ReviewJournal of family medicine and primary care2025
Barriers to acceptance of vasectomy among married males in India: A systematic review.
Review in Journal of family medicine and primary care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
4 citing papers in PubMed.
- Why male contraception still stalls: translational, social, and ethical gaps.Annals of medicine and surgery (2012) · 2026Article
- Article
- Article
- Understanding Sociocultural Factors Shaping Married Men's Vasectomy Decisions: A Qualitative Study in Bihar.Cureus · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Vasectomy was introduced under the National Family Planning Programme in 1954 to enhance male participation in family planning in India. Despite adopting the non-scalpel technique in 1992 to popularise vasectomy, its acceptance among married couples has declined from 3.31% to 0.3% over the past 3 decades. This study aims to identify the barriers among the married male population in India for adopting vasectomy as a method of family planning. This systematic review was conducted following PRISMA guidelines after PROSPERO registration (CRD42023434518). Six electronic databases (MEDLINE, Embase, Global Health, Allied and Complementary Medicine, APA PsycInfo, and CAB Abstracts Archive) were searched using terms including "vasectomy", "barriers", and "India" for studies reporting the barriers to accepting vasectomy as a family planning method. Qualitative, quantitative, and mixed-method studies on Indian male populations, reported in English and published up to May 2023, were included. Quality assessments were conducted using the JBI Critical Appraisal Tools. Extracted data were analysed using a thematic synthesis. Twenty-four studies conducted across India were included in the systematic review (18 cross-sectional, 2 interview-based, 2 mixed-method, 1 case-control and 1 focus group discussion-based). Five themes of barriers were identified: fear, social issues, cultural issues, knowledge, and health system issues. Men feared undergoing a surgical procedure for sterilisation. They presumed the procedure would lead to loss of libido, physical weakness leading to income loss, and social stigma from community members. Health education and financial incentives are likely to increase vasectomy acceptance in India.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.