scholarly journals Sputum smear grading and associated factors among bacteriologically confirmed pulmonary drug-resistant tuberculosis patients in Ethiopia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Getahun Molla Kassa ◽  
Mehari Woldemariam Merid ◽  
Atalay Goshu Muluneh ◽  
Dawit Tefera Fentie
Keyword(s):  
Logistic Regression ◽  
Associated Factors ◽  
Educational Status ◽  
Northwest Ethiopia ◽  
Sputum Smear ◽  
Cross Sectional ◽  
Treatment History ◽  
Tb Treatment ◽  
Study Setting ◽  
Ordinary Logistic Regression

Abstract Background The sputum smear bacilliary load is a fundamental indicator of the level of infectiousness in DR-TB patients. However, evidence on DR-TB sputum smear grading and its factors in the study setting is limited. This study was aimed to determine the level of sputum smear grading and associated factors among DR-TB patients in Ethiopia. Methods This was an institution based cross-sectional study on 520 bacteriological confirmed pulmonary DR-TB patients from September 2010 to December 2017 in the northwest Ethiopia. Epidata 4.2.00 and SPSS 20 were used for data entry and management, respectively. Ordinary logistic regression was fitted. A cut of p-value less than 0.05 in the multivariable ordinary logistic regression was considered to declare statistically significant variables. Results Of all 520 bacteriological confirmed pulmonary DR-TB patients; 34.42% had 3+, 15.77% had 2+, 18.27% had 1+, 15.19% had scanty, and 16.35% had negative sputum smear grading results. The odds of having higher sputum smear grades were significantly associated with the patient’s educational status of secondary (Adjusted Odds Ratio (AOR) = 0.43, 95% Confidence Interval (CI): 0.21, 0.89), body mass index of 16 to 18.49 kg/m2 (AOR = 1.81, 95%CI: 1.16, 2.84), and TB treatment history of two and more times (AOR = 1.78, 95%CI: 1.24, 2.55). Conclusions More than a third of the bacteriological confirmed pulmonary DR-TB patients in the study setting was highly infectious with the highest bacillary load. The odds of having a high bacillary load were significantly associated with the patient’s TB treatment history, nutritional, and educational status.

Level of Infectiousness and Associated Factors Among Bacteriologically Confirmed Pulmonary Drug-resistant Tuberculosis Patients Registered for Treatment in Ethiopia: A Seven-year Data

2020 ◽  
Author(s):  
Getahun Molla Kassa ◽  
Mehari Woldemariam Merid ◽  
Atalay Goshu Muluneh ◽  
Dawit Tefera Fentie
Keyword(s):  
Logistic Regression ◽  
Associated Factors ◽  
Educational Status ◽  
Sputum Smear ◽  
P Value ◽  
Cross Sectional ◽  
Treatment History ◽  
Tb Treatment ◽  
Study Setting ◽  
Ordinary Logistic Regression

Abstract Background: The infectiousness of DR-TB is mainly determined by the sputum tuberculosis bacilliary load of the patient. However, evidence on DR-TB sputum smear grading and its factors in the study setting is limited. This study was aimed to assess the sputum smear grading and associated factors among DR-TB patients in Amhara regional state, Ethiopia.Methods: This was an institution based cross-sectional study on 520 bacteriological confirmed pulmonary DR-TB patients from September 2010 to December 2017 in the Amhara region Ethiopia. Epidata 4.2.00 and SPSS 20 were used for data entry and management, respectively. Ordinary logistic regression was fitted. A cut of p-value less than 0.05 in the multivariable ordinary logistic regression was considered to declare statistically significant variables.Results: Of all 520 bacteriological confirmed pulmonary DR-TB patients; 34.42% had 3+, 15.77% had 2+, 18.27% had 1+, 15.19% had scanty, and 16.35% had negative sputum smear grading results. The odds of having higher sputum smear grades were significantly associated with the patient's educational status of secondary (Adjusted Odds Ratio (AOR)=0.43, 95% Confidence Interval (CI): 0.21, 0.89), body mass index of 16 to 18.49 kg/m2 (AOR=1.81, 95%CI: 1.16, 2.84), and TB treatment history of two and more times (AOR=1.78, 95%CI: 1.24, 2.55).Conclusions: More than a third of the bacteriological confirmed pulmonary DR-TB patients in the study setting was highly infectious with the highest bacillary load. The odds of having a high bacillary load were significantly associated with the patient's TB treatment history, nutritional, and educational status.

scholarly journals Assessment of Maternal Satisfaction and Associated Factors among Parturients Who Underwent Cesarean Delivery under Spinal Anesthesia at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2019

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Samuel Debas Bayable ◽  
Seid Adem Ahmed ◽  
Girmay Fitiwi Lema ◽  
Debas Yaregal Melesse
Keyword(s):  
Logistic Regression ◽  
Spinal Anesthesia ◽  
Cesarean Delivery ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Anesthetic Technique ◽  
Spinal Block ◽  
Maternal Satisfaction ◽  
Cross Sectional ◽  
Multivariable Logistic Regression

Background. Spinal anesthesia is the most common anesthetic technique for cesarean delivery. Patient satisfaction is a subjective and complicated concept, involving physical, emotional, psychological, social, and cultural factors. Regular evaluation of maternal satisfaction related to anesthesia service is an important parameter to the required changes and expansion of high-quality care services. We aimed to assess maternal satisfaction and associated factors among parturients who underwent cesarean delivery under spinal anesthesia. Methods. Institutional-based cross-sectional study was conducted from February to May 2019. A total of 383 parturients were enrolled to assess maternal satisfaction using a 5-point Likert scale. Both bivariable and multivariable logistic regression analyses were done. Variables of p value ≤0.2 in the bivariable analysis were a candidate for multivariable logistic regression. A p value <0.05 was considered as significantly associated with maternal satisfaction at 95% CI. Results. This study revealed that 315 (82.3%) of the parturients were satisfied. Single spinal prick attempts (AOR = 2.08, 95% CI = 1.05–4.11), successful spinal block (AOR = 7.17, 95% CI = 3.33–15.43), less incidence of postdural puncture headache (AOR = 2.36, 95% CI = 1.33–4.20), and prophylactic antiemetic use (AOR = 0.35, 95% CI = 0.19–0.66) were positively associated with maternal satisfaction. Conclusions. The overall maternal satisfaction receiving spinal anesthesia was considerably low. Single spinal prink attempts, successful spinal block, and less incidence of postural puncture headache can increase maternal satisfaction. Therefore, effective perioperative management, skillful techniques, and using the small-gauge Quincke spinal needle (25–27 gauge) may increase the maternal satisfaction and quality of spinal anesthesia management.

scholarly journals Prevalence of Anemia and Its Associated Factors among Chronic Kidney Disease patients at University of Gondar Hospital, North West Ethiopia: a Hospital-based Cross Sectional Study

2019 ◽  
Author(s):  
Hailemariam Adera ◽  
Workagegnehu Hailu ◽  
Ayineshet Adane ◽  
abilo tadesse
Keyword(s):  
Chronic Kidney Disease ◽  
Logistic Regression ◽  
Kidney Disease ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Rural Residence ◽  
Sectional Study ◽  
Cross Sectional ◽  
Prevalence Of Anemia

Abstract Background chronic kidney disease (CKD) is a global public health problem associated with progressive decline in kidney function and adverse cardiovascular outcome. Anemia in CKD has substantial adverse outcomes in CKD patients. There is paucity of published data on prevalence of anemia and its associated factors among CKD patients in Northwest Ethiopia. Objective This study aimed to determine the prevalence of anemia and its associated factors among CKD patients at University of Gondar hospital, Northwest Ethiopia. Methods A hospital-based cross-sectional study was conducted from May1, to September 30, 2018. Consecutive sampling was used to recruit 251 study subjects. Data regarding patient’s socio-demographics, clinical characteristics and laboratory parameters were collected from patients’ interview and medical records. Data was analyzed using SPSS version 20. Bi-variate and multi-variate logistic regression analyses were used to identify predictors of anemia in CKD patients. P<0.05 was used to declare association. Results The prevalence of anemia was high (64.5%), and tended to increase as eGFR declined. Hypertension (45%), chronic glomerulonephritis (24%) and diabetes (20%) were common causes of CKD. Multivariate logistic regression analysis revealed rural residence (AOR= 2.75, 95% CI: 1.34-5.65, p=0.006), BMI<18.5 kg/m2 (AOR=6.78, 95% CI: 1.32-34.73, p=0.022) and BMI of 18.5-24.9 kg/m2 (AOR=5.04, 95% CI: 1.26-20.10, p=0.022), and having hemodialysis history (AOR=3.59, 95% CI: 1.24-10.38, p=0.018) were predictors of anemia in CKD patients. Conclusion Prevalence of anemia in CKD patients was high (64.5%). Rural residence, non-obese body habitus and having hemodialysis history were found to be predictors of anemia in CKD patients. Periodic screening and intervention for anemia in CKD patients should be practiced to prevent its sequelae.

scholarly journals Prevalence of violence and associated factors among Youth in Northwest Ethiopia: Community-based Cross-sectional study.

2020 ◽  
Author(s):  
Alehegn Bishaw Geremew ◽  
Abebaw Addis Gelagay ◽  
Telake Azale Bisetegn ◽  
Yohannes Ayanaw Habitu ◽  
Solomon Mekonen Abebe ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
Associated Factors ◽  
Logistic Regression Model ◽  
Public Health Problem ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional

Abstract Background Violence as a known serious public health problem affects people in all stages of life, from childhood to the elderly. In society, one of the most visible forms of violence is young people violence, whereas they, adolescents and young adults, are the main victims of such violence. There was limited information on the burden of violence and factors among this age group. Therefore, this study aimed to determine the prevalence of violence and its associated factors among youth in Northwest, Ethiopia. Methods A community-based cross-sectional study design was conducted to estimate the magnitude of violence among youth in Northwest, Ethiopia. The calculated sample size was 1765. A structured and pretested interviewer administered questionnaire was used to collect the data. A multi-stage cluster sampling technique was employed to get the study participants. Data were entered using Epi Info version 7 and then exported to STATA 14 for data analysis. The bivariate logistic regression model was employed to identify associated factors. An adjusted odds ratio with a 95% confidence interval was used to determine factors associated with violence. Results From the total 1765 representatives of the youth population, 1597 (90.5%) youth participated in the study. Overall, the prevalence of violence among youth aged 15–24 years for the last 12 months was 21.5%. In the multivariate logistic regression model, factors significantly associated with violence were being married and divorced (AOR= 1.77, 95% CI: 1.13, 2.79) and (AOR=5.67, 95%CI: 2.93, 10.99), respectively, Living with mother’s only (AOR= 1.85, 95% CI: 1.28, 2.66) and father’s only (AOR=2.45, 95% CI: 1.30, 4.63), and substance use (AOR= 2.38, 95% CI: 1.56, 3.66). Conclusions The prevalence of violence among youth was high compared to other studies. Special emphasis should be given to reduce the burden of youth violence and preventing and controlling the identified factors by modifying the existing policies/strategies or developing new strategies and interventions program. Keywords: Violence, Youth, Physical violence, Sexual violence, Psychological violence

scholarly journals Proportion of Immediate Postpartum Anaemia and Associated Factors among Postnatal Mothers in Northwest Ethiopia: A Cross-Sectional Study

Anemia ◽  
2020 ◽  
Vol 2020 ◽  
pp. 1-10
Author(s):  
Asenake Abebaw ◽  
Temesgen Worku Gudayu ◽  
Bayew Kelkay
Keyword(s):  
Logistic Regression ◽  
Associated Factors ◽  
Mode Of Delivery ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Health Concern ◽  
Sectional Study ◽  
Cross Sectional ◽  
Study Participants

Background. Anaemia is a major global health problem, especially in developing countries. Postpartum anaemia hurts both maternal and newborn baby health. Anaemia in pregnancy is sufficiently emphasized; however, very little attention has been paid to postpartum anaemia in Ethiopia. Therefore, this study aimed to investigate the proportion of immediate postpartum anaemia and associated factors among postpartum mothers in Debre Markos Referral Hospital. Methods. Institutional-based cross-sectional study was conducted among 424 study participants from August 1st to October 30th, 2019. A systematic random sampling technique was employed to select the study participants. Data were collected through both face-to-face interview and maternal chart review by using a pretested questionnaire. Data were cleaned, coded, and entered using Epi Data version 4.6.0.0 and then exported to SPSS version 24 for analysis. First, binary logistic regression was applied to identify candidate variables for multivariable regression. Then, variables at p value <0.2 were entered into a multivariable logistic regression to control possible confounders. Finally, variables at p value <0.05 were considered as statistically significant. Results. The proportion of immediate postpartum anaemia was 24.3%. Frequency of antenatal care (ANC) visits <4 times [AOR = 2.40; 95% CI (1.29, 4.43)], antepartum haemorrhage (APH) [AOR = 5.08; 95% CI (1.91, 13.55)], postpartum haemorrhage (PPH) [AOR = 4.47; 95% CI (2.25, 8.88)], giving birth assisted by instruments (vacuum or forceps) [AOR = 3.99; 95% CI (1.42, 11.23)], poor adherence to iron and folic acid (IFA) [AOR = 2.52; 95% CI (1.06, 6.04)], and midupper arm circumference (MUAC) <23 cm [AOR = 3.25; 95% CI (1.87, 5.65)] were the predictors. Conclusion. The proportion of immediate postpartum anaemia was a moderate public health concern. ANC, APH, PPH, mode of delivery, adherence to IFA supplementation, and MUAC measurement were the factors affecting the magnitude of anaemia. Therefore, interventions that would address the above mentioned factors need to be implemented.

scholarly journals Knowledge and Utilization of Iodized Salt and Its Associated Factors at Household Level in Mecha District, Northwest Ethiopia

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Walleligne Beyene Tariku ◽  
Amare Lisanu Mazengia
Keyword(s):  
Associated Factors ◽  
Occupational Status ◽  
Rapid Test ◽  
Educational Status ◽  
Northwest Ethiopia ◽  
Essential Elements ◽  
Iodized Salt ◽  
Cross Sectional ◽  
Household Level ◽  
Test Kit

Background. Iodine is one of the essential elements that enables the thyroid gland to produce thyroid hormones, which is vital for growth and development of the brain and central nervous system. More than two billion individuals worldwide live in iodine-deficient areas. Objectives. The aim of this study was to assess knowledge and utilization of iodized salt at the household level and associated factors in the Mecha district, Northwest Ethiopia. Methods. A community-based cross-sectional study was conducted from March 10 to April 10, 2018. Data were collected using a pretested and structured questionnaire by a face-to-face interview technique. The use of iodized salt at the household level was tested with the iodine rapid test kit. Data were checked, coded, and entered to EPi Info version 3.5.1 and were exported to SPSS (Statistical Package for Social Science) version 20 for analysis. Result. A total of 700 head of households were included in the study, of which 639 (91.3%) were females. The overall prevalence of knowledge was 201 (28.7%). Availability of adequately iodized salt was 443 (63.3%). The proportion of proper utilization of adequately iodized salt at the household level was 180 (25.7%). Occupational status, educational status, and residence were predictors of knowledge on the use of iodized salt. Educational status, packaging, and knowledge of respondents on iodized salt were significant to utilization. Conclusion and Recommendation. Knowledge, availability, and utilization of adequately iodized salt remain very low in the district. Concerned body should improve awareness and availability of adequately iodized salt and how to utilize it properly.

scholarly journals Access to mobile phone and willingness to receive mHealth services among patients with diabetes in Northwest Ethiopia: a cross-sectional study

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e021766 ◽  
Author(s):  
Adamu Takele Jemere ◽  
Yohannes Ezezew Yeneneh ◽  
Biniam Tilahun ◽  
Fleur Fritz ◽  
Shitaye Alemu ◽  
...  
Keyword(s):  
Health Services ◽  
Mobile Phone ◽  
Associated Factors ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Patients With Diabetes ◽  
To Receive

ObjectivesThis study aimed at determining access to mobile phone and willingness to receive mobile phone-based diabetes health services as well as identify associated factors in Northwest Ethiopia.DesignAn institution-based cross-sectional survey was conducted from February to March 2016.ParticipantsSystematic randomly selected 423 patients with diabetes.SettingUniversity of Gondar Hospital diabetic clinic.Main outcome measuresThe main outcome measure was willingness to receive diabetic health service via mobile phone voice call or messaging services.ResultsOut of 423 patients with diabetes, 329 (77.8%) had access to a mobile phone. Among the latter, 232 (70.5%) were willing to receive mobile phone-based health services. The educational status of patients (adjusted OR (AOR): 2.6 (95% CI: 1.2 to 5.58)), route of medication (AOR: 3.2 (95% CI: 1.44 to 7.1)), transportation mechanism (AOR: 4.1 (95% CI: 1.2 to 13.57)), travel time to health facility (AOR: 0.3 (95% CI: 0.12 to 0.82)), current use of mobile phone as appointment reminder (AOR: 2.6 (95% CI: 1.07 to 6.49)) and locking mobile phone with passwords (AOR: 4.6 (95% CI: 1.63 to 12.95)) were significantly associated with the willingness to receive mobile phone-based diabetic health services.ConclusionAccess to a mobile phone and willingness to receive mobile phone-based health services were high. Educational status, route of medication, transportation mechanism, time to reach the service, using mobile phone as appointment reminder and locking mobile phone with passwords were significantly associated factors. Given the high proportion of access and willingness of patients to receive mobile phone-based health services, mHealth interventions could be helpful.

scholarly journals Knowledge towards Strabismus and Associated Factors among Adults in Gondar Town, Northwest Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Aragaw kegne Assaye ◽  
Melkamu Temeselew Tegegn ◽  
Natnael Lakachew Assefa ◽  
Betelhem Temesgen Yibekal
Keyword(s):  
Logistic Regression ◽  
Media Coverage ◽  
Associated Factors ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Good Knowledge ◽  
Monthly Income ◽  
Related Factors ◽  
Cross Sectional ◽  
Gondar Town

Introduction. Strabismus/squint is an ocular misalignment in which the eyes are not properly aligned with each other. It is an avoidable cause of blindness and has a global prevalence which ranges from 2% to 6%. Knowledge of eye diseases is important in encouraging people to seek early treatment, which further helps in reducing the burden of visual impairment. Studies in Ethiopia showed that the level of good knowledge was 37%. There is a lack of information regarding knowledge and related factors of strabismus in the study area and limited in Ethiopia at large. Objective. The aim of this study was to asses knowledge about strabismus and associated factors among adults in Gondar town, Northwest Ethiopia. Methods. Community-based cross-sectional study was conducted using a pretested structured questionnaire through face to face interview from April 17 to May 01, 2019. Using multistage random sampling, 553 participants were included. Data from the entire questionnaire were coded, entered into Epi info version 7, and exported to SPSS version 20 for processing and analysis. Binary logistic regression was fitted, and variables with P value <0.05 in the multivariable logistic regression were considered as statistically significant. Results. A total of 553 adults with a response rate of 93.25% participated in the study. The median age was 33 (IQR = 14) years. Among the participants, 52.3% (95% CI: 47.9–56.4) had good knowledge towards strabismus. Being a student (AOR = 2.15, (95% CI: 1.11–4.13) was positively associated, while monthly income >5000 birrs (AOR = 0.44, 95% CI: 0.26–0.76) was negatively associated with good knowledge about strabismus. Conclusion. Almost half of the participants had good knowledge. Occupation and monthly income had a significant association with knowledge about strabismus. Since the source of information (TV/radio and Internet) was extremely important for the reliability and the level of knowledge, it is better to have sufficient media coverage.

scholarly journals Prevalence and Associated Factors of Nonexclusive Breastfeeding to Infants within the First 6 Months in Gondar Town, Northwest Ethiopia, 2014

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Mengistu Berhanu ◽  
Workie Zemene ◽  
Mengistu Mekonnen
Keyword(s):  
Associated Factors ◽  
Formal Education ◽  
Sampling Technique ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Northwest Ethiopia ◽  
Community Based ◽  
Cross Sectional ◽  
Gondar Town ◽  
Health And Development

Introduction. Nonexclusive breastfeeding (NEBF) is giving infants other foods or fluids in addition to the breast milk within the first six months of age. According to Ethiopian Demographic and Health Survey 2011, prevalence of NEBF was found to be 48%; this has a great impact on the health and development of the child. Objectives. To assess the prevalence and associated factors of NEBF to infants within the first six months. Methods. Community based cross-sectional study design was employed from March 1 to 31, 2014, among 828 mothers with infants 6 to 12 months old. Systematic random sampling technique was used to select study subjects. Logistic regression analysis with 95% CI was computed to identify predictor variables. Result. A total of 828 mothers with infants aged between 6 and 12 months were interviewed with 100% response rate. Prevalence of NEBF was 47.5%. Mothers who completed primary school (AOR=0.46 [95% CI: 0.30, 0.71]) were less likely practicing NEBF compared to mothers with no formal education. Governmental employees (AOR=2.55 [95% CI: 1.45, 4.46]) were more likely practicing NEBF. Conclusion. NEBF was practiced by 47% of mothers. Maternal educational status, occupation, and knowledge of initiation of complementary feeding were factors significantly associated with NEBF.

scholarly journals Knowledge of Vasectomy and its Associated Factors Among Married Men in Debre Tabor Town, Northwest Ethiopia: A community Based Cross-sectional Study.

2020 ◽  
Author(s):  
Alemu Degu Ayele ◽  
Fentahun Yenealem Beyene ◽  
Bekalu Getnet Kassa ◽  
Gedefaye Nibret Mihretie
Keyword(s):  
Logistic Regression ◽  
Associated Factors ◽  
Educational Status ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Multivariable Logistic Regression ◽  
Married Men ◽  
Debre Tabor

Abstract Background: - Even though vasectomy is one of the safest, simple and most effective family planning methods available for men, it is one of the least used contraceptive methods in developing world including Ethiopia. The main reason for low level use may be low knowledge about vasectomy among men. This study was therefore designed to assess knowledge of vasectomy and its associated factors among married men in Debre Tabor Town.Methods: - A community based cross-sectional study was conducted among 418 married men from December 05 - 25, 2019. Simple random sampling technique was employed. Data was collected by face to face interview using structured and pre-tested questionnaire. Data was entered using Epi- Data version 4.2 and analyzed by SPSS version 23. The association between variables was analyzed using bivariable and multivariable logistic regression model. Finally variables having p-value < 0.05 at 95% CI were considered as statistically significant. Results: A total of 418 participants were included with response rate of 98.8%. The mean age of participant was 38.06 (SD± 6.873) years. About 60.5% of men had ever heard about vasectomy. Men mentioned health care providers as main source of information. Among those who had ever heard, only 58.8% defined vasectomy correctly. About 25.6% equated vasectomy with castration and about 15.6% described as “it is making the man impotent. In this study, only 38.5% of men were knowledgeable about vasectomy. Multivariable logistic regression showed that completing secondary education (AOR= 4.70, 95% CI: 1.26--17.55), attending college and above (AOR=8.36, 95% CI: 2.41-28.97)), having 4 or more alive children (AOR=0.51, 95% CI: 0.29-0.89) and positive attitude (AOR= 2.47, 95% CI: 1.58-3.86) were significantly associated with knowledge of vasectomy. Conclusions: In this study level of knowledge of married men about vasectomy was low. Educational status, number of children and attitude were statistically significant with men knowledge about vasectomy. Emphasis should be given on improving the educational status of men to improve their knowledge, and positively changing the men upbringing culture right from their childhood which will also improve their attitude towards vasectomy in the future.

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