THE KNOWLEDGE AND PRACTICE OF CONTRACEPTION AMONG MALE ADOLESCENT STUDENTS

ABSTRACT


INTRODUCTION:    Contraceptives are drugs or device used to prevent a woman from being pregnant and also used to protect men and women from sexually transmitted diseases.  How can this be driven home is truth to our adolescences, utilized to reduce our teaming population and to reduce the diseases that are sexually transmitted.  The project was done in March – July 2010.
OBJECTIVE:  To assess the knowledge and improve the practice of this knowledge in our teaming adolescent population bearing in mind that a good beginning will eventually grow to a good end.
METHODOLOGY:  A descriptive cross-sectional study was done using quantitative and qualitative methods of data collection.  Though sample size was calculated for a finite population, the total population of student respondents was used for the study.  Data collection was by use of a seria structured questionnaire and an observational check list.
RESULTS:  The mean age of the student  respondents was 25 + 5 years.  All the respondents are male adolescent students.  The knowledge of contraception in this group was 86.1% as against those who had as knowledge of 13.9%; the practice of contraceptive use has 77% while abstinence ws 6.6% and withdrawal 5.5% respectively.  The subject of study of the students did not influence the knowledge and practice of contraception so also is their year of study.  The mass media and peer group were found to be their main sources of information that contraceptives and their parents’ being alive or dead did not also influence their practice.
CONCLUSION:  the students who had good knowledge of contraception affirmed that they will continue to practice it.  The cultural values of students did not influence their practice of male contraception.  The mass media a veritable means of communication should be effectively used to cover both urban and rural areas in order to stimulate more adolescent to the use of male contraception.
            Parents, teachers, health practitioners should do more to give adolescents such advice to help in their proactive ability and the need to adequate control of sexuality related activities.


CHAPTER 1


CHAPTER ONE
INTRODUCTION
            The Oxford Advanced Learners’ Dictionary of Current English defines “Contraceptives as a drug, device of practice used to prevent a woman becoming pregnant.”1 This definition though well embracing but does not include its utilization as a preventive measure against the spread of sexually transmitted diseases; such as AIDS/HIV.  The act of contraception has been an old practice even from our forefathers who designed the timing of mating with their wives or not depending on whether they want to make babies.  They have a mental picture of when the monthly menstrual flow of their wives takes place or how long their wives have to breast feed their babies to avoid unwanted pregnancies.  Some traditional women even go through the extra-mile of wearing contraceptive bands on their waist to prevent unwanted pregnancies.
            Each year, women around the world experience 75 million unwanted pregnancies.  Unwanted pregnancy can occur for two main reasons; either the couple was not using contraceptives, or the method they were using failed.  There are many reasons why people do not use contraceptives to prevent unwanted pregnancy, including lack of access to family planning information and services; incest or rape; personal or religious beliefs; inadequate knowledge about the risks of pregnancy following unprotected sexual relations; and women’s limited decision-making ability with regard to sexual relations and contraceptive use.2 Many women are deprived of family planning services.
            The use of contraceptives by both males and females has been accepted and widely practiced in the developed world.  This has not been the case in the developing world where the male chauvinistic cultural belief that women should protect themselves from unwanted pregnancies; instead of the men also making it possible to use contraceptives.  The act of child bearing is the combined effort of both males and females, but in the developing world; it is seen as a primary function of the female gender.  This is the reason why the usage of contraceptives among men in these areas has not been encouraged as the female contraceptives. The patriarchal nature of the African society does not seem to help or encourage male contraception rather it makes men to believe that they do not have any role to play in reproductive health.
            In the developed world, the populace has overgrown the persistent myths and negative attitude of men towards contraception.  However, the fact that male contraception in the underdeveloped countries has not been encouraged has led to the paucity of information about it and also reduced the quest for knowledge in this area.  Studies show that men want access to better contraceptives.  In a recent study of British men, 80% placed a hypothetical male pill as one of their top three contraceptive choices (Brooks, 1988)3.  Another study found that over 60% of men in Germany, Spain, Brazil and Mexico were willing to use a new method of male contraception (Heinemaan, 2006).4  In another study on “why Nigeria adolescent seek abortion rather than contraception:  Evidence from focus group discussions” where youths were asked about contraceptive availability, perceived advantages of method used, side effects and young people’s reasons for using or not using contraceptives?  It was found that the fear of future infertility was an overriding factor in adolescent decisions to rely on induced abortion rather than contraception.5
Methods of Contraception -  are more in the female gender than the male.