dc.contributor.author | Ruminjo, JK | |
dc.date.accessioned | 2013-06-12T06:32:45Z | |
dc.date.available | 2013-06-12T06:32:45Z | |
dc.date.issued | 1993 | |
dc.identifier.citation | East Afr Med J. 1993 Aug;70(8):469-70 | en |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/pubmed/8261964 | |
dc.identifier.uri | http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/31891 | |
dc.description.abstract | Over 10,000 sterilizations are performed annually in Kenya, 99% of them on women. The mortality associated with female sterilization is only 1/100 that of pregnancy and childbirth, documented in the literature. Sterilization is costly in the short-term, but is cost-effective because it provides contraceptive protection for an average of 12.5 years for Kenyan couples. While 49% of Kenyan women have completed their families, only 5% choose permanent contraception. People need to be counseled that sterilization is permanent, and informed that it can be done as an outpatient with local anesthesia and a mini-laparotomy, through a 3 cm incision. Other barriers to more extensive use of sterilization are the reluctance of men to accept it, low educational status of women, and inadequate services and providers. | en |
dc.language.iso | en | en |
dc.title | Surgical contraception: the kindest cut of all? | en |
dc.type | Article | en |
local.publisher | Department of Obstetrics and Gynaecology, College of Health Sciences, University of Nairobi | en |