Male involvement in family planning program in Northern Ethiopia: an application of the Transtheoretical model

Patient Educ Couns. 2015 Apr;98(4):469-75. doi: 10.1016/j.pec.2014.12.012. Epub 2015 Jan 14.


Objective: The objective of this study is to use the Transtheoretical behavioral model to assess male involvement in family planning.

Methods: A cross-sectional study was conducted in Angolela-Tera District of Amhara Region from February 15 to March 14, 2008 on married men. Multi-stage sampling technique was employed to select the 770 study participants. The relationship of stage of change and decisional balance, self-efficacy and processes of change was assessed by ANOVA tests.

Results: 225(30.5%) of the men were in the Precontemplation stage, 235(31.8%) were in the contemplation stage, 81(11.0%) were in preparation, 76(10.3%) were in action stage, and, 121(16.4%), were in the maintenance stage. Confidence increased across the stages while experiential and behavioral processes increased in the early stages and then decreased at a transition from action to maintenance stage. The pros were increased across the stages, the cons decreased and a crossover occurred prior to contemplation stage.

Conclusion: The findings suggest that counselors need to understand that behavior change is a process that occurs in a series of stages and therefore can facilitate behavioral changes with various strategies. Health educators need to develop educational components that match stages of change.

Practical implications: Based on our results, programs aimed at promoting contraceptive prevalence for contraception should seek ways and means for increasing the pros and for increasing self-efficacy.

Keywords: Ethiopia; Family planning; Male involvement; Transtheoretical model.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Cross-Sectional Studies
  • Ethiopia
  • Family Planning Services / statistics & numerical data*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Intention*
  • Male
  • Marriage*
  • Men / education
  • Men / psychology*
  • Middle Aged
  • Models, Theoretical*
  • Spouses
  • Young Adult