MALE INVOLVEMENT IN FAMILY PLANNING IN SOME SELECTED RURAL COMMUNITIES IN ENUGU EAST LOCAL GOVERNMENT AREA IN ENUGU STATE, NIGERIA

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TABLE OF CONTENTS

Title     .           .           .           .           .           .           .           .           .           i

Approval         .           .           .           .           .           .           .           .           ii

Certification    .           .           .           .           .           .           .           .           iii

Dedication      .           .           .           .           .           .           .           .           iv

Acknowledgement      .           .           .           .           .           .           .           v

Table of Contents       .           .           .           .           .           .           .           vi

List of Tables  .           .           .           .           .           .           .           .           vii

List of Figures .           .           .           .           .           .           .           .           x

List of Appendices     .           .           .           .           .           .           .           xi

Abstract          .           .           .           .           .           .           .           .           xii

CHAPTER ONE

INTRODUCTION

Background to the Study       .           .           .           .           .           .           1

Statement of Problem             .           .           .           .           .           .           .           3

Purpose of the Study .           .           .           .           .           .           .           5

Research Question      .           .           .           .           .           .           .           5

Research Hypothesis   .           .           .           .           .           .           .           6

Significance of the Study       .           .           .           .           .           .           6

Scope of the Study     .           .           .           .           .           .           .           7

Operational Definition of Terms         .           .           .           .           .           7

CHAPTER TWO

LITERATURE REVIEW

Conceptual Review     .           .           .           .           .           .           .           9

Concept of Family Planning.  .           .           .           .           .           .           9

History of the Family Planning           .           .           .           .           .           10

Family Planning Methods       .           .           .           .           .           .           11

Health Benefits of Family Planning   .           .           .           .           .           12

Factors that Affect Men’s Involvement in Family Planning .           .           14

Overview of Men that Practice Family Planning, the

Methods and Services Available to them       .           .           .           .           17

Family Planning Methods and Services Available to Men     .           .           17

Nature of Men’s  Involvement Men  in Family Planning       .           .           19

Theoretical Framework Review          .           .           .           .           .           24

Core Assumptions and Statements of Health Belief Model

as Identified by Murphy (2003)         .           .           .           .           .           25

Application of Health Belief Model to Male Involvement in

Family Planning in rural Communities            .           .           .           .           28

Empirical Review        .           .           .           .           .           .           .           29

Summary of Literature Review          .           .           .           .           .           36

CHAPTER THREE

RESEARCH METHODS

Research Design         .           .           .           .           .           .           .           37

Area of Study             .           .           .           .           .           .           .           .           37

Population of the Study          .           .           .           .           .           .           38

Sample            .           .           .           .           .           .           .           .           38

Inclusion Criteria        .           .           .           .           .           .           .           38

Sampling Procedure    .           .           .           .           .           .           .           39

Instrument for Data Collection           .           .           .           .           .           39

Validity of the Instrument      .           .           .           .           .           .           40

Reliability of Instrument         .           .           .           .           .           .           40

Ethical Consideration           .           .           .           .           .           41

Procedure for Data Collection            .           .           .           .           .           41

Method of Data Analysis       .           .           .           .           .           .           42

CHAPTER FOUR

ANALYSIS AND PRESENTATION OF RESULTS

Analysis of Presentation of Results    .           .           .           .           .           43

CHAPTER FIVE

DISCUSSION OF FINDINGS

Discussion of Major Findings .           .           .           .           .           .           55

Summary of the study            .           .           .           .           .           58

Implication of the study to nursing practice   .           .           .           .           59

Conclusion      .           .           .           .           .           .           .           .           60

Recommendation        .           .           .           .           .           .           .           61

Limitation of the Study          .           .           .           .           .           .           62

Suggestion for Further Studies           .           .           .           .           .           62

References      .           .           .           .           .           .           .           .           63

Appendix        .           .           .           .           .           .           .           .           67

LIST OF TABLES

Table 1:           Socio-Demographic Characteristics of the

respondents     .           .           .           .           .           .           43

Table 2:           Percentage of men who get involved in practicing

family planning           .           .           .           .           44

Table 3:           Factors affecting men’s involvement in family

Planning          .           .           .           .           .           .           45

Table 4:           Nature of men’s involvement in family planning.      .           48

Table 5:           Method of family planning adopted  mostly by men in these communities   .           .           .           .            .           .           50

Table 6:           Association between men’s involvement in family

planning and their age .           .           .           .           .           51

Table 7:           Association between men’s involvement in family

planning and their level of education .           .           .           51

Table 8:           Association between men’s involvement in family

planning and their occupation .           .           .           .           52

Table 9:           Association between men’s involvement in family

planning and their religion      .           .           .           .           52

LIST OF FIGURES

Health belief model    .           .           .           .           .           .           .           27

LIST OF APPENDICES

Appendix I:     Sample of the Questionnaire for

Data Collection           .           .           .           .           .           67

Appendix II:   Informed Consent Form         .           .           .           .           71

Appendix III:  Showing the population of different

communities and proportion studied. .           .           .           72

Appendix IV:  Determination of sample size with total population   .        73

Appendix V:   Reliability

Appendix VI:  Identification Letter from the Department

Appendix VII:            Application for Ethical Approval

Appendix VIII: Letter of Ethical Approval

Appendix XI:  Application for Permission from Enugu East Local Government

Chairman

Appendix X:   Approval from Enugu East Local Government Chairman

ABSTRACT

Men involvement in family planning would increase its recognition, acceptance and practice by people especially within the rural communities.  This is because in rural communities in Nigeria including Enugu, men are still the gate keepers in our families who control power and major decision making.  Some of them decide whether their wives will practice family planning or not and the methods to be adopted.    This implies the men seem to have the finally say on the number of children the family should have, the spacing, maternal health and general level of reproductive health in the family.    In Nigeria male involvement in family planning from previous studies is low, pregnancy and delivery problems are treated as women affair. Though men do not carry pregnancy, they are the initiators of the process and therefore should be involved in family planning for better success. The purpose of the study was to examine Male involvement in family planning in some selected rural communities in Enugu East Local Government Area in Enugu State, Nigeria.  The target population of the study were 3320 men.  Sample size was 360 men. The instrument for data collection was a researcher developed questionnaire which was also used as an interview guide for illiterate subjects.  Data were analysed using descriptive statistics such as frequencies, percentages, mean and standard deviation.  Statistical analyses was done using the statistical Package for Social Sciences (SPSS) version 17.  Chi-square inferential statistics was used for testing the hypothesis at 0.05 level of significance. Results showed there was a significant association between male involvement in family planning and socio demographic variables (age, educational level, occupation and religion).  Other findings revealed that less than half of the respondents (46%) got involved in family planning practice in the rural communities studied.  There were low mean response values of 2.21, 2.11 and 2.25 to the nature of men’s involvement in family planning. The main factors that affected their involvement were inadequate knowl