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(NSV - Increasing
Male Participation)
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Every minute one woman dies somewhere
in the world due to childbirth related causes. In U.P.,
where the maternal mortality ratio is a high 707 a large
number of women die every year and many more suffer from
morbidity. Children very closely spaced together & use
of unsafe abortions as a birth control measure contribute
significantly to these. Further, in the existing male-dominated
social set-up in the state, it is ironic that the woman,
has to bear almost the entire burden of contraception.
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Statistics reveal a glaring disparity
between male and female sterilization acceptors. The number
of men accepting sterilization is less than 1 percent
of the total. Therefore with the aim of increasing male
participation in family planning, No-scalpel Vasectomy
(NSV) – a quick, simple and effective method for men-is
being promoted by SIFPSA in Uttar Pradesh.
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NSV has an advantage over traditional
vasectomy in that it eliminates the fear of surgery. As
the incision is small, no stitches are required, the procedure
takes less than 10 minutes and requires no hospitalization. |
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Intensive Training |
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NSV was first introduced by SIFPSA in
November, 1995 with the training of government doctors
at Lucknow. Since then, three training centres, one each
at Dehradun, Almora & Nainital have been set up to train
service providers in NSV. |
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The training is for three days where
doctors undergo rigorous hands-on practice on clients
under the guidance of experts. The experts follow up the
trainees after two months to assess their skills and certify
them as service providers. |
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Building Resources |
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All trained doctors are eligible for
consideration as trainers after they have completed 100
NSV procedures. Candidates thus selected undergo a 6-day
Training of Trainers (TOT) programme. Experts later follow
up to assess their skills. On satisfactory performance
they are declared as trainers, thereby adding to the resource
available for training. |
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Promoting Service Delivery
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The next stage is to popularize the
NSV technique and to increase male participation in family
planning. Once trained service providers are available, a
Service Delivery Centre is sanctioned in the district.
These service delivery centres are provided resources for
IEC activities, minor instruments/equipment and
contingency. IEC activities include printing and
distribution of handbills and brochures, publishing
advertisements in local dailies to inform about camp dates
and setting up hoardings at prominent places to promote
NSV services provided at the centre. |
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Expanding Reach |
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Efforts are on to further disseminate
the NSV technique to a larger number of doctors and the
training is being promoted in various districts as a priority
activity. |
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Since the inception of the programme,
67 doctors have been trained as service providers and
34 service delivery projects have been sanctioned.
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As a result of the efforts made for
promotion of NSV, more than 2000 clients have accepted
vasectomy using this technique in a short peirod.
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