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Vasectomy Uptake in Kisumu: Knowledge & Barriers

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UNIVERSITY OF NAIROBI
PHD IN GENDER AND DEVELOPMENT STUDIES
SCIENTIFIC RESEARCH WRITING AND PUBLICATION
SEMINAR
CGE 8107
Lecturer: Prof. Salome Bukachi
Structured, Simple /conventional and descriptive Abstract Version on the same
title/content based on Master’s Project on Vasectomy.
Manuscript Title: Vasectomy Uptake: Knowledge, Attitudes, and Barriers in
Winam Division, Kisumu, Kenya
Evelyne Oyamo Agingu
CGE8/62833/2024
The University of Nairobi
Faculty of Arts and Social Sciences
Institute of Anthropology, Gender and African Studies
Gender and Development studies
1st November, 2024
1. Structured Abstract version (250 words)
Vasectomy Uptake: Knowledge, Attitudes, and Barriers in Winam Division, Kisumu,
Kenya
Introduction: Vasectomy is a safe and effective method of male contraception. However, its
uptake remains low in many regions, including Kenya. This study aims to assess the knowledge
and attitudes towards vasectomy among men in Winam Division Kisumu, Kenya and to explore
the factors influencing its uptake.
Methods: A mixed-methods approach was employed involving quantitative survey of 40
respondents aged 18-55 and qualitative interviews with 4 key informants, FGD, 6 narratives and
2 spouses of men who had undergone vasectomy at Marie Stopes International, Kisumu. Data were
collected on sociodemographic characteristics, knowledge, attitudes towards vasectomy and
factors influencing the decision to undergo the procedure.
Results: The findings revealed that while most men had heard of vasectomy, their knowledge
about the procedure was limited. Common misconceptions included beliefs that vasectomy causes
impotence and that it is irreversible. Despite these misconceptions, the majority of men expressed
positive attitudes towards vasectomy, citing its effectiveness and convenience as key advantages.
Factors influencing the decision to undergo vasectomy included completed family size, partner's
approval, chronic hereditary diseases and desire for permanent contraception.
Discussion: The low uptake of vasectomy in Winam Division can be attributed to limited
knowledge and misconceptions about the procedure. Addressing these knowledge gaps through
targeted education and awareness campaigns is crucial. Additionally, efforts to dispel myths and
misconceptions about vasectomy are needed to increase its acceptability. Further research is
required to explore the specific needs and preferences of men in this region and to develop
culturally appropriate strategies for promoting vasectomy uptake.
2. Simple/ Conventional Abstract (250 Words)
Vasectomy Uptake: Knowledge, Attitudes, and Barriers in Winam Division, Kisumu,
Kenya
Vasectomy is a permanent male contraception method with low uptake in Kenya. This study aimed
to explore knowledge and attitudes towards vasectomy and its uptake at Marie Stopes International
(MSI) Winam Division in Kisumu, Kenya. The research contributes to the body of knowledge on
vasectomy and provides more insight into the use of vasectomy as a family planning method at the
policy level. The study applied the Theory of Planned Behaviour, which questions the classical
model of Belief, Attitude, and Behaviour. A mixed-methods approach was used, including surveys,
Key Informants, Focus Group Discussions, In-depth interviews and interviews of 2 spouses of men
who had undertaken vasectomy at MSI, Kisumu. The study found that while a majority of the
respondents had knowledge of vasectomy, the uptake remains low, with misconceptions about its
safety and effectiveness being common. Attitudes towards vasectomy were mixed, with some men
expressing interest but concerned about potential side effects and social stigma. Women generally
supported their partners' decisions but had concerns about the impact on their relationships. The
clients appreciated the privacy and confidentiality offered at MSI, however, limited awareness of
the services was identified as barriers to Vasectomy uptake. The study recommends increasing
awareness of vasectomy through community outreach and education campaigns. Addressing
misconceptions and providing accurate information about vasectomy is crucial. Expanding access
to vasectomy services, in male-friendly settings, is essential. Further research is needed to explore
the long-term impact of vasectomy on men's health and relationships.
Key Words: Vasectomy, male contraception, knowledge, attitudes, barriers
3. Descriptive Abstract (In 100 words)
Vasectomy Uptake: Knowledge, Attitudes, and Barriers in Winam Divison, Kisumu,
Kenya
Vasectomy is a safe and effective method of male contraception but the uptake remains low in
Kisumu, Kenya. This study aimed to assess knowledge, attitudes, and barriers towards vasectomy
uptake among men in Marie Stopes International, Kisumu. A mixed-methods approach was
employed involving quantitative survey of 40 respondents aged 18-55 years and qualitative
interviews with 4 Key informants, Focus Group Discussion, 6 narratives/in-depth and 2 spouses
of men who had undergone vasectomy at Marie Stopes International, Kisumu. Understanding
these factors is crucial for developing targeted interventions to increase vasectomy uptake and
promote shared responsibility for family planning in the region.
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