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Family Planning and Reproductive Health

Family Planning and Reproductive Health

Service providers worldwide, facing the spread of HIV/AIDS, found it increasingly irresponsible to provide the means of family planning without counseling clients on sexually transmitted diseases (STDs) and other health issues affecting reproduction. These providers and others realized that the ability to make responsible and informed choices about sexual and reproductive health is both a condition and a vehicle for improving the status of women. Governments, international agencies and non-governmental organizations worldwide affirmed in 1994 that reproductive health services should be comprehensive, client-centered, and non-coercive.[1]

In reality, service providers in developing countries may have to choose between providing basic services for everybody in an area or offering a broad range of services for fewer people. They often have to make crucial choices at the clinic level-for example, whether or not to provide IUDs where no screening is available for reproductive tract infections. Clients' involvement is essential, as their priorities are not necessarily the same as those of service providers.

Comprehensive family planning and reproductive health services can include:[2]

Contraceptives
Range/choice of methods
Delayed childbirth for adolescents
Male responsibility
Attention to unmet need/demand
Research on safety/side effects
Sterilization reversal
Implant removal
Quality services

Pregnancy Care
Prenatal care
Tetanus toxoid
Iron folate/iodine supplements
Safe delivery
Access to caesarean section
Access to blood transfusions
High-risk birth screening
Transport
Complications detection/
management/referral
Postpartum care
Postpartum contraception

Breastfeeding
As a family planning method
Lactation management
For newborn/child care

STD/AIDS Services
Prevention
Condom promotion/ distribution
Treatment/referral/ screening
Prenatal screening (syphilis)
Symptomatic case management
Adolescent treatment
Identification of high risk-takers
Policy dialogue
Data collection

Abortion-related Services
Management of complications
Post-abortion family planning
Improved sex education and family
planning services where abortion
is restricted

Infertility Services
Prevention and management

Provider Training
Technical competence
Gender sensitivity
Adolescent nutrition
Training for physicians, nurses,
midwives and traditional birth
attendants

Counseling on:
Sex/sexuality education
Safe sex
Male support
Women's support
Parental/family support
Early adolescence AIDS/STDs
Abortion
Family planning/methods
Sterilization

Public Education on:
AIDS/STDs
Violence
Gender discrimination
Female genital mutilation
Legal matters
Nutrition
Sexual/reproductive rights
Unintended pregnancy
Smoking/substance abuse

Management Information System (MIS)
For male/female clients

 

1. The International Conference on Population and Development, held in Cairo, Egypt in 1994. Information on the consensus reached at Cairo is available from the United Nations Population Fund (UNFPA). http://www.unfpa.org.

2. This list was compiled from documents of the International Planned Parenthood Federation; USAID; the World Bank; UNFPA; The International Projects Assistance League; International Women's Health Coalition; the Older Women's League; Population Action International; the Rockefeller Foundation; and the World Health Organization.


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