Male involvement in reproductive health in Bangladesh

Abstract

A growing consensus has emerged among policy planners to involve males in  the reproductive health programmes.  One reason for this is men’s dominating role in the family decision process.  This thesis investigates the extent of male involvement in reproductive health in Bangladesh using recent Bangladesh Demographic and Health Survey data.  This study addresses men’s involvement in reproductive health in terms of their knowledge about, approval of, and couple communication regarding family planning (FP) and their involvement in contraceptive use.  The main results are summarized as follows. Despite men’ contraceptive knowledge being universal, many men lack knowledge of different methods.  Men are far behind their wives in terms of approval of FP.  About one-half of the men do not discus FP with their wives.  Men’s participation in contraceptive use in terms of male method use is still inadequate.  Additionally, this study investigates couple use of contraceptives controlling for consistent reports of FP use between husbands and wives.  Analysis suggests that in Bangladesh about 70 percent of the couples take FP decisions jointly, which is appreciable.  This study further investigates the factors influencing the decision-making in FP, that is, decision taken jointly, only by husband and only by wife.  Analysis reveals that if the FP decision is taken only by husband the couple is more likely to use male methods, while the couple is more likely to use female methods if the decision is taken by wife alone.  Findings suggest male involvement in reproductive health in Bangladesh is inadequate.

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