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1
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- Ashi R. Sarin.
- Aastha Medical Center
- Patiala-India
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2
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3
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- QS study launched by ICMR in 1992
at Baroda and Chandigarh
- Declared a failure due to 3 failures out of a total of 8 cases
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4
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- 1997
- A documentary ‘The Yellow Haze’ alleges coercion in a Delhi Medical
College study leading to severe media criticism
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5
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- QS ban comes into effect in March 1998 by a government notification consequent to PIL by All-India
Democratic Women’s Association and others
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6
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- India becomes a demographic billionaire on May 11, 2000
- Population continues to grow at the rate of 2.1%
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7
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8
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9
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- A NFH Survey in 1993 showed 45% married women want no more children
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10
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11
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- 26,000 QS (worldwide total = 100,000)
done in India
- Easy, inexpensive method
- Proven safety and efficacy
- Low risk/benefit ratio
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12
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- Surgical method costly, impractical especially in rural India.
- 1000 QS procedures can avert 10 maternal deaths
- Annual female sterilizations = 6.05 million
- Cost effective (<one dollar)
- Estimated unmet contraceptive services = 28% : necessitating an
additional expense of Rs 150 crores
- QS can fulfil the unmet need
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13
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- Surgical sterilization/general anesthesia dangerous or contra indicated
in severe anemia, heart disease, obesity, diabetes, COPD, etc.
- QS offers a safer alternative in such conditions
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14
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- Patients
- High risk for surgery : 92
- Refused surgery out of
- fear or voluntary choice : 27
- Earlier failed surgery or
- technical non-feasibility : 15
- Total : 134
- Follow-up : 7.2 years
- Results : No failure or serious complication
- Conclusion : Safe, effective,
- non-surgical alternative
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15
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16
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17
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18
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19
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20
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21
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22
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23
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- QS can fulfil the unmet need of female sterilization in private and
public sectors
- Safe, easy, efficient and cost-effective
- Now India awaiting the results of
the US FDA trials
- Frankly speaking the future of QS in India hangs on its fate in the US!
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Notes
