Saturday, September 10, 2011

.: A happy mother because of reproductive health.

.: A happy mother because of reproductive health.: Got married at twenty two and the Catholic parish church from my hometown Calauan, Laguna asked us for the parents consent because apparentl...

Thursday, September 8, 2011

NSVI visited GK Housing Village, Talisay,Cebu Phils


Feb 2, 2011 -  NSVI sponsored a group of families@ the Gawad Kalinga (GK) village. They visited also those who have had NSV the previous year


But first, a little flashback to last year.GK is a refuge for poor people who need homes. Concrete     1-room row houses financed by donations provide high-density shelter for families large and small. Each home is about 20 ft. x 20 ft.




In 2010, some homes were still under construction, but many were completed 


The fronts of the homes (above right) face a wide alleyway divided by a planter, whereas the backs of the homes faces muddy narrow unpaved alleyways (right) where laundry dries slowly in the humid air.
We explained vasectomy to Angela (above right), who had had 11 children, with hopes that she would inspire her husband to come for a vasectomy later that day when he returned from work as a putt-putt (bicycle with a passenger seat) driver.
Some tenants managed to procure a few wood panels to create a barrier between the living area and the one "bedroom", but most just hung a curtain. If there was a bed, it was tiny. Most tenants just slept on thin blankets or mats.

There were some electronics, but electricity was sporadic and many electronics did not work and seemed to be retained more as ornaments than for their functional value.
No units had running water, so tenants made regular trips to the community well, and a few units (below left) had old water coolers to serve as storage receptacles for the well-water

 
                          Children were everywhere.   Here they feast hungrily on some plain bread that we purchased from a vendor during our visit.

Most families had 4 or more children. Angela's family had 11 children all living and sleeping in her tiny home. We left the women of GW with an open invitation to send their husbands to the nearby hospital for vasectomies, simple procedures that would provide more control over their family sizes. They explained that their husbands might refuse for fear of pain or loss of sexual function, but when we mentioned that we were offering each man $20 US to cover transportation costs and 2 days of lost income, their eyes brightened.


   While we were visiting GW, our support staff was busy orienting the staff and counseling the patients. By the time we arrived, the men were waiting.

               We quickly went to work, 3 NSVI surgeons sharing 3 tables in a single operating room





After their procedures, some patients were kind enough (and proud enough!) to pose for a group photo.


 
         NSV Providers Dr. Douglas Stein, Dr. Ramon Suarez, Dr. Bacariza ( Talisay District Hospital Chief) Dr. Benie Kiamco (NSVI Sec.) Frohnie D. Cagalitan ( Social Worker), Myrna H. Danuco (Nurse)

The nursing staff and students were also delighted with the photo op and the hospital director (blue/green top) was pleased to have offered his facility as a site for such a productive mission.
Later that day we returned to Gawad Kalinga. Angela was still holding her newborn baby and was proud of her husband (red shirt) for having his vasectomy earlier that day. He was feeling just fine!

So for them, 11 it will be. No more. An opportunity to focus on and nurture the children that they already have, and to enjoy sex without fear of another pregnancy, which, at this point, could pose a serious risk to her health.

2011 Visit  to the village

We returned to Gawad Kalinga one year later, this time with the filmmakers who are preparing a documentary on Male Involvement in Family Planning and World Population Issues. It was a weekday and the men were off working, some locally, some overseas.

 Angela was still there,(unfortunately her youngest/11 child died, medical needs not meet due to  financial difficulty)  but  since the husband had NSV already, they were glad  she wasn't pregnant anymore!       


 

Now she had time to tend her own garden.       
















 Community leader Juanita (blue shirt) also brought us to see Anita
 (pink shirt) ...


































And Malinda, all of whose husbands had undergone vasectomy by us last year. Malinda had had 3 children and her one room living area looked like a school room with a little worktable and ABCs on a bulletin board
















 and there was a 4th young mother (4 children, green shirt) whose husband had opted also  for vasectomy in last year's mission. So, these are the wives of the men who had NSV 2010
They were all so pleased with the freedom granted by their husbands vasectomies. Other women asked if their husbands could have vasectomies.



Since we were not using the nearby hospital in Talisay this year, arrangements were made by Juanita for us to perform vasectomies in the recreation room of GK, but the proposal was stifled by Couples For Christ, an organization with a big influence in the community.



We felt good for the children whose parents could now be focused more on them than on competing younger siblings.



A pose before we left GK Housing Village. Dr.Doug Stein (NSV Provider) Frohnie D. Cagalitan (Social Worker), Jonathan Stack (Gabriel Films Producer/Director), Dr. Ronald Suarez,(SWU Medical graduate currently NY based Practitioner),Saralena Weinfield (Film Maker) and NSVI President Dr. Ramon Suarez) ....


a Good-Bye from the families of GK, the most grateful recipients of NSVI Free Vasectomy Services in the Philippines



What's wrong with NSV Billboards ?

 Feb. 2, 2011 -   a visit to the Talisay City Hall to see the Mayor re NSV Billboard that was taken down  
w/o our knowledge

Prior to this mission, we decided to increase public awareness of vasectomy by use of billboards as has been done in Florida. Communicating with Frohnie by e-mail, we designed and purchased vinyl displays (bulletins, as they are called) and reserved available billboard space. The two bulletins were hung about one week before our arrival, and below are the photos taken by the billboard company Alcordo as proof of installation.


Along a busy commuter road in Talisay, a suburb of Cebu.








In Cebu on a busy road near downtown


However, we learned even before we arrived that the bulletin in Talisay had been removed by the mayor's staff and that Alcordo had been told to remove the bulletin in Cebu. Sure enough, when we went to investigate ...


.. our bulletins had been removed and the space in Talisay was even being marketed, right during the dates of our rental agreement. We had been counting on these bulletins to increase awareness of our mission, and now they were gone! Even after we had paid for them!

So we headed straight for city hall. The mayor denied any responsibility for the order to remove the bulletins and deferred to his administrative assistant, who is also his brother.



Both men explained that these are delicate issues; both denied our requests to allow the bulletin to be posted; but they did agree have city personnel bring the heavy vinyl to us at Sacred Heart Hospital.



 We then went to the corporate offices of Alcordo to try to get them to rehang the vinyl in downtown Cebu. It was near closing time and they were cordial, but the Director made it very clear that she would need "approval". From whom? Well, from Monsenior Dakay, the Media Liaison Officer of the Archdiocese of Cebu. She needed the approval of the Catholic Church. It becamse very clear who was running things in some areas of the Philippines. The clergy can make or break the politicians, who have the power to grant or deny licenses for billboards. So Alcordo had to stay in their good graces.

What was so interesting through all of this was the fact that the film crew was never asked to turn off their cameras. Not in City Hall, not in the corporate offices of Alcordo, not in any hospitals of clinics where our services were provided. Not even in the offices of the mayor of Hilongos, where we were to learn in a few days that we were no longer welcome to use the main street clinic where we had performed so many vasectomies last year. The film crew (Jonathan, Saralena, and Joel) had never worked in such a camera-friendly environment. So they took advantage and documented it all.


Just prior to visiting our billboards, we had spent part of the morning at a very poor neighborhood called Gawad Kalinga, which is in Talisay, close to the hospital in Talisay where we had performed vasectomies during our 2010 mission. Gawad Kalinga is special to us and requires it's own web page.

Surgeons from the US to the Phils for the No Needle/No Scalpel Vasectomy Mission

Tuesday Feb.1, 2011 - Day 1 -  the travel  of the NSVI  Team from the US  to Cebu City @Sacred Heart Hospital




Our flight path took us over the South China Sea east of Vietnam ...


                          

... and over the northern Philippine island of Luzon and the capitol Manila.


Departure from Hong Kong's magnificent Chek Lap Kok Airport, all built on reclaimed land.
 Saralena of the Gabriel Films ( who arrived earlier) was there to pick us up at the Cebu Airport.



Posters had been hung at Sacred Heart Hospital announcing the arrival of the American Vasectomy Team and the opportunity to get a free vasectomy


                                                
While the 3 vasectomists/surgeons were doing the NSV procedure inside, Social Worker/Facilitator Frohnie  and NSVI cofounder Bob Kiamco, with BHW Merlyn, conducted NSV Education to local men, emphasizing on  the No Changes/No Side Effects whatsoever  on the sexual functioning or strength  of the men... having had Vasectomy many years ago 


The news media were there to interview  the NSVI Team, in this photo, interview with  Ramon Suarez,President and Co-founder of NSVI. We were immediately challenged with questions about how we would respond to opposition form the Catholic Church.


 
Conversation re: NSV with Dr. Joseph Alesna, NSVI certified local NSV provider  and Dr. Ronald Suarez, New York based practitioner,  but underwent  NSV @Sacred Heart Hospital few years back, son of NSVI Pres. Dr. Ramon Suarez who also had Vasectomy many years ago.


After a long first day of the NSV Mission, deserved a nice meal at a Cebu restaurant. Their  first evening meal: Dr. Ramon Suarez,(NSVI Pres.) Joel (Videographer), Jonathan Stack (NY based Gabriel Films Executive Producer/Director) Dr. Douglas Stein (Urologists/NSV Provider,Florida),  Dr. Nenita Suarez (Dr.Ramon's wife and VP of NSVI), Saralena Wienfield ( Gabriel Films Videographer/FilmMaker) Dr. Ronald Suarez (Drs. Ramon/Nenita  son, had been vasectomized already just like his father  and also a graduate of SWU Medical School, Cebu Phils) 




2011 FREE No Needle NSV Mission in Cebu/Philippines


2011 Vasectomy Mission to the Philippines
                       Sponsored by  No-Scalpel Vasectomy International, Inc.
                                                                                                     by Doug Stein, MD


From February 1 through February 8, 2011, I had the privilege of providing vasectomy services at three sites in the Visayas region of the Philippines. The main site was Sacred Heart Hospital, which is the teaching hospital for Southwestern University Medical School. The mission was sponsored by No-Scalpel Vasectomy International, Inc. (NSVI) and supported in part by the Bisaya Medical Association. In eight days, 270 vasectomies were performed by 4 surgeons. As word and testimonials spread through local communities, enthusiasm increased, and 107 vasectomies were performed on the last day of the mission alone (Feb 8). These photos were taken after a busy afternoon on February 7. Beside me (above) and with the biggest smile of the group is Frohnie Cagalitan, MSW, our in-country mission coordinator. Beside her is Joseph Alesna, MD, our in-country vasectomist who provides vasectomies all year long, and in front of them are Bob Kiamco, Chairman of NSVI, and Ronald Suarez, MD.




The many patients served that day were all very pleased.



Tuesday, September 6, 2011

No Scalpel Vasectomy Fact Sheet



NO  SCALPEL VASECTOMY INTERNATIONAL (NSVI)

providing modern/hi-tech  vasectomy  the  No Needle/ No Scalpel Vasectomy (NN/NSV)
A good option for men who prefers a permanent method of Family Planning




NSV FACT SHEET




Unsa man ang " No Scalpel Vasectomy " (NSV)?
  • Usa kini ka moderno nga paagi sa pag vasectomy permanente nga paagi sa Family Planning
  • Ang karaan nga paagi sa vasectomy, mogamit  sa " scalpel" usa ka instrument sa pag opera, pero ang modern , wala na
  • Naa ray instrument gamiton para i-puncture  unya Ban -Aid ra ining human.
  • Pero pareha ra , nga ang gamay nga parte sa tubo nga maoy agiaanan sa semillya o " sperm cells"  sa lalaki, maoy pulton ug hiktan para di na maipon ang semilya sa tulos
Unsa man ang  " No Needle Vasectomy" (NNV)?
  • dili na kini  mo gamit sa " Needle" para sa anesthesia.
  • spray applicator (Madajet) ang gamiton para dili bation ug sakit nga maoy kasagaran nga kahadlokan sa mga lalaki
Kinsay angay nga magpa Vasectomy?
  •  lalaki nga dili na gusto maka-anak
  • bisan pila ang pangidaron , ulitawa o minyo kun dili na siya gusto makapaanak pa
  • iyang ka gustohan o boluntaryo nga magpa NSV
100% ba nga epektibo ug sigurado kini?
  •  walay 100% nga sigurado o epiktibo sa bisan unsang pamaagi sa Family Planning , pero taas ang NSV
  • 99.85% ang kasigurado sa vasectomy, kon motuman sa tanang instruction o pahimangno

  •  Pagka human ug vasectomy , mugamit usa ug proteksyon , condom o uban pa, kau aduna pay nahinilin nga binhi sa tubo, ug  makapambdos pa kini
  • Human sa 3 ka bulan , mah pa sperm check , kon  nahurot na pagpa gawas o walay nay  semilya o sperm cells , dili ma peligro nga makapamabdos , kay ang tulos nga mogwas wa nay semilya
Kasagaran nga mga pangutana kabahin sa Vasectomy :

1. Q - Unsa may mga side -effects na NSV?
     A - Gamay nga paghubag ug sakit sa samad human sa vasectomy.

2. Q - Basin ug mawad.an na unya ug gana sa sex?
    A -  Dili maapektohan ang gana sa sex, makadugang pa hinuon sa gana kay wala na 
            ang  kabalaka sa pagmabdos. Ang makapagana sa sex gikan sa gitawag ug  
            "hormones" nga gikan sa lagay , pero wa man mahilabti.

3. Q-  Dili kaha makamenos ang pag-utog o paggahi sa kinatawo?
    A- Ang  pag utog sa kinatawo sa lalaki  nahitabo tungod sa  gibati ng gana sa
         " stimulation ' nga nagagikan sa ugat o  "nerves".
          Dili mapektuhan ang mga nerves kay gikan  kini sa mga bukog diha sa likod nga wa 
            hilabti sa pag NSV

4.  Q - Dili kaha kini makaluya sa  lawas? Mahimo bang mo trabaho human sa vasectomy
     A - Ang kusog sa lwas nagagikan sa muscle o kaunuran, nga wala  hilabti sa pag 
           vasectomy. Likayan  lang usa ang pag alsa ug bug-at kayo sulod sa 2  ka adlaw 
           gikan sa pagka human ug vasectomy.

5. Q - Pareho ba ang " vasectomy" ug Kapon?
    A-  Dili ang kapon alang ra sa mga hayop nga kuhaan ug lagay , dili kuhaon ang lagay sa 
          magpa vasectomy kay mwala ang pagka lalaki tungod kay maapil  pagkuha ang 
          hormones nga gitawag ug  " testosterone "

6. Q - Magawassan paba ug tulos ang lalaki kung makipaghilawas human sa  vasectomy?
    A -  Oo, aduna pa gihapon tulos nga mugawas , pareho ra ug gidaghanon , hitsura ug baho 
           pero wala nay semilya p nga maoy makapamabdos. Walay pagkahurot ang tulos kay 
           gikan kini sa lain nga glands ( Prostate)

7. Q - Dili ba tubuan ug tumor o bugon tungod kay ang semilya napundo sa lagay?
    A - Dili kini mahitabo  kay ang semilya matunaw ra sa lawas sama sa uban nga mga hugaw 
         sa lawas. Dili kini maka cancer ug walay sakit nga mo

8.  Q - Unsaon paghimo ang No Needle NSV?
     A -  Himoon kini sa usa ka na bansay na o expert  nga doctor sa OR o sa clinic 
  •  Mo - agi usa  Pre- Operation / Info. & Counseling ang tanang gusto magpa NSV para masabtan gayod ug matubag ang tanan nilang pangutana kabahin sa NSV
  • Kon andam na , anesthesiahan ang  panit sa lagay . ANg bag-o nga paagi, WALA NAY DAGOM! spray applicator  lang ang gamiton aron mobanhod
  • Pinaagi sa gamay nga buslot, pangitaon ug igawas usag ang duha ka tubo nga agianan sa semilya. Pagkahuman ug putol og hikot sa vas, Ibalik kini sa sulod. Walay hiwa ug walay tahi, Band-aid lang!
  • Pwede mahuman ang vasectomy sulod sa duyes minutos
  • Dili moalsa ug bug-at kaayo sulod sa usa o duha ka adlaw human sa vasectomy.
Kanus-a puede makabalik ug  sex?
  •  Kon comfortable na.
  • Adunay uban nga mga lalaki nga anang gabii dayon, pero ang uban pagka ugma na, ang uban pod 2 or 3 ka adlaw human  sa NSV

HINUMDUMI :
Ang NSV EPEKTIBO kaayo, pero mosunod gayod sa mga pahimangno
Kon mag sex , mogamit  usa  ug condom o ubang pamaagi sa Familya Planning sulod 
sa 3 ka bulan Kinahanglan magawas usa ang tanang  semilya sa tubo ( Vas deferens).
Magpa  eksamen ( sperm check) para segurado. Kon wala nay sperm o semilya sa tulos, okey na, layo na kini sa peligro.

for NSV brochure, schedule, other info, pls  contact:
Ms. MYRNA H. DANUCO, RN - Tel (032) - 4188980  SWU - Sacred Heart Hospital , Urgello St. Cebu City

for NN/ NSV Orientation & Counseling, pls. contact:
Ms FROHNIE D. CAGALITAN , RSW, Pro-Quality life Training & Dev't, Inc (Q-life) 1-93 J. Osmena Ext, Cebu City
Tel (032) 2590989 / 4166084 or 0927 5719399     E - add : proqualitylife@gmail.com