FAMILY PLANNING

PRESENTED BY PAULINA SIAW – AKOTO DEBRAH

 ELIGIBILITY

•Eligibility to family planning ;

all individuals and couples are
eligible for family planning
IMPORTANCE OF FAMILY PLANNING
 Preventsunintended pregnancy
Space birth or limit number of births
Delays child bearing
Ends child bearing when desired
Manages infertility
Improves reproductive health
Prevents Sexually Transmitted Infections
 FAMILY PLANNING SERVICE
DELIVERY
• Family planning services include
counselling of clients to make
informed choices, checking vital
measurements, conducting physical,
abdominal and pelvic examination as
well as provision of methods.
VITAL MEASUREMENTS

• Temperature, pulse, and blood

pressure is measured. The weight of
the client is also assessed. These
form the baseline before the service
so that, any resultant conditions can
be detected and handled early.
 PHYSICAL AND PELVIC
EXAMINATION
Privacy is very important requirement that must be ensured
during the physical examination.
• Head: Scalp is inspected for cleanliness lice infestation, scars
and dryness.
• Eyes: Eyes are examined for paleness of the conjunctiva,
jaundice and discharge.
• Nose: It is examined for discharge, infection, cleanliness.
• Mouth: This is inspected for cleanliness sore, dental caries
swollen glands, coated tongue.
 PHYSICAL AND PELVIC
EXAMINATION CONTD.

• Ear: It is inspected for discharges.

• Neck: for swollen lymph
• Axillae and breast for lumps, and the
woman taught to examine the breast
after menses.
• Abdomen for scars and hernia
 PHYSICAL AND PELVIC
EXAMINATION CONTD.
• Upper extremities for pale nail bed
signifying anaemia grown nails.
• Lower extremities for oedema, over-
grown nails and various veins
• The back and buttocks for rashes and pain
at the lower back.
 PROCEDURE FOR BREAST
EXAMINATION
• Breast examination forms part of physical
examination which is conducted on the client
before a contraceptive method is offered.
• This helps identify breast conductions that may
be contra-indications for certain contraceptive
methods
• The client is also taught to self examine herself
after her menses to detect any lump or any other
abnormality for immediate attention.
Counseling Environment/Setting
• Privacy

• Comfortable

• Confidentiality

• Quiet
Approaches To Counseling
• REDI
BALANCED COUNSELING STRATEGY (PLUS)
• GATHER
Comparing REDI and GATHER

• R - Rapport building

• E - Exploration

• D - Decision making

• I - Implementing
 Client Rights

• DIGNITY – to be treated with courtesy,

consideration, and respect.
• INFORMATION – to know the names of
the person who serve them, to learn about
reproductive health choices, and to have all
their questions answered honestly and
accurately.
Client Rights
• ACCESS – to get services regardless of sex,
creed/beliefs, marital status, ethnic group, or age.

• CHOICE – to decide freely whether or not to have

children, whether to practice family planning, and to
pick the method. To decide for or against any
treatment. Also, to change their mind and make new
choices when they want.
 Client Rights cont’d

• SAFETY –be to able to practice safe and effective family planning.

• PRIVACY- to have counseling that others do not overhear or interrupt

• CONFIDENTIALITY- to know that personal information will not be

repeated to others
Client Rights cont’d

• COMFORT- to be put at ease

• CONTINUITY- to receive services and supplies as long as

needed

• OPINION- to express their views and feelings about the

services
 Principles of good Client Provider
Interaction
• Treat each client well

• Tailor the interaction to the individual client’s

needs, circumstances, and concerns

• Interact; elicit the client’s active participation

 Principles of good Client Provider
Interaction
• Avoid information overload
• Provide the client’s preferred method (for family planning) or
address the client’s primary concern (for other SRH issues)
• Use and provide memory aids
Categorization Of Clients
• New clients with a method in mind
• A new clients who have no method in mind
• Satisfied returned Clients
• Dissatisfied returned Clients
Three Aspects of Interaction

• When you communicate, three aspects are important and vary in the impact they have on the
person(s) with whom you interact.
 
• Body Language 55%
• Tone of Voice 38%
• Actual Words 7%

(Alan Chapman, 2004-2012) Presentation Skills Courseware

 How To Be Reasonably Sure A Client Is
Not Pregnant

You can be reasonably sure a client is not pregnant if she has no signs or symptoms
of pregnancy (e.g. breast tenderness or nausea) and :
• Has not had intercourse since her last menses; or
• Has been correctly and consistently using a reliable contraceptive method,
• Is within the first 7 days after the start of her menses (days 1-7); or
 How To Be Reasonably Sure A Client Is
Not Pregnant

• Is within 3 weeks postpartum (for non-breastfeeding women); or

• Is within the first 7 days post-abortion; or
• Is fully breastfeeding, less than 6 months postpartum and has had no
menstrual bleeding