Awareness and perception of vasectomy among antenatal women in a tertiary health facility in southeast Nigeria

Lawrence C. Ikeako, Johnpaul E. Nnagbo, Uchenna A. Umeh, Hyginus U. Ezegwui, Chibuike O. Chigbu, Leonard Ajah, E. N. Onwudiwe, Tochukwu C. Okeke


Background: Vasectomy is a safe alternative to bilateral tubal ligation (BTL) in achieving permanent sterilization but not popular in developing countries. As part of the efforts to increase popularity as well as acceptance of vasectomy in the developing countries, its awareness among women needs to be assessed. The study was undertaken to determine the awareness and perceptions of vasectomy among antenatal attendees in a tertiary health institution southeast Nigeria.

Methods: This was a questionnaire-based cross-sectional study in which pregnant women visiting University of Nigeria Teaching Hospital, Enugu (UNTH) antenatal clinic from 1st June – 30th November 2017 were recruited. Data was collected using structured questionnaire. Two hundred (200) self-administered questionnaires were completely filled and analyzed by means of descriptive and inferential statistics including means frequencies and x^2-tests at the 95% confidence level (CL).

Results: Of the 200 respondents, 146(73%) were completely unaware of the existence of vasectomy while 54(27%) were aware. Of those who were aware, 41(75.9%) accepted its use as a family planning method for men. The commonest reason for acceptance was the fear of infidelity among their husbands, 17(41.5%). The intention to use was however low as 24(44.4%) of those who accepted vasectomy disapproved of its use by their husbands and the main reason for disapproval was “weakens husband’s sexual performance,” (33.3%). Tertiary level of education of the respondents was 5.3 times independently associated with the acceptance of vasectomy.

Conclusions: The awareness is low and there are several misperceptions about vasectomy among the women in Enugu. Tertiary education of the women however improves the choice of vasectomy as a permanent contraceptive option. There is the need for educational programmes in line with the numerous advantages of vasectomy so as to counteract the misperceptions especially those regarding sexual relationship.


Awareness, Counselling, Misperceptions, Pregnant, Vasectomy, Women

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Tsui AO. Family planning and the burden of unintentional pregnancies. Epidemiol Rev. 2010; 32(1):152-74.

Monjok E, Smesny A, Ekabua JE, Essien E. Contraceptive practices in Nigeria: Literature review and recommendation for future policy decisions. J Contracep. 2010;1:9-22.

Bankole A, Adewole IF, Hussein R, Awolude O, Singh S, Akinyemi JO. The incidence of abortion in Nigeria. Int Perspect Sex Reprod Health. 2015; 41(4):170-81.

National Population Commission (NPC) [Nigeria} and ICF International. Nigeria Demographic and Health Survey 2013. Abuja, Nigeria, Rockville, Maryland, USA: NPC and ICF International.

United Kingdom – Contraceptive prevalence % of women ages.2009:15-49.

Shih G, Zhang Y, Bukowski K, Chen A. Bringing men to the table: sterilization can be for him or for her. Clin Obstet Gynecol. 2014;57(4):731-40.

Keromat A, Zarei A, Arabi M. Barriers and facilitators affecting vasectomy acceptability (a multi stages study in a sample from north eastern Iran), 2005-2007. Asia Pac Fam Med. 2011;10(1):5-11.

Shattuck D, Perry B, Packer C, Quee DC. A review of 10 years of vasectomy programming and research in low-resource settings. Glob Health Sci Pract 2016; 4(4):647-60.

Akinwutan AL, Shittu OB. Voluntary vasectomy in a Nigerian: A rarity. Afri J Med Sci. 2008;37:289-90.

Mutihir JT, Ugah IAO, Ekwempu CC, Duru PH, Aisien OA. Acceptability of vasectomy in Jos, northern Nigeria. Trop J Obstet Gynaecol. 2004; 2(1):56-7.

Ezegwui HU, Nwogu-Ikojo EE. Sterilization at Caesarean Section in Nigeria. Int J Gynaecol Obstet. 2004; 87(2):157-58.

Saoji A, Gumashta R, Hajare S, Nayse J. Denial mode for vasectomy in Central India: Causes and Suggested Strategies. J Psychol Psychother. 2013; 3(4):120-5.

Connolly A, Pietri G, Yu J, Humphreys S. Association between long-acting reversible contraceptive use, teenage pregnancy and abortion rates in England. Int J Women’s health 2014;6:961-74.

Mahat K, Pacheun O, Taechaboonsermask P. Intention to accept vasectomy among married men in Kathmandu, Nepal. Asia J Public Health. 2010; 1(1):8-14.

Margaret AD. Research methodology with statistics for health and social sciences. 1st ed. Ilorin, Nigeria. Nathader Publisher. 2003;115-21.

Nyengidiki KT, Orji V, Olaka EW. Knowledge and attitude toward vasectomy among antenatal clinic attendees in a tertiary health facility in Nigeria. Sahel Med J. 2016;19(4):201-5.

Alemayehu M, Belachew T, Tilahum T. Factors associated with utilization of long acting and permanent contraceptive methods among married women of reproductive age in Mekelle town, Tigray region, north Ethiopia. BMC Pregnancy Childbirth 2012;12(1):6-16.

Tijani KH, Ojewola RW, Yahya GL, Oluwole AA, Odusanya B. Attitudes and acceptance of Nigerians towards vasectomy – A comparison of married men and women in Lagos. East Afri Med J. 2013:90(3):89-94.

Onasoga OA, Edoni EE, Ekanem J. Knowledge and attitudes of men towards vasectomy as a family planning method in Edo State, Nigeria. J Res Nursing Midwifery 2013;2(1):13-21.

Ebeigbe PN, Igberase GO, Eigbefoh J. Vasectomy: A survey of attitudes, counselling patterns and acceptance among Nigerian Resident Gynaecologists. Ghana Med J. 2011;45(3):101-4.

Yinger N, Ramage I, Holden J, Nicewinter JP, Ramage KH. View on family planning and long acting methods: insights from Cambodia. New York: EngenderHealth, RESPOND Project; 2013. Project Brief No. 12.

Bunce A, Guest G, Searing H, Frajzyngier V, Riwa P, Kanama J, Achwal I. Factors affecting vasectomy acceptability in Tanzania. Int Fam Plan Perspect. 2007;33(1):13-21.

Hall MA, Stephenson RB, Juvekar S. Social and logistical barriers to the use of reversible contraception among women in a rural Indian village. J Health Popul Nutr. 2008;26(2):241-50.

Adebimpe WO, Asekun-Olarinmoye E, Bamidele JO Aboderin O. Continental J Med Res 2011;5(1):32-40.

Dayanand G, Singh S, Baruwal C. An assessment of knowledge and attitude of vasectomy in adult males; a cross sectional study from Pokhara, Western Nepal. Med Sci. 2014;2(4):164-70.