Health System and Nursing Strategies for Enhancing Male Participation in Family Planning: Evidence from Tema General Hospital, Ghana.

This study examines the role of the health system, particularly nursing interventions, in enhancing male participation in family planning (FP) at Tema General Hospital (TGH), Ghana. Male engagement in Family Planning remains limited despite increased awareness and service availability. A descriptive cross-sectional study was conducted involving 100 male community members and 10 Family Planning staff. Data was collected through structured questionnaires, interviews, and service records from 2015 to 2017. Results showed that while awareness levels were high (95%), only 21% of men had ever visited a Family Planning clinic. Nursing interventions such as health education, couple counseling, and prioritization of men during service delivery improved participation but were constrained by resource limitations, staff shortages, and cultural attitudes. The study underscores the importance of integrating male-focused strategies into Family Planning programs and strengthening nursing capacity for gender-inclusive reproductive health services.

male participation, nursing interventions, family planning

1. Adongo, P. B., Tabong, P. T., Azongo, T. B., Phillips, J. F., Sheff, M. C., Stone, A. E., & Coonrod, D. V. (2006). Addressing men’s concerns about reproductive health services in rural Ghana: Lessons from the Zurugelu approach. African Journal of Reproductive Health, 10(1), 40–54. [Google Scholar] [Crossref]

2. Ezeh, A. C., Bankole, A., & Cleland, J. (2020). Contraceptive use in sub-Saharan Africa: Challenges and opportunities. Studies in Family Planning, 51(2), 155–170. https://doi.org/10.1111/sifp.12112 [Google Scholar] [Crossref]

3. Ghana Statistical Service (GSS). (2022). Ghana Demographic and Health Survey 2022: Key indicators report. Accra: GSS. [Google Scholar] [Crossref]

4. Kabagenyi, A., Ndugga, P., Wandera, S. O., & Kwagala, B. (2014). Modern contraceptive use among sexually active men in Uganda: Does discussion with a health worker matter? BMC Public Health, 14(1), 286. https://doi.org/10.1186/1471-2458-14-286 [Google Scholar] [Crossref]

5. Lasee, A., & Becker, S. (2018). Husband-wife communication about family planning and contraceptive use in Kenya. International Family Planning Perspectives, 30(1), 15–20. [Google Scholar] [Crossref]

6. Vouking, M. Z., Evina, C. D., & Tadenfok, C. N. (2014). Male involvement in family planning decision making in sub-Saharan Africa: What the evidence suggests. Pan African Medical Journal, 19, 349. https://doi.org/10.11604/pamj.2014.19.349.5090 [Google Scholar] [Crossref]

7. World Health Organization (WHO). (2019). Engaging men in sexual and reproductive health. Geneva: WHO. [Google Scholar] [Crossref]

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