: To assess intention to use vasectomy and its predictors among married men attending reproductive health services at public health facilities of Asella Town, Oromia Method: An institution based cross-sectional study design was employed to collect data from 267 married men attending at selected public health facilities of Asella Town. By using a simple random sampling technique, participants were selected, and data was collected using a structured questionnaire. It was entered into EPI data version 4.6 and then exported to Statistical Package for the Social Sciences version 25 for analysis. Bivariate regression analysis was done, and all variables with a p-value < 0.25 in the bivariate analysis was entered into the multivariable analysis. Finally, significance was set at a P-value < 0.05. The study achieved a 97.4% response rate, ensuring sampling adequacy. Result: The magnitude of intention to use vasectomy among married men in this study was 24.2% (95% CI: 19.6–29.6). Factors significantly associated with intention to use vasectomy included urban residency (AOR = 2.56, 95% CI: 1.08–6.10), being employed as a daily laborer (AOR = 5.12, 95% CI: 1.01–25.94), and having good knowledge of vasectomy (AOR = 2.27, 95% CI: 0.98–5.25). Although the confidence interval for knowledge included 1.0, the variable approached statistical significance and warrants further exploration. Conclusion and Recommendation: This study highlights a low intention to use vasectomy and identify key socio-demographic and knowledge-related factors influencing men’s willingness. Public health interventions should focus on improving men’s knowledge of Vasectomy, addressing misconceptions, promoting positive Attitudes, and targeting rural communities. Health education and counseling programs involving both men and couples are critical to enhance vasectomy acceptance. Further research is recommended to explore cultural, behavioral, and health system barriers to male sterilization in Ethiopia.