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[Adolescents].

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Adolescent↗

Sterilization.

Sterilization has become the most widely used method of family planning in both the developed and developing world. This article discusses the importance of presterilization counseling and describes the timing of the procedure, methods of anesthesia, and occlusion techniques (eg, tubal ligation and the use of rings and clips) in female sterilization. Other topics covered in sterilization of women are long-term follow-up and complications, reversal of sterilization, impact of national sterilization policies, and nonsurgical sterilization. The article includes a short section on surgical contraception for men.

Anesthesia↗

Vasectomy: preliminary report on 25 cases.

Preliminary data on 25 men who underwent vasectomy for contraception between June 1986 and May 1988 at the Marie Stopes Clinic--Nairobi is presented. The majority (76.0%) of the subjects were aged between 25 and 39 years. 68.0% had 4 living children or less. Professionals including lecturers, lawyers, teachers, engineers etc, formed 88.0% of the total. Three clients(12.0%) had documented complications; one had aseptic wound, one had haematoma and the last one had a failed vasectomy. All were treated successfully. Complications of vasectomy and the need for follow-up of vasectomised men are discussed.

Adult↗

Client relations in South Asia: programmatic and societal determinants.

Client relations constitute a neglected area of research in family planning. Findings from studies in northern India and Bangladesh reveal considerable variation in both the quantity and quality of contacts in programs that function under roughly comparable socioeconomic conditions. Client relations are determined by a complex set of forces in which both programmatic factors and conditions pertaining to the societal environment play a key role. Worker-client exchanges have a net, incremental effect on contraceptive use.

Bangladesh↗

Effect of family planning availability and accessibility on contraceptive use in Nepal.

This study examines the importance of availability and accessibility of family planning services in relation to current contraceptive use in Nepal. The proportion of women who knew of a family planning services outlet in Nepal increased sharply between 1976 and 1981, from 6 percent to 33 percent. The Contraceptive Prevalence Survey data of 1981 indicate that an inverse relationship exists between the prevalence of current contraceptive use and travel time to an outlet. Unfortunately, a majority of current users in Nepal still need more than one hour to reach an outlet. The effects of education and place of residence on contraceptive use become weaker when the analysis is confined to women who have access to an outlet within a half-hour's travel time.

Adolescent↗