Family planning program

1. Family planning program Presented by Dr Heba Nour Lecturer of Family Medicine

2. Objectives • Aims of Family planning programs • Current users of family planning methods in Egypt • Counseling in Family planning • Different methods of contraception, indications, contraindications, side effects, time of use& stop and follow up

3. FP & women Health enable her to • Regain her strength lost in last pregnancy (women need at least 2 years to completely recover their health from the physical stress of pregnancy) • Avoid unplanned, high-risk pregnancies for mothers who are: • Too young (less than 18 years old) or too old (more than 34 years old) • Having more than 4 pregnancies • Having closely spaced pregnancies (less than 2 years interval) • Practice her reproductive right – millions of women want to stop giving birth altogether; millions want to space their pregnancies • Devote more and quality time to herself, her husband or her community • FamilyPlanning will significantly contribute to the reduction of illegal abortions that may lead to complications or even death of the mother

4. FP & child Health • Proper child care/rearing • Importance of breast-feeding, immunization, proper nutrition, mental feeding, dental care • Reduction in infant/child deaths throughFamilyPlanning • Children can be given the proper care, love and attention to ensure health and survival below the age of 5

5. FP & Family • FamilyPlanningand how it helps to reduce poverty • Parents who plan theirfamilyare more economically productive • Budget needs are more easily achieved (compare budget of a 4-memberfamilyas against an 8-memberfamily) • FamilyPlanningallows both parents to devote more quality time to their children • FamilyPlanningallows the couple more time for each other • FamilyPlanningallows thefamilymembers to relate with people on their community • FamilyPlanningensures a healthyfamily (mother, child and father)

7. In 2005 Egypt Demographic Health Survey Overall, 59 % of currently married women in Egypt are using contraception

11. Family planning counseling

12. Family planning counseling The GATHER Approach: G Greet respectfully A Ask/Assess needs T Tell information H Help choose E Explain and demonstrate R Return and reinforce/refer

13. An effective counselor: • Understands and respects the client’s rights • Earns the client’s trust • Understands the benefits and limitations of all contraceptive methods • Understands the cultural and emotional factors that affect a woman’s (or a couple’s) decision to use a particular contraceptive method • Encourages the client to ask questions • Actively listens to the client’s concerns • Recognizes when s/he cannot sufficiently help a client and refers the client

14. When to start? How it work? Indications? Contraindications? Side effects? Follow up? When to stop?

15. Current users of FP in Egypt ?

16. 37% 10% 7%

17. Thank you