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  • Title: Sterilization in Honduras: assessing the unmet demand.
    Author: Janowitz B, Nunez JA, Covington DL, Colven CE.
    Journal: Stud Fam Plann; 1983 Oct; 14(10):252-9. PubMed ID: 6648994.
    Abstract:
    The purpose of this study was to evaluate and compare the availability of sterilization services at two hospitals in Honduras. Approximately 7,000 women who had given birth at the Hospital Materno Infantil in Tegucigalpa and the Hospital Leonardo Martinez in San Pedro Sula were asked about their desire for sterilization. Of the women who wanted to be sterilized, a considerable percentage had not been sterilized four months after they had given birth--58 percent of those who had delivered at Materno Infantil and 79 percent of those who had delivered at Leonardo Martinez. Twenty-three percent of the women who delivered at Materno Infantil and 4 percent of the women who delivered at Leonardo Martinez were sterilized before they were discharged. The difference may be attributed to the poor quality of the facilities at Leonardo Martinez. The percentages of women sterilized postpartum or within 4 months of delivery hwere much higher for women delivering at Materno Infantil than at Leonardo Martinez, both being hospitals in Honduras. Of the 829 women from the former who said they were interested in a tubal ligation, 42% were sterilized either before being discharged from the hospital or within 4 months of delivery. In contrast, only 21% of the women from the latter hospital had sterilizations. The differences between the 2 hospitals in the percentage of women sterilized may be attributed to availability of facilities. The poor quality of the facilities at Leonardo Martinez (LM) results in women having access to health care, including postpartum sterilization. And while Materno Infantile (MI) has done better in making postpartum sterilization available, it was difficult for a woman to obtain a postpartum sterilization on other than medical grounds in both hospitals. A higher percentage of women who delivered at MI than at LM obtained interval sterilizations within 4 months of delivery. Even though the women from LM had to travel farther to be sterilized than the women from MI, neither this nor any differences in the characteristics of the women accounted for this percentage difference. Since it is unknown if any women tried to get sterilized and failed, it is not possible to determine if the difficulty of scheduling sterilizations or in meeting the requirements at each hospital could have accounted for the difference. Neither is it known what percentage not sterilized within 4 months of delivery were sterilized later, though this information will be forthcoming as the result of a follow-up. In both study populations, a large percentage of those not sterilized were still interested in having a tubal ligation. On 1 August 1982, new operating rooms were put into use at MI and data indicate that 362 procedures were performed from that time to the end of the year.
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