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Geneva, Switzerland, WHO, 1988. vi, 82 p.There are 4 natural family planning (NFP) methods: rhythm, cervical mucus (Billings), basil body temperature, and symptothermal. The rhythm method is one in which cycle history of last 6-12 months is used to estimate the possible days of fertility. In the cervical mucus method a women must be able to detect changes in the cervical mucus discharge during the cycle. The basil body temperature method uses the difference in temperature that occurs after ovulation, and can only be used to detect the infertile time after ovulation. The symptothermal method combines the mucus method and the basil body temperature methods. In addition it uses other physiological indicators such as breast tenderness, pain, bleeding, and abdominal heaviness. The use of natural planning methods demands the cooperation and motivation of both partners to be successful. The methods can be taught by midwives, nurses doctors and other health care professionals. NFP teacher training is the cornerstone of the NFP programs and service. Teachers must have the technical ability and practical experience to carry out training programs. NFP programs can only be successful in areas that are receptive to NFP and have high literacy rates. To plan and implement NFP services, one must take into account community needs, resources available, and the structures needed to deliver these services. It is important to evaluate the effectiveness of the program, including formal evaluation of the teachers, monitoring of the users, and getting feedback from both.