Standards for Female and Male Sterilization Services - STATE ...
Standards for Female and Male Sterilization Services - STATE ...
Standards for Female and Male Sterilization Services - STATE ...
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18<strong>St<strong>and</strong>ards</strong> <strong>for</strong> female <strong>and</strong> male <strong>Sterilization</strong> services2.3.5. Clients must be in a sound state of mind so as to underst<strong>and</strong> the fullimplications of sterilization.2.3.6. Mentally ill clients must be certified by a psychiatrist, <strong>and</strong> a statement shouldbe given by the legal guardian/spouse regarding the soundness of the client’sstate of mind.PROCESSES2.4. Clinical ProcessesPreparation <strong>for</strong> the surgery includes counselling, preoperative instructions, case selection,preoperative assessment, review of the surgical procedure, <strong>and</strong> post-operative care. It isessential to ensure that the consent <strong>for</strong> surgery is voluntary <strong>and</strong> well in<strong>for</strong>med <strong>and</strong> that theclient is physically fit <strong>for</strong> the surgery. Preoperative assessment can also provide an opportunity<strong>for</strong> overall health screening <strong>and</strong> treatment of RTIs/STIs.2.4.1. CounsellingCounselling is the process of helping clients make in<strong>for</strong>med <strong>and</strong> voluntary decisions aboutfertility. General counselling should be done whenever a beneficiary has a doubt or is unableto take a decision regarding the type of contraceptive method to be used. However, in all casesmethod-specific counselling must be done.The following steps must be taken be<strong>for</strong>e the client signs the consent <strong>for</strong>m:2.4.1.1. Clients must be in<strong>for</strong>med of all the available methods of family planning <strong>and</strong>made aware that <strong>for</strong> all practical purposes this operation is a permanent one.2.4.1.2. Clients must make an in<strong>for</strong>med decision <strong>for</strong> sterilization voluntarily.2.4.1.3. Clients must be counselled whenever necessary in the language they underst<strong>and</strong>.2.4.1.4. Clients should be made to underst<strong>and</strong> what will happen be<strong>for</strong>e, during, <strong>and</strong>after the surgery, its side effects, <strong>and</strong> potential complications.2.4.1.5. The following features of the sterilization procedure should be explained tothe client:a)b)c)It is a permanent procedure <strong>for</strong> preventing future pregnancies.It is a surgical procedure that has a possibility of complications, includingfailure, requiring further management.It does not affect sexual pleasure, ability or per<strong>for</strong>mance.