Family Planning Training Facilitator (REDVERTISED) at Medecins Du Monde

OVERVIEW 

Family planning is one of the 10 great public health achievements of the 20th century. The availability of family planning services allows individuals to achieve desired birth spacing and family size and contributes to improved health outcomes for infants, children, women, and families

Family planning services include:

• Contraceptive services
• Pregnancy testing and counseling
• Pregnancy–achieving services including preconception health services
• Basic infertility services
• Sexually transmitted disease services
• Broader reproductive health services, including patient education and counseling
• Breast and pelvic examinations
• Breast and cervical cancer screening
• Sexually transmitted infection (STI) and human immunodeficiency virus (HIV) prevention education, counseling, testing, and referral

Abstinence from sexual activity is the only 100% effective way to avoid unintended pregnancy. For individuals who are sexually active, correct and consistent contraceptive use is highly effective at preventing unintended pregnancy. The most effective methods to prevent unintended pregnancy include long-acting reversible contraceptives such as intrauterine devices (IUDs) and contraceptive implants, followed by other hormonal contraceptives including oral contraceptives (pills), the patch, the ring, and the Depo-Provera shot (DMPA). Condoms protect against both unintended pregnancy and STIs, and their use should be encouraged. Both men and women should be counseled about using condoms at every act of sexual intercourse when not in a long-term, mutually monogamous sexual relationship.

Why Is Family Planning Important?

For many women, a family planning clinic is their entry point into the health care system and one they consider their usual source of care. In 2015, publicly funded family planning services helped prevent 1.9 million unintended pregnancies, including 440,000 teen pregnancies. In 2010, every public dollar spent on family planning saved the federal and state governments.

Unintended pregnancies include pregnancies that are reported by women as being mistimed or unwanted. Almost half (45%) of the 6.1 million annual pregnancies in the United States are unintended. Unintended pregnancies are associated with many negative health and economic consequences. The public cost of births resulting from unintended pregnancies was estimated at $21 billion in 2010 (this figure includes costs for prenatal care, labor and delivery, post-partum care, and 1 year of infant care).

For women, negative outcomes associated with unintended pregnancy can include:

• Delays in initiating prenatal care
• Reduced likelihood of breastfeeding
• Increased risk of maternal depression
• Increased risk of physical violence during pregnancy

More

Births resulting from unintended pregnancies can have negative consequences including birth defects and low birth weight. Children from unintended pregnancies are more likely to experience poor mental and physical health during childhood and have lower educational attainment and more behavioral issues in their teen years

Understanding Family Planning

Unintended pregnancies occur among women of all incomes, educational levels, and ages. However, there are disparities in unintended pregnancy rates. The rates of unintended pregnancy are highest among the following groups:

• Women ages 18 to 24
• Women who were cohabiting
• Women whose income is below the poverty line
• Women with less than a high school diploma
• Black or Hispanic women

Social Determinants of Family Planning Service Usage

Women with lower levels of education and income, uninsured women, Latina women, and non-Hispanic black women are less likely to have access to family planning services. In addition, men are less likely to have access to and receive family planning services than women.21

Barriers to people’s use of family planning services include:

• Cost of services
• Limited access to publicly funded services
• Limited access to insurance coverage
• Family planning clinic locations and hours that are not convenient for clients
• Lack of awareness of family planning services among hard-to-reach populations
• No or limited transportation
• Inadequate services for men
• Lack of youth-friendly services

OBJECTIVES 

•  Implementation of quality family planning services in MDM settings.
• To improve compliance to family planning from Beneficiary
• Explain the wider meaning of family planning.
• Give contraceptive counseling.
• List the efficiency, contraindications, and side effects of the various contraceptive methods.
• List the important health benefits of contraception.
• Advise a postpartum patient on the most appropriate method of contraception

METHODOLOGY 

• PowerPoint presentation, a pretest and a post-test,  participatory methods, practical demonstration, and other exercises if need be
• Improve participants' knowledge on family planning and contraception.

SUMMARY 

What family planning Entails-

• What is family planning?
• Types of family planning?
• Mode of Action.
• Effectiveness
• Advantages
•  Disadvantages
• MEC
• Client instructions
• Side Effects, complication
• Common medical barriers to service provision
• Management of Side Effect and complications
• Practical Demonstration