Uptake of Voluntary Surgical Contraception: A Five-Year Trend Analysis in Mobile Health Camps in Bardiya District, Nepal
DOI:
https://doi.org/10.70280/njph(2025)v2i2.44Keywords:
Voluntary surgical contraception, Uptake pattern, NepalAbstract
Background: Voluntary surgical contraception is a permanent family planning method, but uptake patterns between male and female differ significantly. Despite being safe and cost-effective, male sterilization remains underutilized, while female sterilization is still the most common method. Thus, this study aimed to describe a five-year trend in VSC service uptake through mobile health camps in Bardiya district, Nepal.
Methods: A retrospective descriptive trend analysis was conducted using register data of 1,506 clients who underwent VSC in mobile health camps between fiscal years 2020/21 and 2024/25. Socio-demographic characteristics and method choice (minilap vs vasectomy) were analyzed using descriptive statistics in SPSS version 25. Five-year trend was visualized with line graphs.
Result: Among 1506 clients over five years, minilap accounted for 97% of cases and vasectomy 3%. The mean age of client undergoing minilap and vasectomy were found to be 29 years and 37.2 years. Vasectomy was common in Brahmin/Chhetri (58.1%) and minilap was in Janjati women (79.3%). Most were literate and engaged in agriculture. Prior contraceptive use was 44.5%, and over half had one son and one daughter. Over the five years, both methods showed declining trends, with vasectomy uptake remaining low, indicating a gender gap.
Conclusions: The uptake of vasectomy was very low, while minilap was significantly predominant. The overall declining trend in both methods highlights the need for targeted interventions, especially to address gender disparities and misconceptions regarding vasectomy.
References
1. Joshi AK, Tiwari DP, Poudyal A, Shrestha N, Acharya U, Dhungana GP. Utilization of Family Planning Methods Among Postpartum Mothers in Kailali District, Nepal. Int J Womens Health. 2020 Jun 24;12:487–94.
2. Acharya C. Family Planning In Nepal: Trends And Pattern.
3. Bansal A, Dwivedi LK, Ali B. The trends of female sterilization in India: an age period cohort analysis approach. BMC Womens Health [Internet]. 2022 Dec [cited 2025 Jul 27];22(1). Available from: https://bmcwomenshealth.biomedcentral.com/articles/10.1186/s12905-022-01857-0
4. Johns Hopkins University- Global Health. Bloomberg School of Public Health C for CP. Long-Acting Reversible Contraceptives: An Important Focus at the 2016 International Conference on Family Planning. Glob Health Sci Pract. 2016 Aug 11;4(Supplement 2):S1–S1.
5. Jain AK, Ross JA. Fertility Differences Among Developing Countries: Are They Still Related to Family Planning Program Efforts and Social Settings? Int Perspect Sex Reprod Health. 2012 Mar;38(01):015–22.
6. A Review of 10 Years of Vasectomy Programming and Research in Low-Resource Settings | Global Health: Science and Practice [Internet]. [cited 2025 Jul 27]. Available from: https://www.ghspjournal.org/content/4/4/647
7. Government of Nepal Ministry of Health and Population D of HS. Annual Health Report 2080/81. 2080 81;
8. Ministry of Health and Population. Nepal Demographic and Health Survey 2022. 2022;
9. UNFPA Nepal | National Family Planning Costed Implementation Plan 2015-2020 [Internet]. [cited 2025 Jul 27]. Available from: https://nepal.unfpa.org/en/publications/national-family-planning-costed-implementation-plan-2015-2020
10. Chawla R. Changing trends in demographic variables and techniques in female sterilization practices in a tertiary-care referral center over four decades. Int J Med Sci Public Health [Internet]. 2015 Jan 1 [cited 2025 Aug 17]; Available from: https://www.academia.edu/98668655/Changing_trends_in_demographic_variables_and_techniques_in_female_sterilization_practices_in_a_tertiary_care_referral_center_over_four_decades
11. Jabeen S, Afshan S, Ramzan MA, Chaudhry HR. PSYCHOSOCIAL FACTORS AND MALE STERILIZATION.
12. Karki, Paudel, Regmi, Basnet S Kabita, Radhika, Gyan Bahadur. Family Planning Methods Preferred by Service Seekers at Western Regional Hospital, Nepal. J Nurs Health Sci Nepal. 2022;
13. Thapa NR. Factors influencing the use of reproductive health services among young women in Nepal: analysis of the 2016 Nepal demographic and health survey. Reprod Health. 2020 Jun 29;17:102.
14. Chauhan BG, Prasad JB. Contraception use and fertility aspiration among currently married young men in India: Do gender attitudes matter? Child Youth Serv Rev. 2021 Mar 1;122:105920.
15. Thakuri DS, Bhandari R, Khatri S, Dhungana A, Balami R, Hanson-Hall NA. Effect of Healthy Transitions intervention in improving family planning uptake among adolescents and young women in Western Nepal: A pre-and post-intervention study. Olorunfemi G, editor. PLOS ONE. 2023 Jun 9;18(6):e0286705.
16. Alemayehu M, Lemma H, Abrha K, Adama Y, Fisseha G, Yebyo H, et al. Family planning use and associated factors among pastoralist community of afar region, eastern Ethiopia. BMC Womens Health. 2016 Dec;16(1):39.
17. Thosmas ST, Adewole ND, Muhammad RB, Adebayo FO, Offiong RA, Agida TE. Trends in female sterilization in north central Nigeria. Int J Res Med Sci. 2021 Apr 28;9(5):1253.
18. Dhungana A, Nanthamongkolchai S, Pitikultang S. Factors Related to Intention to Undergo Female Sterilization Among Married Women in Rural Kathmandu, Nepal. Nepal J Epidemiol. 2016 Mar 31;6(1):539–47.
19. Dahal GP, Padmadas SS, Hinde PRA. Fertility-Limiting Behavior and Contraceptive Choice Among Men in Nepal. Int Fam Plan Perspect. 2008 Mar;34(01):006–14.
20. Bharadwaj MK, Patrikar S, Singh S. Determinant factors affecting the trends of permanent sterilization: a decadal analysis in a tertiary care institute. Int J Reprod Contracept Obstet Gynecol. 2017 Nov 23;6(12):5348.
21. Padmadas SS, Amoako Johnson F, Leone T, Dahal GP. Do mobile family planning clinics facilitate vasectomy use in Nepal? Contraception. 2014 Jun;89(6):557–63.
22. Ewerling F, McDougal L, Raj A, Ferreira LZ, Blumenberg C, Parmar D, et al. Modern contraceptive use among women in need of family planning in India: an analysis of the inequalities related to the mix of methods used. Reprod Health. 2021 Dec;18(1):173.
23. Khan MdN, Khan MdMA, Billah MA, Khanam SJ, Haider MdM, Sarker BK, et al. Effects of maternal healthcare service utilization on modern postpartum family planning access in Bangladesh: insights from a National representative survey. Ubom AEB, editor. PLOS ONE. 2025 Feb 4;20(2):e0318363.
24. Anita P, Nzabona A, Tuyiragize R. Determinants of female sterilization method uptake among women of reproductive age group in Uganda. Contracept Reprod Med. 2020 Dec;5(1):25.
25. Biswas RSR, Nath JD, Ahmed KF. Financial burden of Chronic Kidney Disease Patients on Maintenance Hemodialysis in Chittagong, Bangladesh [Internet]. Nephrology; 2021 Jul [cited 2023 Dec 29]. Available from: http://medrxiv.org/lookup/doi/10.1101/2021.07.15.21260572
26. Khan AI, Patil D, Kawwass JF, Zholudev V, Mehta A. Surgical sterilization among US men and women with employer-based insurance: A claims data analysis. Contraception. 2018 Sep 1;98(3):247–51.
27. Beshar IB, Chelvakumar M, So J, Cahill EP, Shaw KA, Shaw JG. Sociodemographic Trends in Long Acting Reversible Contraception vs. Female Sterilization, 2006-2017 [33I]. Obstet Gynecol. 2020 May;135:100S.
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