Sexual and contraceptive behaviour among men in Nepal: the need for male-friendly reproductive health policies and services
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Lewiston, N.Y. [u.a.]
Mellen
2008
|
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | Includes bibliographical references and index |
| Beschreibung: | VII, 218 S. graph. Darst., Kt. |
| ISBN: | 9780773449824 0773449825 |
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| 100 | 1 | |a Dahal, Govinda Prasad |e Verfasser |4 aut | |
| 245 | 1 | 0 | |a Sexual and contraceptive behaviour among men in Nepal |b the need for male-friendly reproductive health policies and services |c Govinda Prasad Dahal with a foreword by Theodore H. MacDonald |
| 264 | 1 | |a Lewiston, N.Y. [u.a.] |b Mellen |c 2008 | |
| 300 | |a VII, 218 S. |b graph. Darst., Kt. | ||
| 336 | |b txt |2 rdacontent | ||
| 337 | |b n |2 rdamedia | ||
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| 500 | |a Includes bibliographical references and index | ||
| 650 | 4 | |a Contraception Behavior - Nepal | |
| 650 | 4 | |a Health Policy - Nepal | |
| 650 | 4 | |a Men - Sexual behavior - Nepal | |
| 650 | 4 | |a Men - psychology - Nepal | |
| 650 | 4 | |a Reproductive Health Services - Nepal | |
| 650 | 4 | |a Reproductive health - Nepal | |
| 650 | 4 | |a Risk-Taking - Nepal | |
| 650 | 4 | |a Sexual Behavior - Nepal | |
| 650 | 4 | |a Men |x Sexual behavior |z Nepal | |
| 650 | 4 | |a Reproductive health |z Nepal | |
| 650 | 4 | |a Sexual Behavior |z Nepal | |
| 650 | 4 | |a Contraception Behavior |z Nepal | |
| 650 | 4 | |a Health Policy |z Nepal | |
| 650 | 4 | |a Men |x psychology |z Nepal | |
| 650 | 4 | |a Reproductive Health Services |z Nepal | |
| 650 | 4 | |a Risk-Taking |z Nepal | |
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TABLE OF CONTENTS
List of Tables
Foreword 1 y Professor Theodore H. MacDonald in V
Preface ix
Acknowledgements xiii
Chapter 1 Introduction 1
1.1 Background 2
1.1 (i) Socio-cultural factors 3
1.1 (ii) Service factors 4
1.2 Why were men overlooked in reproductive health in the 4
past?
1.3 Concept, definition and focus of male involvement in
sexual and reproductive health (SRH) 5
1.3.1 Concept and definition 5
1.3.2 Focus of the discourse 7
1.4 Terminology used in the discourse 7
1.5 The context of Nepal 8
1.6 Objectives 12
1.7 Data and methods 13
1.8 Rationale for the study 16
1.9 Organisation of the book 18
Chapter 2 Risky Sexual Behaviour among Young Men in Nepal 19
2.1 Introduction 19
2.2 Background 21
2.2.1 Young men and sexually transmitted infection 21
2.2.2 Social value system 24
2.2.3 Government policy 25
2.2.4 Previous Research 26
2.2.5 Mass media communication 26
2.3 Data and methods 28
2.3.1 Quantitative data and methods 28
2.3.1.1 Definition of risky sexual behaviour 30
2.3.2 Qualitative data and methods 34
2.4 Results 35
2.4.1 Characteristics of all respondents 35
2.4.2 Characteristics of sexually active respondents 41
2.4.3 Factors associated with risky sexual behaviour 42
2.4.4 Predictors of sexual activity and risky sexual 43
behaviour
2.4.5 Context and influences of risky sex 48
2.5 Discussion and conclusion 51
Chapter 3 Men's Participation in Family Planning: The Voice of
Nepali Men 59
3.1 Introduction 59
3.2 The importance to study male use of contraception 61
3.3 Nepal in context 64
3.4 Data, Variables and Methods 71
3.4.1 Data 71
3.4.2 Variables and methods 72
3.4.3 Qualitative Data 74
3.5 Results 75
3.5.1 Background characteristics of the respondents 75
3.5.2 Multivariate Results 84
3.5.2.1 Contribution to covariates on male use of
male/female sterilization 84
3.5.2.2 Contribution to covariates in using
reversible methods 90
3.5.2.3 Contribution to covariates in using
reversible male methods 95
3.5.2.4 Context and influences: why do Nepali
men not use male methods of 96
contraception?
3.5.2.5 Do Nepali men give consent to their
wives' use of female methods of 106
contraception?
3.6 Discussion and conclusion 107
Chapter 4 Gaps in Reproductive Health Policy and Services for
Men in Nepal 115
4.1 Introduction 115
4.2 Background
4.2.1 Government policies and programmes
4.2.2 International/national non-government organizations
4.3 Data and methods
4.4 Programme directives: The results
4.4.1. Are existing sexual and reproductive health
services user-friendly for male clients?
4.4.1.1 Opinions of policy makers and programme
planners
4.4.1.2 Opinions of service providers
4.4.1.3 Opinions of male community participants
4.4.2 What reproductive health services do men need ?
4.4.2.1 Opinions of policy makers and programme
Planners
4.4.2.2 Opinions of service providers
4.4.2.3 Opinions of community participants
4.4.3 Do males need special clinics for male friendly RH
services?
4.4.3.1 Opinions of policy makers and programme
planners
4.4.3.2 Opinions of service providers
4.4.3.3 Opinions of male community participants
4.5 Discussion and conclusion
Chapter 5 Concluding Remarks
5.1 Conclusions
5.2 Limitations of the study
5.3 Challenges and prospects
5.4 An account of the major contribution to knowledge
5.5 Future research
Appendix 1
Appendix 2
Appendix 3
Appendix 4
Appendix S
Bibliography
Index
117
117
122
125
128
128
128
129
130
131
131
133
134
140
141
141
142
143
153
153
158
160
161
162
167
179
183
187
189
201
215
LIST OF TABLES
Table 2.1
Table 2.2
Table 2.3
Table 2.4
Table 2.5
Table 2.6
Table 3.1
Table 3.2
Single and married males according to selected
background characteristics: all respondents 37
Sexually active single and married males by selected
background characteristics 38
Sexually active young men as percentage of all single
and married respondents by selected background
characteristics (weighted) 39
Men engaging in risky sexual behaviour as percentages
of all sexually active single and married men by selected
background characteristics (un-weighted) 40
Factors associated with sexual activity, and risky sexual
behaviour 45
Predicted probabilities of sexual activity and risky sex
among single men in certain districts according to
whether they had listened to reproductive health
programmes on the radio 47
Men using contraceptive methods as percentages of all
currently married men aged 15-59 years by selected
characteristics, Nepal 2001 80
Men using male contraceptive methods as percentages
of currently married contraceptive users aged 15-59
years by selected characteristics, Nepal 2001 82
Table 3.3 Multinomial logistic estimates (predicted probabilities)
of the effect of different demographic and socio-
economic characteristics on male use of male or female
permanent or reversible contraceptive methods among
currently married men aged 15-59 86
Table 3.4 Multinomial logistic estimates (predicted probabilities)
of the effect of different demographic and socio-
economic characteristics on male use of male reversible
contraceptive methods among currently married men
aged 15-59, Nepal DHS 2001 94
Table 4.1 Pattern of the opinions of policy makers, planners,
service providers and male community participants on
services for men in Nepal 145
LIST OF FIGURES
Figure 2.1 An analytical framework for the study of men's sexual
behaviour in Nepal 20
Figure 2.2 Map of Nepal showing the districts surveyed in the
Nepal Adolescents and Young Adults Survey 29
Figure 2.3 Flow chart identifying male respondents engaging in
risky sexual behaviour in the Nepal Adolescents and
Young Adult Survey 2000 32
Figure 2.4 Contextual influences on risky sexual behaviour 49
Figure 3.1 Trend of contraceptive prevalence rate (CPR) and total
fertility rate (TFR), Nepal 1976-2001 66
Figure 3.2 Trend of women's knowledge and use of modern
contraceptive methods, Nepal 1976-2001 67
Figure 3.3 Men's knowledge and use of contraceptive methods,
Nepal 1999 and 2001 68
Figure 3.3a Men using contraceptive methods as percentages of all
currently married men by age groups, Nepal 2001 76
Figure 3.4 Predicted probabilities of current use of contraceptive
methods among men by current age, living number of
children and work status, NDHS, 2001 85
IV
Figure 3.5 Predicted probabilities of current use of contraceptive
methods among men by ethnicity, religion, ecological
region and development region, NDHS, 2001 88
Figure 3.6 Predicted probabilities of current use of contraceptive
methods among men by men's attitude towards
contraception and communications, NDHS, 2001 89
Figure 3.7 Predicted probabilities of current use of reversible
methods among men by current age, living number of
children and work status, NDHS, 2001 91
Figure 3.8 Predicted probabilities of current use of reversible
methods among men by current age, living number of
children and work status, NDHS, 2001 92
Figure 3.9 Predicted probabilities of current use of reversible
methods among men by ecological region, development
region and residence, NDHS, 2001 93
Figure 3.10 Predicted probabilities of current use of male reversible
contraceptive methods among men by current age,
development region and attitudes towards condom use,
NDHS, 2001 95
Figure 4.1 Map of Nepal showing the districts where qualitative
survey was conducted in 2004 126 |
| adam_txt |
TABLE OF CONTENTS
List of Tables
Foreword 1 y Professor Theodore H. MacDonald in V
Preface ix
Acknowledgements xiii
Chapter 1 Introduction 1
1.1 Background 2
1.1 (i) Socio-cultural factors 3
1.1 (ii) Service factors 4
1.2 Why were men overlooked in reproductive health in the 4
past?
1.3 Concept, definition and focus of male involvement in
sexual and reproductive health (SRH) 5
1.3.1 Concept and definition 5
1.3.2 Focus of the discourse 7
1.4 Terminology used in the discourse 7
1.5 The context of Nepal 8
1.6 Objectives 12
1.7 Data and methods 13
1.8 Rationale for the study 16
1.9 Organisation of the book 18
Chapter 2 Risky Sexual Behaviour among Young Men in Nepal 19
2.1 Introduction 19
2.2 Background 21
2.2.1 Young men and sexually transmitted infection 21
2.2.2 Social value system 24
2.2.3 Government policy 25
2.2.4 Previous Research 26
2.2.5 Mass media communication 26
2.3 Data and methods 28
2.3.1 Quantitative data and methods 28
2.3.1.1 Definition of risky sexual behaviour 30
2.3.2 Qualitative data and methods 34
2.4 Results 35
2.4.1 Characteristics of all respondents 35
2.4.2 Characteristics of sexually active respondents 41
2.4.3 Factors associated with risky sexual behaviour 42
2.4.4 Predictors of sexual activity and risky sexual 43
behaviour
2.4.5 Context and influences of risky sex 48
2.5 Discussion and conclusion 51
Chapter 3 Men's Participation in Family Planning: The Voice of
Nepali Men 59
3.1 Introduction 59
3.2 The importance to study male use of contraception 61
3.3 Nepal in context 64
3.4 Data, Variables and Methods 71
3.4.1 Data 71
3.4.2 Variables and methods 72
3.4.3 Qualitative Data 74
3.5 Results 75
3.5.1 Background characteristics of the respondents 75
3.5.2 Multivariate Results 84
3.5.2.1 Contribution to covariates on male use of
male/female sterilization 84
3.5.2.2 Contribution to covariates in using
reversible methods 90
3.5.2.3 Contribution to covariates in using
reversible male methods 95
3.5.2.4 Context and influences: why do Nepali
men not use male methods of 96
contraception?
3.5.2.5 Do Nepali men give consent to their
wives' use of female methods of 106
contraception?
3.6 Discussion and conclusion 107
Chapter 4 Gaps in Reproductive Health Policy and Services for
Men in Nepal 115
4.1 Introduction 115
4.2 Background
4.2.1 Government policies and programmes
4.2.2 International/national non-government organizations
4.3 Data and methods
4.4 Programme directives: The results
4.4.1. Are existing sexual and reproductive health
services user-friendly for male clients?
4.4.1.1 Opinions of policy makers and programme
planners
4.4.1.2 Opinions of service providers
4.4.1.3 Opinions of male community participants
4.4.2 What reproductive health services do men need ?
4.4.2.1 Opinions of policy makers and programme
Planners
4.4.2.2 Opinions of service providers
4.4.2.3 Opinions of community participants
4.4.3 Do males need special clinics for male friendly RH
services?
4.4.3.1 Opinions of policy makers and programme
planners
4.4.3.2 Opinions of service providers
4.4.3.3 Opinions of male community participants
4.5 Discussion and conclusion
Chapter 5 Concluding Remarks
5.1 Conclusions
5.2 Limitations of the study
5.3 Challenges and prospects
5.4 An account of the major contribution to knowledge
5.5 Future research
Appendix 1
Appendix 2
Appendix 3
Appendix 4
Appendix S
Bibliography
Index
117
117
122
125
128
128
128
129
130
131
131
133
134
140
141
141
142
143
153
153
158
160
161
162
167
179
183
187
189
201
215
LIST OF TABLES
Table 2.1
Table 2.2
Table 2.3
Table 2.4
Table 2.5
Table 2.6
Table 3.1
Table 3.2
Single and married males according to selected
background characteristics: all respondents 37
Sexually active single and married males by selected
background characteristics 38
Sexually active young men as percentage of all single
and married respondents by selected background
characteristics (weighted) 39
Men engaging in risky sexual behaviour as percentages
of all sexually active single and married men by selected
background characteristics (un-weighted) 40
Factors associated with sexual activity, and risky sexual
behaviour 45
Predicted probabilities of sexual activity and risky sex
among single men in certain districts according to
whether they had listened to reproductive health
programmes on the radio 47
Men using contraceptive methods as percentages of all
currently married men aged 15-59 years by selected
characteristics, Nepal 2001 80
Men using male contraceptive methods as percentages
of currently married contraceptive users aged 15-59
years by selected characteristics, Nepal 2001 82
Table 3.3 Multinomial logistic estimates (predicted probabilities)
of the effect of different demographic and socio-
economic characteristics on male use of male or female
permanent or reversible contraceptive methods among
currently married men aged 15-59 86
Table 3.4 Multinomial logistic estimates (predicted probabilities)
of the effect of different demographic and socio-
economic characteristics on male use of male reversible
contraceptive methods among currently married men
aged 15-59, Nepal DHS 2001 94
Table 4.1 Pattern of the opinions of policy makers, planners,
service providers and male community participants on
services for men in Nepal 145
LIST OF FIGURES
Figure 2.1 An analytical framework for the study of men's sexual
behaviour in Nepal 20
Figure 2.2 Map of Nepal showing the districts surveyed in the
Nepal Adolescents and Young Adults Survey 29
Figure 2.3 Flow chart identifying male respondents engaging in
risky sexual behaviour in the Nepal Adolescents and
Young Adult Survey 2000 32
Figure 2.4 Contextual influences on risky sexual behaviour 49
Figure 3.1 Trend of contraceptive prevalence rate (CPR) and total
fertility rate (TFR), Nepal 1976-2001 66
Figure 3.2 Trend of women's knowledge and use of modern
contraceptive methods, Nepal 1976-2001 67
Figure 3.3 Men's knowledge and use of contraceptive methods,
Nepal 1999 and 2001 68
Figure 3.3a Men using contraceptive methods as percentages of all
currently married men by age groups, Nepal 2001 76
Figure 3.4 Predicted probabilities of current use of contraceptive
methods among men by current age, living number of
children and work status, NDHS, 2001 85
IV
Figure 3.5 Predicted probabilities of current use of contraceptive
methods among men by ethnicity, religion, ecological
region and development region, NDHS, 2001 88
Figure 3.6 Predicted probabilities of current use of contraceptive
methods among men by men's attitude towards
contraception and communications, NDHS, 2001 89
Figure 3.7 Predicted probabilities of current use of reversible
methods among men by current age, living number of
children and work status, NDHS, 2001 91
Figure 3.8 Predicted probabilities of current use of reversible
methods among men by current age, living number of
children and work status, NDHS, 2001 92
Figure 3.9 Predicted probabilities of current use of reversible
methods among men by ecological region, development
region and residence, NDHS, 2001 93
Figure 3.10 Predicted probabilities of current use of male reversible
contraceptive methods among men by current age,
development region and attitudes towards condom use,
NDHS, 2001 95
Figure 4.1 Map of Nepal showing the districts where qualitative
survey was conducted in 2004 126 |
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| geographic | Nepal (DE-588)4041612-4 gnd |
| geographic_facet | Nepal |
| id | DE-604.BV035062222 |
| illustrated | Illustrated |
| index_date | 2024-07-02T22:00:51Z |
| indexdate | 2024-09-10T00:24:55Z |
| institution | BVB |
| isbn | 9780773449824 0773449825 |
| language | English |
| lccn | 2008028012 |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-016730727 |
| oclc_num | 260003203 |
| open_access_boolean | |
| owner | DE-12 |
| owner_facet | DE-12 |
| physical | VII, 218 S. graph. Darst., Kt. |
| publishDate | 2008 |
| publishDateSearch | 2008 |
| publishDateSort | 2008 |
| publisher | Mellen |
| record_format | marc |
| spelling | Dahal, Govinda Prasad Verfasser aut Sexual and contraceptive behaviour among men in Nepal the need for male-friendly reproductive health policies and services Govinda Prasad Dahal with a foreword by Theodore H. MacDonald Lewiston, N.Y. [u.a.] Mellen 2008 VII, 218 S. graph. Darst., Kt. txt rdacontent n rdamedia nc rdacarrier Includes bibliographical references and index Contraception Behavior - Nepal Health Policy - Nepal Men - Sexual behavior - Nepal Men - psychology - Nepal Reproductive Health Services - Nepal Reproductive health - Nepal Risk-Taking - Nepal Sexual Behavior - Nepal Men Sexual behavior Nepal Reproductive health Nepal Sexual Behavior Nepal Contraception Behavior Nepal Health Policy Nepal Men psychology Nepal Reproductive Health Services Nepal Risk-Taking Nepal Prävention (DE-588)4076308-0 gnd rswk-swf Familienplanung (DE-588)4113510-6 gnd rswk-swf Junger Mann (DE-588)4317743-8 gnd rswk-swf Mann (DE-588)4037363-0 gnd rswk-swf Sexualverhalten (DE-588)4116485-4 gnd rswk-swf Nepal (DE-588)4041612-4 gnd rswk-swf Nepal (DE-588)4041612-4 g Junger Mann (DE-588)4317743-8 s Sexualverhalten (DE-588)4116485-4 s DE-604 Mann (DE-588)4037363-0 s Prävention (DE-588)4076308-0 s Familienplanung (DE-588)4113510-6 s HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016730727&sequence=000004&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Dahal, Govinda Prasad Sexual and contraceptive behaviour among men in Nepal the need for male-friendly reproductive health policies and services Contraception Behavior - Nepal Health Policy - Nepal Men - Sexual behavior - Nepal Men - psychology - Nepal Reproductive Health Services - Nepal Reproductive health - Nepal Risk-Taking - Nepal Sexual Behavior - Nepal Men Sexual behavior Nepal Reproductive health Nepal Sexual Behavior Nepal Contraception Behavior Nepal Health Policy Nepal Men psychology Nepal Reproductive Health Services Nepal Risk-Taking Nepal Prävention (DE-588)4076308-0 gnd Familienplanung (DE-588)4113510-6 gnd Junger Mann (DE-588)4317743-8 gnd Mann (DE-588)4037363-0 gnd Sexualverhalten (DE-588)4116485-4 gnd |
| subject_GND | (DE-588)4076308-0 (DE-588)4113510-6 (DE-588)4317743-8 (DE-588)4037363-0 (DE-588)4116485-4 (DE-588)4041612-4 |
| title | Sexual and contraceptive behaviour among men in Nepal the need for male-friendly reproductive health policies and services |
| title_auth | Sexual and contraceptive behaviour among men in Nepal the need for male-friendly reproductive health policies and services |
| title_exact_search | Sexual and contraceptive behaviour among men in Nepal the need for male-friendly reproductive health policies and services |
| title_exact_search_txtP | Sexual and contraceptive behaviour among men in Nepal the need for male-friendly reproductive health policies and services |
| title_full | Sexual and contraceptive behaviour among men in Nepal the need for male-friendly reproductive health policies and services Govinda Prasad Dahal with a foreword by Theodore H. MacDonald |
| title_fullStr | Sexual and contraceptive behaviour among men in Nepal the need for male-friendly reproductive health policies and services Govinda Prasad Dahal with a foreword by Theodore H. MacDonald |
| title_full_unstemmed | Sexual and contraceptive behaviour among men in Nepal the need for male-friendly reproductive health policies and services Govinda Prasad Dahal with a foreword by Theodore H. MacDonald |
| title_short | Sexual and contraceptive behaviour among men in Nepal |
| title_sort | sexual and contraceptive behaviour among men in nepal the need for male friendly reproductive health policies and services |
| title_sub | the need for male-friendly reproductive health policies and services |
| topic | Contraception Behavior - Nepal Health Policy - Nepal Men - Sexual behavior - Nepal Men - psychology - Nepal Reproductive Health Services - Nepal Reproductive health - Nepal Risk-Taking - Nepal Sexual Behavior - Nepal Men Sexual behavior Nepal Reproductive health Nepal Sexual Behavior Nepal Contraception Behavior Nepal Health Policy Nepal Men psychology Nepal Reproductive Health Services Nepal Risk-Taking Nepal Prävention (DE-588)4076308-0 gnd Familienplanung (DE-588)4113510-6 gnd Junger Mann (DE-588)4317743-8 gnd Mann (DE-588)4037363-0 gnd Sexualverhalten (DE-588)4116485-4 gnd |
| topic_facet | Contraception Behavior - Nepal Health Policy - Nepal Men - Sexual behavior - Nepal Men - psychology - Nepal Reproductive Health Services - Nepal Reproductive health - Nepal Risk-Taking - Nepal Sexual Behavior - Nepal Men Sexual behavior Nepal Reproductive health Nepal Sexual Behavior Nepal Contraception Behavior Nepal Health Policy Nepal Men psychology Nepal Reproductive Health Services Nepal Risk-Taking Nepal Prävention Familienplanung Junger Mann Mann Sexualverhalten Nepal |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016730727&sequence=000004&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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