Escolar Documentos
Profissional Documentos
Cultura Documentos
Hormonal
Sterilization
General Instructional
Objective
Reproductive
Health
Natural Family
Planning
To understand the underlying
Barrier
principles in the delivery of family
Methods planning services in the primary
Intrauterine
Device
health setting.
Hormonal
Sterilization
Specific behavioral
objectives
Reproductive
Health Relate family planning with the
Natural Family
Planning
concept of reproductive health.
Barrier Correlate mechanism of action of
Methods the various FP methods with
Intrauterine
Device
reproductive anatomy and
physiology.
Hormonal
Describe family planning methods
Sterilization
within the context of informed
choice.
Family planning
Reproductive
Health
Health
Natural Family Family planning is part of the
Planning
comprehensive reproductive
Barrier
Methods health care within the context of
Intrauterine primary care
Device
Hormonal
Sterilization
Reproductiv
e Health
Reproductive
Health
Health
(RH)
Natural Family
Planning state of complete physical, mental and
social well- being and not merely the
Barrier
Methods
absence of disease or infirmity (WHO,
1946)
Intrauterine
Device in all matters relating to the
reproductive system and to its
Hormonal
functions and processes.
Sterilization
Ch VII PoA, ICPD, 1994
Reproductive health
Reproductive
Health
Health
Natural Family implies that people are able to
Planning
have a satisfying and safe sex life
Barrier
Methods have the capability to reproduce
Intrauterine and the freedom to decide if,
Device
when and how often to do so.
Hormonal
Sterilization
Reproductive health
right
Reproductive
Health
Health right of men and women to be
Natural Family informed and to have access to
Planning
safe, effective, affordable and
Barrier
Methods acceptable methods of family
Intrauterine planning of their choice which are
Device
not against the law
Hormonal
Sterilization
Is RH right human
right?
Reproductive
Health
Health
Natural Family
Planning
Barrier
Methods
Intrauterine
Device
Hormonal
Sterilization
Milestones for Human
Rights
Reproductive Universal Declaration of Human
Health
Health
Rights (1948)
Natural Family
Planning
Barrier
Methods
Intrauterine
Device
Hormonal
Sterilization
Human rights are
universal
Reproductive
Health
Health
Natural Family
Planning
Barrier
Methods
Intrauterine
Device
Hormonal
Sterilization
Human rights must be the same
everywhere and for everyone.
Human rights are
indivisible
Reproductive
Health
Health
Natural Family
Planning
Barrier
Methods
Intrauterine
Device
Hormonal
Sterilization
Barrier
Methods
Intrauterine
Device
Hormonal
Sterilization
Milestones for
Human Rights
Reproductive
Health
Health
Natural Family
1979- Convention on
Planning Elimination of All Forms of
Barrier
Methods
Discrimination Against Women
Intrauterine (CEDAW)
Device
Considered as the international
Hormonal
bill for rights of women
Sterilization
United Nations Treaty for the
Rights of Women.
CEDAW
Reproductive
Health
Health
Natural Family
Planning
Barrier
Methods
Intrauterine
Device
Barrier
Methods
Intrauterine
Device
Hormonal
development environment
Sterilization
global interdependence
ICPD PoA
objectives and
goals
Reproductive
Health
Health
sustained economic growth in the
Natural Family
context of sustainable development
Planning education, especially for girls
Barrier
Methods
gender equity and equality
Intrauterine infant, child and maternal mortality
Device
reduction
Hormonal
provision of universal access to
Sterilization reproductive health services, including
family planning and sexual health.
National
Commitment to
RH
Reproductive
Health
Health
Governments should:
Natural Family
Planning commit themselves at the highest
Barrier political level to achieving the
Methods
goals and objectives contained in
Intrauterine
Device
the present PoA and
Hormonal take a lead role in coordinating
Sterilization
the implementation, monitoring
and evaluation of follow-up
actions. Ch XVI PoA, ICPD, 1994
RH
International
Reproductive
Health
Health
Laws
Natural Family
Planning
Barrier
Methods
1994 International Conference on
Intrauterine
Device Population and Development
Hormonal (ICPD)
Sterilization 1995 Fourth World Conference on
Women in Beijing
CEDAW in the
Reproductive Philippines
Health
Health
Natural Family
Planning
Barrier
Philippines signed CEDAW on
Methods July 15, 1980 and ratified it on
Intrauterine
Device August 5, 1981 as a state party
Hormonal States Parties are bound to
Sterilization Respect, Protect and Fulfill
women's rights.
So what if the
Philippine
government There is
Reproductive signed
Health still no
international laws
Natural Family and CEDAW ?
national
Planning policy on
Barrier
reproductiv
Methods e health!
Intrauterine
Device
Hormonal
Sterilization
HB 16- 13th
Congress
Reproductive
Health
Health
Natural Family An act creating a Reproductive
Planning
Health and Population
Barrier
Methods Management Council for the
Intrauterine implementation of an integrated
Device
policy on reproductive health
Hormonal
relative to sustainable human
Sterilization
development and population
management, and for other
purposes.
HB 16
Reproductive
Health
Health
Natural Family
Planning
Barrier
Methods
Intrauterine
Device overriding problems of the
Hormonal Philippines
Sterilization inordinately enormous debt service
extremely huge population.
Philippine
population
Reproductive
Health
Health
Natural Family
Planning
Barrier
Methods
Intrauterine
Device
Hormonal
Sterilization
Reproductive
Health
Health
Natural Family
Planning Birthrates Help Keep Filipinos in
Barrier Poverty
Methods Contraceptives, Rejected by Government, Are Unaffordable
for Many in Majority-Catholic Nation
Intrauterine
Device
Barrier
Emergency treatment of
Methods incomplete abortion and potentially
Intrauterine
Device
life-threatening complications
Hormonal
Sterilization
Elements of
Postabortion Care
Reproductive Comprehensive medical and
Health
Natural Family
preventive healthcare The key
Planning elements of postabortion care are:
Barrier
Methods
Postabortion family planning
Intrauterine counseling and services
Device
Links between postabortion
Hormonal
emergency services and the
Sterilization
reproductive healthcare system
Reproductive
Health
Changing Policies and
Natural Family
Planning Attitudes: Postabortion Care in
Barrier the Philippines
Methods
Intrauterine
hospital management of abortion
Device complications often focused on
Hormonal medical treatment alone
Sterilization
Reproductive
Health while providers generally treated
Natural Family abortion complications
Planning
appropriately, they sometimes
Barrier
Methods behaved harshly toward clients—
Intrauterine delaying procedures, denying
Device
clients analgesics, making them
Hormonal
pay for expensive medications, or
Sterilization
threatening to report them to the
authorities
Reproductive
Health
Health
Natural Family
Planning
MDG 5 – Maternal Health
Barrier Target 1: reduce MMR by
Methods
75% by 2015.
Intrauterine
Device Target 2: Achieve
Hormonal universal access to
Sterilization reproductive health
Reproductive
Health
Health
Natural Family
Planning Contraceptive prevalence rate
Barrier
Methods
Adolescent birth rate
Intrauterine Unmet need for family planning
Device
Hormonal
Sterilization
Ethical imperatives
Reproductive
Health
Health 1. right to make choices whether to
Natural Family reproduce or not
Planning
voluntary participation
Barrier
Methods 2. to have access to legal, safe,
Intrauterine
Device
effective, affordable and
Hormonal
acceptable methods of family
Sterilization
planning of their choice
Informed choice
Informed
choice
Reproductive
Health
Natural Family based on human right
Planning
process by which an individual
Barrier
Methods arrives at a decision about health
Intrauterine care
Device
Barrier
Methods
Intrauterine
Device
Hormonal
Sterilization
Family planning
methods
Reproductive
Health
Natural Family Temporary
Planning
Barrier
Methods Permanent- female/ male
Intrauterine
Device sterilization
Hormonal
Sterilization
Sterilization
Ovulation
Prevention
Reproductive
Health
Natural Family
Planning IUD
Barrier
Methods
Intrauterine
Device Barrier
Methods
Hormonal
Sterilization
Temporary family
planning methods
Reproductive
Health traditional – coitus interruptus
Natural Family
Planning
natural FP
Barrier artificial
Methods
Hormonal
Intrauterine
Device IUD
Hormonal barriers
Sterilization permanent- female/ male
sterilization
Coitus interruptus
Reproductive
Health
Natural Family
Planning withdrawal ; better than nothing
Barrier failure due to:
Methods
Intrauterine
not early enough withdrawal
Device there may be sperms present in the
Hormonal fluid that a man produces when he is
Sterilization excited even before ejaculation
Natural
Reproductive
Family
Health
Natural Family
Family
Planning
Natural
Planning
Planning
Barrier
Methods variety of methods used to plan
Intrauterine or prevent pregnancy, based on
Device
identifying the woman's fertile
Hormonal
days
Sterilization
Fertile window
Reproductive
Health
Natural Family
Natural Family
Planning
Planning
Barrier
Methods
Intrauterine
Device
Hormonal
Sterilization
Hormonal
Sterilization
Natural family
planning
Reproductive
Health Basal body temperature
Natural Family
Natural
Planning
Family Calendar
Planning
Barrier Cervical mucus
Methods
Intrauterine
Lactational amenorrhea
Device
Standard days
Hormonal
Symptothermal
Sterilization
Basal body
temperature
Reproductive
Health
Natural Family
Natural Family
Planning
Planning
Barrier
Methods
Intrauterine
Device
Barrier
Methods
Intrauterine
Device
Hormonal
Sterilization
Reproductive
Health
Natural Family
Natural Family
Planning
Planning
Barrier
Methods
Intrauterine
Device
Hormonal
Sterilization
The Ovulation
Method
(cervical mucus
Reproductive
Health method)
Natural Family
Natural Family
Planning
Planning
Barrier
basis: changing quality of cervical
Methods secretions
Intrauterine E effect - six days before ovulation,
Device
mucus clear and elastic; ovulation is
Hormonal likely to occur the last day that mucus
Sterilization
has these properties.
P effect - thick, sticky, and opaque.
The Ovulation
Method
(cervical mucus
Reproductive
Health method)
Natural Family
Natural Family
Planning
Planning
cervical sample mucus obtained
Barrier
Methods with hand
Intrauterine
Device onset of cervical mucus symptom
Hormonal up to 3 after the last day of fertile-
Sterilization
type
effectiveness: 78 %
Two Day Method
Reproductive based upon the presence or
Health
absence of cervical secretions.
Natural Family
Natural Family
Planning
Planning
Secretions
Barrier
Methods today ?
Intrauterine
yesterday?
Device
Hormonal
Sterilization
Standard Days Method
Reproductive
Health cycles interval: 26 - 32 days
Natural Family
Natural
Planning
Family fertile days: 8-19
Planning
Barrier efficacy:
Methods
95% with correct use
Intrauterine
Device 88% with typical use
Hormonal use with the Cycle Bead
Sterilization
Cycle beads
Reproductive
Health
Natural Family
Natural Family
Planning
Planning
Barrier
Methods
Intrauterine
Device
Hormonal
Sterilization
Lactational Amenorrhea
Method (LAM)
Reproductive
Health
Natural Family
Natural Family
Planning
Planning
Barrier
Methods
Intrauterine
Device
woman is not fertile and
Hormonal
unlikely to become pregnant
Sterilization
during full lactation or exclusive
breastfeeding.
Lactational Amenorrhea
Method (LAM)
Reproductive
Health maximum protection :
Natural Family
Natural Family menses not resumed yet
Planning
Planning
bottle feeds or regular food
Barrier
Methods supplements are not introduced and
Intrauterine baby is less than 6 months of age
Device
Hormonal
failure rate: < 2%; 5% > 6 months
Sterilization
Symptothermal
method
Reproductive
Health
Natural Family
Natural Family
Planning
Planning
Barrier
Methods
Intrauterine
Device
Hormonal
Sterilization
Effectiveness of Natural
Family Planning Methods
Reproductive
Health
accuracy of the method in
Natural Family
Planning identifying the woman's actual
Barrier fertile days
Methods
Intrauterine
couple's ability to correctly identify
Device the fertile time
Hormonal
couple's ability to follow the rules
Sterilization of the method they are using
Natural family
planning
Reproductive Pros Cons
Health
Natural Family
Family alternative method for inhibit sexual
Natural
Planning
Planning couples who prefer not spontaneity and
Barrier
to use contraceptive requires extensive
Methods devices. periods of abstinence.
Intrauterine no medical side effects less effective if cycle is
Device irregular
Hormonal easily reversible no protection against
Sterilization STD
inexpensive, no medical
check-up needed
Barrier methods
Reproductive
Health
prevent sperm and egg from
Natural Family
Planning meeting by physically blocking the
Barrier
Barrier two.
Methods
Methods
Intrauterine barrier methods are the oldest
Device
and most widely used forms of
Hormonal
contraception worldwide.
Sterilization
Barrier methods
Reproductive
Health Male condom
Natural Family
Planning
Female condom
Barrier
Barrier Cervical cap
Methods
Methods
Intrauterine
Diaphragm
Device
Sponge
Hormonal
Shield
Sterilization
Spermicide
Male
condoms
Reproductive
Health
(“rubbers”)
Natural Family
Planning
Barrier
Barrier 85 % effective
Methods
Methods
Intrauterine
most effective barrier method –
Device condom and spermicide
Hormonal combination
Sterilization
failure : improper use, nonuse,
breakage or slippage.
Male condom
Reproductive
Health
Natural Family
Planning
Barrier
Barrier
Methods
Methods
Intrauterine
Device
Hormonal
Sterilization
Male
condoms
Reproductive
Health
Natural Family
Planning
Barrier
Barrier
Methods
Methods
Intrauterine
Device
best way to prevent STDs
Hormonal
latex, polyurethane (plastic),
Sterilization
animal skin
Male condoms
Reproductive
Health
Natural Family
Planning
Barrier
Barrier
Methods
Methods
Intrauterine
Device
Hormonal
Sterilization
Male condom
Reproductive
Health
Natural Family
Planning
Barrier
Barrier
Methods
Methods
Intrauterine
Device
Hormonal
Sterilization
Male condoms
Reproductive
Health
Natural Family
Planning
Barrier
Barrier
Methods
Methods
Intrauterine
Device
Hormonal
Sterilization
Don't Leave Home
Without Your It !
Female condom
Reproductive
Health
Natural Family
Planning
Barrier
Barrier
Methods
Methods
Intrauterine
Device
Hormonal
Sterilization
Condom for women
Reproductive
Health
Natural Family
Planning
Barrier
Barrier
Methods
Methods
Intrauterine
Device
Hormonal
Sterilization
Female condom
Reproductive
Health
Natural Family
Planning
Barrier
Barrier
Methods
Methods
Intrauterine
Device
Hormonal
Sterilization
Cervical cap
Reproductive
Health
Natural Family
Planning
Barrier
Barrier
Methods
Methods
Intrauterine
Device
limited sizes; prescription ; reusable
Hormonal
requirements: pelvic examination, Pap
Sterilization
test, and fitting by a health care
provider
Cervica
l cap
Reproductive
Health
Natural Family
Planning
Barrier
Barrier
Methods
Methods
Intrauterine
Device Contraindications: abnormal Pap test; history
Hormonal of toxic shock syndrome ; STD; inflammation
of the cervix
Sterilization
little value for multipara because the
stretching of the vagina and cervix makes a
proper fit more difficult and failure rates are
high.
Diaphragm
Reproductive
Health
Natural Family
Planning
Barrier
Barrier
Methods
Methods
Intrauterine
Device
Hormonal
Sterilization
Diaphragm
Reproductive
Health
Natural Family
Planning
Barrier
Barrier
Methods
Methods
Intrauterine
Device
Hormonal
Sterilization
use cream spermicide
Sponge
Reproductive
Health
Natural Family
Planning
Barrier
Barrier
Methods
Methods
Intrauterine
Device soft, disk-shaped device; polyurethane foam
Hormonal fits over a woman's cervix
mechanism: slow spermicide release over 24
Sterilization
hours and serves to block and absorb semen.
effectiveness rate: 84 % nullipara
Sponge
Reproductive
Health
Natural Family
Planning
Side effects and health risks
Barrier
Barrier
Methods
Methods vaginal dryness, itching or
Intrauterine soreness
Device
allergic reactions to sponge
Hormonal
materials
Sterilization
difficulty removing the sponge
no protection against STDs.
Sponge: how to
use
Reproductive
Health
Natural Family
Planning
Insert before coitus or up to 24
Barrier
Barrier
Methods
Methods
hours ahead of time
Intrauterine moisten with clean water, insert
Device
until it rests against cervix- check
Hormonal
with fingers
Sterilization
Keep in place six hrs after sexual
activity
Spermicides
Reproductive
Health
Natural Family
Planning
Barrier
Barrier active component: nonoxynol-9
Methods
Methods
foam, film, sponge, cream and vaginal
Intrauterine
Device
suppository.
effective rate: 65-85%
Hormonal
best complimented with other barrier
Sterilization method
no STD protection, allergy, short acting
Lea Shield
Reproductive
Health
Natural Family
Planning silicone, cup-shaped bowl completely
Barrier
Barrier surrounds the cervix without resting on
Methods
Methods
it.
Intrauterine
Device no fitting needed ,one size fits all
Hormonal effective when used with spermicide
Sterilization advantages: one size, reusable, can be
left for 48 hours after intercourse
Reusable for 6 months
Lea’s shield
Reproductive
Health
Natural Family
Planning
Barrier
Methods
Intrauterine
Device
Hormonal
Sterilization
Barrier methods
Reproductive
Health
Natural Family
Planning Pros Cons
Barrier
Barrier reversible and easy require advance planning
Methods
Methods
to discontinue
Intrauterine
Device protection from decreased sensation
Hormonal STDs
Barrier
Methods
Intrauterine
Device
Hormonal
Sterilization