Sterilization camps EXPOSED!

Standard Operating Procedures for Sterilization Services in Camps

Family Planning Division
Ministry of Health and Family Welfare
Government of India
March 2008

READ FULL 59 PAGE REPORT HERE:
http://www.mohfw.nic.in/NRHM/FP/SOP_Book.pdf

Excerpts:

[table of] Contents:

Introduction and the scope of the manual....................... ............................. ............................. ...... 1
1. Range of services in a camp ... 3
1. Counselling ... 3
2. Clinical Services ... 3
3. Lab Tests ... 4
2. Pre-requisites for sterilization camps ............................. ............................. ............................ 5
1. Site ... 5
2. Probable Client Load ... 5
3. Camp Timings ... 5
4. Staff ... 6
5. Equipment/Instruments and Supplies ............................. ............................. ............................ 7
3. Roles and responsibilities of programme managers and service providers ........................... 9
I. Pre-camp Activities (beginning of the year) ............................. ............................. ................... 9
II. During Camp ... 10
4. Conduction of camps ... 15
1. Pre-camp Activities ... 15
2. Camp Activities ... 15
3. Post-camp Activities ... 17
5. Prevention of infection: asepsis and antisepsis ............................. ............................. ........... 19
1. Maintenance of Asepsis in OT ............................. ............................. ............................. ......... 19
2. Processing of Equipment, Instruments and other Reusable Items ............................. ................ 20
3. Sterilization or High-Level Disinfections (HLD) ............................. ............................. ............. 21
4. Disposal of Waste, Needles, and Other Materials ............................. ............................. .......... 23
6. Assurance of quality in camp setting ............................. ............................. ............................ 25
7. Annexures ... 27
Annexure 1: Equipment for Male/Female Sterilization: ............................. ............................. . 29
Annexure 2: Management of Emergencies in Sterilization Services ............................. ........... 34
Annexure 3: Common Emergency Drugs ............................. ............................. ....................... 38
8. List of experts for formulating the Standard Operating Procedures on
Family Planning Services ... 40

page 11

1. Range of services in a camp
What is a “camp”?
A sterilization camp is defined as alternate service delivery mechanism, when “operating team located
at a remote facility (District HQs/Medical colleges/FRUs) conducts sterilization operations at a sub
district health facility, where these services are not routinely available.”
Service package for camp services should include following:
1. Counselling
Counselling is the process of helping clients make informed and voluntary decisions about their
fertility. Method specific counselling should be done whenever a client is unable to take a decision
or has a doubt regarding the type of contraceptive method to be used. In the case of clients found
eligible for sterilization the following steps should be taken before she/he signs the consent form for
sterilization:
* Clients must be informed of all the available methods of family planning and should be made
aware that for all practical purposes, sterilization is a permanent one.
* Clients must make an informed decision for sterilization voluntarily.
* Clients must be counseled in the language that they clearly understand.
* Clients should be made to understand what will happen before, during, and after the surgery,
its side effects, and potential complications, including failure
In situations where the camp is providing other FP methods, method specific counseling should also
be provided
2. Clinical Services
(a) Permanent methods
Vasectomy t Screening and clinical assessment
Pre-procedure instructions/preparation
and/or Procedure
Post-operative examination & instructions
Tubectomy Follow-up

Page 13:

2. Pre-requisites for sterilization camps
The camp should be organized exclusively for sterilization services. Additional services can also be
offered depending on the existing service provision for additional services.
1. Site
All Sterilization Camps must be organized only at established health care facilities as laid down in the
Standards by GOI.
For IUCD insertion, a clean separate room with adequate lighting arrangement and privacy will be
sufficient.
Oral Pills, Emergency Contraceptive Pills and Condoms can be dispensed at the counselling area.
Under no circumstances should Sterilization Camps be organized in a school building/Panchayat
Bhavan or any other such set up. Camps should be always organised either at CHCs or PHCs.
2. Probable Client Load
Estimation of likely number of clients to turn up for accessing services will help in determining number
of teams. For maintaining quality service, each surgeon should restrict to conducting a maximum of:
* 30 laparoscopic tubectomy (for 1 team with 3 laparoscopes) or
* 30 vasectomy (NSV or conventional) or
* 30 minilap tubectomy cases.
* With additional surgeons, support staff, instruments, equipment and supplies, the number of
procedures per team may increase proportionately. However, the maximum number of procedures
that are performed by a team in a day should not exceed 50.
Depending upon the expected client load, requisite number of teams should be mobilized by the
camp manager.
3. Camp Timings
Camp timings should preferably be between 9 a.m. and 4 p.m.

For those idiots out there who think that sterilization camps can't exist because it's some chicken s**t "conspiracy theory", well they are already doing it in India, and that Nazi eugenics bulls**t will come to America soon, so man up and face it. This s**t has been going on since at least the 1950s, and gained serious steam as early as 1972. Then when the "conspiracy theory" denial stage passes, then it becomes "a good thing". How is Rockefeller Foundation sterilizing men and women in systematic fashion "a good thing"? If the Rockefellers were as philanthropic as they claim to be, then why not fix India's horrible highway system, instead of paying US$2.80 per n*t snip?