Abstract:
The 6th edition of the National Family Planning Guidelines for
Service Providers therefore places more emphasis on improving
access to quality FP services including expansion of method mix,
ensuring there are no missed opportunities, reduction in unmet
FP need and increasing the numbers of new users; thereby
sustaining the gains made. It recognizes that reproductive and
sexual health care, including FP information and services, is not
only a key intervention for improving the health of women, men
and children but also a human right. Everyone has the right to
access, choice, and the benefits of scientific progress in the
selection of FP methods.
A rights-based approach to the provision of contraceptives
assumes a holistic view of clients; which includes taking clients’
sexual and reproductive health care needs into account and
considering all appropriate eligibility criteria in helping clients
choose and safely use an FP method. In addition to updating the
Medical Eligibility Criteria (MEC), the guidelines address several
other issues in the appropriate provision of contraceptive
methods. These include task shifting, new strategies to increase
access (e.g. Community Based Family Planning, postpartum FP
packages and comprehensive Post Abortion Care (PAC) services
which includes FP), services for persons with special needs (e.g.
PLwD. mobile populations, adolescents and youth), integration of
FP with other RH services (including HIV and AIDS and screening
for cancers of reproductive organs), new contraceptive choices
and male engagement.
Description:
WHAT IS NEW IN THE 6TH EDITION OF THE FP
GUIDELINES?
Specific highlights
1. Community Based Family Planning (CBFP)
- The information on CBFP has been expanded to include;
methods they are allowed to provide, sources of FP
commodities, reporting and recording, referral of clients
and supervision.
17
2. Male engagement
- Male involvement has been replaced by the more inclusive
male engagement in FP. Importance of male engagement
and ways of engaging men in FP are discussed under this
topic.
3. FP counselling:
- The content has been reduced and tailored to focus on
importance of FP counselling, informed choice and
informed consent. For more details on the processes of
counselling, refer to the FP training manuals.
4. Infection prevention and control (IPC):
- The content has also been reduced to focus on the
importance of infection and the universal precautions. For
more details on the IPC processes, refer to FP training
manuals.
5. Discontinuation of contraception:
- This is a new topic added to give guidelines on
discontinuation of contraception.
6. Under Medical eligibility criteria (MEC), the MEC for Fertility
Awareness-based Methods (FAM) has been added.
7. Progesterone-releasing Vaginal Ring (PVR):
This hormonal contraceptive has been discussed in these
guidelines. Availability of this method increases the method
mix for breastfeeding postnatal mothers.