Engaging men in sexual and reproductive health, particularly family planning, can improve health outcomes for men, women, and children. Moreover, involving boys from a young age through comprehensive sexuality education can have a positive effect into adulthood, promoting critical reflections on masculinity and on gender equality.
Expanding family planning outreach and services to include men across the life course may help normalize the concept of men as contraceptive users. It can foster shared responsibility for contraceptive use among couples, open the door to more gender-equitable relationships, and increase the use of male contraceptive methods. In turn, programs can better meet the contraceptive and family planning needs of men and women, helping countries achieve family planning and development goals.
This infographic presents a snapshot of modern male-controlled and cooperative contraceptive method use around the world and highlights data that identify opportunities to engage more adolescent boys and men as contraceptive users and family planning clients.
Since 1992, Demographic and Health Surveys (DHS) have interviewed adolescent boys and men in many developing countries. These surveys ask men about their knowledge of family planning, attitudes towards family planning, and their desired number of children. Explore the sections below to learn how knowledge, attitudes, and intentions vary within and between countries.
Interventions that promote modern male contraceptive methods and encourage men’s active participation show promising results that may better meet the contraceptive and family planning needs of adolescent and adult men. Click on a tab below for more details.
Increase the use of contraceptive methods among men through male peer engagement.
Male outreach workers, known as male motivators, were trained to provide information on modern contraceptive methods and family planning services to men ages 18 and older, to educate men on correct condom use, to communicate effectively with their partners about family planning, and to motivate men to use family planning with their female partners.
Involve men in family planning using a variety of approaches.
From 2001 to 2006, Georgetown University’s Institute of Reproductive Health collaborated with a local partner to integrate family planning information, including on the Standard Days Method® (SDM®), into a water and sanitation program in 13 rural villages in El Salvador. Staff and male volunteers were trained to educate and counsel men, women, and couples on family planning services that included SDM®; and to conduct community outreach and home visits.
Improve client and provider knowledge and acceptance of nonscalpel vasectomy (NSV) in Ghana.
From 2003 to 2004 and 2007 to 2008, physicians were trained in NSV and staff were trained in the provision of male-friendly services. Health promotion activities provided NSV information to prospective clients.
Family planning contributes to a decline in fertility and is recognized as an effective way to reduce maternal mortality. Despite positive global trends, progress toward universal access to reproductive health, especially in developing countries, is slow and falls short of global targets.
The Sustainable Development Goals (SDGs) propose a bold plan to achieve universal access to reproductive health and meet the proposed benchmark for demand for family planning satisfied with modern contraceptive methods of 75 percent by 2030. Efforts to increase access and use of contraceptive methods, such as Family Planning 2020 (FP2020)—a global movement that aims to enable 120 million more women and girls to use contraceptives by 2020—are critical to achieving the SDGs. However, meeting the FP2020 target will be a challenge without the active participation of men.
Men have an important role to play in family planning, particularly in deciding with their partners the number of children to have and which contraceptive method to use. Although data on men are limited, a growing body of research shows that involving men in family planning can increase modern contraceptive use, promote shared decisionmaking between couples, and help shift the belief that family planning is a woman’s issue. Engaging men across the life cycle as contraceptive users and family planning clients is an opportunity to increase the use of modern contraceptive methods, meet FP2020 targets, and remain on track to achieve the SDGs by 2030.
Dominick Shattuck et al., “Encouraging Contraceptive Uptake by Motivating Men to Communicate About Family Planning: The Malawi Male Motivator Project,” American Journal of Public Health 101, no.6 (2011): 1089-95.
Erin Stern et al., “Lessons Learned From Engaging Men in Sexual and Reproductive Health as Clients, Partners, and Advocates for Change in the Hoima District of Uganda,” Culture, Health, & Sexuality 17, sup2 (2015): 190-205.
FHI 360, “Increasing Male Involvement in Family Planning in Jharkhand, India,” (2013), accessed at www.fhi360.org/sites/default/files/media/documents/india-male-involvement-family-planning.pdf.
Georgetown University, “CycleBeads Plan and Prevent Pregnancy Naturally,” (2016), accessed at www.cyclebeads.com/cyclebeads.
Hari Singh et al., “Increasing Male Participation in the Uptake of Vasectomy Services,” Journal of Family Planning and Reproductive Health Care 0 (2013): 1-2.
Jane Kato-Wallace et al., “Adolescent Boys and Young Men: Engaging Them as Supporters of Gender Equality and Health and Understanding their Vulnerabilities,” (Washington, DC: Promundo-US and New York City: UNFPA, 2016).
Jenny Higgins and Nicole Smith, “The Sexual Acceptability of Contraception: Reviewing the Literature and Building a New Concept,” Journal of Sex Research 53, no. 4-5 (2016): 417-56.
John Ross and Ann Blanc, “Why Aren’t There More Maternal Deaths? A Decomposition Analysis,” Maternal and Child Health 16 (2012): 456-63.
Karen Hardee, Melanie Croce-Galis, and Jill Gay, “Male as Contraceptive Users: Programs, Outcomes, and Recommendations,” (2016), forthcoming.
Kerry MacQuarrie et al., “Men and Contraception: Trends in Attitudes and Use,” (2015), accessed at https://dhsprogram.com/pubs/pdf/AS49/AS49.pdf.
Kristin Bietsch, “Men’s Attitudes Towards Contraception in Sub-Saharan Africa,” African Journal of Reproductive Health 19, no. 3 (2015): 41-54.
Laura Subramanian et al, “The Ghana Vasectomy Initiative: Facilitating Client-Provider Communication on No-Scalpel Vasectomy,” Patient Education and Counseling 81, no. 3 (2010): 374-80.
Leadership Council of the Sustainable Development Solutions Network, “Indicators and Monitoring Framework for the Sustainable Development Goals Launching a Data Revolution,” (June 2015), accessed at http://unsdsn.org/wp-content/uploads/2015/05/FINAL-SDSN-Indicator-Report-WEB.pdf.
Melanie Croce-Galis, Elizabeth Salazar, and Rebecka Lundgren, “Male Engagement in Family Planning: Reducing Unmet Need for Family Planning by Addressing Gender Norms,” (2014), accessed at http://irh.org/wp-content/uploads/2014/10/Male_Engagement_in_FP_Brief_10.10.14.pdf.
Mihretie Kassa, Amanuel Abajobir, and Molla Gedefaw, “Level of Male Involvement and Associated Factors in Family Planning Services Utilization Among Married Men in Debremarkos Town, Northwest Ethiopia,” BMC International Health and Human Rights 14, no. 33 (2014).
Miriam Hartmann et al., “Changes in Couples’ Communication as a Result of a Male-Involvement Family Planning Intervention,” Journal of Health Communication 17, no. 7 (2012): 1-18.
Philip Adongo et al., “’If You Do Vasectomy and Come Back Here Weak, I Will Divorce You’: A Qualitative Study of Community Perceptions About Vasectomy in Southern Ghana,” BMC International Health & Human Rights 14, no. 16 (2014).
Population Reference Bureau (PRB) analysis of data from the Burkina Faso Demographic Health Survey (DHS), 2010.
PRB analysis of data from the Kenya DHS, 2014.
Rebecka Lundgren et al., “Engaging Men in Family Planning Services Delivery: Experiences Introducing the Standard Days Method in Four Countries,” World Health & Population 14, no. 1 (2012): 44-51.
Robert Hatcher et al., Contraceptive Technology, 20th Edition (Atlanta: Bridging the Gap Communications, 2011).
STATcompiler, Demographic Health Survey (2016), accessed at www.statcompiler.com.
Tizta Tilahun et al., “Couple Based Family Planning Education: Changes in Male Involvement and Contraceptive Use Among Married Couples in Jimma Zone, Ethiopia” BMC Public Health 15, no. 682 (2015).
United Nations (UN) Inter-Agency and Expert Group, “Report of the Inter-Agency and Expert Group on Sustainable Development Goal Indicators,” presented at the 47th session of the Statistical Commission at the UN Economic and Social Council, New York, March 8-11, 2016, accessed at http://unstats.un.org/unsd/statcom/47th-session/documents/2016-2-IAEG-SDGs-E.pdf.
UN Department of Economic and Social Affairs, Population Division, “Trends in Contraceptive Use Worldwide 2015,” (2015), accessed at www.un.org/en/development/desa/population/publications/pdf/family/trendsContraceptiveUse2015Report.pdf.
This graphic is made possible by the generous support of the American people through the United States Agency for International Development (USAID) under the terms of the PACE Project (No. AID-OAA-A-16-00002). The contents are the responsibility of the Population Reference Bureau and do not necessarily reflect the views of USAID or the United States Government.
Jessica Woodin, Digital Designer, PRB
Michele Winowitch, Digital Project Consultant, PRB
Sizeable Interactive, Web Development Partners
Heidi Worley, Editorial Director, PRB
Jessica Kali, Policy Analyst, PRB
Kristin Bietsch, Research Associate, PRB
Jake Lyell / Alamy
Karen Kasmauski / Getty Images
© 2008 Mengistu Asnake, Courtesy of Photoshare
© 2012 Samita Mehta, Courtesy of Photoshare
© 2005 Virginia Lamprecht, Courtesy of Photoshare
© 2014 Lindsey Leslie, Courtesy of Photoshare
Randy Plett / Getty Images
© 2016 Population Reference Bureau,
All Rights Reserved