Citation

Maiga OS, Poudiougou B, Kéita TF, Ronse I, Boundy F, Bagayoko D, Diallo D. Mali Med. 2007; 22(4): 27-30.

Vernacular Title

Implication des hommes dans la prise de decision concernant le planning familial au Mali.

Copyright

(Copyright © 2007, Société Médicale du Mali)

DOI

unavailable

PMID

19434978

Abstract

The birth control program was in place and functional since 1970, and it was integrated with maternal and infant health activities in 1978: knowledge about contraception is increasing among women and men respectively 75.6% and 87.6% according to EDSM II, 2001. Nevertheless, only 5.7% of women and 10% of men reported the use of one of the modern contraceptive methods. This is a transversal descriptive and analytic study which included men of 14 years old and above residing in Kayes, Koulikoro, Mopti, Sikasso and Bamako. We used a random choice of 6 out of the 9 regions in Mali (Bamako and the 5 regions supported by partners funding the present study) followed by a non-random choice at different degrees. Data were uniformly collected from One thousand and four men. The mean age was 37.6 +/- 15.6 years, 44.7% of the men were monogamous whereas 23.1% were polygamous and 30.6% were either single or had a fiancé. Most of the men in the study group had more than 2 children compared to 34.2% without children and 19.9% with either one or two children. Among them, 89.1% reported to have heard about birth control program and 70.3% had listed Planned Parenthood as an objective of birth control. The most used methods of birth control the most used are contraceptives (66.7%), condoms (60.5%) and injections (30.8%). However, only 30.6% of men used one birth control method with their partners; among those studied in the cohort, 40.8% used birth control method with their wives. Condom was the main method used by 86% of the men compared to utilization of contraceptive pills and injections respectively 66.7% and 25.6%. Birth control methods were used mainly to protect against sexually transmitted diseases (20.7%), then maternal and infant health respectively 6.0% and 5.8%. 60.7% of men think that the decision to use birth control method should be made by them whereas 25.7% think that the decision should be made by the couples. Many strategies are being proposed to involve men in the wider implementation of birth control program; these strategies will be more efficient when the age group 20-29 and 30-44 are targeted nationwide including rural areas, as well as couples especially those polygamous and illiterate.

Language: fr