This project tested the effectiveness of a systemic model for introducing vasectomy in service delivery units of the Guatemalan Ministry of Health (MOH), which has four basic components: a) the self-selection of health units according to their response to an invitation to participate in the project; b) the development of a counseling and information model for potential clients; c) training and sensitizing of health teams; and d) on-site training of surgeons. The report concludes that the introduction model for vasectomy in the MOH centers was successful. A high proportion of hospitals that identified vasectomy candidates finished the process, and the information package generated enough vasectomy requests to allow surgeons to perform enough operations to complete their training. The on-the-job training strategy was very successful, and allowed the service to be institutionalized in participating hospitals and in sufficient quantity for them to serve as training centers. The recommendations that emerge from these findings include that service providers should be trained to discuss the option of vasectomy as a family planning method, particularly in counseling men with characteristics of the average acceptor.
De Rodriguez, Blanca, Ricardo Vernon, and Jorge Solorzano. 2005. "Expanding access to vasectomy services in the Ministry of Health of Guatemala," FRONTIERS Final Report. Washington, DC: Population Council.
Frontiers in Reproductive Health