The results and the general impact of the use of commissioned door-to-door field workers to promote vasectomies in Madras State in India are discussed in this article. The vasectomy incentive program in Madras showed that a stable group of self-selected successful canvassers were able to earn through performance alone more than they could in other occupations that were open to them were able to reach remote areas and were able to use satisfied customers as informants and agents. In short the program resulted in a large body of people using the clinical facilities. The criticisms directed to this and other programs for using significant monetary incentives for individual promoters is discussed. In roughly 50% of the cases some aspect of official policy was violated such as not getting the signature of the patients wife etc.
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