Male Characteristics and Contraception In Four Districts Of The Central Region, Ghana

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Abstract Introduction: A lack of male involvement in contraception can negatively affect its practice. This study focuses on the male characteristics that influence the practice of both traditional and modern methods of contraception. Methods: This study is a secondary analysis of quantitative data obtained from the baseline assessment of the Ghana Community-Based Action Teams Study that aimed to prevent violence against women in the Central Region of Ghana in 2016. The analysis included 1742 partnered males aged 18-60 years. Chi-square test, t-test and logistic regression analyses were used to assess the association between male characteristics and the practice of contraception (significance level=0.05). Results: The prevalence of contraception was 24.4% (95% CI=20.8-28.5). Significant male characteristics that predicted the practice of contraception in adjusted models were: post-primary education (AOR=1.44, 95% CI=0.92-2.25), male controlling behaviour (AOR=0.7, 95% CI=0.49-0.99); perpetration of Intimate Partner Violence (AOR=1.83, 95% CI=1.49-2.26); number of main sexual partners (AOR=1.78, 95% CI=1.15-2.75); and whether the first child was wanted (AOR=0.71, 95% CI=0.54-0.94).Conclusion: Adequate measures need to be taken to actively involve men in family planning programs to promote the practice of contraception. Family planning sensitization and education programs should target males who are less likely to practice contraception.

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