Improving Access to Long-Acting Contraceptives in Jordan Situation, Issues, and Recommended Actions. Dr Ruwaida Rashid MOH / WCHD Director 2011. Topics. 1. Situation of family planning methods use in Jordan.
Dr Ruwaida Rashid
MOH / WCHD Director
1. Situation of family planning methods use in Jordan.
2. Interventions to improve access to long acting contraceptives in Jordan.
3. Recommended Actions.
Percentage of currently married women 15-49 using any method
No Products………… No programs
►Established in 1997 at MoH. All contraceptives were provided by USAID.
►In 2005, USAID started to phase out and completed in 2009. MoH started to purchase all contraceptives.
►A budget item in MoH budget is specified for contraceptives procurement in 2011.
Total of 662 clinics provided with contraceptives for free.
► IUD is a long term, effective, and well accepted family planning method in Jordan. However, access to this method is limited due to shortage of female providers.
► Objective : Improve Access to IUD Services at MoH Primary Health Care Level.
► Started in 2003 and continued successfully until 2009.
► 182 midwives at MCH centers were trained to offer IUD insertion service and permitted to provide the services.
► Results :
► Policy Change Recently, the Minister of Health approved adding the “task of IUD insertion under physician’s supervision” in job description for midwives.
► Why Implants ??
►Implants was introduced in Jordan Contraceptive Logistic system in 2006 in cooperation with Organon in a limited scale (two training courses).
►In cooperation with HSS2, a core of 13 trainers were trained in 2010, then several training courses were conducted.►Currently, - Total number of trained physicians: 94 (from MOH, JAFPP, RMS) - Number of health facilities providing implants: 48 (at MOH, RMS)
Established in cooperation with HSS project for discontinuation of combined pills and IUDs using prospective study design.
►Conduct an assessment of the feasibility and effectiveness of introducing new brands and varieties of pills to Jordan FP logistic system.
►Introduce new family planning methods to the Jordan FP logistic system.
►Simplify the procurement procedure of FP methods.
►Operationalize the Minister’s decision which approved adding IUDs insertion to midwife job description.
►Collect and analyze information on Implanon discontinuation rate, side effects, and acceptance, to be used as a tool for evidence based promotion for service providers.
►Strengthen FP communicationactivities on increasing demand for long-acting hormonal contraceptives, decreasing demand for traditional methods, and on birth spacing and limiting to promote appropriate method selection.
► Conduct an assessment of the family planning counseling services.
►Strengthen counseling services with focus on provision of special counseling and follow up for COCs users, and sufficient information and counseling on side effects and on most suitable methods for limiting and spacing.