World Health Organization : Year 2000 ; World Health Organization, Reproductive Health and Research, No. 00.02: Improving Access to Quality Care in Family Planning

By M. Ni Mhearain

Book Id: WPLBN0000182629
Format Type: PDF eBook:
File Size: 0.6 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 2000 ; World Health Organization, Reproductive Health and Research, No. 00.02: Improving Access to Quality Care in Family Planning
Author:	M. Ni Mhearain
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Ni Mhearain, B. M. (n.d.). World Health Organization : Year 2000 ; World Health Organization, Reproductive Health and Research, No. 00.02. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
Executive summary This document is one important step in a process for improving access to quality of care in family planning by reviewing the medical eligibility criteria for selecting methods of contraception. It updates the first edition of Improving access to quality care in family planning: medical eligibility criteria for contraceptive use, published in 1996, and summarizes the main recommendations of a scientific Working Group meeting held at the World Health Organization, Geneva, 8-10 March 2000. (Please see Annex I for the list of participants.) The Working Group brought together 32 participants from 17 countries, including representatives of several agencies and organizations. The document provides recommendations for appropriate medical eligibility criteria based on the latest clinical and epidemiological data and is intended to be used by policy-makers, family planning programme managers and the scientific community. It aims to provide guidance to national family planning/reproductive health programmes in the preparation of guidelines for service delivery of contraceptives. It should not be seen or used as the actual guidelines but rather as a reference. The document covers the following family planning methods: low-dose combined oral contraceptives (COCs), combined injectable contraceptives (CICs), progestogen-only pills (POPs), depot medroxyprogesterone acetate (DMPA), norethisterone enanthate (NET-EN), Norplant implants I and II (NOR), emergency contraceptive pills (ECPs), copper intrauterine devices (Cu-IUDs), levonorgestrel-releasing IUDs (LNG-IUDs), copper-IUD for emergency contraception (E-IUD), barrier methods(BARR), fertility awareness-based methods (FAB), coitus interruptus (CI), lactational amenorrhoea method (LAM), and female and male sterilization (STER).

Table of Contents
Table of contents Executive summary & Overview Executive summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Issues of service quality and access that affect method use . . . . . . . . . . . . . . . . . . . . . . . . . 3 Effectiveness of methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Conditions that expose a woman to increased risk as a result of unintended pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Return to fertility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 STIs and contraception: Dual protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Method of work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Classification categories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Clients with multiple risks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 How to use this document . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Programmatic implications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Clients with special needs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Adolescents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Summary and conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12