Family Planning

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Collaborating and Supporting OrganizationsAbt Associates, Private Sector Partnerships One Project (PSP-One)Academy for Educational DevelopmentAmerican College of Obstetricians and Gynecologists (ACOG)Association for Reproductive and Family Health (ARFH), NigeriaCentre for African Family Studies (CAFS)The Centre for Development and Population Activities (CEDPA)CONRADConstella FuturesEast European Institute for Reproductive HealthEngenderHealth, ACQUIRE ProjectFamily Health InternationalFamily Health Options Kenya (FHOK)Family Planning Association of India (FPA India)Family Planning Organization of the PhilippinesFederation of Family Planning Associations, MalaysiaFundación Mexicana para la Planeación Familiar, A.C. (MEXFAM)Georgetown University, Institute for Reproductive HealthGuttmacher InstituteGynuity Health ProjectsHesperian FoundationIbis Reproductive HealthImplementing Best Practices (IBP) ConsortiumInternational Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B)International Consortium for Emergency ContraceptionIntraHealth International, Inc.JHPIEGOJohn Snow, Inc. (JSI)Johns Hopkins Bloomberg School of Public HealthLondon School of Hygiene and Tropical MedicineManagement Sciences for HealthMarie Stopes InternationalMinnesota International Health Volunteers (MIHV)National Family Planning Coordinating Board (BKKBN), IndonesiaPan American Health Organization (PAHO)PATHPathfinderPlan InternationalPlanned Parenthood Federation of Nigeria (PPFN)Population CouncilPopulation Reference BureauPopulation Services InternationalPrinceton University, Office of Population ResearchTulane University School of Public Health and Tropical MedicineUniversity of the Witwatersrand, Reproductive Health and HIV Research UnitUniversity of North Carolina School of Public HealthUniversity Research Co., LLC
Page 4: Family PlanningA GLOBAL HANDBOOK FO
Page 8: 23 Reproductive Health IssuesFamily
Page 12: From the United States Agency for I
Page 16: Paul Feldblum, Ron Frezieres, Claud
Page 20: New Information and Guidanceóóó
Page 24: World Health Organization’s4 Corn
Page 28: CHAPTER 1Combined OralContraceptive
Page 32: Known Health BenefitsHelp protect a
Page 36: Who Can and Cannot UseCombined Oral
Page 40: 5. Do you have high blood pressure?
Page 44: Using Clinical Judgment in Special
Page 48: Woman’s situationFully or nearly
Page 52:
Giving Advice on Side EffectsIMPORT
Page 56:
Supporting the UserManaging Missed
Page 60:
Managing Any ProblemsProblems Repor
Page 64:
óóóóóóóóóóóóBreast tend
Page 68:
Extended and Continuous Use ofCombi
Page 72:
7. Do COCs change women’s mood or
Page 76:
CHAPTER 2Progestin-Only PillsThis c
Page 80:
Side Effects, Health Benefits, and
Page 84:
Medical Eligibility Criteria forPro
Page 88:
Providing Progestin-Only PillsWhen
Page 92:
Woman’s situationHaving menstrual
Page 96:
Explaining How to Use1. Give pills
Page 100:
Planning the Next Visit1.2.Encourag
Page 104:
óóóóóóóóóóóprovide some
Page 108:
New Problems That May Require Switc
Page 112:
5. If a woman does not have monthly
Page 116:
CHAPTER 3EmergencyContraceptive Pil
Page 120:
Return of fertility after taking EC
Page 124:
Providing EmergencyContraceptive Pi
Page 128:
3. Explain what ó Nausea:to do abo
Page 132:
MethodMale and femalecondoms,spermi
Page 136:
6. Are ECPs safe for women with HIV
Page 142:
Hormoneand PillTypeCombined(estroge
Page 146:
óóGiven by injection into the mus
Page 150:
Known Health BenefitsDMPAHelps prot
Page 154:
Who Can and Cannot UseProgestin-Onl
Page 158:
Medical Eligibility Criteria for Pr
Page 162:
Providing Progestin-OnlyInjectables
Page 166:
Woman’s situationNot breastfeedin
Page 170:
3. Prepare vial ó DMPA: Gently sha
Page 174:
Helping Continuing UsersRepeat Inje
Page 178:
Heavy or prolonged bleeding (twice
Page 182:
Questions and Answers AboutProgesti
Page 186:
9. Can a woman switch from one prog
Page 190:
How Effective?Effectiveness depends
Page 194:
Who Can and Cannot UseMonthly Injec
Page 198:
Medical Eligibility Criteria for Mo
Page 202:
Using Clinical Judgment in Special
Page 206:
Woman’s situationFully or nearly
Page 210:
Giving the Injection1. Obtain one
Page 214:
Planning the Next Injection1. Agree
Page 218:
óóóóóóóóóóóóHeavy or pr
Page 222:
Questions and Answers AboutMonthly
Page 226:
8. Do monthly injectables change wo
Page 230:
óPregnancy rates may be slightly h
Page 234:
Supporting the UserInstructions for
Page 238:
How Effective?Effectiveness depends
Page 242:
Supporting the UserInstructions for
Page 246:
How Effective?One of the most effec
Page 250:
ComplicationsUncommon:óóInfection
Page 254:
Medical Eligibility Criteria forImp
Page 258:
Providing ImplantsWhen to StartIMPO
Page 262:
Woman’s situationNot breastfeedin
Page 266:
Inserting ImplantsExplaining the In
Page 270:
Supporting the UserGiving Specific
Page 274:
Page 278:
óóóóóóóóóóóóóóóóóN
Page 282:
óóóóóóóóóMigraine headache
Page 286:
8. Do implants change women’s moo
Page 290:
óStudies have found that the TCu-3
Page 294:
Who Can and Cannot Use theCopper-Be
Page 298:
Medical Eligibility Criteria for Co
Page 302:
Intrauterine Devices for Women With
Page 306:
Providing theIntrauterine DeviceWhe
Page 310:
Woman’s situationFor emergencycon
Page 314:
Explaining the Insertion ProcedureA
Page 318:
Follow-up visitóA follow-up visit
Page 322:
Switching From an IUD to Another Me
Page 326:
óóóóóFor modest short-term rel
Page 330:
óóóóóóSevere pain in lower ab
Page 334:
óóóIf the woman does not want to
Page 338:
8. Should antibiotics be routinely
Page 342:
How Effective?One of the most effec
Page 346:
Who Can and Cannot UseLevonorgestre
Page 350:
Woman’s situationSwitching froma
Page 354:
Giving Advice on Side EffectsIMPORT
Page 358:
óóA small risk of pregnancy remai
Page 362:
Why Some Women Say They LikeFemale
Page 366:
Medical Eligibility Criteria for Fe
Page 370:
Providing Female SterilizationWhen
Page 374:
Because Sterilization Is PermanentA
Page 378:
5.6.7.8.9.The provider makes a smal
Page 382:
“Come Back Any Time”: Reasons t
Page 386:
Questions and Answers AboutFemale S
Page 390:
10. How can health care providers h
Page 394:
óóóVasectomy is not fully effect
Page 398:
Who Can Have a VasectomySafe for Al
Page 402:
Medical Eligibility Criteria for Va
Page 406:
Vasectomy TechniquesReaching the Va
Page 410:
Supporting the UserExplaining Self-
Page 414:
Helping UsersManaging Any ProblemsP
Page 418:
4. Is it possible to check if a vas
Page 424:
CHAPTER 13Male CondomsThis chapter
Page 428:
Why Some Men and Women Say They Lik
Page 432:
Explaining How to UseIMPORTANT: Whe
Page 436:
What Condom Users Should Not DoSome
Page 440:
infection, a mutually faithful sexu
Page 444:
4. Will using condoms reduce the ri
Page 448:
CHAPTER 14Female CondomsThis chapte
Page 452:
Page 456:
Basic StepsImportant Details3. Ensu
Page 460:
Tips for New UsersóóóóSuggest t
Page 464:
óóóóóMild irritation in or aro
Page 468:
CHAPTER 15Spermicides andDiaphragms
Page 472:
Correcting Misunderstandings (see a
Page 476:
Supporting the Spermicide UserEnsur
Page 480:
Correcting Misunderstandings (see a
Page 484:
Providing DiaphragmsWhen to StartWo
Page 488:
Basic Steps Important Details4. Kee
Page 492:
Page 496:
Questions and Answers AboutSpermici
Page 500:
CHAPTER 16Cervical CapsKey Points f
Page 504:
CHAPTER 17Fertility AwarenessMethod
Page 508:
Page 512:
Providing Calendar-BasedMethodsWhen
Page 516:
Calendar Rhythm MethodKeep track of
Page 520:
(including chlorpromazine, thiorida
Page 524:
Basal Body Temperature (BBT) Method
Page 528:
Symptothermal Method (basal body te
Page 532:
óIf she has had unprotected sex in
Page 536:
CHAPTER 18WithdrawalKey Points for
Page 540:
CHAPTER 19LactationalAmenorrhea Met
Page 544:
Who Can Use the LactationalAmenorrh
Page 548:
Providing the LactationalAmenorrhea
Page 552:
Explaining How to UseBreastfeed oft
Page 556:
Questions and Answers Aboutthe Lact
Page 560:
CHAPTER 20Serving DiverseGroupsKey
Page 564:
For some contraceptive methods ther
Page 568:
Provide Accurate InformationTo info
Page 572:
Female sterilization and vasectomy
Page 576:
Family planning providers can help
Page 580:
What Causes STIs?Several types of o
Page 584:
Common signs and symptoms that may
Page 588:
Strategy 3: If both partners know t
Page 592:
MethodFemalesterilizationVasectomyS
Page 596:
Screening and TreatmentScreening fo
Page 600:
6. Will having sex with a virgin cu
Page 604:
CHAPTER 22Maternal andNewborn Healt
Page 608:
óóóA woman who is not fully or n
Page 612:
Earliest Time That a Woman Can Star
Page 616:
- To destroy HIV in breast milk, ex
Page 620:
CHAPTER 23ReproductiveHealth Issues
Page 624:
When to Start Contraceptive Methods
Page 628:
3.Be alert to symptoms, injuries, o
Page 632:
6.óóIf she wants, give her a cont
Page 636:
Postpartum and postabortion infecti
Page 640:
CHAPTER 24Family PlanningProvisionI
Page 644:
óóCheck the client’s understand
Page 648:
MethodMonthly andprogestin-onlyinje
Page 652:
Wear glovesDo pelvicexaminationsonl
Page 656:
Make Infection Prevention a HabitWi
Page 660:
Regularly (monthly or quarterly, de
Page 664:
APPENDIX AContraceptive Effectivene
Page 668:
Condition Description Signs and Sym
Page 672:
Cardiovascular DiseaseóóóóHigh
Page 676:
ConditionCombined oralcontraceptive
Page 680:
= Use the method= Do not use the me
Page 684:
Page 688:
Page 692:
hernia; postpartum uterine rupture
Page 696:
Glossaryabscess A pocket of pus sur
Page 700:
endometrial cancer Malignant (cance
Page 704:
jaundice Abnormal yellowing of the
Page 708:
scrotum The pouch of skin behind th
Page 712:
Aabdominal bloating and discomfort.
Page 716:
community-based distribution...317c
Page 720:
genital warts...279, 284-285gloves.
Page 724:
lubricants...274for female condoms.
Page 728:
post-exposure prophylaxis...209, 28
Page 732:
unexplained vaginal bleeding...40,
Page 736:
MethodologyThis handbook, one of th
Page 740:
p. 250 Institute for Reproductive H
Page 744:
Comparing InjectablesCharacteristic
Page 748:
Characteristic Male Condoms Female
Page 752:
Correctly Using a Male Condom1. Use
Page 756:
External AnatomyClitorisSensitive b
Page 760:
Male Anatomyand How Contraceptives
Page 764:
Identifying Migraine HeadachesFor w
Page 768:
When she returns:óóIf she returns
Page 772:
If You Miss PillsAlways take a pill
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Family Planning

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