کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3913707 1251447 2013 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Strengthening vasectomy services in Rwanda: introduction of thermal cautery with fascial interposition
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Strengthening vasectomy services in Rwanda: introduction of thermal cautery with fascial interposition
چکیده انگلیسی

BackgroundRecent developments in vasectomy research indicate that occluding the vas using cautery combined with fascial interposition (FI) significantly lowers failure rates and is an appropriate technology for low-resource settings. We report the introduction of this technique in Ministry of Health (MOH) vasectomy services in Rwanda.DesignIn February 2010, an international vasectomy expert trained three Rwandan physicians to become trainers in no-scalpel vasectomy (NSV) with thermal cautery and FI. The training took place over 5 days in five rural health centers.ResultsA total of 67 men received vasectomies (11–16 per day) and trainees successfully mastered the new occlusion technique. The MOH is now scaling up NSV with cautery and FI services nationwide. The initial cadre of trainers has subsequently trained 46 other physicians in this vasectomy technique across 27 districts of Rwanda.ConclusionsNo-scalpel vasectomy with thermal cautery and FI was successfully introduced in vasectomy services in Rwanda, and a similar initiative should be evaluated in other national vasectomy services worldwide.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Contraception - Volume 87, Issue 3, March 2013, Pages 375–379
نویسندگان
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