FAMILY PLANNING

COUNCELLING
Factors influencing the selection of FP methods
• Reproductive health goalsof women or couple 9(ie their desire for
spacing,timing or limiting of births)
• Personal factors-time, travel, cost, pains/discomfort
• The need for protectin against STIs& HIV
PROPER counsellin should help clients choose and
use methods that are most appropriate for them
Steps in fp counselling (can be divided into 3 phases)
• Initial counselling- the provider explains all methods and help the
client chose the most appropriate method
• Method specific counselling- the provider instructs the patient on
using the method and discuss most common side effects. This can be
achieved through the balanced counselling approach
• Follow up counselling- this is done as a follow up after the client starts
using the method. The provider discuss any problems encounterd
with the client, use of method and the satisfaction of the client with
the method
Within the contex of HIV/AIDS, FP must
address the following:
• Wherther the chosen FP nethod protects against STIs &HIV
• Safety of FP method when used by a person living with HIV
• Interaction of HIV/AIDS % anti-TB drugs
• Correct use of condoms or abstinence (dual protection practice)
Myths and hypothesis in FP
• CONTEXT: Negative myths and misconceptions about family
planning are a barrier to modern contraceptive use.
• Most research on the subject has focused on individual beliefs about
contraception; however, given that myths
• spread easily within communities, it is also important to examine how
the prevalence of negative myths in a com-
• munity affects the aggregate level of method use
• RESULTS: In each country, the family planning myths most prevalent
at the individual and community levels were
• that “people who use contraceptives end up with health problems,”
“contraceptives are dangerous to women’s
• health” and “contraceptives can harm your womB
• CONCLUSION: Education programs are needed to dispel common
myths and misconceptions about modern con-
• traceptives. In Nigeria, programs that encourage community-level
discussions may be effective at reducing myths
• and increasing modern contraceptive u