Knowledge and Perceptions of men towards Vasectomy among men of reproductive age in Otuke District-a cross-sectional study

Abstract Objective:This study aimed to assess the knowledge and perceptions of vasectomy as a family planning method among men in rural northern Uganda. Methods:A cross-sectional study was conducted involving 624 participants. Sociodemographic characteristics, use of vasectomy, number of children, and knowledge of vasectomy were assessed. Perceptions of vasectomy were measured, focusing on cultural, religious, and gender-related aspects. Results:The study revealed a predominantly adult, married, and Catholic population with low educational attainment. Only 2% of participants had undergone vasectomy, indicating limited utilization. While approximately half demonstrated awareness of vasectomy, negative perceptions prevailed, with 63.5% expressing unfavorable opinions. Cultural and religious beliefs, along with concerns about promiscuity, played a significant role in shaping negative perceptions. The majority believed in male dominance in family planning decisions, and a considerable portion endorsed sterilization exclusively for women. Conclusion: This study highlights the low utilization and predominantly negative perceptions of vasectomy among men in rural northern Uganda, emphasizing the need for targeted interventions to address cultural and religious misconceptions and enhance education on family planning options. Public health campaigns should focus on dispelling misconceptions about vasectomy, particularly addressing cultural and spiritual concerns. Educational programs should target men and their communities, emphasizing the benefits of shared family planning decisions. Further research incorporating qualitative methods could provide a deeper understanding of the cultural aspects influencing vasectomy perceptions in this population.