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KIGALI (AFP) – African domestic worker John Rutaremara plans to clew up for a "no-scalpel" vasectomy as presently as it becomes acquirable in Africa's most obtusely populated country: he has digit children and cannot afford more.

His is a fairly unusual selection for sub-Saharan continent where vasectomies are rare amid a distributed but misguided belief that it is equal to castration and impairs a man's virility.

But Rutaremara is determined: modify though his daily clear of six dollars is a good digit by African standards, he and his wife effort to attain ends meet.

"We hit many expenses. School fees, food, energy are all rattling pricey in Kigali," said Rutaremara, 31. "If we had more children, life would be rattling difficult."

He already works 80 hours per week, leaving bag apiece morning substantially before the solarise rises and returning substantially after it sets.

"I would rather hit exclusive digit children who are substantially condemned tending of and educated than hit eight children who spend apiece period in hunger," he said.

Rwanda is introducing the "no-scalpel" (NSV) machine in a typically bold approach to edge an explosion in its population, which has risen fourfold over the past 50 years to top 10 million.

The tiny realty is already the most obtusely populated in mainland continent and the polity sees boost ontogeny as digit of the important threats to its achievements in rebuilding after the 1994 genocide.

Under the leadership of President Paul Kagame, Ruanda has been hailed for pioneering development policies that hit helped it vex the ratio and become digit of the continent's most dynamic economies.

Concerned most the push on scant resources, it has begun scaling up its kinsfolk thinking programmes to allow NSV vasectomy which is quicker, cheaper and inferior likely to cause complications than female sterilisation.

"The machine takes most 15 minutes and is painless. We ingest exclusive a rattling diminutive harry along with a local anaesthetic," said programme simulator author Kagabo.

It was developed in China in the New 1970s and introduced to the United States most a decade later, broad across the world.

Rwanda's NSV project initially met with controversy after media reports said the realty desired to carry discover vasectomies on 700,000 men over three years.

The polity was "emasculating the poor", an opposition band apace charged.

But the upbeat ministry insists it had no much plan.

"There is no direct to carry discover 700,000 vasectomies nor will there ever be one," ministry second-in-charge Agnes Binagwaho said.

"It would be both unethical and a violation of human rights to allocate targets to kinsfolk thinking options of this nature," she said.

Some experts hit expressed anxiety that distributed ingest of vasectomy would advance to modify practice of condoms and so to higher retrovirus rates.

But Fidel Ngabo, upbeat ministry director of nursing, mother and child health, says that would be countered by comely education.

"We always provide retrovirus and kinsfolk thinking counselling unitedly because they go hand in hand. With vasectomies, we provide this counselling both before and after the procedure," said Ngabo.

Men wanting to clew up for the machine must prototypal clew a long respond form which explains its irreversible nature. Married men are asked to alter along their wives to secure their consent.

The vast eld of Rwandans are farmers whose families hit lived in poverty for generations. With matter precarious and realty scarce, large families are becoming inferior and inferior sustainable.

"Eighty percent of our accumulation lives soured the land," Ngabo said. "In the past, the more children a farmer had, the more wealth he had. But that has radically changed.

"Now more children stingy more education and aid costs for the agricultural worker as substantially as inferior realty for apiece child to inherit," he said.

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