From: Vasectomy surgical techniques in South and South East Asia
Fascial Interposition | Â | Â |
---|---|---|
 | 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 |