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The Future of Vasectomy in Asia

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. Why Give Attention to Vasectomy?.

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The Future of Vasectomy in Asia

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  1. 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

  2. Why Give Attention to Vasectomy? • Sterilization is the most widely used contraceptive method and will remain so over the next decade EngenderHealth

  3. Why Give Attention to Vasectomy? • 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 EngenderHealth

  4. Why Give Attention to Vasectomy? • 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 EngenderHealth

  5. Trend in Vasectomy Prevalence Over the Past Decade • On the rise in Latin America • Negligible prevalence in Africa • Declining in Asia EngenderHealth

  6. 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

  7. Why is Vasectomy Underutilized? • Men and women are less aware of vasectomy than other FP methods EngenderHealth

  8. Why is Vasectomy Underutilized? • 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 EngenderHealth

  9. Why is Vasectomy Underutilized? • 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 EngenderHealth

  10. Why is Vasectomy Underutilized? • 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’ EngenderHealth

  11. 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

  12. Why is Vasectomy Underutilized? • 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 EngenderHealth

  13. 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

  14. 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

  15. 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

  16. 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

  17. A Strategy for a Successful Vasectomy Program • Interventions • Demand • Media Campaign • Communityoutreach • Gaps • Demand • Low knowledge • Misinformation EngenderHealth

  18. A Strategy for a Successful Vasectomy Program • Interventions • Demand • Media Campaign • Community outreach • Gaps • Demand • Low knowledge • Misinformation Supply • Clinical/counseling training in NSV • Create ‘male-friendly’ services Supply • Less available • Provider ‘bias’ EngenderHealth

  19. 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 EngenderHealth

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