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International Planned Parenthood Federation medical and service delivery guidelines for family planning.
London, England, International Planned Parenthood Federation [IPPF], 1992. xviii, 169 p.The International Planned Parenthood Federation has developed these guidelines to help persons working in family planning services and education ensure adequate levels of quality of care. The guidelines conform to the three dimensions of technology assessment needed for any project: it must be scientifically, socially, and operationally sound. Providers should adapt the service delivery guidelines to local realities. They should consider the needs and resources of the various sites in which the guidelines will be applied. The guidelines can also be developed into educational and training materials. They serve as a guide to the delivery of family planning services, a reference document for assessing quality of care, a training instrument, and a tool for supervision. The first chapter addresses the rights of the client, ranging from the right to information to the right of opinion. The second chapter is dedicated to contraceptive counseling, while chapter 3 is dedicated to family planning training. Chapter 4 discusses hormonal contraception (combined oral contraceptives, progestagen-only pills, service management, progestagen-only injectables, and the subdermal implants, Norplant). IUDs are covered in detail in chapter 5. The barrier methods addressed in chapter 6 include condoms, diaphragms, cervical caps, and spermicides. Chapter 7 covers both male and female voluntary surgical contraception. Natural family planning methods are addressed in chapter 8 entitled Periodic Abstinence. These methods include the basal body temperature method, the cervical mucus method (Billings method), the calendar or rhythm method, and the sympto-thermal method. The guidelines conclude with a detailed statement on diagnosis of pregnancy and a list of suggested reading material.
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.