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  • Title: Use of male methods varies by region.
    Author: Hardee-cleaveland K.
    Journal: Netw Res Triangle Park N C; 1992 Aug; 13(1):10-2. PubMed ID: 12317719.
    Abstract:
    Demographers compared data from the World Fertility Survey or Contraceptive Prevalence Survey (CPS) conducted in the late 1970s in 18 developing countries with data from the Demographic and Health Survey or CPS conducted in the late 1980s. They found that the proportion of couples using family planning (FP) methods requiring male involvement fell in nearly all of Latin America during the 1980s, but rose in Asia, Africa, and the Middle East. In Sri Lanka, 25% of all married couples used male methods, but this percentage increased to 41% when considering couples who used any contraception. The percentage of couples using female FP methods tended to rise worldwide. The data also revealed that nongovernmental and government FP programs could actually involve men more and thus need to expand outreach activities. To encourage men to discuss FP and desired family size with their wives and support FP use by wives, and strengthen information about, and availability of, FP methods that require direct male involvement. These methods include vasectomy, condoms, withdrawal, and periodic abstinence (rhythm method). Periodic abstinence accounted for most of the change in trends. Condoms use was highest in Trinidad and Tobago, Egypt, and Pakistan. Vasectomy was highest only in Thailand. Males in the Dominican Republic tended to use withdrawal and rhythm the most. In the late 1980s, the countries with the highest percentage of couples using male methods included, in order, Sri Lanka (25%), Peru (21%), Trinidad and Tobago (20%), Bolivia (18%), and Colombia (15%). Those with the lowest percentage were, in order, Liberia (1%), Senegal (1%), Mali, (2%), Uganda (2.5%), and Botswana (2.5%).
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