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Sterilization in Thailand.

V Muangman1, P Gojaseni

  • 1Surgical Department, Ramathibodi Hospital and Medical School Bangkok, Thailand.

Scandinavian Journal of Urology and Nephrology. Supplementum
|January 1, 1987
PubMed
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Sterilization programs in Thailand, including tubal resection and vasectomy, saw significant growth after a 1970 government policy. These initiatives aim to reduce population growth, with 200,000 procedures annually.

Area of Science:

  • Public Health
  • Demography
  • Reproductive Health

Background:

  • Sterilization services in Thailand commenced in the 1940s but experienced limited progress due to insufficient government backing.
  • A pivotal government policy in 1970 catalyzed the establishment of tubal resection and vasectomy programs across public and private healthcare facilities.

Purpose of the Study:

  • To analyze the development and impact of sterilization programs in Thailand.
  • To understand the factors influencing sterilization acceptance and the evolution of service delivery systems.
  • To assess the contribution of government and private sectors to national sterilization efforts.

Main Methods:

  • Review of historical data on sterilization trends in Thailand.
  • Analysis of government policies and their impact on reproductive health programs.
Keywords:
AsiaContraceptionContraceptive UsageDemographic FactorsDeveloping CountriesEconomic FactorsEducationFamily PlanningFemale SterilizationFinancial ActivitiesFundsGovernmentMale SterilizationMethod AcceptabilityObstaclesOrganization And AdministrationPolicyPolitical FactorsPopulationPopulation DynamicsPopulation Growth--changesPopulation PolicyReversibilitySocial PolicySoutheastern AsiaSterilization, SexualThailandTraining Programs

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  • Examination of service delivery models, including those targeting rural populations.

    • Main Results:

    • Annual sterilization procedures reached 200,000, with a female-to-male ratio of 4:1.
    • Government initiatives accounted for 80% of services, while the private sector contributed 20%.
    • University hospitals played a key role in program planning, research, and technological development.

    Conclusions:

    • The 1970 population policy significantly advanced sterilization services in Thailand.
    • Sterilization programs have been instrumental in directing services towards rural areas and reducing population growth.
    • Collaborative efforts between government, private sectors, and academic institutions have been crucial for program success.