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Down But Not Out: Vasectomy Is Faring Poorly Almost Everywhere-We Can Do Better To Make It A True Method Option.


ABSTRACT:

Introduction

Demand for vasectomy-1 of 2 contraceptive methods for men-has been low, with deep-seated myths, misconceptions, and provider bias against it widespread. Programmatic attention and donor funding have been limited and sporadic.

Methods

We analyzed vasectomy use in 84 low- and middle-income countries (LMICs) plus the 11 high-income countries with vasectomy prevalence above 1%. These 95 countries comprise 90% of the world's population. Data come from United Nations survey compilations, population estimates, and gender inequality rankings. We also reviewed recent articles on vasectomy and analyses of chronic challenges to vasectomy service provision.

Results

Vasectomy use is 61% lower now than 2 decades ago. Of 922 million women using contraception worldwide,

SUBMITTER: Jacobstein R 

PROVIDER: S-EPMC9972380 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature