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1 Knowledge and Attitude of Married KNOWLEDGE AND ATTITUDE OF MARRIED MEN AND WOMEN ON VASECTOMY: A CROSS-SECTIONAL SURVEY OF A MISSION HEALTH CENTRE IN BURUNDI IGIRANEZA GAD A Thesis Report Submitted to the Institute of Postgraduate Studies of Kabarak University in Partial Fulfillment of the Requirements for the Award of Master in Family Medicine KABARAK UNIVERSITY NOVEMBER 2020 1 DECLARATION 1. I do declare that: i. This thesis is my own work and to the best of my knowledge it has not been presented for the award of a degree in any university or college. ii. That the work has not in-cooperated material from other works or a paraphrase of such material without due and appropriate acknowledgement. iii. That the work has been subjected to processes of anti-plagiarism and has met Kabarak University 15% similarity index threshold. 2. I do understand that issues of academic integrity are paramount and therefore I may be suspended or expelled from the University or my degree may be recalled for academic dishonesty or any other related academic malpractices. Signature:…………………………… Date:………………………. IGIRANEZA GAD GMMF/M/1346/09/16 ii RECOMMENDATION To the institute of postgraduate studies The research thesis entitled ―Knowledge and Attitude of Married Men and Women on Vasectomy: A Cross-Sectional Survey of a Mission Health Centre in Burundi” and written by Gad Igiraneza is presented to the Institute of post graduate Studies of Kabarak University. We have reviewed the research thesis and recommended it to be accepted in partial fulfillment of the requirement for award of the degree of Master of Medicine in family Medicine. Signature: Date: …………………22/11/2020 Dr. Philip Blasto General Surgeon at Litein Hospital Signature: Date: 22/11/2020 Dr. logan Banks Family Physician at Kibuye Hope Hospital iii COPYRIGHT @2020 Gad Igiraneza All rights reserved. No part of this thesis report may be reproduced or transmitted in any form through either mechanical, including photocopying, recording or any other information storage or retrieval system without prior permission from the author or Kabarak University. iv ACKNOWLEDGEMENT AND DEDICATION I would like to thank my supervisors, Dr Philip Blasto and Dr Logan Banks, for their great assistance throughout this project. My appreciation also goes to my sponsors and their immense generosity that allowed me to be following this program. I am quite thankful to the Department of Family Medicine and Community Health of Kabarak University for the expression of love, patience and Christ-like discipleship they manifested to me. I am immensely grateful to the program coordinator at Chogoria Mission Hospital for being more than a mentor to me and his moral support. I dedicate this project to my family for being patient and loving. To the Almighty God, the Father, creator of all that is seen and unseen be all glory, honour and praise for giving me enough grace to see this project to completion. v ABSTRACT Vasectomy is a safe, cheap, easy to perform a method of contraception. However, its uptake in Burundi is low. Moreover, matters of family planning are packaged as a female responsibility than male, and it is not clear what attitude and knowledge married men and women have towards vasectomy. The objective of this study was to assess the knowledge and attitude of married men and women towards vasectomy as well as demographic factors that influence vasectomy uptake. A cross-sectional survey design was carried out utilizing a questionnaire. Stratified and simple random sampling was used. The sample size consisted of 234 respondents, with 142 male respondents and 92 female respondents. Descriptive statistics, independent T-test and chi square for assessing association between variables using SPSS version 17 were used for data analysis. This study found that 51.2% of respondents had good knowledge about vasectomy. Knowledge did not correlate with acceptance of vasectomy: 92.6% of respondents with good knowledge, 96.2% of those with fair knowledge and 92.9% of those with poor knowledge did not accept vasectomy (P=0.787). In terms of attitude, the overall attitude Mean score was 47.1% signifying a negative attitude towards vasectomy. 95.6% of respondents agreed that vasectomy was not acceptable in the Burundian culture, and 90.1% of respondents stated that vasectomy was against their religious belief. 80% of respondents also agreed that there is not enough information available on vasectomy, 90.5% agreed that the irreversibility of vasectomy constituted a reason for not adopting it. In terms of acceptance of vasectomy, the study found that the majority of respondents was not willing to accept vasectomy: 91.6% of male respondents and 95.7% of female respondents. A significant association was noted between vasectomy acceptance and age (P=0.029) and the number of current children (P=0.012). No other significant association was noted with other socio demographic factors. Overall knowledge of married men and women about vasectomy was acceptable (52.1%), attitude towards vasectomy was poor, and acceptance was low. Myths and misconception about vasectomy were noted. There is a need for greater awareness of vasectomy knowledge as a potential vehicle to affect attitude change towards vasectomy. Keywords: Vasectomy, Knowledge, Attitude, Contraception vi TABLE OF CONTENTS DECLARATION ....................................................................................................... ii RECOMMENDATION ............................................................................................ iii COPYRIGHT ............................................................................................................ iv ACKNOWLEDGEMENT AND DEDICATION .................................................... v ABSTRACT ............................................................................................................... vi TABLE OF CONTENTS ........................................................................................ vii LIST OF FIGURES ................................................................................................... x CHAPTER ONE ........................................................................................................ 1 INTRODUCTION ..................................................................................................... 1 1.1 Introduction ............................................................................................................ 1 1.2 Background to the Study ...................................................................................... 1 1.3 Problem Statement ............................................................................................... 8 1.4 Purpose of the Study .......................................................................................... 11 1.5 Objectives of the Study ...................................................................................... 13 1.5.1 General Objective .................................................................................... 13 1.5.2 Specific Objectives .................................................................................. 13 1.6 Research Questions ............................................................................................ 13 1.7 Justification of the Study .................................................................................... 14 1.8 Scope of the Study ............................................................................................. 16 1.9 Limitations of the Study ..................................................................................... 17 1.10 Assumptions of the Study ................................................................................ 17 CHAPTER TWO ..................................................................................................... 18 LITTERATURE REVIEW ..................................................................................... 18 2.1 Introduction ........................................................................................................ 18 2.2 Family Planning in Burundi ............................................................................... 18 2.3 Vasectomy Knowledge and Family Planning .................................................... 20 2.4 Attitude Towards Vasectomy ............................................................................. 22 2.5 Barriers to Vasectomy Uptake: Religious Factors ............................................. 23 2.6 Spousal Influence on Vasectomy ....................................................................... 26 2.7 Education Level in Relation to Vasectomy ........................................................ 26 2.8 Theoretical Framework ...................................................................................... 28 2.9 Theory of Planned Behavior .............................................................................. 29 2.10 Relevance of the Theory to the Study .............................................................. 30 vii 2.11 Conceptual Framework .................................................................................... 32 CHAPTER THREE ................................................................................................. 33 RESEARCH DESIGN METHODOLOGY ........................................................... 33 3.1 Introduction ........................................................................................................ 33 3.2 Research Design ................................................................................................
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