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  • Title: The unofficial vasectomy agent of East Pakistan. (Bangladesh).
    Author: Quddus AH, Ratcliffe JW, Croley HT.
    Journal: Pak J Fam Plann; 1969; 3(1):17-26. PubMed ID: 12305304.
    Abstract:
    This study was undertaken to inquire into the background of individuals known as "vasectomy agents." They act by bringing men into the East Pakistan (Bangladesh) Family Planning Clinics for vasectomy. Their activities have caused the number of vasectomies to rise beyond expectation. Although voluntary at first, they have recently been paid a fee for such services. Many also receive commissions from doctors or others. A total of 155 such agents were interviewed at 24 clinics in 3 districts of East Pakistan. 32 of the agents were women. The median age of all agents was 37.3 years. Of the 155 agents, 60% were engaged full-time in recruiting men for vasectomies. Some had brought in over 100 clients. Of the part-time agents, 37% were farmers, 31% in business, 22% in service employment, and 12% were day laborers. Of the 123 male agents, about 40% had undergone vasectomy themselves. Most agents were from low income groups. Their incomes from acting as agents had increased slightly. About 80% reported acting as agents for 1 year or less. Adequate information about the vasectomy operation seems to have been communicated to clients by the agents. The majority of clients had been concerned about the nature and implications of the vasectomy operation, particularly regarding the loss of sexual potency and their ability to continue working. Many agents encountered opposition from the general public and religious and village leaders. Negative rumors were circulated about the method. Since these agents have made a major contribution to the vasectomy program in East Pakistan, it is thought that they should be given official recognition. By registration, recruiting activities could be supervised. Improved monetary incentives would attract more and better persons. A training course, given by clinic physicians is recommended. In this way agents would be subject to evaluation by an interested and competent person.
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