KUMJ | VOL. 23 | NO. 3 | ISSUE 91 | JULY-SEPTEMBER, 2025

Knowledge, Attitudes, and Practices regarding Non-Scalpel Vasectomy among Male Outpatients at a Tertiary Healthcare Facility in Eastern India
Richa R, Biswas B, Jahnavi G, Boratne AV, Venugopal V, Gautam A, Gupta P, Varshney S

Abstract:
Background Despite being a safe and effective permanent contraceptive method, acceptance of Non-Scalpel Vasectomy remains low in India due to poor awareness and misconceptions. Objective To assess knowledge, attitudes, and practices regarding Non-Scalpel Vasectomy among male outpatients at a tertiary healthcare facility in Eastern India. Method A cross-sectional study was conducted at a tertiary healthcare facility in Deoghar, Jharkhand, involving 346 married male outpatients with partners aged 15-44 years. Participants were selected through systematic random sampling, and data were collected using a pretested questionnaire on sociodemographic characteristics, knowledge, attitudes, and practices. Result Of the participants, 61.0% demonstrated substantial knowledge of Non-Scalpel Vasectomy and 52.0% had a favourable attitude, yet only 1.7% had undergone the procedure. Major barriers to acceptance included lack of awareness (34.4%), fear of side effects (17.3%), and social stigma (9.0%). Greater knowledge was significantly associated with higher educational attainment [Adjusted Odds Ratio: 1.19, 95% Confidence Interval: 1.08-1.31] and a favourable attitude [Adjusted Odds Ratio: 2.95, 95% Confidence Interval: 1.77-4.91]. A favourable attitude was similarly linked to higher knowledge [Adjusted Odds Ratio: 2.96, 95% Confidence Interval: 1.78-4.91] but inversely related to increasing partner age [Adjusted Odds Ratio: 0.91, 95% Confidence Interval: 0.84-0.99]. Willingness to undergo the procedure was higher among those with greater knowledge (71.1%, p=0.001) and favourable attitudes (59.9%, p=0.007). Conclusion Awareness of Non-Scalpel Vasectomy was moderate, but notable gaps in knowledge and attitudes persisted, highlighting the need for targeted education, counselling, and community engagement to enhance acceptance and uptake.
Keyword : Health knowledge, Male, Outpatients, Reproductive, Sterilization, Vasectomy