Who s family planning guidance documents and job aids
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WHO’s Family Planning Guidance Documents and Job Aids. Objectives. At the end of this session, participants will be able to: Explain the purpose and intended use of WHO’s guidelines and job aids: Medical Eligibility Criteria for Contraceptive Use (MEC) including job aids

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WHO’s Family Planning Guidance Documents and Job Aids

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Who s family planning guidance documents and job aids

WHO’s Family Planning Guidance Documents and Job Aids


Objectives

Objectives

At the end of this session, participants will be able to:

Explain the purpose and intended use of WHO’s guidelines and job aids:

  • Medical Eligibility Criteria for Contraceptive Use (MEC) including job aids

  • Selected Practice Recommendations for Contraceptive Use (SPR)

  • Family Planning: A Global Handbook for Providers


Medical eligibility criteria for contraceptive use

Medical Eligibility Criteria for Contraceptive Use

  • Evidence-based recommendations

  • Use by policy-makers and program managers to improve access to, and quality of, family planning services

  • 19 contraceptive methods

  • Variety of medical conditions and client characteristics

  • Periodic reviews and updates


Selected practice recommendations for contraceptive use

Selected Practice Recommendationsfor Contraceptive Use

  • Evidence-based recommendations on safe and effective use

  • 33 questions related to contraceptive methods

  • Range of issues including initiation, continuation, incorrect use, treatment of side effects, and some programmatic issues

  • Use by policy-makers and program managers

  • Periodic reviews and updates; latest update 2008


Family planning a global handbook for providers

Family Planning: A Global Handbook for Providers

Essentials needed to provide family planning clients with good-quality care

Latest guidance for delivering 19 contraceptive methods appropriately and effectively

Use by clinical providers

Periodic reviews and updates; latest update 2011


Who s family planning guidance documents and job aids

WHO’s Medical Eligibility Criteria

Categories for IUDs, Hormonal and Barrier Methods

Category

Description

When clinical judgment is available

1

No restriction for use

Use the method under any circumstances

2

Benefits generally outweigh risks

Generally use the method

3

Risks usually outweigh benefits

Use of method not usually recommended, unless other methods are not available/acceptable

4

Unacceptable health risk

Method not to be used

Source: WHO, 2010.


Who s family planning guidance documents and job aids

Category

When clinical judgment is limited

1

Use the method

2

3

Do not use the method

4

WHO’s Medical Eligibility Criteria

Categories for IUDs, Hormonal and Barrier Methods

Source: WHO, 2010.


Who s family planning guidance documents and job aids

Categories for IUDs, Hormonal and Barrier Methods

Medical Eligibility Criteria: Examples

Medical Condition/ Characteristic

Contraceptive Method

Category

Uterine fibroids

COCs

1

Anemia

Copper IUD

2

Blood pressure ≥160/100 mm Hg

DMPA

3

Current breast cancer

Hormonal implants

4

Source: WHO, 2010.


Who s family planning guidance documents and job aids

WHO’s Medical Eligibility Criteria

Categories for Male and Female Sterilization

Category

Definition

Accept

No medical reason to deny method

Caution

Provide with extra precautions

Delay

Delay until condition is evaluated

Special

Requires specialized equipment, experienced surgeon and staff

Source: WHO, 2010.


Who s family planning guidance documents and job aids

Medical Eligibility Criteria for Male or Female Sterilization: Examples

Category

Conditions

Accept

Have few or no children

Caution

Diabetes

Delay

Active STIs (e.g., chlamydia or gonorrhea)

Special

Coagulation disorders

Source: WHO, 2010.


Who s family planning guidance documents and job aids

WHO’s Medical Eligibility Criteria

Categories for Fertility Awareness-based Methods

Category

Definition

Accept

No medical reason to deny method

Caution

Provide with extra precautions (e.g., special counseling)

Delay

Delay until condition is evaluated

NA

Not applicable

Source: WHO, 2010.


Who s family planning guidance documents and job aids

Medical Eligibility Criteria for FAB Methods: Examples

Category

Conditions

Accept

Non-breastfeeding ≥ 4 weeks post-partum can use symptoms method

Caution

Life stages (post-menarche and peri-menopause)

Delay

Breastfeeding < 6 weeks postpartum

NA

Pregnancy

Source: WHO, 2010.


Mec wheel

MEC Wheel

Includes COCs, POPs, DMPA, NET-EN, implants, and copper IUDs


Mec quick reference chart

MEC Quick Reference Chart

Includes all category 3 & 4 conditions for COCs, DMPA, IUDs, and implants


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