The Future of Vasectomy in Asia John M. Pile EngenderHealth Presented at National Conference on...
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The Future of Vasectomy in Asia John M. Pile EngenderHealth Presented at National Conference on Voluntary Surgical Contraception Phnom Penh, Cambodia June 26-27, 2003
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Transcript of The Future of Vasectomy in Asia John M. Pile EngenderHealth Presented at National Conference on...
The Future of Vasectomy in Asia
John M. Pile
EngenderHealth
Presented at
National Conference on Voluntary Surgical Contraception
Phnom Penh, Cambodia
June 26-27, 2003
EngenderHealth
Sterilization is the most widely used contraceptive method and will remain so over the next decade
Why Give Attention to Vasectomy?
EngenderHealth
Sterilization will remain the most widely used contraceptive method over the next decade
The number of female sterilization users exceeds the number of vasectomy users by six to one
Why Give Attention to Vasectomy?
EngenderHealth
Sterilization will remain the most widely used contraceptive method over the next decade
The number of female sterilization users exceeds the number of vasectomy users by six to one
Vasectomy is safer, simpler, and less expensive than female sterilization
Why Give Attention to Vasectomy?
EngenderHealth
Trend in Vasectomy Prevalence Over the Past Decade
On the rise in Latin America
Negligible prevalence in Africa
Declining in Asia
EngenderHealth
Characteristics of Vasectomy Acceptors
For the “typical” Asian couple using vasectomy the wife is in her mid-to-late 30s and has little or
no education They have three or more children They live in a rural area The procedure was performed in a public sector
facility
EngenderHealth
Why is Vasectomy Underutilized?
Men and women are less aware of vasectomy than other FP methods
EngenderHealth
Men and women are less aware of vasectomy than other FP methods
Even when men and women are aware of vasectomy, the information they have is frequently incomplete or incorrect
Why is Vasectomy Underutilized?
EngenderHealth
Men and women are less aware of vasectomy than other FP methods
Even when men and women are aware of vasectomy, the information they have is frequently incomplete or incorrect
Services less available and accessible
Why is Vasectomy Underutilized?
EngenderHealth
Men and women are less aware of vasectomy than other FP methods
Even when men and women are aware of vasectomy, the information they have is frequently incomplete or incorrect
Services less available and accessible
Program and Provider ‘bias’
Why is Vasectomy Underutilized?
EngenderHealth
Program and Provider biases
Health professionals lack of knowledge, misinformation or personal dislike
Providers of family planning and reproductive health services are accustomed to working with women and may not be comfortable with or know how to talk to men or provide them with care
Untested presumptions about what men think and want
EngenderHealth
Men and women are less aware of vasectomy than other FP methods
Even when men and women are aware of vasectomy, the information they have is frequently incomplete or incorrect
Services less available and accessible
Program and Provider ‘bias’
Family planning is still perceived as very much a woman’s responsibility
Why is Vasectomy Underutilized?
EngenderHealth
Characteristics of Successful Programs
Address both the demand and supply side of the equation, including: Effective promotion Attentive to the needs of men Skilled providers Strong leadership
EngenderHealth
Characteristics of Successful Programs: Effective Promotion
Develop messages that are relevant to men’s perceived concerns
Use several channels to deliver messages
Use satisfied vasectomy clients to recruit new clients
Target messages to women as well Failure of promotional strategies is more often a
consequence of poor media selection/targeting rather than a lack of response by men
EngenderHealth
Characteristics of Successful Programs:Skilled Providers
Training needs to focus on attitudinal shifts in addition to just imparting information
On-site training—Male friendly services
EngenderHealth
Characteristics of Successful Programs:Strong Leadership
At the head of almost every energetic “vasectomy program” is a director who is personally interested in involving men in family planning and who is committed to the program’s success
EngenderHealth
A Strategy for a Successful Vasectomy Program
GapsDemandLow knowledge
Misinformation
InterventionsDemandMedia Campaign
Community outreach
EngenderHealth
A Strategy for a Successful Vasectomy Program
GapsDemandLow knowledge
Misinformation
SupplyLess available
Provider ‘bias’
InterventionsDemandMedia Campaign
Community outreach
SupplyClinical/counseling training in NSV
Create ‘male-friendly’ services
EngenderHealth
Closing thoughts
“ “Vasectomy is as much an IEC operation as
a surgical operation.” R. C. M. Kaza, Indian urologist
“The shoe that fits one person pinches another: There is no recipe for living that suits all cases.” Carl Gustav Jung , Swiss psychologist
