Predictors of modern contraceptive use and fertility preferences among men in Myanmar: further analysis of the 2015-16 demographic and health survey

Authors

  • May S. Aung Department of Preventive and Social Medicine, University of Medicine 1, Yangon, Myanmar
  • Pa P. Soe Department of Preventive and Social Medicine, University of Medicine 2, Yangon, Myanmar
  • Myo M. Moh Department of Preventive and Social Medicine, University of Medicine 1, Yangon, Myanmar

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20194477

Keywords:

Modern contraception, Fertility preferences, Men, Myanmar

Abstract

Background: Men’s opposition to contraception and men’s fertility preferences can affect women’s unmet need for family planning. In Myanmar, there is limited research on men's reproductive health while women’s fertility, fertility preferences, and use of reproductive health services were well understood. A better understanding of men’s perceptions and preferences can support evidence-based male sexual and reproductive health programs and improve their effectiveness. This study focused on predictors of modern contraceptive use and fertility preferences among men age 15-49 years in Myanmar.

Methods: A secondary data analysis was conducted using the 2015-16 Myanmar Demographic and Health Survey. Among 4,737 men age 15-49 years in the selected households, 3,248 men who ever had sex and 2,831 currently married men were selected as the sample for contraceptive use and fertility preferences respectively. Multiple logistic regression analysis was used with two separate models.

Results: Among men who ever had sex, 39% were currently using modern contraception and 60% married men said they would like to have more than two children. Men from the coastal, and plain regions were more likely to use modern contraception and had higher fertility preferences compared with men living in the hilly region. The working men had higher levels of modern contraceptive use than jobless men and men from middle wealth index were significant current contraceptive users.

Conclusions: The geographic region was a predictor of both current contraceptive use and fertility preferences, while occupation showed a significant correlation with contraceptive use.

Author Biography

May S. Aung, Department of Preventive and Social Medicine, University of Medicine 1, Yangon, Myanmar

Lecturer,PhD Candidate

Department of Preventive and Social Medicine, University of Medicine (1), Yangon

References

United Nations Secretariat. Fertility levels and trends in countries with intermediate levels of fertility. Population Division, Department of Economic and Social Affairs. New York City USA. Available at: http://www.un.org/completing-fertility. Accessed on 15 March 2019.

MacQuarrie, KLD, Edmeades J, Steinhaus M, Head SK. Men and Contraception: Trends in Attitudes and Use. DHS Analytical Studies No.49. Rockville, Maryland, USA: ICF; 2015. Available at: https://www.popline.org/node/641293. Accessed on 10 May 2019.

Johnson K, Gu Y Men’s Reproductive Health: Findings from Demographic and Health Surveys, 1995-2004. DHS Comparative Reports No.17.Rockville, Maryland, USA: ICF. Available at: https://dhsprogram.com/pubs/pdf/JK17/JK17. pdf. Accessed on 17 March 2019.

United States Agency for International Development. Essential Considerations for Engaging Men and Boys for Improved Family Planning Outcomes. Office of Population and Reproductive Health, Bureau for Global Health. Washington, D.C. USA; 2018. Available at: https://www.usaid.gov/.../files/documents/1864/Engaging-men-boys-family-planning-508.pdf. Accessed on 10 May 2019.

United Nations. Trends in Contraceptive Use Worldwide. New York, United Nations, Economic and Social Affairs, New York, USA; 2015. Available at: www.un.org/.../population/publica tions/pdf/family/trendsContraceptiveUse2015Report.pdf. Accessed on 10 May 2019.

The United Nations Population Fund. Cultural Programming: Reproductive Health Challenges and Strategies in East and South-East Asia Country. Technical Services Team for East and South-East Asia, Bangkok, Thailand; 2005. Available at: https://unfpa.org/sites/default/files/pub-pdf/culture _programming.pdf. Accessed on 10 April 2019.

Davis J, Vyankandondera J, Luchters S, Simon D, Holmes W. Male involvement in reproductive, maternal and child health: a qualitative study of policymaker and practitioner perspectives in the Pacific. BMC Reproductive Health. 2016;13:81.

United Nations. United Nations Demographic Year book. Department of Economic and Social Affairs, New York, USA; 2013.

Ministry of Health and Sports and ICF. Myanmar Demographic and Health Survey 2015-16. Nay Pyi Taw, Myanmar and Rockville, Maryland USA; 2017.

Johns Hopkins University, Ministry of Health and Sports and The United Nations Population Fund. Myanmar Family Planning Landscape Analysis. Baltimore USA, Nay Pyi Taw Myanmar and New York City USA; 2017.

The United Nations Population Fund. Country report on 2007 Fertility and Reproductive Health Survey. Union of Myanmar, Ministry of Immigration and Population, Department of Population. New York City USA; 2009.

Thein Pansy Tun. Gender Equality and Cultural Norms in Myanmar. In International Conference on Burma/Myanmar Studies, Burma/Myanmar in Transition: Connectivity, Changes and Challenges, University Academic Service Centre (UNISERV), Chiang Mai University, Thailand, July 24-25 2015. Executive Director of the Local Resource Centre (LRC), Yangon, Myanmar. Available at: https://www.scribd.com/document/274170310/ Gender-Equality-and-Cultural-Norms-in-Myanmar. Accessed on 10 April 2019.

DHS Program. Available at: https://www.dhspro gram.com, https://www.statcompiler.com. Accessed on 10 March 2019.

Einda H, Thway M. FP 2020: Commitments and Progress in Myanmar. In High level meeting on FP 2020 Nay Pyi Taw, Myanmar, May 31 2016. Nay Pyi Taw, Director, Maternal and Reproductive Health, Department of Public Health, Ministry of Health and Sports. Available at: https://www.myan marhrc.com/wp-content/uploads/2019/01/P-3.pptx. Accessed on 10 April 2019.

The United Nations Population Fund. UNFPA Myanmar annual report 2016. New York City USA; 2016.

Thin Zaw PP, Liabsuetrakul T, Htay TT, McNeil E. Equity of access to reproductive health services among youths in resource-limited suburban communities of Mandalay City, Myanmar. BMC Health Services Res. 2012;12:458.

Lwin MM, Munsawaengsu C, Nanthamongkokchai S. Factors Influencing Family Planning Practice among Reproductive Age Married Women in Hlaing Township, Myanmar. J Med Assoc Thai. 2013;96:S98-106.

Mon MM, Liabsuetrakul T. Predictors of contraceptive use among married youths and their husbands in a rural area of Myanmar. Asia Pacific Journal of Public Health. 2012;24:151-60.

Bishwajit G, Tang S, Yaya S, Ide S, Fu H, Wang M, et al. Factors associated with male involvement in reproductive care in Bangladesh. BMC Public Health. 2017;17:3.

Greene ME, Barker G. Masculinity and its public health implications for sexual and reproductive health and HIV prevention. In Routledge handbook of global public health. Parker R, Sommer M (eds). London: Routledge; 2010: 199-207.

WHO. Myanmar and Birth Spacing: An overview: CIA World Factbook; World Health Statistics, 2014. Geneva: World Health Organization; 2014. Available at: http://www.searo.who.int/documents/ mmr-fp.Accessed 10 April 2019.

Myanmar Prioritized Actions: 2018-2020. Family planning 2020. Available at: https://www.family planning2020.org/myanmar/.Accessed 10 April 2019.

Tang K , Zhao Y, Li B, Zhang S, Lee SH. “Health inequity on access to services in the ethic minority regions of Northestern Myanmar: a cross-sectional study.” BMJ. 2017;7:e017770.

Latt NN, Cho SM, Htun NMM, Saw YM. Myint MNHA, Aoki F, et al. Healthcare in Myanmar. Nagoya J Med Sci. 2016;78:123-34.

Wangmo S, Patcharanarumol W, New ML, Tangcharoensathien V. Hard-to-Reach Villages in Myanmar: Challenges in Access to Health Services and Interim Solutions. Quality in Primary Care; 2017;25(4):187-92.

Chaudhary TK, Dangol BK, Rai L, Rai MK. Predictors of Use of Contraception among Married Women of Reproductive Age in a Rural Area of Nepal. JAAR. 2016;3:89–99.

Thin Zaw PP, Liabsuetrakul T, McNeil E, Htay TT. Gender differences in exposure to SRH information and risky sexual debut among poor Myanmar youths. BMC Public Health. 2013;13:11-22.

Paudel YR, Acharya K. Fertility Limiting Intention and Contraceptive Use among Currently Married Men in Nepal: Evidence from Nepal Demographic and Health Survey 2016. Biomed Res Int. 2018;59:707-15.

Assaf S, Davis LM. Does Men’s Involvement Improve the Health Outcomes of Their Partners and Children? DHS Analytical Studies No. 64 Rockville, Maryland, USA: ICF; 2018.

Westoff CF. Trends in Reproductive Behavior in Rwanda: Further Analysis of the 2014-15 Rwanda Demographic and Health Survey, DHS Further Analysis Reports No.107. Republic of Rwanda and Rockville, Maryland, USA: ICF; 2018.

Adhikari R. Demographic, socio-economic, and cultural factors affecting fertility differentials in Nepal. BMC Pregnancy and Childbirth. 2010;10:19.

David CC, Atun JML. Factors Affecting Fertility Desires in the Philippines. Social Science Diliman. 2014;10:110-9.

Raymo J, Park H, Xie Y, Yeung WJJ. Marriage and Family in East Asia: Continuity and Change. Annual Review of Sociology. 2015;41:471-92.

UNFPA 2015. Features of Thai Families in the Era of Low Fertility and Longevity. The State of Thailand’s Population 2015. The United Nations Population Fund Thailand and the Office of the National Economic and Social Development Board. Available at: https://thailand.unfpa.org/sites/ default/files/pub-pdf/State of Thailand Population. Accessed on 22 June 2019.

Roy S, Hossain SMI. Fertility differential of women in Bangladesh demographic and health survey 2014. BMC Fertility and Research Practice 2017;3:16.

Sarvestani KA, Khoo SL, Malek NM, Yasin SM, Ahmadi A. Factors Influencing the Desired Number of Children Among Married Women in the Reproductive Age and its Implications for Policy Making. Women’s Health Bull. 2017;4:e38928.

Mashara JN. Factors influencing fertility preferences of currently married men in Kenya. Afr Population Studies. 2016;30:2431-43.

Downloads

Published

2019-09-26

How to Cite

Aung, M. S., Soe, P. P., & Moh, M. M. (2019). Predictors of modern contraceptive use and fertility preferences among men in Myanmar: further analysis of the 2015-16 demographic and health survey. International Journal Of Community Medicine And Public Health, 6(10), 4209–4217. https://doi.org/10.18203/2394-6040.ijcmph20194477

Issue

Section

Original Research Articles