INTRODUCTION

No-scalpel vasectomy is an emerging family planning method that enables the male partner to get more involved. The procedure was first introduced in our institution in 2008 with an average of 7 clients per year (i.e., 86 patients from 2008 to 2019). There were no data when the pandemic started, but starting in March 2022, acceptance for the procedure started to increase. This coincides with the timeline of the study. At present, there are limited studies regarding no-scalpel vasectomy, especially local studies. A better understanding of the characteristics and outcomes of those who underwent no-scalpel vasectomy would aid our institution in formulating and implementing policies and family planning programs.

The study determined the characteristics and outcomes of no-scalpel vasectomy acceptors at Dr. Jose Fabella Memorial Hospital from March 2022 to February 2023. Characteristics included the sociodemographic, medical, reproductive, and duration from inquiry until semen analysis. The outcomes included the absence or presence of complications after the procedure and result of semen analysis.

The study utilized a retrospective, descriptive, single, cohort design. Total enumeration was done to get the 36 charts of clients who underwent no-scalpel vasectomy at the Comprehensive Family Planning Center of Dr. Jose Fabella Memorial Hospital from March 2022 to February 2023. Patient charts were retrieved, and data abstraction was done. Tables and figures were used to display the frequency distribution of data collected.

The study had a cohort of 36 individuals who underwent no-scalpel vasectomy, which accounted for 116% of the intended sample size. The characteristics of our clients were mostly urban residents, 30–39 years old, with partner, educated, middle class, employed, Roman Catholic, and having 1–2 children with the age of youngest below 3 years old. Different forms of family planning were used prior to the procedure. Teleconsultation effectively increases our clients for vasectomy. Clients were able to follow up after the procedure, but there was only a decrease in the number of clients who had their semen analysis done and were lost to follow-up.

There is an increasing awareness in no-scalpel vasectomy procedure as seen in the increase in acceptors. It is an effective, safe, cost effective, and permanent male contraceptive procedure, with very minimal manageable complications. However, there is a need for better protocol regarding follow-up with semen analysis result.

By determining the characteristics and outcomes of no-scalpel vasectomy acceptors at Dr. Jose Fabella Memorial Hospital from March 2022 to February 2023, the findings of the study hope to aid the health-care providers gain a better insight about the characteristics and outcomes of our male clients who decided to undergo no-scalpel vasectomy as their family planning method of choice. There is a need study in further improving of the formulation and implementation of policies and family planning programs to further reach the male population.

A development trial and application of non-scalpel vasectomy on 3850 men more than 30 ages in the whole country during 1992-1993 has shown that it was a simple technique and easy to implement and train. The technical condition was very simple, only required a septic room and 3 basic medical equipments scissors and pincers. The complication of traditional technique and non-scalpel vasectomy was 3% and 0,63%, respectively. The revasectomy was simple, and can be implemented out of hospital.
Vasectomy ; Family Planning Services

Family planning is an important practice for women as it can help to improve financial and social status. Unwanted pregnancy has negative effects for husband and financial. However, couples married at a late age may not practice family planning because they want to have kids. The aims of this study were to determine the prevalence, factors associated with husband’s socio demography and decision making in family planning practices among women in reproductive age who attended a polyclinic in Serdang, Malaysia. A cross sectional study was conducted on 245 women with a systematic random sampling. Descriptive analysis, Fisher exact and Chi-square tests were conducted to identify the influence of husband’s socio demographic factors and decision making in family planning practices. The prevalence of family planning practices among married women was moderate (53.9%). Family planning practices among women showed significant relationship with the husband’s socio demography which were husband’s race (p = 0.018), religion (p = 0.008) and making decision in family planning (p = 0.002). The husband’s socio demography showed a significant relationship with the prevalence of the wife practicing family planning. This clearly indicates that the husband is the individual that influence the wife to use contraceptive method. Decision making in family planning by both the husband and wife is important in choosing to use contraceptive method. Health promotion in the concept of health education for male contraceptive method such as pamphlet and booklet is important to promote husband involvement in family planning.
Family Planning Services ; Contraception

Background: There is a lack of information on the practice of family planning among Muslim women in New York City in the United States of America (USA) [hereinafter known as “Muslim women residing in the United States” (MWRIU)], Tehran in the Islamic Republic of Iran (IRI) and Kuala Lumpur, Malaysia. The limited figures on this issue are either outdated or mere estimates. The importance of sexual and reproductive health of Muslim women is expected to have massive effects on the social and economic progress of developing countries like the IRI and Malaysia. It is also expected to have imperative impacts on the attempts to empower the MWRIU community and enhance their health status to meet the national standards. Objective: The study objective is to explore and compare the practice of family planning, namely on contraceptive use and abortion among Muslim women in 3 major cities of different countries. Methodology: A survey of 379, 377 and 380 respondents from New York City, Tehran and Kuala Lumpur respectively was conducted in 2013 using self-administered questionnaires. Results: There were significant differences in contraceptive and abortion practices across these countries (P<0.01). While a significant 86.6% of Iranian and 66.2% of the MWRIU used contraception, only 22.9% of the Malaysian women did so. For abortion, 13.6% of the MWRIU and 6.3% of the Malaysian respondents had abortion at least once; while only 22% of Iranians revealed their abortion history, totaling 32.1% of them who had abortion. Financial problems and having an unsupportive husband were among the major factors hindering their practice of healthy family planning. Conclusion: Educational campaigns should be promoted to increase the awareness on the permissibility of family planning in Islam, as well as on sexual and reproductive rights.
Family Planning Services

Peninsular Malaysia ; Family Planning

Subjects: 295 adolescents, youths, women at reproductive age who were study subject 1, and 104 health care staffs, specialists and population collaborators of the commune called as study subject 2. Results: for the topics of reproductive health/family planning (RH/FP): the knowledge of RH/FP was at 76.7% to 87.8%. However, there was still considerable number of women infected with RTIs (23.7%). The rate of women having more than three children was 21%. Drug addiction (13.2%) and other social evils (12.2%) among study participant 1 was rather high. The need of information, education on population/RH/FP defined by study participants 1 and 2 was high (84.4% and 87.5%, respectively). There was a great attention to antenatal care by study subject 1, particularly to antenatal checks (97.6%), antitetanus vaccination (95.6%), and iron pill intake (94.2%). In addition, 66% of participants were aware of risks to pregnancy and 93.6% prefer public health deliveries for care.
Reproductive Medicine ; Family Planning Services

Vasectomy is the most effective family planning method. This is a safe, simple and cheap method for couple who have achieved their desired number of children. In Viet Nam, non-scalpel vasectomy is the major method which has been studied and introduced into the country's population and family planning program since 1991 by the Ministry of Health and now there have been dozen of thousands men who accept the method. During the period applying this method in Viet Nam, the failure rate of the method in Viet Nam is very high, ranging from 0.7% to 6.7%, which is mainly due to technical issues. The non-scalpel vasectomy has a number of advantage such as no anesthesia, no bleeding, and no pain. This technique avoids local hematoma that would reduces edema and infection. In order to achieve a high effectiveness of the method, surgeons are required to have good skills and receive basic training to minimize the failure.
Vasectomy ; Family Planning Services ; Child

BACKGROUND: The sociodemographic shift in sexual initiation, low contraceptive and family planning use pose threat in the reproductive health and well-being of young people. Despite the rise in sexual activity among
young people before reaching the age of 18, prevalence of contraceptive use remains low while unmet need for family planning among married and sexually active women is consistently highest among women 15-19 years old compared to any other age group.

OBJECTIVE: The observed trend in the reproductive health practices of young people, as well as the paucity of literature on adolescent reproductive health, warrant the need for studies that focus on family planning and sexual behavior of young people. This study aims to determine the factors associated with unmet need for family planning among sexually active women aged 15-19 years in the Philippines.

METHODS: This study used the data from the National Demographic Health Survey 2017. The analysis included only the fecund and sexually active women aged 15-19 years old. Logistic regression was performed in order to determine the significant predictors of unmet need for family planning among young women.

RESULTS: Sixty-eight percent of women reported secondary education as the highest level of education attended. Knowledge on modern family planning method is high at 99% while the proportion of women with
knowledge of ovulatory cycle, and knowledge on possibility of getting pregnant after giving birth and before the return of menstrual cycle are 21% and 61%, respectively. The proportion of women who responded that
their husbands/partners desire the same number of children is 68%. Multiple logistic regression and stepwise selection procedure showed that husband's fertility preference is a significant predictor of having unmet need.

CONCLUSION: Addressing the issue on low family planning and contraceptive use among young women in the Philippines requires concerted efforts that aim to cater to the needs of both men and women in this age group.
The consistently low family planning practice among young people despite the overall improvement in the proportion of family planning users among women indicates the need for variability in strategies that target
young and older age groups. Further research should be conducted in order to gain better understanding of the determinants of unmet need for family planning among young people.

The population growth rate of Vietnam was higher than the average rate of the world (1.88% compared with 1.44%). The combination of population with family planning aimed at reducing the population growth rate. The suitable population growth would assure the stability and development of social economy, improvement of the quality of life including the reproductive health. The factors influenced on the population growth including death rate, birth rate, marriage, divorce, migration, contraceptive method, education and economic conditions.
Population ; Family Planning Services ; Reproductive Medicine

Through interviewing, discussing with the managers of the Population and family Planning boards and staffs of the contraceptive warehouses at provincial level, the author found that: There were many limitations in facilities and staffs at the contraceptive warehouses at provincial and districts levels. New contraceptive users increased fast from 2.7 million in 1995 to rough 3.7 million in 2001 and estimated 5.6 million of users in 2010. Demands of contraceptives needed to increase faster than the numbers of contraceptive method users. National budget provided only 16.7% of total contraceptive cost
Family Planning Services ; epidemiology ; Contraceptive Agents ; Vietnam