Male Involvement in Family Planning Services Utilization and Associated Factors in Musanze District, Northern Rwanda.

Abstract

Background: Male involvement in family planning (FP) is crucial for reducing unplanned pregnancies, unsafe abortions, and maternal and child mortality. As primary decision-makers in many African households, men significantly influence women's use of contraceptive methods. However, male participation in FP services remains limited for various reasons. This study aims to assess male involvement in FP services and associated factors in Musanze district, Northern Rwanda.

Methods: A cross-sectional study was conducted on 397 married men in Musanze district. Participants were selected using simple random sampling. Data were collected through pre-tested, interview-administered questionnaires. Multivariable logistic regression analysis identified factors associated with male involvement in FP services.

Results: The overall level of male involvement in FP services was 36.7%. Male involvement was influenced by age (OR=6.199, 95% CI: 1.727-22.251), employment status (OR=2, 95% CI: 1.24-3.224) and distance to the FP facilities (OR=0.071, 95% CI: 0.009-0.579).

Conclusion: Male involvement in FP services in Musanze district is low. Factors such as age, employment, and distance to FP facilities influence male involvement in FP. Integrating men into existing FP services could enhance utilization and sustainability.