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State of World Population 2012 - Country Page List - UNFPA

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Many institutions, providers, and civil society<br />

organizations must, however, still overcome the<br />

persistent, common perception that boys and<br />

men are merely disinterested in family planning.<br />

Men and boys are <strong>of</strong>ten trained from an<br />

early age to view fertility matters as women’s<br />

responsibility. And even when men do want to<br />

play more <strong>of</strong> a role, they are <strong>of</strong>ten sidelined by<br />

services. Research into the ways gender norms<br />

influence boys and men has challenged stereotypes<br />

about their attitudes and behaviours,<br />

highlighting opportunities for health promotion<br />

and efforts to achieve gender equality.<br />

Men’s sexual behaviours vary considerably<br />

across regions. For example, men vary in the<br />

timing <strong>of</strong> their sexual activity. The latest available<br />

demographic and household survey data<br />

from 30 countries suggest that young men continue<br />

to have sex years before they marry (IFC<br />

Macro DHS Statcompiler). The gaps between<br />

age at first intercourse and age at marriage range<br />

from 1.1 years in South and Southeast Asia to<br />

6.8 years in Latin America and the Caribbean.<br />

In sub-Saharan Africa, young men marry<br />

4.8 years after they first have sex.<br />

When adolescents and male youth are not<br />

reached with appropriate information and<br />

services during this interval between first intercourse<br />

and when they enter a formal union,<br />

they—like their partners—are at increased risk<br />

<strong>of</strong> sexually transmitted infections and unintended<br />

pregnancy. Couples-based family planning<br />

programmes that heavily rely on links to maternal<br />

health are less likely to reach these men.<br />

Partly because <strong>of</strong> HIV prevention efforts,<br />

young men have become increasingly aware<br />

<strong>of</strong> contraceptive methods available to them<br />

(Abraham, Adamu and Deresse, 2010). Men<br />

in unions are more likely to know about the<br />

contraceptive methods available to them; in<br />

recent years they have become more aware <strong>of</strong><br />

condoms, while vasectomy remains relatively<br />

unknown.<br />

Even though men are increasingly aware <strong>of</strong><br />

male methods <strong>of</strong> contraception, women still<br />

account for 75 per cent <strong>of</strong> global contraceptive<br />

use (United Nations, 2011). In 2009, the<br />

United Nations reported that only 9 per cent<br />

<strong>of</strong> married women in developing regions relied<br />

on methods <strong>of</strong> contraception that required male<br />

participation, such as condoms and male sterilization<br />

(United Nations, 2009).<br />

Men’s fertility preferences have changed over<br />

time. Today, young men generally wish to have<br />

smaller families. As a result, young and adult men<br />

may have an increasing desire for information and<br />

services that help them choose when to have<br />

children (Guttmacher Institute, 2003).<br />

Contraceptive use among young men (ages<br />

15 to 24) worldwide varies significantly, with<br />

t<br />

Man in Kinaaba,<br />

Uganda holds his child<br />

while his wife receives<br />

injection <strong>of</strong> long-acting<br />

contraceptive.<br />

©<strong>UNFPA</strong>/Omar<br />

Gharzeddine<br />

THE STATE OF WORLD POPULATION <strong>2012</strong><br />

55

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