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1.
Patient Educ Couns ; 81(3): 374-80, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21129618

RESUMO

OBJECTIVE: In 2003-2004 and 2007-2008, an initiative was implemented to improve client and provider knowledge and acceptance of no-scalpel vasectomy (NSV) in Ghana. METHODS: At eight facilities, physicians were trained in NSV and staff received training in the provision of "male-friendly" services. Health promotion activities provided NSV information to prospective clients. Client-provider communication was assessed via a mystery client study (n=6). Knowledge and acceptance of NSV among potential clients were assessed with baseline and follow-up surveys (each n=200) in 2003-2004 and three follow-up panel surveys in 2008 (each n=240). RESULTS: Trained health staff exhibited improved attitudes and knowledge regarding NSV. Mystery clients reported receiving accurate, nonjudgmental NSV counseling. Awareness of NSV among panel respondents doubled from 31% to 59% in 2003-2004 and remained high (44%) in 2008. The proportion of men who would consider NSV increased from 10% to 19% in 2007-2008. NSV procedures increased three-fold from 2003 (n=26) to 2004 (n=83) and 2007 (n=18) to 2008 (n=53). CONCLUSION: Provider training in client-centered services, coupled with targeted health promotion, improved client and provider knowledge and acceptance of NSV in an African context. PRACTICE IMPLICATIONS: Complementary, sustained provider training and health promotion are needed to maintain NSV service quality and acceptance.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Aceitação pelo Paciente de Cuidados de Saúde , Relações Médico-Paciente , Vasectomia/métodos , Comunicação , Seguimentos , Gana , Pesquisas sobre Atenção à Saúde , Pessoal de Saúde/educação , Humanos , Masculino , Serviços de Saúde Reprodutiva/organização & administração
2.
Urol Clin North Am ; 36(3): 295-305, 2009 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-19643232

RESUMO

Vasectomy is safer, simpler, less expensive, and equally as effective as female sterilization--yet it remains one of the least known and least used methods of contraception. Worldwide, an estimated 33 million of married women ages 15 to 49 (less than 3%) rely on their partner's vasectomy for contraception.


Assuntos
Vasectomia/estatística & dados numéricos , Vasectomia/tendências , Canadá , Países em Desenvolvimento , Previsões , Humanos , Masculino , Prevalência , Estados Unidos
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