Kenya Domestic Program

kenya-domestic-staffNSVI’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 worked 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 performs vasectomies for private patients at Family Care Medical Center Clinic on the 5th Floor of Phoenix House on Kenyatta Avenue in Nairobi.

201804FHOK-Staff5Elizabeth Gatungo is the front office receptionist. Charity Kivindyo cleans and sterilizes vasectomy instruments and also assists Dr. Ochieng in theatre. Nancy Wairimu is the clinical officer, who assists Melvine and runs the office in Melvine’s absence. Elizabeth Odera, among other duties, performs the post-vasectomy semen checks for both private and NSVI-sponsored patients. Melvine Ouyo is the Center Manager for the Phoenix Clinic.

For those men who cannot afford the Ksh 20000 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.

In order to get reimbursed 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. 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.

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.
2016-11-19-14-04-09sThen we loaded the cases with enough supplies for about 10 vasectomies.
2016-11-19-20-16-13s2016-11-19-20-19-11sLilian 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 and are listed in the Manual Checklist, to be reviewed 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 Dr. Ochieng’s private patients and for the NSVI-sponsored vasectomy program for low-income men is the Phoenix House facility in Nairobi and at the FHOK Clinic is Kisumu.
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 Phoenix House office and pay his customary fee of Ksh 20000.

For additional information about vasectomy, please see our Vasectomy Page and Dr. Ochieng’s Counseling Video.

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 or in Kisumu/Busia, please call Dr. Ochieng at 0721 547 978.

NSVI is hoping that the Kenya Domestic Team can serve as a model for the efficient delivery of vasectomy services throughout Kenya and beyond.