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Slide 1 WHO’s Family Planning Guidance Documents and Job Aids
Slide 1
WHO’s Family Planning Guidance Documents and
Job Aids
Slide 2
Objectives
At the end of this session, participants will be able to:
Explain the purpose and intended use of WHO’s guidelines and job aids:•Medical Eligibility Criteria for Contraceptive Use (MEC) including job aids•Selected Practice Recommendations for Contraceptive Use (SPR)•Family Planning: A Global Handbook for Providers
Slide 3
Medical Eligibility Criteria for Contraceptive Use
• Evidence-based recommendations
• Use by policy-makers and program managers to improve access to, and quality of, family planning services
• 19 contraceptive methods
• Variety of medical conditions and client characteristics
• Periodic reviews and updates
Slide 4
Selected Practice Recommendationsfor Contraceptive Use
• Evidence-based recommendations on safe and effective use
• 33 questions related to contraceptive methods
• Range of issues including initiation, continuation, incorrect use, treatment of side effects, and some programmatic issues
• Use by policy-makers and program managers
• Periodic reviews and updates; latest update 2008
Slide 5
Family Planning: A Global Handbook for Providers
• Essentials needed to provide family planning clients with good-quality care
• Latest guidance for delivering 19 contraceptive methods appropriately and effectively
• Use by clinical providers
• Periodic reviews and updates; latest update 2011
Slide 6
Unacceptable health risk
Risks usually outweigh benefits
Benefits generally outweigh risks
No restriction for use
Description
Method not to be used 4
Use of method not usually recommended, unless other methods
are not available/acceptable
3
Generally use the method
2
Use the method under any circumstances
1
When clinical judgment is
availableCategory
WHO’s Medical Eligibility Criteria
Categories for IUDs, Hormonal and Barrier Methods
Source: WHO, 2010.
Slide 7
WHO’s Medical Eligibility Criteria
Categories for IUDs, Hormonal and Barrier Methods
Source: WHO, 2010.
4Do not use the method
3
When clinical judgment is limitedCategory
2Use the method
1
Slide 8
Categories for IUDs, Hormonal and Barrier Methods
Medical Eligibility Criteria: Examples
Source: WHO, 2010.
Current breast cancer
Blood pressure ≥160/100 mm Hg
Anemia
Uterine fibroids
Medical Condition/ Characteristic
4
3
2
1
Category
Hormonal implants
DMPA
Copper IUD
COCs
Contraceptive Method
Slide 9
WHO’s Medical Eligibility Criteria
Categories for Male and Female Sterilization
Source: WHO, 2010.
Special
Delay
Caution
Accept
Category
Requires specialized equipment, experienced surgeon and staff
Delay until condition is evaluated
Provide with extra precautions
No medical reason to deny method
Definition
Slide 10
Medical Eligibility Criteria for Male or Female Sterilization: Examples
Source: WHO, 2010.
Special
Delay
Caution
Accept
Category
Coagulation disorders
Active STIs (e.g., chlamydia or gonorrhea)
Diabetes
Have few or no children
Conditions
Slide 11
WHO’s Medical Eligibility Criteria
Categories for Fertility Awareness-based Methods
Source: WHO, 2010.
NA
Delay
Caution
Accept
Category
Not applicable
Delay until condition is evaluated
Provide with extra precautions (e.g., special counseling)
No medical reason to deny method
Definition
Slide 12
Medical Eligibility Criteria for FAB Methods: Examples
Source: WHO, 2010.
NA
Delay
Caution
Accept
Category
Pregnancy
Breastfeeding < 6 weeks postpartum
Life stages (post-menarche and peri-menopause)
Non-breastfeeding ≥ 4 weeks post-partum can use symptoms method
Conditions
Slide 13
MEC Wheel
Includes COCs, POPs, DMPA, NET-EN, implants, and copper IUDs
Slide 14
MEC Quick Reference Chart
Includes all category 3 & 4 conditions for COCs, DMPA, IUDs, and implants
