<?xml version='1.0' encoding='UTF-8'?><xml><records><record><source-app name="HighWire" version="7.x">Drupal-HighWire</source-app><ref-type name="Journal Article">17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">Jacobstein, Roy</style></author><author><style face="normal" font="default" size="100%">Radloff, Scott</style></author><author><style face="normal" font="default" size="100%">Khan, Farhad</style></author><author><style face="normal" font="default" size="100%">Mimno, Kathryn</style></author><author><style face="normal" font="default" size="100%">Pal, Manoj</style></author><author><style face="normal" font="default" size="100%">Snell, Jennifer</style></author><author><style face="normal" font="default" size="100%">Stafford, Renae</style></author><author><style face="normal" font="default" size="100%">Touré, Cheick</style></author><author><style face="normal" font="default" size="100%">Tripathi, Vandana</style></author></authors><secondary-authors></secondary-authors></contributors><titles><title><style face="normal" font="default" size="100%">Authors’ Response to Letter on “Down but Not Out: Vasectomy Is Faring Poorly Almost Everywhere—We Can Do Better to Make It a True Method Option”</style></title><secondary-title><style face="normal" font="default" size="100%">Global Health: Science and Practice</style></secondary-title></titles><dates><year><style  face="normal" font="default" size="100%">2023</style></year><pub-dates><date><style  face="normal" font="default" size="100%">2023-08-28 00:00:00</style></date></pub-dates></dates><elocation-id><style  face="normal" font="default" size="100%">e2300240</style></elocation-id><doi><style  face="normal" font="default" size="100%">10.9745/GHSP-D-23-00240</style></doi><volume><style face="normal" font="default" size="100%">11</style></volume><issue><style face="normal" font="default" size="100%">4</style></issue><abstract><style  face="normal" font="default" size="100%">See related articles by Labrecque and Jacobstein et al.We appreciate Labrecque’s praise of our analysis of worldwide vasectomy use and his endorsement of our programmatic recommendations.1 He points out that the vasectomy prevalence estimates for Canada in the 2022 United Nations compendium of surveys2 that we drew upon for our study are inconsistent, provides supplemental data on vasectomy use in Canada, and speculates that other countries may have “similar flawed estimates.” He also questions the “validity of using surveys performed more than 10 years ago . . . for estimating 2022 prevalence.” We address each point in turn.Regarding Canada, we agree a decline in vasectomy prevalence of 14–15 percentage points in 4 years is highly unlikely. We welcome Labrecque’s provision of service data from Quebec and other provinces. These data confirm a decline in vasectomies performed, especially during the 2000s—but only at about one-third of the decline in prevalence reported in Canada’s last 2 surveys (22% in 2002; 7.4% …</style></abstract></record></records></xml>