Determinants of Male Fertility in Uganda

Henry Nsobya, Uganda Development and Health Associates
Elizabeth Nansubuga, Makerere Unviersity
Cyprian Misinde, Makerere University

This study examined determinants of male fertility in Uganda, to inform fertility control and reproductive health policies for attainment of optimal male involvement in sexual and reproductive health services. Kruskal Willis test and Poisson generalized linear model were used to analyze data. A weighted sample size of 4,453 respondents was analyzed. Onset of childbirth at 25+ years was associated with reduced male fertility (RRR=0.83, 95% CI 0.80-0.87) while timing of first childbirth before 18 years was associated with increased male fertility (RRR=1.12, 95% CI 1.05-1.20). Men aged 5+ years older than their spouses had increased likelihood of high male fertility than those who were older by 1-4 years (RRR=1.04, 95% CI 1.01-1.08). Death of a son (RRR=1.28, 95% CI 1.23-1.34) or a daughter (RRR=1.32, 95% CI 1.26-1.38) were associated with increased male fertility. Age at first childbirth, partner age gap and death of a child were associated with male fertility.