Knowledge, Perceptions and Acceptance of Cesarean Section Among Men: A Community-Based Cross-Sectional Study in Northern Nigeria

Abstract

Aims: The surgical birth of a newborn, known as Cesarean section (CS), is perceived as unnatural by many people in the African setting. The study aims to evaluate men's knowledge, perception, and acceptance of CS, as well as the associated factors, in Northern Nigeria, where men are the primary providers and decision-makers in the family. Study Design: A cross-sectional descriptive study. Place and Duration of Study: Chikun Local Government Area of Kaduna State, Nigeria. The study was conducted between September and November 2024. Methodology: The study sample of 290 respondents was obtained using Cochran’s formula. Respondents were selected using systematic random sampling. The criteria for inclusion were individuals aged 18 and older who resided in the study area during the data collection period. Data were collected using a questionnaire developed by the researcher based on existing literature and analyzed with descriptive and inferential statistics using SPSS version 24. Results: Less than half of the respondents demonstrated good knowledge (47.6%), while slightly more than half had a positive perception (53.8%) and a good level of acceptance of CS (59.3%). Older ages (p= 0.005) and traditional religion practice (p= 0.0001) were associated with poor knowledge, while respondents’ level of education (p= 0.018) and previous childbirth experience (p= 0.0001) positively impacted their acceptance of CS. Factors associated with poor acceptance include notions that CS is for unfaithful or lazy wives (p 0.004) and inadequate availability and expertise of staff (p 0.004). Conclusions: Poor knowledge of CS was prevalent, although a little above average, displayed good perception and acceptance. Culturally sensitive initiatives to enhance knowledge and acceptance of CS are essential for strategizing men’s active involvement in birth preparedness. Additionally, sufficient measures should be implemented to improve CS management.