NSVI’s Domestic Vasectomy Program in Kenya is directed by Dr. Charles Ochieng. Dr. Ochieng became a role model for East African men when he underwent his own vasectomy in 2009, a story featured in the Daily Nation, one of the major news magazines in Africa. Given the difficulty he had finding a provider, he decided to become one himself and came all the way to Florida for training in 2010. In 2011, he received a certificate for his presentation on Vasectomy in Kenya at the International Conference on NSV in Goa, India. To learn how to direct an NSVI Vasectomy Mission, Charles came to the Philippines with NSVI in 2012. Charles made all arrangements for NSVI to conduct three missions in Kenya in 2012/2013, described in the links to the right. (While his family lives in Kisumu, Charles works as a hospitalist at Aga Khan University Hospital in Nairobi, and was the Winner of the Huduma Bora Award for 2016.) Lilian Omollo was a key facilitator in the NSVI missions of 2012/13. Judy Karia works for IntraHealth Kenya (a major supporter of World Vasectomy Day 2016) and helped establish the alliance between the Ministry of Health and WVD.
Enhancing awareness of NSV in Kenya with an outstanding website, Dr. Ochieng has been performing fee-based vasectomies for private patients in Kencom House in the Central Business District of Nairobi at Universal Health Services Clinic, owned by Dr. Joseph Kiara, himself an experienced vasectomy provider. Regina cleans and sterilizes vasectomy instruments and helps with procedures, while Ruth, among other duties, performs the post-vasectomy semen checks for both private and NSVI-sponsored patients.
It is at Kencom House where Dr. Ochieng sterilizes his instruments. An irreparably broken autoclave provided NSVI Educational Director John Curington with an opportunity to kick-start the Domestic Program with the donation of a new autoclave.
For those men who cannot afford the Ksh 15000 fee for private patients, NSVI will “sponsor” those men (provide a “FREE” vasectomy) by paying the participants of the Kenya Domestic Program about the same as it pays those of the Philippines and Haiti programs:
Payments in the Philippines are listed under Php (for Philippines pesos). To the right of that are the dollar amounts followed by the conversion to Kenyan shillings. For ease of payment, the shillings are rounded, some up, some down, so that the total remains about the same for the two programs.
In order to get reimbursed by Western Union transfer from NSVI, Dr. Ochieng must submit a Payment Log (Excel file) and a Patient Log, (Excel file), documenting the names of the patients and the facilitators/promoters.
The following table shows the number of vasectomies performed in Kenya with NSVI support. Via Western Union, Dr. Ochieng has been reimbursed and has distributed part of those funds to patients (as income replacement), to the facility and to his team members.
Dr. Ochieng will continue to submit reports for Domestic Team vasectomy days and the schedule above will be updated as he does so.
During the NSVI Mission of Nov 15-19, 2016, the Domestic Team was restructured, thanks to the willingness of Judith Karia and Lilian Omollo to serve as Program Coordinators in Nairobi and Kisumu/Busia respectively. NSVI set them up with all of the equipment they would need to conduct a clinic at any location that can provide a procedure table and reception/counseling areas. At a local department store, we selected a suitcase for each Program Coordinator.
Then we loaded the cases with enough supplies for about 10 vasectomies.
Lilian and Judith were pleased to have their own supplies: organized, compact, and portable. We prepared a Manual for Vasectomy Clinics. Within the Manual, all supplies are in bold type so that the Manual can be used as a checklist before clinics to be certain that all supplies are on hand. For small clinics of up to four patients, Charles will use instruments sterilized in his autoclave and stored within sterilization pouches. For larger clinics, he can start out with his autoclaved instruments, then clean and soak-sterilize instruments according to the protocol in the Manual. He can purchase disposables such as lidocaine, gauze, and paper sterile drapes at a local supplier, as NSVI budgets and reimburses about $5.00 per vasectomy for supplies.
The service site in Nairobi for the NSVI-sponsored vasectomy program for low-income men will be the FHOK (Family Health Options Kenya) facility (Family Care Medical Nairobi West) near T-Mall.
For a man to attain a “FREE” (NSVI-sponsored) vasectomy at a Domestic Team vasectomy clinic, he must agree to share his demographic information (including phone number and e-mail address) with the NSVI Board (via Dr. Ochieng’s reports/logs) so that we can follow trends and prevail upon that man to serve as motivator and counselor for other men. Any man who wants more privacy/anonymity may see Dr. Ochieng as a private patient in his Kencom House office and pay his customary fee of Ksh 15000.
To set up a vasectomy as a private-pay patient, please see Dr. Ochieng’s website.
To set up a “Free” NSVI-sponsored vasectomy in Nairobi, please call Judith Karia at 0723 586 832.
To set up a “Free” NSVI-sponsored vasectomy in Kisumu/Busia, please call Lilian Omollo at 0723 107 703.
NSVI is hoping that the Kenya Domestic Team can serve as a model for the efficient delivery of vasectomy services throughout Kenya and beyond.