KMET project conduct 4 surgeries, breaks record in an area with no BTL ever

20th September 2017.

Four women have successfully undergone a surgical procedure considered as a permanent form of birth control in Ngumbereti Health Centre, Mogotio Sub County in Baringo County.

A 37 year old mother of 10; 36 year old mother of seven; 34 year old mother of eight who recently suffered a near-fatal miscarriage and a 42 year old mother of seven were among the patients that underwent the procedure known as tubal ligation.

Hailed by sub-county health experts as the first ever to be carried out in the region, the procedures were offered courtesy of the Afya Uzazi Project (Safe Motherhood Project) implemented by KMET in partnership with FHI 360 in Baringo and Nakuru Counties.

Tubal ligation involves blocking the fallopian tubes to prevent the ovum (egg) from being fertilized with the male sperm hence prevents pregnancy. It is irreversible.

The mother of eight described how she nearly died of blood loss in the hands of a herbalist who was treating her when she suffered a severe miscarriage at five months of pregnancy.

“I thought I was going to die, I lost so much blood and I passed out. Later I was advised by doctors that I could easily undergo another miscarriage if I got pregnant given the number of children I have had so far,” she spoke of her motivation to undergo the procedure.

The 37 year old mother is a widow and the sole breadwinner for her 10 children. Her last born is 8 months old and she says she could still get pregnant by any of her late husband’s relatives as culture permits.

“I have a large family already, times are hard and I do not wish to expand it,” she explained in Kiswahili.
The Afya Uzazi project enhances access and utilization of quality reproductive and maternal health services with a focus on long term contraceptives and permanent methods like tubal ligation and vasectomy.

Prior to the surgeries, members of the community are mobilized by community health volunteers, educated on various methods of contraception and the benefits of family planning.

Women who wish to take up long acting but reversible methods like the implant are attended to onsite while those who wish to take up the permanent methods are booked for surgery at selected nearby health facilities. Usually a counseling room or corner is set aside for those with further questions and those who wish to take up the permanent contraceptive methods.

Defined as the percentage of married women who are currently using a method of contraception, the Contraceptive Prevalence Rate (CPR) in Baringo County is 41.4% (41.4) about two-thirds of the national rate in Kenya which is 58%.

This low uptake of contraceptives is attributed to inadequate knowledge about reproductive health which often lead to myths and misconceptions about the services and limited access to the services due to cost and distance barrier which causes a lot of missed opportunities for use.

6 more women have been booked for a similar procedure in Braningo North Sub County next week by the project team. 

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