World Vasectomy Day

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Map of Vasectomy

BOLIVIA

ARGENTINA

  • Vasectomy Regulations
    • Law 26.130, 2006, any surgeon or urologist can perform vasectomy.
    • The procedure is performed in the office, under local anesthesia. The traditional method can be used or also without a scalpel and without a needle.
    • Men who wish to have a vasectomy must be over 16 years of age, do not need their partner’s permission, nor a minimum number of children.
    • A person cannot be sterilized without his or her consent and the consent or assent of third parties (such as relatives of the disabled person) or a judicial authorization should never be requested.
  • Is mandatory counseling required?
    • Just a chat with the doctor to clarify doubts.
    • No mandatory waiting days between the counseling session and the vasectomy.
    • There is a script with the main information about vasectomy, after reading it, the patient must sign it with his consent.
  • Vasectomy cost
    • According to federal law, all public and private hospitals must offer free vasectomy.
  • Does the country’s public system offer free vasectomies?
    • Yes, according to federal law.
  • Does the country’s social security system perform vasectomies?
    • Vasectomy is free of charge in health centers, hospitals, social security and prepaid health insurance companies.
  • Promoting vasectomy campaigns
    • There is no promotion, but there is a bill for the promotion of campaigns. It has not yet been approved.

BRASIL

  • Vasectomy Regulations
    • Law 9263 of 996. Vasectomy can be performed by any surgeon or urologist.
    • The procedure is performed in the office, under local anesthesia. The traditional method can be used or the no-scalpel, no-needle method can be used.
    • Men who wish to have a vasectomy must be over 25 years of age, with at least 2 children, and the permission of their partner is required.
    • The guardians of men with mental problems can request vasectomy, but a judicial authorization is required.
  • Is mandatory counseling required?
    • Yes, there is a mandatory 60-day wait between the counseling session and the vasectomy.
    • There is a family planning script, but it is outdated and apparently not used.
  • Vasectomy cost
    • R$500 to R$3000
  • Does the country’s public system offer free vasectomies?
    • Yes, the doctors can be urologists or general surgeons.
  • Does the country’s social security system perform vasectomies?
    • Yes, the public system meets needs.
  • Promoting vasectomy campaigns
    • Public sector: municipal agencies do it once a year.
    • Private sector: It is recurrent and is promoted in Google ads, social networks and websites.

COLOMBIA

CHILE

  • Vasectomy Regulations
    • Law 20.418.
    • Vasectomy can be performed by any surgeon or urologist.
    • The procedure is performed in the office, with local anesthesia. The traditional method can be used or also without a scalpel and without a needle.
    • Men who wish to have a vasectomy must be over 21 years of age (according to state law), do not need their partner’s permission, nor a minimum number of children.
    • In cases of mental problems, judicial authorization requested by the patient’s legal representative is mandatory.
  • Is mandatory counseling required?
    • Only a prior consultation with the physician in which the consent is signed, with an authorization from a psychologist.
    • No waiting days are needed between the counseling session and the vasectomy.
    • There is a script with the questions that doctors must ask men, this is in the law.
  • Vasectomy cost
    • $850,000 and $1,250,000 Chilean currency
  • Does the country’s public system offer free vasectomies?
    • No, but there is a National Health Fund program with Bono PAD that includes discounts on the procedure.
  • Does the country’s social security system perform vasectomies?
    • Not.
  • Promoting vasectomy campaigns
    • Private Sector: Discount on the procedure in June

ECUADOR

PARAGUAY

PERU

URUGUAY

CANADA

UNITED STATES

MEXICO

EL SALVADOR

HONDURAS

PANAMÁ

BURKINA FASO

DEMOCRATIC REPUBLIC OF THE CONGO

  • Vasectomy Regulations
    • Vasectomy can be performed by training medical doctors and urologist.
    • The procedure is performed in the procedure rooms, under local anesthesia, scalpel technique using a needle.
    • Men who wish to have a vasectomy must be over 18 years of age, do not need their partner’s permission. There is no clear information on the number of children needed to perform the procedure.
    • Men with mental problems cannot request vasectomy, it is the next of kin who makes the decision on their behalf.
  • Is mandatory counseling required?
    • Yes, counseling sessions are required. There is no consent scrip.
    • There is no waiting day between the consultation and the procedure.
    • There is no script with the main information about vasectomy.
    • The patient is offered the service in the shortest possible time.
  • Vasectomy cost
    • 35 USDs to 100 USDs
  • Does the country’s public system offer free vasectomies?
    • Yes it does at a free cost, patient has to be eligible as per the WHO guidelines and offers an informed consent.
  • Does the country’s social security system perform vasectomies?
    • Not.
  • Promoting vasectomy campaigns
    • Not.

EGYPT

ETHIOPIA

GHANA

  • Vasectomy Regulations
    • Vasectomy can be performed by medical Doctors and urologists only.
    • The procedure is performed in the procedure rooms in clinics , under local anesthesia. no-scalpel and use a needle.
    • There is no minimum age. There’s no eligibility criteria but according to several studies done amjority of clients have produced at least 2 children.
    • Men with mental problems cannot request vasectomy, a legal guardian in full use of his mental faculties must give consent on behalf of this person.
  • Is mandatory counseling required?
    • Yes, it is a prerequisite according to national guidelines.
    • There is no standard time period stipulated, but most cases are resolved quickly, as the turnaround time for people coming for consultation is short.
    • There is no consent scrip.
  • Vasectomy cost
    • 50 Ghc (29 USDs) to 120 GHc (73 USDs)
  • Does the country’s public system offer free vasectomies?
    • Yes it does, at a free cost and offered mostly in health sub district hospitals and general hospitals.
  • Does the country’s social security system perform vasectomies?
    • Not.
  • Promoting vasectomy campaigns
    • Not.

KENYA

  • Vasectomy Regulations
    • Vasectomy can be performed by trained Health Workers from mid-level that is, Clinical Officers ,Medical Officers and Urologists.
    • With several peripheral clinics vasectomies are performed in procedure rooms whereas in Level 5 to Level 6 hospitals where Urologist are stationed vasectomies are done in theatre. no-scalpel and use a needle.
    • There isnt any listed given that the country has not drafted an policy or guideline regulating vasectomy in the country. With no regulation or policy from the Ministry of Health and Government young males as young as 15 years have been offered vasectomies. The majority do not seek for permission from their spouses. Not necessarily, anyone who desires to have a vasectomy can walk in and get it done with the majority being LGBTQI, Men who have sex with other men (MSM) and men who have produced at least 4 children.
    • Men with mental problems cannot request vasectomy, it is the next of kin who makes the decision on their behalf.
  • Is mandatory counseling required?
    • Yes they do provide extensive counselling sessions prior to acceptance of the procedure and an informed consent is signed as well.
    • The procedure is scheduled as an elective theatre case therefore done with in a day or two. Every clinic, provider or organization formulates their own counseling script but there is no standard tool.
    • There is no consent standart scrip.
  • Vasectomy cost
    • 12,000 Ksh (100 USDs) to 180,000 Ksh (1500 USDs) and most insurances if not all do not cover vasectomy.
  • Does the country’s public system offer free vasectomies?
    • Government hospitals do not offer vasectomy as part of the family planning package but urologists in these government facilities do offer the service on elective basis and charge it separately with a negotiated price.
  • Does the country’s social security system perform vasectomies?
    • Not.
  • Promoting vasectomy campaigns
    • Not.

LIBERIA

  • Vasectomy Regulations
    • Vasectomy can be performed by trained medical doctors and urologists.
    • The procedure is performed in the Mini-theatre, under local anesthesia, no-scalpel and scalpel, in minitheatres require a needle.
    • Men who wish to have a vasectomy must be over 18 years of age, do not need a minimum number of children.
    • The guardians of men with mental problems can request vasectomy.
  • Is mandatory counseling required?
    • Yes, counseling sessions are required, patients are aware of the benefits and possible cons of vasectomy.
    • There is no standard time period stipulated.
    • There is no set script..
  • Vasectomy cost
    • 400 USDs to 1000 USDs
  • Does the country’s public system offer free vasectomies?
    • No, mostly private clinics and hospitals offer vasectomy.
  • Does the country’s social security system perform vasectomies?
    • Yes and No, if its serving medical purposes for instance patients who have undergone prostatectmy and have an indwelling catheter for a long time can benefit from vasectomy so as to reduce of recurrent epididymitis then insurances covers it along with other medical bills per that admission.
  • Promoting vasectomy campaigns
    • Not.

MADAGASCAR

MALAWI

NIGERIA

RWANDA

SOUTH AFRICA

TANZANIA

UGANDA

ZAMBIA

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