Organizing a public-sector vasectomy program in Brazil.

Abstract:

:Although models of high-quality family planning services for men exist in Latin America, few if any have been organized within the complex and resource-constrained national public health systems. This study provides evidence from the Santa Barbara project in southern Brazil showing how vasectomy was introduced into the municipal health system. It demonstrates that once the necessary operational and quality-of-care improvements were in place, and sufficient political and technical support existed to proceed, it was possible to establish low-cost, well-used, and sustainable vasectomy services free of charge. The findings show that careful attention to the development of strong technical competence and an informed choice process resulted in high user satisfaction. Focus-group discussions with men who underwent vasectomy indicate that they had no objection to being served in the context of a women's health center and that they act as opinion leaders who draw an increasing clientele to the service.

journal_name

Stud Fam Plann

authors

Penteado LG,Cabral F,Díaz M,Díaz J,Ghiron L,Simmons R

doi

10.1111/j.1728-4465.2001.00315.x

subject

Has Abstract

pub_date

2001-12-01 00:00:00

pages

315-28

issue

4

eissn

0039-3665

issn

1728-4465

journal_volume

32

pub_type

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