HOW TO IMPROVE VASECTOMIES IN PRIMARY
HEALTH CENTRES
ByDr. S. Sarath kumar
Medical officerPHC, Kusimi
VASECTOMYDefnition: A vasectomy is a surgical procedure
performed on males in which the vas deferens (tubes that carry sperm from the testicles to the seminal vesicles) are cut, tied, cauterized (burned or seared) or otherwise interrupted. The semen no longer contains sperm after the tubes are cut, so conception cannot occur. The testicles continue to produce sperm, but they die and are absorbed by the body.
WHY SHOULD WE ENCOURAGE VASECTOMY?• Responsibility on part of men• Polygamous relations• More advantageous than tubectomy
ADVANTAGES OF VASECTOMY OVER TUBECTOMY Easy technique Short procedure Small incision Less bleeding Less post operative care required Less failure rate
NON SCALPEL VASECTOMY (NSV)No use of surgical bladeVery minute incision Less painNo suturesLess complicationsNo bed rest requiredHeals better
MISBELIEVES IN COMMUNITYMale dominanceFear of impotencyFear of loss of work capacityFear of failure
MOTIVATIONField – Regular IEC
activity and counseling by field workers MPHA and ASHA
Kotha bathuku video played in most villages
PHC – Counseling by Medical officer during routine OP
Organizing special family planning camps
INCENTIVES BY GOVERNMENTRs 1100 will be given to vasectomy beneficiary
while only Rs 580 is given for tubectomy beneficiary
Payment made to beneficiary irrespective of poverty for vasectomy
Special incentives form ITDA
POST OPERATIVE CARE Less postoperative care
required Frequent follow ups gain
confidence Patients are asked to visit PHC
after 1 week to check the scar Patient should be told that he is
not sterile after operations, advised to use condoms for 30 ejaculations
No T bandages required for NSV
STATISTICSSl.no Year Vasectomy
Tubectomy
Vasectomy %
1 2005-06 66 67 49.6
2 2006-07 46 53 46.4
3 2007-08 17 21 44.7
4 2008-09 28 41 40.5
5 2009-10 24 57 30
6 2010-11 19 22 46.3
7 2011-12 53 40 57
8 2012-13(till now) 25 12 67.5
MY SCENARIO Polygamous relations in primitive tribal groups Female domination Avoiding hospital stay Performing NSV
THANK YOU
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