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Table 3 Facilitating factors and barriers to the implementation of fascial interposition in Asia

From: Vasectomy surgical techniques in South and South East Asia

Fascial Interposition

  
 

Facilitating factors

Barriers

Technical aspects

FI already implemented although not generalized

FI is difficult to learn and to master

  

Use of FI difficult to implement in high volume settings because of time required to perform. Not a mandatory step in the national standard, and training protocol

Human resources

Interest in learning a new technique

Belief that current techniques are effective

 

Interest in improving efficacy and decreasing complications

Changing current behavior

Training

Training infrastructures already in place in South Asia

Training new providers may take more time than training with simple LE

  

Need to retrain existing providers

  

Need to retrain surgical assistants

Supplies

No new supply needed (except extra suture material)

No supply of Silk 3-0 in national program

Policy and program

Program supporting sterilization (South Asia)

No program supporting sterilization (Thailand)

 

FI already mentioned in some national standards of practice

FI not mandatory in most national standards of practice

Evaluation

Some infrastructure in place to conduct operational research

Low rates of follow-up and compliance to SA