Within the sphere of family planning, vasectomy is very often ignored, despite being one of the safest, simplest, and highly effective and least expensive contraceptive methods.
In this study, about 60.5% of married men were ever heard about vasectomy. This is higher than study done in Turkey which is (45.1%) participants were heard about vasectomy prior to the survey. This might be due to difference in educational status of the participants since 64.4% of the respondents were Follows College and above but in the comparable studies only 21.4% were follows college and above. This finding is also higher than the 2016 EDHS report which indicated that only 23.5% married men had ever heard about vasectomy. This may be due to time change since EDHS 2016 was done 5 years ago. The other reason is that our study is conducted in more urban setting while EDHS involves both rural and urban areas. Increased effort of governmental and non-governmental organizations to increase acceptance of long acting family planning methods may be the other reason. The data collection method and the curiosity of the data collectors in this study may be the other reason, in the EDHS, the data collectors may be non-health professionals.
Among those who had ever heard about vasectomy, only 58.8% defined it correctly (they reported vasectomy as “a men permanent contraceptive method after completing their desire number of children”). Other responses in the survey clearly showed the presence of misconceptions about vasectomy among married men. Biases and misconceptions are the main reasons for low health service use. This is the reason why vasectomy use is low in Ethiopia. For example, about 25.6% and 15.6% of married men reported that vasectomy is similar with castration and it making the men impotent respectively.
This study showed that 38.5% of participants had good knowledge about vasectomy. This finding was in lined with the studies done in Nigeria revealed that 37.5% and 38% of the participants had good knowledge level about vasectomy[16, 21] respectively. In addition; our study finding was comparable with study conducted in east Wollega Zone of Oromia region, Ethiopia revealed that 35.3% of men were know about vasectomy.
But the finding of this study was lower than studies conducted in India showed that 70.2% and 44.6% of married men were knowledgeable about vasectomy[29, 30] respectively. The discrepancy may be due to difference in educational status of the participant since only 18.4% follow secondary school and 63.4% were Follows College and above but in the comparable studies76.1% follow secondary school and 75% were Follows College and above.
According to our study knowledge about vasectomy was also lower than cross sectional study conducted in Pakistan indicate that 85.6% of the participant had adequate knowledge about vasectomy. This may be socio-demographic variation between the countries like educational status of participants since 74.3% of men in Pakistan were secondary and above in their educational level.
The finding of our study was higher than study conducted in Pakistan 11%. The variation may be explained due to difference in perception towards vasectomy since 89% of married men in Pakistan perceived that vasectomy decreases male’s sexual desire but in our study only 41.2% of participants had misconception about vasectomy.
This finding is also higher than study conducted in Nigeria 27.5%. The discrepancy may be explained due to difference in educational status since 64.4% of participant in this study attained college and above but in comparable study only 30.5% of participants attained above secondary school.
The result of this study revealed that as the educational status of participant increases level of knowledge acceptance concerning vasectomy also increase linearly. This finding is supported by study conducted in Gondar, northwest Ethiopia revealed that educational status (secondary and tertiary) were strongly associated with good knowledge of vasectomy. This study was also consistent with a study done in Dangila town Northwest Ethiopia. Another study in Rwanda showed as the level of attained education increased, the level of knowledge also increased in the same fashion. The reason for this might be educated men are more likely to be exposed to different media. They are also more likely to comprehend the information they obtained.
According to our study finding men with 4 or more children is inversely associated with good knowledge about vasectomy. Likewise, research conducted in Gondar Northwest Ethiopia also concluded that number of children was inversely correlates with knowledge of vasectomy. The possible explanation for this finding might be as the numbers of children increase the men boozer about the economic issue that cost for his family considered costly and likely it result in family quarrels and tensions. It may also have a negative impact on accessing information and continued education.
The result of this study also showed that there was a positive relationship between attitude towards vasectomy and its level of knowledge of married men. It revealed that participants who had positive attitude towards vasectomy had a good level of knowledge about it. Likewise, study conducted in Nigeria showed that there is a significant association between participants attitude towards vasectomy and their level of knowledge about it. Since attitude is a key factor that influence the knowledge, men with positive attitude towards vasectomy are better able to know about it and share responsibilities in FP practice with their partner. And also, further reason may be when the individual had positive attitude; they can break myths and misconception that were negatively affecting the knowledge about vasectomy like that of vasectomy is similar with castration.