Family Planning
Topic outline
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An Overview of Population and Family Planning
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Uncontrolled fertility
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Population size and growth
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Population and the environment
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What is family planning?
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Benefits of family planning
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Family Planning Service Delivery and Programme Management
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Family planning services
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Service delivery modes
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Family planning programme management
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Developing and using work plans
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Monitoring and evaluation
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Managing contraceptive supply
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Family planning programme communications
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Counselling for Family Planning
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Concepts of counselling
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Individual counselling
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Couple counselling
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Group information sharing
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General principles of counselling and counsellor characteristics
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General principles of counselling
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Skills and characteristics of a counsellor
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The special nature of counselling for family planning
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General counselling
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Method-specific counselling
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Return/follow-up counselling
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Steps in family planning counselling: the GATHER approach
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G - Greet the client
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A - Ask the clients about themselves
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T - Tell them all about family planning methods
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H - Help them to choose a method
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E - Explain how to use a method
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R - Appoint a return visit for follow-up
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Factors related to you
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Factors related to the client
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External/programmatic factors
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Natural Family Planning (NFP) Methods
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The concepts of natural family planning methods
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Advantages
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Disadvantages
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Types of natural family planning methods
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Periodic abstinence (fertility awareness) methods
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Lactational amenorrhoea method (LAM)
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Coitus interruptus (withdrawal or pulling out) method
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Oral Contraceptive Methods
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Misconceptions and facts about oral contraceptives
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Oral contraceptives and how they work
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Combined oral contraceptive (COC)
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Progesterone-only oral contraceptive or mini-pill
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Use of oral contraceptives
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How to use COCs
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How to use the mini-pill
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Advantages and disadvantages of oral contraceptive methods
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Advantages of COCs
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Advantages of mini-pills
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Disadvantages of mini-pills
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Common side-effects
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Management of common side effects
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Injectable contraceptives
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Progesterone-only injectable contraceptives (POIs)
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Combined injectable contraceptives (Mesigyna)
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Contraceptive implants
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Norplant
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Jadelle
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Sino-implant
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Implanon
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Infection prevention procedure
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Intrauterine Contraceptive Devices (IUCD)
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Types of IUCD
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How copper-bearing IUCDs work
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Effectiveness of IUCDs
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Insertion and removal
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When to start using an IUCD
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Checking the IUCD
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Advantages of the Copper T 380A IUCD
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Disadvantages of the Copper T 380A IUCD
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Absolute contraindication
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Relative contraindication
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Side-effects and managing side-effects
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Barrier Contraceptive Methods
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Types of barriers
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Mechanical barriers
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Chemical barriers
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The male condom
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How to use a male condom
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How to use a female condom
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How to insert a diaphragm
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Effectiveness of spermicides
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Permanent Family Planning Methods or Voluntary Surgical Contraception (VSC)
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Counselling for sterilisation
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Techniques of sterilisation
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Female sterilisation
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Male sterilisation
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Emergency Contraception (EC)
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Definition of emergency contraception (EC)
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Types of emergency contraception
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Emergency contraceptive pills
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Intrauterine contraceptive devices (IUCDs)
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Advantages and disadvantages of emergency contraception
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Management of common side-effects
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Postpartum and Post-Abortion Family Planning
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What is postpartum and post-abortion family planning?
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Postpartum and post-abortion family planning services
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Advantages of postpartum and post-abortion family planning
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Postpartum and post-abortion counselling
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Family planning options postpartum
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Family planning options post-abortion
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Overview of Infertility
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Definition of infertility
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Types of infertility
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Causes of infertility
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Causes of male infertility
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Causes of female infertility
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Unexplained infertility
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Factors associated with infertility
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Approaches to help an infertile couple
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Preventing infertility
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Counselling clients with fertility problems
