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International Market Research: Study Design

A group of people sit around a wooden table with laptops, phones, and notebooks, while two individuals in the center shake hands, suggesting a collaborative or business meeting.

The international market research study was designed to capture a holistic understanding of people’s perceptions about a wide variety of things related to male methods of birth control.

The research was conducted across several distinct markets throughout the world that represent a significant proportion of people who currently have an unmet need for family planning. Research findings were generated by a quantitative survey exploring men’s interest in male birth control, female partner trust in men using birth control, and more.

Overview

The research was conducted via a quantitative survey of sexually active men with embedded discrete choice exercise.

  • ~40-minute quantitative survey among 2-3K men in each country
    • Discrete choice experiment (DCE) survey + detailed segmentation profile questions
  • Inclusion criteria:
    • Men, ages 18-60
    • Have had sex with 1+ women within past 12 months
    • Able to father children based on self-reporting (except if underwent vasectomy <5 years ago)

Sampling

The male contraception international market research study was designed to ensure geo-representative results.

  • Listing of micro-areas that provide comprehensive coverage of the country, e.g., census enumeration micro-areas (e.g., wards, EAs), DHS sample frames, ASHA catchment areas or national lists of primary health facilities catchment areas, or local administrative zones.
  • Each micro-area serves as a primary sampling unit (PSU).
  • Among the full sampling frame of PSUs, 200 PSUs will be randomly selected with probability proportional to (population) size (PPS) within urban/rural strata aligned with the ratio of urban vs. rural populations in the country.
  • Within each PSU, rapid household listings will be conducted to identify occupied dwellings with 1+ male resident, ages 18-60.
  • Out of the qualifying sample of households within each PSU, 10 households will be randomly selected for survey.
  • Random household selection will be performed using a survey tool algorithm (not convenience samples chosen by field teams).
  • If 2+ men (ages 18-60) live in the same household, 1 man will be randomly selected within that household using the most recent birthday method.
  • If the first man screens out, then the man with the second most recent birthday in that household will be looped into the interview.
  • In rare cases, if all men in the same household screen out, the field team will proceed with the left-hand rule using the first household as a starting point reference.

Male Survey

  • Screener
    • Respondent age
    • Respondent gender
    • Methods currently using to prevent pregnancy
    • If he had vasectomy in past 5 years
  • CT Usage and Perceptions
    • Use of methods
    • Frequency of use
    • Satisfaction
    • Perceived side effects
    • Past use of male methods
  • Discrete Choice Experiment & form specific attributes
    • Discrete choice
    • Form specific side effects
    • Form specific preferences
    • Trust in efficacy
    • Trust in safety
  • Fertility Norms and Beliefs
    • Gender norms
    • Religious norms
    • Beliefs & concerns about male CT
  • Channels and Access
    • Sources of family planning information
    • Use of channels
    • Points of care/access
    • Willingness to pay
  • Life Stage
    • Frequency of sex
    • Relationship type & quality
    • Contraceptive decisions
    • Number of current & desired children
  • Sociodemographics
    • Education
    • Occupation
    • Income
    • Household makeup
    • Religion

Female Partner Survey

  • Female survey among female partners of men surveyed to assess relationship-level trade-offs
  • Men were interviewed first and then asked to nominate his main/closest female partner for the survey
  • Inclusion Criteria:
    • If the man surveyed is married or living together with a woman as if married (full-time or part-time), that woman will be the default respondent for the female survey
    • If the man surveyed has a female partner not living in the same household, but living within/near the same PSU, that woman will be approached and included as a respondent for the female survey
    • If the man surveyed has a female partner not living in close proximity, the parallel female survey would be skipped
    • If the man surveyed has multiple partners, with one or more living within/near the same PSU, one selected by the man as a “closest partner” will be surveyed

Additional Attributes Tested

  • Overall side effects & benefits
    • Lower blood pressure
    • Higher cholesterol
    • Lower cancer risk
    • Better erections
    • Nausea
    • Fatigue
    • Acne
    • Skin rash
  • Inconvenience
    • It must be taken with food
    • Sperm check needed at a doctor’s office after 3 months
    • Sperm check needed at home after 3 months
  • Topical gel side effects
    • Stained clothing
    • Period changes in female partner if gel rubs off on her
    • Body or facial hair on female partner if gel rubs off on her
    • Acne in female partner if gel rubs off on her
  • Mechanism of action
    • Stops your body from making sperm
    • Keeps sperm out of your semen during ejaculation
    • Prevents any semen from being ejaculated, while still allowing orgasm
    • Changes the shape of your sperm so they cannot fertilize the egg Impairs the ability of your sperm to swim to the egg
  • Administration side effects
    • Pain during injection on arm or abdomen
    • Itching or swelling on the arm or abdomen for a few days after injection
    • Pain in scrotum for a few days after procedure
    • Bleeding and swelling in scrotum for few days after procedure
  • Implant removal
    • Prefer doctor removal
    • No preference
    • Prefer natural breakdown in body

Partners

Research Partners

Green text on a white background reads ALSTONIA IMPACT in bold, uppercase letters.
A stick figure stands with arms raised and bent at the elbows, hands open, and mouth open as if speaking or shouting. Lines near the head suggest movement or sound. The figure appears expressive and animated.
The image displays the word DESIRELine in black text. DESIRE is in bold, uppercase letters, while Line is in a flowing, handwritten-style script. The background is white.

Funding Partners

Contact

For more information regarding this study, please reach out to us at contact@malecontraceptive.org or fill out this contact form:

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