Abstract of Dissertation

Keyword : Vasectomy; Knowledge, Perception, and Practices; Family Planning; Safe and Underutilized Methods

Objective : The objectives of the study were: • To study knowledge, perception, and practices of vasectomy among married men in Saharsa, Bihar. • To identify myths of men towards vasectomy. • To suggest ways to increase vasectomy prevalence

Background : Vasectomy is a safe method of family planning which remains underutilized. Although vasectomy is simpler to perform, less invasive, safer and more cost-effective than female sterilization, the number of vasectomies as compared to tubectomies is negligible. The current study aimed to analyze the critical factors determining underutilization of Vasectomy (NSV) by men’s in rural areas of district Saharasa, Bihar. In Bihar state, the NFHS 4 reported zero vasectomies also the contraceptive prevalence rate has gone down from 34.1 (NFHS 3) to 24.1 (NFHS 4) for any method while from 28.9 (NFHS 3) to 23.3 (NFHS 4) percent for any modern method.

Methodology : This was a cross-sectional descriptive study conducted in two blocks of Saharsa district of Bihar. The study population was selected using systematic random sampling. Two hundred non-sterilized married men were selected and parameter like age group, socioeconomic background, religion and number of children, etc. were considered. A sample of 200 non-sterilized married men was interviewed using a structured questionnaire. The data collection was done during March-April 2018.

Findings : Out of 200 respondents, more than half (62%) of the respondent has heard of vasectomy as a method of permanent contraception. And rest of the respondent not heard about it. About 61 percent of respondents opined that family planning is only the responsibility of women. Two-fifths (40%) shared that they feel embarrassed if they think of vasectomy. About 15 percent believed that religion puts constraint that and that demotivate for adapting NSV. About 36 percent of respondents shared that the community affects the decision for NSV.

Recommendations : Family planning is the responsibility of women which is a typical patriarchal mindset. Men are decision makers, but they feel embarrassed if they think of vasectomy; religion and community also influence the decision. There are misconceptions and stigma attached to vasectomy. Cultural factors are also responsible for perceptions towards vasectomy because masculinity is valued in the society and somehow vasectomy is considered anti-masculine.