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



Source: WHO, 2010.

4Do not use the method

3

When clinical judgment is limitedCategory

2Use the method

1

Slide 8


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


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


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