Dwyer J C, Haws J M
International Programs Division, Association for Voluntary Surgical Contraception, New York, NY 10168.
Stud Fam Plann. 1990 Nov-Dec;21(6):322-6.
Some authors contend that the low use of family planning in sub-Saharan Africa is due to a low demand for fertility regulation among African men and women. The present authors' experience in Africa has been that it is not the demand for family planning services, but the way services are delivered that accounts for low numbers of acceptors in Africa. The specific case of Kenya is mentioned, where improvements in the quality of sterilization services and increases in the number of institutions that can provide minilaparotomy under local anesthesia have led to an increase in the acceptance of sterilization. The authors maintain that the demand for all family planning methods does exist, and it is up to the donor agencies and family planning service providers to try to meet that demand by providing services that are efficient to providers while oriented to the clients' needs. In the case of voluntary surgical contraception, that means providing minilaparotomy under local anesthesia.
一些作者认为，撒哈拉以南非洲地区计划生育使用率低是由于非洲男性和女性对生育调节的需求较低。本文作者在非洲的经验是，非洲接受计划生育服务的人数少，并非是对计划生育服务的需求问题，而是服务提供方式的问题。文中提到了肯尼亚的具体案例，在该国，绝育服务质量的提高以及能够在局部麻醉下进行小切口剖腹术的机构数量的增加，导致了绝育接受率的上升。作者认为，对所有计划生育方法的需求确实存在，捐助机构和计划生育服务提供者应努力通过提供对提供者高效且以客户需求为导向的服务来满足这一需求。就自愿手术避孕而言，这意味着在局部麻醉下进行小切口剖腹术。
