Vasectomy Current Affairs - 2019
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Due to the orthodoxy and parochial nature of Indian Society, males prefer to lay outside the ambit of the family planning and the onus lies on the woman. In order to arrest these tendencies the government of India has undertaken the following steps:
- Vasectomy Fortnight is observed across the country in the month of November to increase awareness on male participation and promotion of male sterilization.
- Training of service providers in No-Scalpel Vasectomy (NSV) has been undertaken to enhance the pool of service providers.
- Condom boxes are set up in facilities to enable people to access condoms in privacy.
- The ‘Home Delivery of Contraceptive Scheme’ has been initiated to deliver contraceptives including condoms to the beneficiaries.
- The compensation for male sterilization has been substantially increased under the Enhanced compensation scheme for sterilization.
- A 360-degree media campaign has been undertaken to underline the role of men in family planning to encourage men to adopt family planning methods.
- Under the Mission Parivar Vikas campaign due attention is paid towards extensive mobilization activities including promotion of male participation and assured vasectomy services.
The national average for the use of male family planning methods (Male sterilization + Condom) is 5.9 % and 13 states have a better participation rate ththe an national average.
According to 11th report of Common Review Mission of National Health Mission (NHM), women bear uneven burden in family planning as they account for more than 93% of sterilisations in the country. The report was based on latest data from Health Management Information System (HMIS) where states upload data on various parameters of NHM including sterilisations. CRM is an external evaluation of the flagship NHM.
Key Highlights of Report
Women continue to bear uneven burden of terminal methods of family planning and sterilisation. In 2017-18 (till October) of the total 14,73,418 sterilisation procedures 93.1 % were female sterilisation (tubectomies) and only 6.8 % were male sterilisation (vasectomy).
This is marginal improvement from earlier years when women accounted for 98% of all sterilisation in the country. In 2015-16, of the total 41,41,502 sterilisations across India under government programmes, 40,61,462 were tubectomies. In 2014-15, out of 40,30,409 sterilisations, 39,52,043 were tubectomies.
The vasectomy or male sterilisation services still remain inadequately available across the country. Despite efforts to make male sterilisation more acceptable, it was found that non-scalpel vasectomy services are available in very few facilities and uptake is negligible in all states.
Vasectomy or male sterilisation is process of cutting or tying vas deferens which is duct that carries sperm from testes to urethra so that it cannot be released for fertilisation. It is easier process than tubectomy (female sterilisation) which involves blocking or clamping of fallopian tubes so eggs do not reach uterus.
Reasons for low male sterilisation
Reluctance of Indian men to undergo vasectomy or sterilisation stems from history, social taboo and logistical limitations. Forced sterilisations during emergency have given this procedure of family planning bad name. Moreover, misinformation about it robbing men of their strength has made it social taboo and fact that there are no male health workers means these impressions cannot be corrected. Due to male dominate nature of India society, it is also difficult for ASHA worker in village to talk to men about sterilisation.