The Theory of Planned Behaviour in Predicting Determinants of Male Involvement in Reproductive Health Services

Abstract

Background: Male involvement in reproductive health services can facilitate timely utilization of these services by women, potentially reducing maternal mortality. This study examined the determinants of male involvement in reproductive health services, guided by the Theory of Planned Behaviour. Methods: A cross-sectional study was conducted using an interviewer-administered structured questionnaire. Data were collected from 366 randomly selected married men aged 20 years and above. Descriptive statistics and multiple regression analysis were used to examine the strength of the association between the dependent and independent variables. Results: The odds of male involvement were three times higher for men who showed intention compared to those who did not show intention to be involved in reproductive health services (AOR 3.414, 95% CI, 1.519, 7.674). The odds of male involvement in reproductive health services were 57% lower for men who lived in rural areas when compared with their counterparts (AOR 0.426, 95 % CI, 0.237, 0.768). The odds of male involvement in reproductive health services were 71% lower for men with two wives compared to those with one wife (AOR 0.285, 95 % CI, 0.106, 0.765). Conclusion: Male involvement in reproductive health services was higher among men who intended to participate, but lower among those living in rural areas and those with two wives. The findings suggest that efforts to improve male involvement in reproductive health services should focus on strengthening men's intention to participate and addressing contextual barriers faced by men in rural and polygamous households. Tailored community-based strategies targeting these groups may enhance uptake and support broader reproductive health outcomes.