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Sterilization approval and follow-through in Brazil.

Abstract：

:The purpose of this study was to examine the factors that affect approval for and completion of sterilization in Rio de Janeiro. Of 2,186 new female family planning clients, 1,256 requested sterilization and 925 were approved for surgery. Among the approved women, 639 scheduled surgery and, of these, 595 were sterilized within three months of approval. While approval is dependent mainly on demographic variables, especially age and parity, follow-through by a woman is related to her education and income. The steps that a woman must complete to obtain a sterilization also affect whether she ultimately undergoes surgery. Almost no women were scheduled for sterilization during their initial clinic visit. Women who were not scheduled because they lacked certain documentation were more likely to follow through than women who, in addition to lacking documentation, were asked to switch from an inefficient contraceptive method (or no method) to a more modern one. The lessons to be learned from this study provide useful information to programs in other countries that are concerned about maintaining high standards but do not want to discourage women in their efforts to be sterilized. :The purpose of this study was to examine the factors that affect approval for and completion of sterilization in Rio de Janeiro. Of 2186 new female family planning clients, 1256 requested sterilization and 925 were approved for surgery. Among the approved women, 639 scheduled surgery and, of these, 595 were sterilized within 3 months of approval. While approval is dependent mainly on demographic variables, especially age and parity, follow-through by a woman is related to her education and income. The steps that a woman must complete to obtain a sterilizaion also affect whether she ultimately undergoes surgery. Almost no women were scheduled for sterilization during their initial clinic visit. Women who were not scheduled because they lacked certain documentation were more likely to follow through than women who, in addition to lacking documentation, were asked to switch from an inefficient contraceptive method (or no method) to a more modern one. The lessons to be learned from this study provide useful information to programs in other countries that are concerned about maintaining high standards but do not want to discourage women in their efforts to be sterilized. Approval rates increased with age of the youngest child. Women whose last pregnancy ended in an abortion were more likely to be approved than were women whose last pregnancy ended in a delivery. The woman's motivation--as assessed by the timing of her decision to have a tubal ligation and whether she made previous attempts to have surgery--was not important in determining approval. The number of steps a woman had to complete to undergo sterilization was important in determing whether she, in fact, obtained the sterilization. More than 1/5 of the women said that they did not obtain the signature of their partners to indicate that they approved of the sterilization. In the follow-up interview, 8.2% of the women gave this as a reason for not having had the surgery. Sterilization programs in other countries should be reviewed to make sure that sterilization is not being limited to only the most perservering women.

journal_name

Stud Fam Plann

journal_title

Studies in family planning

authors

Lassner KJ,Janowitz B,Rodrigues CM

subject

Has Abstract

pub_date

1986-07-01 00:00:00

pages

188-98

issue

eissn

0039-3665

issn

1728-4465

journal_volume

pub_type

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Sterilization approval and follow-through in Brazil.