FAMILY PLANNING
Family planning allows individuals and couples to anticipate and attain their desired number of children and the spacing and timing of their birth (WHO)
SIX FACETS OF FP QUALITY CARE
Choice Methods
Technical Competence of Providers
Informing and Counseling Clients
Interpersonal relations
Mechanisms to encourage continuation of services
Appropriateness and acceptability of services
GUIDING PRINCIPLES OF FAMILY PLANNING
Respect for Sanctity \n of Life
Respect for Human \n Rights
The freedom of \n choice and voluntary \n decision
Respect for the \n rights of clients
Respect for the \n rights of clients
Couples and individuals have \n the basic right to decide freely \n and responsibly the number \n and spacing of their children
The freedom of \n choice and voluntary \n decision
Couples and individuals will \n make family planning decisions \n based on informed choice \n including their own moral, \n cultural or religious beliefs.
Respect for Human \n Rights
Family Planning services will be \n made available using only \n medically and legally \n permissible methods \n appropriate to the health status \n of the client.
Respect for Sanctity \n of Life
Family Planning aims to \n prevent abortion and therefore \n can save the lives of both \n women and children.
FP PROGRAM POLICIES
HEALTH INTERVENTION
PREVENT HIGH-RISK PREGNANCIES
REDUCE MATERNAL DEATHS
PREVENT ABORTIONS
REPRODUCTIVE RIGHT FOR WOMEN
MEANS TOWARDS RESPONSIBLE PARENTHOOD
REDUCE POVERTY
HEALTH INTERVENTION
Promote overall health of Filipinos
Contribute to the reduction in maternal and infant deaths
PREVENT HIGH-RISK PREGNANCIES
- Too young or too old, have 4 or more \n pregnancies, have closely spaced \n pregnancies, concurrently ill
REDUCE MATERNAL DEATHS
- The leading cause of death among women \n of reproductive age is related to pregnancy \n and child bearing
PREVENT ABORTIONS
- One in six pregnancies ends up in illegal \n abortion because they are either \n unplanned or unwanted
REPRODUCTIVE RIGHT FOR WOMEN
- Family Planning services shall be delivered \n to respond to the unmet needs and \n demands of women.
MEANS TOWARDS RESPONSIBLE PARENTHOOD
- Planning for the future reflects the will \n and the ability to respond to the needs of \n the family and children
REDUCE POVERTY
- The program shall provide a special focus \n to respond to the FP needs of poor \n communities in urban and rural areas.
REPRODUCTIVE HEALTH
a state of “complete physical, mental and social \n well-being, and not merely the absence of disease or infirmity in all matters relating to the reproductive health system and to its functions and processes
REPRODUCTIVE HEALTH CARE
he constellation of methods, techniques, and services that contribute to reproductive health and well-being by preventing and solving reproductive health problems
FAMILY PLANNING (REPRODUCTIVE HEALTH ELEMENT)
allows individuals and \n couples to anticipate and attain their \n desired number of children and the \n spacing and timing of their births. (REPRODUCTIVE HEALTH ELEMENT)
Maternal and \n Child Health and \n Nutrition
Proper birth spacing of at least 3 years
Use of safe and effective FP methods, high risk pregnancies can be avoided
Pregnant women may have unmet need for FP
Breastfeeding mothers have specific FP needs
Prevention and \n Management of \n Reproductive \n Tract Infections \n including STIs, \n HIV/AIDS
Individuals with FP needs are sexually active which makes them at risk for STIs like HIV/AIDS
Clients who are at risk of contracting STIs need dual protection through the use of a FP method against STIs
Risk assessment for STIs is part of determining a client’s eligibility for IUD use
Prevention and \n Management of \n Abortion and Its \n Complications
Abortions are a result of unplanned pregnancies
Women who resort to abortion have unmet needs for family planning
Proper management of complications of abortion and provision of services with options from preventing unplanned pregnancies which may result in abortion
Prevention and \n Management of \n Breast and \n Gynecologic \n Cancers
Opportunity for screening and early detection of breast and reproductive tract cancers
Combined oral contraceptives are proven to reduce the risk of ovarian and endometrial cancers.
Progestin-only contraceptives have a high protective effect against endometrial cancers
Education and \n Counseling on \n Sexuality and \n Sexual Health
It deepens the appreciation of gender roles and enhances the relationship between sexual partners
Fertility management and sexuality education are essential to sexual health.
Family planning counseling and provision of accurate information on sexuality helps reduce unplanned pregnancies
Men’s \n Reproductive \n Health and \n Involvement
Men are crucial halves in the attainment of a couple’s reproductive intentions and should be involved in family planning
Male involvement is critical to acceptance and continuous use of family planning methods
Men have their own specific health needs for FP that a comprehensive RH service should provide for
Violence against \n Women and \n Children
FP use may be a sensitive issue in a family affected by gender-related violence.
Domestic violence, mostly with women as the victims, is now recognized as an important public health issue
An opportunity to discuss and promote FP
Prevention and \n Management of \n Infertility and \n Sexual \n Dysfunctions
Provide the opportunity to discuss infertility and sexual dysfunction problems
FP is for achieving fertility through fertility awareness orientation, counseling, and referral to appropriate facilities
Adolescent \n Reproductive \n Health
Need to be advised and counseled about safe and responsible sexual practices, including FP
Orientation on fertility awareness and counseling are basic services which will help promote responsible sexuality among adolescents
Benefits to Mother
Reduces maternal deaths by preventing high risk pregnancies among
FP prevents closely spaced pregnancies that leads to and worsen conditions
All FP methods help women with HIV avoid pregnancy thus avoid bearing HIV- infected children. Prevent/reduce the incidence of the following diseases and conditions: ● Ectopic pregnancy ● Ovarian cancer ● Endometrial cancer ● Ovarian cysts ● Benign breast disease ● Excessive menstrual bleeding and associated anemia ● Menstrual cramping, pain, and discomfort
Benefits to Infants \n and Children
Reduction in infant and child morbidity & mortality
Lowest risks for fetal death, preterm delivery, being undersized for gestational age, neonatal death, and low birth weight occur when births are spaced from three to five years
Given the love, attention, care and time from mothers and fathers attending to their growth and development
More opportunities for adequate food, clothing, good education, and good health for the children
Breastfeeding can protect infants against diarrheal and other infectious disease
Benefits to Fathers
Provides enough time for treatment and recovery from chronic illnesses
Lightens his burdens and responsibilities in supporting his family
Enables him to give his children a good home, a good education, and a better future Benefits to Fathers
Gives time for his own personal achievement
Enables him to have time and opportunity to relate with his wife and play with his children
Affords him extra resources and enough time to actively participate in community programs and projects.