Browsing by Author "Biswas, B"
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Publication Knowledge, Attitudes, and Practices regarding Non-Scalpel Vasectomy among Male Outpatients at a Tertiary Healthcare Facility in Eastern India(Kathmandu University, 2025) Richa, R; Biswas, B; Jahnavi, G; Boratne, AV; Venugopal, V; Gautam, A; Gupta, P; Varshney, SABSTRACT Background Despite being a safe and effective permanent contraceptive method, acceptance of Non-Scalpel Vasectomy remains low in India due to poor awareness and misconceptions. Objective To assess knowledge, attitudes, and practices regarding Non-Scalpel Vasectomy among male outpatients at a tertiary healthcare facility in Eastern India. Method A cross-sectional study was conducted at a tertiary healthcare facility in Deoghar, Jharkhand, involving 346 married male outpatients with partners aged 15-44 years. Participants were selected through systematic random sampling, and data were collected using a pretested questionnaire on sociodemographic characteristics, knowledge, attitudes, and practices. Result Of the participants, 61.0% demonstrated substantial knowledge of Non-Scalpel Vasectomy and 52.0% had a favourable attitude, yet only 1.7% had undergone the procedure. Major barriers to acceptance included lack of awareness (34.4%), fear of side effects (17.3%), and social stigma (9.0%). Greater knowledge was significantly associated with higher educational attainment [Adjusted Odds Ratio: 1.19, 95% Confidence Interval: 1.08-1.31] and a favourable attitude [Adjusted Odds Ratio: 2.95, 95% Confidence Interval: 1.77-4.91]. A favourable attitude was similarly linked to higher knowledge [Adjusted Odds Ratio: 2.96, 95% Confidence Interval: 1.78-4.91] but inversely related to increasing partner age [Adjusted Odds Ratio: 0.91, 95% Confidence Interval: 0.84-0.99]. Willingness to undergo the procedure was higher among those with greater knowledge (71.1%, p=0.001) and favourable attitudes (59.9%, p=0.007). Conclusion Awareness of Non-Scalpel Vasectomy was moderate, but notable gaps in knowledge and attitudes persisted, highlighting the need for targeted education, counselling, and community engagement to enhance acceptance and uptake. KEY WORDS Health knowledge, Male, Outpatients, Reproductive, Sterilization, Vasectomy