Operations Research on Promoting Vasectomy in Three Latin American Countries
نویسنده
چکیده
The situation in Mexico followed a similar pattern. From 1980 to 1988, the Mexican Social Security Institute (the Instituto Mexicano de Seguro Social, or IMSS) performed fewer than 5,000 vasectomies per year. In 1989, the IMSS launched a program to open at least one no-scalpel vasectomy training center in each state. By September 1994, 44 centers had been established, 116 physicians had been trained in the technique and 93 outpatient clinics offered no-scalpel vasectomy. Consequently, the number of vasectomies performed by the IMSS increased from 6,283 in 1989 to 16,882 in 1993. At the same time, the ratio of female to male procedures decreased from 21:1 in 1989 to 10:1 in 1993.3 Thus, the experiences in Colombia and Mexico suggest that men respond when vasectomy services are made accessible. This article presents information collected in six operations research projects in Brazil, Colombia and Mexico: •The Brazilian agency Promocão de Paternidade Responsável (PROPATER) evaluated a mass media vasectomy promotion campaign by one of its São Paulo clinics in 1985.4 •The Colombian agency Profamilia evaluated male-oriented clinics and promotion campaigns at six clinics in mediumsized cities in 1988–1989.5 •The Mexican fertility research organization Centro de Investigación Sobre Fertilidad y Esterilidad (CIFE) assessed the effects of worksite talks and brochure distribution on clients of a Mexico City clinic in 1988–1989.6 •The IMSS, which provides medical services to employees and their families, examined the effectiveness of informationRicardo Vernon is senior program associate and deputy director of the Operations Research Projects for Latin America (INOPAL III) of The Population Council, Mexico City. The author gratefully acknowledges suggestions made by Jim Foreit. The research projects on which this article is based were funded by INOPAL I and INOPAL II through contracts DPE-3030-C-00-4074-00 and DPE3030-Z-009019-00 from the U. S. Agency for International Development. Operations Research on Promoting Vasectomy in Three Latin American Countries
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