Family Planning

MethodMonthly andprogestin-onlyinjectablesImplantsIntrauterine device(copper-bearing andhormonal IUDs)FemalesterilizationVasectomyWho can provide?óóóóóAnyone trained to give injections and tohandle needles and syringes properly, includingappropriate disposal.Anyone with training in medical proceduresand training in insertion of the specificimplants being used, including physicians,nurses, nurse-midwives, nurse-practitioners,midwives, physicians’ assistants and associates.Anyone with training in medical proceduresand specific training in IUD screening, insertion,and removal including physicians, nurses, nursemidwives,midwives, nurse-practitioners, physicians’assistants and associates, and medical students.Training is different for the copper-bearingIUD and the hormonal IUD. In some countriespharmacists sell IUDs—the woman takes theIUD to a health care provider who inserts it.Anyone with specific training in the procedure,including general physicians, specializedphysicians (such as gynecologists and surgeons),medical assistants or medical students undersupervision. Laparoscopy is best performed byexperienced and specifically trained surgeons.Anyone with specific training in the procedure,including physicians, medical officers, nursemidwives,nurse practitioners, midwives,physicians’ assistants and associates.Male and femalecondoms andspermicidesóAll providers.Diaphragms andcervical capsFertility awarenessmethodsWithdrawal,lactationalamenorrheamethodóóóAny provider specifically trained to performpelvic examinations and to choose the rightsize diaphragm or cervical cap for each woman.Anyone specifically trained to teach fertilityawareness. Experienced users of thesemethods often make the best teachers.These methods do not require a provider. Still,knowledgeable and supportive health careproviders can help clients use these methodsmost effectively.24Family Planning ProvisionWho Provides Family Planning?311