Videos Help Fight Misconceptions Around Male Sterilization Procedures

Malati Sahu, 25, married Sudhir Sahu, 29, resident of Dongargaon Block in Rajnandgaon District in Chhattisgarh, five years ago. “My husband wanted to continue his education, but due to poverty he had to quit schooling when he was in class 9 and started working as a daily wage labourer with his father,” shared Malati who herself was able to complete higher secondary education.

Malati lives with her husband and two children at her in-laws’ home. They do not possess any agricultural land although Sudhir and his father have been working as agricultural labourers. Sudhir’s keen interest in cooking led him into taking it up as a profession after marriage. He is now working as a chef in a restaurant at Rajnandgaon and earning more than INR 10,000 per month. Moreover, Sudhir’s father has leased agricultural land and is earning INR 2,000 to 3, 000 per month from the produce.

Malati’s daughter, Sita is now three-and-a-half-year-old and her son, Shyam is 18 months old. Both of them were born at the government hospital. Malati explained that after the birth of the two children, both she and her husband were happy and didn’t want any more children and were considering adopting some family planning method.

“We were thinking about going for a family planning operation and my husband consulted a doctor for my sterilization. However, in the hamlet meeting, (Digital Green’s) videos shown by the Mitanin Trainer on the family planning changed my perception and I insisted my husband go for male sterilization,” shared Malati.

“Many misconceptions exist around male sterilization among the community. People believe that vasectomy makes males impotent leaves them unable to do any physical work and that it (vasectomy) is painful and that recovery period is long,” she added.

Due to the prevalence of such misconceptions about vasectomy, in India, most men prefer that their wives undergo sterilization rather than use any other contraceptive methods or undergoing a vasectomy themselves. Digital Green’s video-enabled extension approach is helping frontline workers fight such myths and misconceptions in Chhattisgarh, Bihar, Jharkhand, Uttarakhand and Assam through its Project Samvad, supported by USAID.

Malati’s husband was not happy with her suggestion and argued that male sterilization would be painful and would make him weak and unemployable. However, Malati convinced her husband and mother-in-law how male sterilization is safe and medically simpler than female sterilization drawing on the knowledge from the videos about family planning that she had seen.

Sudhir finally consulted with the ANM and the doctor and agreed to go for the ‘No-Scalpel Vasectomy’ (also called keyhole vasectomy or NSV) and after his operation on 27th July 2019, he went to work the same day, four hours after the surgery. Malati shares that her husband is happy and has had no complications since then and has been working with the same efficiency as he had been prior to NSV.

Now, Sudhir is himself a champion of the cause within his village and encouraging other men in his community to go for family planning, improve communication between husbands and wives as well to address the myths and misconceptions related to vasectomy and other contraceptive methods. He is happy that Malati made him aware of this simple, safe and highly effective permanent contraceptive method.

 

Names in this story have been changed to protect the identity of the individuals. The photographs used are also representative.

Fighting FAW With Video-Based Agriculture Extension

Ato Abraham Megersa is a farmer in Toke Kutaye woreda, West Shoa Zone of Oromia Region, Ethiopia. Born in 1978, he has 4 sisters and 2 brothers. Ato Abraham is a father of 5 children (3 daughters and 2 sons). Except one, all his children are going to school. Ato Abraham had to discontinue his schooling after 9th grade when his father passed away in 1994 and had to start working to support his family.

Farming and animal rearing are the main sources of income for Ato Abraham’s family who are subsistence farmers. The major crops grown on his 1.5 hectares are Teff, wheat, and maize. They have 15 domestic animals, including goats, cows etc. Apart from his own farmland, he rented another 2.5 ha of irrigation land in 2018-19.  Four oxen and his family labor to till the land.

Ato Abraham had had very limited contact with the Development Agents (agricultural extension agents of the government) and had little knowledge about the existing government extension advisory services. Which resulted in a knowledge gap around package-of-practices such as row planting, optimum plant density planting, use of the recommended amount of fertilizer, UREA side-dressing, herbicide application, and spraying of pesticides to control insects like African ball worm and others.

“Ato Abraham attended a few video dissemination sessions in 2010. He planted 1 hectare of land with maize using the full package of practices, such as the use of improved seeds, row planting and the like. However, despite using the improved practices, the production was lower than ever before due to a severe attack by Fall Army Worm (FAW) in the region,” shared Solomon Bayisa, extension expert of Toke Kutaye woreda.

Observing the damaged crop, Solomon Bayisa suggested Ato Abraham attend video disseminations on FAW identification and management to effectively control the damage.

Ato Abraham attended a series of video dissemination sessions on identifying, scouting and managing FAW. He was able to scout and manage his maize crop from seedling to the silking stage. He picked up FAWs with his plastic gloved hands and put them all in plastic bags that gave no room to the FAWs to escape and put them in boiling water, killing the worms effectively and arresting further outbreak. Moreover, he was able to squash eggs beneath lower leaves, which range from 150 – 200 eggs/plant. Timeliness of these practices has helped him control the worm effectively before they could bore into the stem, where they are no longer visible and stay protected.

As a result, Ato Abraham was thankful to the DA for the video dissemination program that helped him protect his maize crop from this devastating new worm in his area. ‘’I have gotten the highest yield that has not been obtained in the area,” shared Ato Abraham during the interview. He added that “Learning gives power and wisdom to overcome problems.”

Ato Abraham planted maize seedlings on 1.5 ha of land as seen in the picture above. His crop stands impressively as compared to other fields in his area. This is a proxy indicator of highly improved productivity and production. Ato Abraham has understood the difference made by video-enabled learning. “I am committed to sharing the best practices with fellow farmers who have no opportunity to attend video screenings,” he added.

The Feed the Future Developing Local Extension Capacity (DLEC) project is led by Digital Green in partnership with organizations such as the International Food Policy Research Institute (IFPRI) and the Global Forum for Rural Advisory Services (GFRAS), DLEC is an action-oriented, evidence-based learning project. In this pilot (refer to engagement Factsheet) we worked in partnership with the Ethiopian government, Agricultural Transformation Agency and FinTrac to test a multipronged, digital data-driven approach to mitigate the effects of Fall Armyworm for smallholder farmers in Ethiopia.