While vasectomy is widely underutilized throughout Africa, uptake is unusually high in the Kigoma region of Tanzania. Research by the ACQUIRE Project and Family Health International has identified facilitators and barriers to vasectomy acceptability there, leading to recommendations for increasing uptake both within and outside the region.
Recommendations to improve service delivery and access included establishing vasectomy outreach services and referral systems, improving provider counseling, and ensuring that clients understand that they should use alternative contraception for 12 weeks following the procedure.
Those to improve vasectomy demand included expanding family planning services and orienting them toward men, ensuring that providers mention benefits of vasectomy over other methods within the context of informed choice, and designing communication strategies to improve vasectomy awareness and knowledge, reduce spousal distrust, and dispel myths and rumors. The study findings (PDF, 297 KB) were based on client record reviews, vasectomy facility audits, focus group discussions, and in-depth interviews.
Source
Frajzyngier V, Bunce A, Lusiolo G, et al. Factors affecting vasectomy acceptability in the Kigoma region of Tanzania. E&R Study No. 5. New York, NY: The ACQUIRE Project/EngenderHealth, 2006.