Family planning is taking on a transformative face, challenging societal norms. Richard Kilundo, a 55-year-old nursing officer and father of three, is at the forefront of this change, having chosen vasectomy as his preferred method of contraception. His decision, made on September 21, 2024, highlights a growing awareness of male responsibility in family planning amidst economic realities and evolving gender roles.
Kilundo, one of only two men in Kwale County to undergo vasectomy in the past year, reflects a significant cultural shift. “Raising and educating my three children has been rewarding but financially challenging,” Kilundo shares. “Given the current economic climate, having more children was no longer feasible. This decision brings peace of mind as I approach retirement.”
The journey to this decision was not without its challenges. Kilundo spent over three years consulting friends, health professionals, and NGOs to gather information. His final decision to undergo the procedure at Lunga Lunga Sub-County Hospital underscores the importance of access to reliable healthcare services and accurate information about male contraception.
However, his choice was met with mixed reactions. Many men in his community perceive vasectomy as emasculating or fear that it may lead to a loss of masculinity. Kilundo disputes these misconceptions, emphasizing that true security comes from providing quality education and opportunities for the children one already has. He also highlights the toll hormonal contraceptives took on his wife’s health, noting that his decision was a shared responsibility.
“Family planning isn’t just a woman’s job,” Kilundo asserts. “It’s about understanding economic realities and ensuring a better future for our families. The procedure is painless and doesn’t affect health or vitality.”
Allan Chibu, a nurse at Lunga Lunga Sub-County Hospital, echoes Kilundo’s sentiments, emphasizing the simplicity and effectiveness of vasectomy. “The procedure involves cutting and sealing the vas deferens to prevent sperm from mixing with semen,” Chibu explains. “It’s over 99% effective and does not impact sexual desire or pleasure.”
Despite its benefits, vasectomy remains uncommon in Kenya due to cultural beliefs and misconceptions. This low uptake is evident even in Kilifi County, where only one vasectomy procedure was recorded annually in 2022 and 2023. Outreach efforts, such as community barazas and mosque sessions, are gradually improving awareness, but societal resistance persists.
Kwale County has integrated family planning services into 178 healthcare facilities, offering a variety of methods for both genders. Outreach programs led by organizations like UNFPA aim to dispel myths surrounding male contraception. Dr. Francis Gwama, Kwale’s Health CEC, emphasizes the importance of shifting the burden of family planning from women. “We urge men to consider male-specific methods like vasectomy,” he says.
UNFPA’s collaboration with county health systems has also improved maternal and child health outcomes. By leveraging technology such as the Integrated Logistics Information System (iLMIS), the Kenya Medical Supplies Authority (KEMSA) has ensured timely delivery of contraceptives, reducing stockouts in health facilities from 15% to 3%.
Dr. Matano Kibwana of Kilifi County and Referral Hospital highlights the role of male involvement in maternal health. “Cultural norms have excluded men from pregnancy and delivery processes,” he notes. “We’re encouraging male partners to participate in antenatal care, fostering shared responsibility.”
Kilundo’s journey underscores a critical truth: access to safe, voluntary family planning is a human right and a cornerstone for gender equality. By challenging cultural taboos and taking an active role, men like Kilundo pave the way for a balanced and empowered society.
