Vasectomy in Colombia: How to Adapt Healthcare Services to the Needs of Men?
DOI:
https://doi.org/10.17533/udea.rfnsp.v37n1a11Keywords:
vasectomy, sexual health, reproductive health, gender and health, contraceptionAbstract
Objective: to conduct a sociodemographic characterization of the men undergoing vasectomies in Colombia in order to generate evidence to guide the process of adapting healthcare services to the needs of men with an approach based on gender equity. Methodology: A descriptive study which used the 2015 "National Survey of Demography and Health" and the records of individuals who used the vasectomy services of Profamilia (Association for the Well-being of the Colombian Family) during 2015 and 2016. The variables used were: age, schooling level, place of residence, ethnicity, residence stratum, marital status, number of children born alive and variables related to gender roles. Results: The amount of men using vasectomy services has increased, although not with the expected intensity. In general terms, the men who decide to undergo vasectomy in Colombia are aged 30 to 40 years, from strata 2 and 3, live in urban areas, their schooling level is at least secondary education, are married and with children, and contribute to the health system. Social and cultural barriers were observed which affect the usage of this contraceptive method. Conclusions: This study made it possible to have a first glimpse of the profile of the Colombian men undergoing vasectomy. Recommendations: to extend vasectomy as an option available and readily accessible for men. Avoiding gender stereotypes and encouraging men and women to share contraceptive responsibilities. Implementing sexual and reproductive healthcare models that are more inclusive and also focused on the needs of men.
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