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Our nurses, nurse prescriber and doctors are able to arrange a further supply of your existing contraceptive tablets, so please feel free to book a routine appointment with any one of them to do this. We do not put contraceptives on our automated repeat system because we value the opportunity to see you and check all is going well. During my last trip home to California, the generous people of Planned Parenthood provided me with a few months’ supply of my preferred birth control method, as well as plenty of condoms and emergency contraceptive pills, all free of cost. The months dwindled, and before I knew it I was running low on hormones to keep my body from ovulating.
Getting pregnant is definitely not on my agenda these days, but as it turns out my previous trepidations about acquiring contraception in a foreign country were extremely misguided. Through the public health system, the following birth control methods are available, as illustrated in this handy pamphlet: the shot, IUDs, vasectomies, sterilization, the pill (including pills that are safe for women who are breast-feeding) and emergency contraceptive pills.
Beyond the methods available at public hospitals and health centers, other types of birth control are also available for purchase without a prescription at pharmacies, and even more methods can be acquired through a private gynecologist.
There are over a dozen birth control methods out there, and trying to assess them all at once can be challenging.
But remember, while websites like Bedsider was put together with the help of medical professionals, you should always consult with a gynecologist before beginning a new method.
The pill, pastillas or pildora, is arguably the most popular birth control method, and used by 40% of Argentine women.
Not everyone wants to take a pill everyday of course, and those who don’t, may want to consider the birth control shot, the inyeccion, which is administered once a month. Being available for free, or almost free, is certainly a point in the shot’s favor, but I should note that among the pharmacies I visited that carried the shot, not all had it in stock on my visit, and some pharmacies do not administer it at all. Those who don’t want to take a pill everyday but also don’t enjoy sticking needles in themselves may be interested in the patch, or parche (or if you’re me and realizing you’ve never said the word ‘patch’ in Spanish before, it’s that ‘thing you stick on your skin’), which goes for around AR$150-$200 for a month’s supply at Farmacity. Similar to the shot, some of the pharmacies I visited did not have the patch in stock on my particular visit, even if they otherwise typically carried it. The patch must be changed weekly and is less effective for those who weigh over 90 kilos (198 pounds, and I have no idea where that number came from). Another hormonal method frequently offered as an alternative to the pill is the ring, or anillo.
There is only one brand on the market and it costs AR$240 per ring at Farmacity, but on the upside, every location I visited had it in stock. If hormones aren’t your thing, one of the easiest to use and most accessible methods of birth control available remains the male condom. Sex educators also have yet to find a fruit or vegetable that can accurately demonstrate how to use a female condom to a group of 12 year-olds. Prices for the kind of condom usually found on bananas and penises range between AR$10-$30 for a three-pack, or up to AR$67 for a 12-pack. Other barrier methods, such as the diaphragm and the cervical cap are, like the female condom, nowhere to be seen. There are many long-term methods available for those who don’t want to have to re-up their supply every month.
Intrauterine devices (IUD), aka the dispositivo intrauterino (DIU), are also available at public hospitals and health centers, however the only type available is the non-hormonal copper based IUD, which lasts 10 years. When it comes to IUDs, many of us with uteruses want to know, “Will it be painful to have inserted?” But each person’s body reacts differently, and some may experience pain only during the insertion, while others will continue to feel cramping a whole day after the procedure. A few years ago I was talking to a friend who had just gotten an IUD inserted, and I asked her if it had been painful. But maybe you’re thinking, “I don’t want to have a piece of plastic or metal in my uterus, but I don’t want to worry about birth control every month, either.” Dr. The morning-after pill can also be found in my nightstand, along with some red nail polish to compliment your slutty ways. Contrary to what many an old, white, male republican US lawmaker would have you believe, mistakes happen, even to the most responsible among us. In the case of a birth control failure, you can access the anticoncepcion hormonal de emergencia, also known as the morning-after pill easily in Buenos Aires.
Following national law 25.673, emergency contraceptive pills can be accessed free of charge, 24 hours a day, at public hospitals and health centers, after a medical consultation. It’d be remiss if I didn’t mention the methods that are completely free, available without any visits to the doctor, and don’t require any pieces of plastic in your vagina, arm, uterus or penis.
Fortunately, I haven’t experienced those sorts of incidents personally, although a pharmacist in my hometown did once let out a totally Edna Krabappel-esque laugh when I asked to fill a prescription for Diflucan, which, as I’m sure she knew, is used to treat yeast infections.
Ella can cut the chances of becoming pregnant by about two-thirds for at least 120 hours after a contraceptive failure or unprotected sex, studies have shown. Bryce's future stay-at-home wife, but for now a prolific lifestyle writer, artist rep and full-time hustler. Sign up for our email list for occasional updates on events, giveaways, discounts, and more! The ECP is a high dose contraceptive pill containing a hormone called progesterone. It is thought the ECP stops pregnancy by preventing the release of an egg from the ovary.
If the unprotected sex occurred more than three days ago it is advisable to talk to your healthcare professional as there may be other options (such as an intra-uterine device [IUD]).Recent research has also shown that the ECP does not work well in women who weigh more than 70kg. If you vomit within three hours of taking the pills, you should return to your healthcare provider as you may need to take them again. If you are already using a regular method of contraception, such as the oral contraceptive pill, continue to take this at your regular time.
Some women may experience bleeding or spotting after taking the ECP and some may experience an early or later start to the next menstrual period.
It is important to have a pregnancy test 3 to 4 weeks after taking the ECP to ensure that you are not pregnant even if you have a period. The ECP does not give you any ongoing protection against pregnancy. It is important to use condoms or another form of contraception for ongoing protection against pregnancy. Emergency contraception does not protect you against sexually transmitted infections. Arrange for a check up at your local sexual health clinic or with your family doctor two weeks after you have had unprotected sex. The material on this website is provided for educational purposes only, and is not to be used for medical advice, diagnosis or treatment.
Providing effective family planning services which address the needs of the community is essential.
Family planning programme management is about finding the most effective way to carry out activities related to family planning services, using appropriate human, material, financial and timely resources to reach set targets.
In this study session, you will learn about the most commonly used family planning service delivery strategies practised in Ethiopia, and fundamental aspects of family planning programme management, including planning, monitoring and evaluation. 2.3  Explain how you would exercise the planning, monitoring and evaluation processes of the family planning programme. 2.5  Explain how to promote the family planning programme in your community through good communication. Family planning services are educational and comprehensive medical or social activities which enable individuals and couples to determine freely the number and spacing of their children, and to select the means by which this may be achieved. In Ethiopia, all categories of public health facilities provide family planning services on a daily basis by integrating them with other maternal and child health services. A door-to-door service providing family planning packages at household level is carried out by Health Extension Practitioners.
A facility-based service delivery approach provides family planning services in Ethiopia through public health centres and hospitals. In areas that do not have any type of health facility nearby, family planning services may be made available through community-based distribution or CBD programmes. In their training, the CBD workers learn the basic concepts of family planning, how each method must be used, what the precautions and side effects are for each method, and how to keep simple records and report the information to their supervisors. In both urban and rural areas, if people are willing to obtain contraceptives from sources outside the healthcare system, commercial retail sales (sometimes called social marketing) can make some contraceptive methods very accessible. A work plan is a document developed by the manager and staff, which lists all planned activities, the date on which they will occur or by which they will be accomplished, the resources they will require, and the person who is responsible for carrying them out.
A strategic plan is a well-developed document that determines what an organisation intends to be in the future, and how it will get there. Work plans (also known as operational plans) are distinguished from long-term plans in that they show how the broader objectives, priorities and targets of the strategic plan will be translated into practical activities, which will then be carried out over a much shorter time period (anywhere from a week to a year). One way to develop short-term work plans is to divide the yearly objectives into quarterly or monthly targets, so that detailed activities are identified and costed. Your health post, in collaboration with the woreda Health Office, has set objectives to provide family planning information and education to 1,000 potential acceptors in your kebele during the first year of service delivery. In this case, first divide the 1,000 potential acceptors by 12 months to get a monthly target for that site.
Remember that this target can be further divided by the number of working days per month and put on a calendar, so that each Health Extension Practitioner will have a work plan to use on a daily basis.
In this way, you can break down large overall objectives into smaller, more manageable units that enable you to develop a monthly work plan more easily, and to distribute the workload more equitably.
Although there are many definitions for objectives and targets, for the purposes of this discussion and the examples shown here, the distinction between objectives and targets is defined as follows. An objective shows the anticipated results of the work conducted at one or more service delivery sites, and reflects the impact or changes that are expected in the population covered by this programme. An example of an objective: To recruit 5,000 new acceptors in 10 kebeles by the end of the first year. Accordingly, the above objective is SMART because it is specific to recruiting, measurable in terms of recruiting 5,000 new acceptors, achievable and reliable, as it can be executed within a given period of time, that is by the end of the first year.
An example of an annual target for a specific service delivery site: To achieve an average of 83 new acceptors per month over the next 12 months in the kebele.
An example of an annual target for a supervisor: To conduct supervisory visits to 10 Health Extension Practitioners each month of the year. An example of a monthly target for Health Extension Practitioners: To provide information and education to 400 couples in three communities over the next month. An example of a monthly target for Health Extension Practitioners: To locate and interview 15 clients each month who have dropped out of the programme in order to find out the reason why they have dropped out. Monthly work plans should be developed and used at all levels of a programme or organisation. Table 2.1  Sample Gantt chart with months marked in the Ethiopian calendar (EFY is the Ethiopian Fiscal Year). Columns that mark a fixed period of time (days, weeks, months, years), showing when the activities will occur. Routine data collection and aggregation (combining data from different sources) is the means by which routine service data is collected, aggregated, analysed and made ready for further performance monitoring. Performance monitoring is the continuous tracking of required information on conducted activities and its indicators of success, in order to identify achievement gaps and lessons learnt. At all levels, performance monitoring will be conducted regularly on a weekly, monthly, quarterly and annual basis, supplemented by semi-annual and annual review meetings. Indicators of knowledge of, attitudes towards, and practice of family planning in programme area.
Supportive supervision (SS) is a process of guiding, helping, training and encouraging staff to improve their performance in order to provide high-quality health services through the use of integrated SS tools. Programme evaluation is the systematic process of data collection, analysis and interpretation of activities and the effects of a programme, or any of its components.
Record keeping and reporting is one way that an organisation can keep track of patterns of contraceptive use amongst its clients.
Inventory control card (ICC): This form should be kept at all storage facilities that manage a significant number of inventory items. Daily activity register (DAR): The register is designed to be used when contraceptives are dispensed to family planning clients. This calculation will tell you how long your current supply will last if consumption stays at the current rate. Lo-femenal combined oral contraceptive and Blue & Gold condoms may run out before your next delivery, so you need to place an order to replenish your stock of these two products as soon as possible. Communication activities are an integral part of virtually every family planning programme. The above paragraph indicates that there should be promotional activities in terms of communicating the family planning programme. There are a number of traditional forms of entertainment useful for transmitting information and messages on family planning methods in small towns and villages, where more advanced communication media are lacking.
The importance of the family planning programme can also be communicated through interpersonal communication, for example by involving ‘satisfied users’ who are given materials to distribute to their friends and members of their communities. Part of your future role will be to identify all potential means of communication available in your localities, so that you will be able to make use of them in communicating aspects of the family planning programmes in your community.
The family planning service includes educational and comprehensive medical or social activities which enable individuals and couples to determine freely the number and spacing of their children, and to select the means by which this may be achieved. A work plan is a document developed by a manager and staff which lists all planned activities, the date on which they will occur, or by which they will be accomplished, the resources they will require, and the person who is responsible for carrying them out. As part of the planning process, you need to ensure that family planning is one of the health programmes to be planned in an integrated and harmonised manner. Objectives show the anticipated results of the work conducted at one or more service delivery sites, and reflect the impact or changes that are expected in the population covered by the programme.
Supportive supervision is a process of guiding, helping, training and encouraging staff to improve their performance in terms of providing high-quality health services. Programme evaluation is the systematic process of data collection, analysis and interpretation of activities and effects of a programme, or any of its components. Record keeping and reporting is one way that an organisation can track patterns in contraceptive use amongst its clients. Communication activities are used to promote the idea of family planning programmes, as well as educate the community about specific contraceptive methods, and the locations where services and products are available.
Now that you have completed this study session, you can assess how well you have achieved its Learning Outcomes by answering these questions. Describe the most common family planning service delivery modes in Ethiopia and the services being given at each of them.
Door-to-door service delivery: these services are provided by Health Extension Practitioners and mainly include education, counselling and the provision of oral pills, condoms and injectable contraceptive methods. Facility-based service delivery: this approach provides family planning services in Ethiopia through public health centres and hospitals.
According to the Health Post’s annual report (5 Hamle 2002 Ethiopia Fiscal Year (EFY)), the Contraceptive Acceptance Rate (CAR) for the fiscal year was 25%. To provide contraceptives to 585 women of reproductive age group 15–49 years (WRAG) by the end of year 2003. To educate 85% of the couples on methods of contraception as a means of birth control by end of year 2003.


Rate of high-risk births (to women over 35 years who have given birth to five babies or above).
Additionally, your answer could point out that most of the impacts cannot simply be calculated from routine service data. So, based on current stock in hand, the provider can safely provide Lo-femenal pills for 10 more months before running out of stock. Describe the best ways of communicating about the family planning programme in your locality. Use model households and community volunteers to convey family planning messages to the community. Make use of traditional forms of entertainment, such as role plays, folk songs, theatre and puppet shows, in order to transmit information with regard to the programme. Eight out of 10 voters believe that candidates should include family planning in their programs, a recent Pulse Asia survey showed. Women in India now have more birth control options, which are affordable and can guarantee protection against unwanted pregnancies and diseases.
When the lights went out at the medical office in Taunggyi Township, Myanmar on the evening of September 30, local health workers lit candles and continued their discussion about how to improve the supply chain that provides contraceptives and reproductive health products to the women and families that need them.
National Reproductive Health Commodity Security Strategy and Operational Plan, which identifies critical needs and specifies the interventions required to ensure continuous availability of contraceptives and vital RH medicines at all health services delivery and commodity distribution points. Essential Package of Health Services, which emphasizes the uptake of family planning services through innovative strategies and by training general community health workers to conduct counseling, distribution of family planning commodities and appropriate administration of contraceptive methods. The MOHSW will continue to advance key support systems for family planning and devise policies as needed. International Planned Parenthood Federation (IPPF) supports the Civil Society Declaration to the London Summit on Family Planning.
IPPF will mobilize civil society and governments to improve the legislative, policy, regulatory and financial environment for family planning and will mobilize the international movement created through IPPF’s role as Co-Vice Chair of the Stakeholder Group to the London Summit on Family Planning to hold governments accountable. IPPF Member Association saw 50 advocacy ‘wins’ in 2013 related to increasing access to SRHR, contraception or its funding and education and services for young people.
IPPF works with Advanced Family Planning and the African Women’s Development Fund supporting the African Women Leaders Network for Reproductive Health and Family Planning (AWLN). IPPF partners with leading European NGOs are working to increase European donor support in Official Development Assistance (ODA) for reproductive health and family planning in the Countdown 2015 Europe Consortium. IPPF have partnered with the Campaign on Accelerated Reduction of Maternal Mortality in Africa (CARMMA) to ensure progress at national and regional levels to reduce maternal mortality by increasing access to life saving family planning. IPPF Member Association The Association de Bien-Etre Familial – Naissances Desirables (ABEF-ND) engaged the support of other national organizations and networks to jointly persuade the government to make a commitment to procuring contraceptives and persuade them to take responsibility for the country’s contraceptive security.
IPPF Member Association The Planned Parenthood Association of Ghana (PPAG) played a very active role in making contraception free in the public sector. One of the Malawi government’s financial commitments was to add a line for contraceptives in the national budget. The Nigerian government pledged a significant increase in the national budget for contraceptive procurement.
Advocacy by Reproductive Health Uganda, an IPPF Member Association, helped to achieve the pledged budget allocation of $5 million from the government for contraceptive supplies.
The Reproductive Health Advocacy Network advocated hard for the new Reproductive Health law, which was signed by the President in December 2012. After advocacy by IPPF’s Member Association - Solomon Islands Planned Parenthood Association (SIPPA), the Solomon Islands government are developing a national plan for sexual and reproductive health and rights. Merck, known as MSD outside the United States and Canada, commits to extending access pricing for IMPLANON® and IMPLANON NXT®—its single-rod, long-acting, reversible contraceptive implants—in FP2020 focus countries for an additional five years through 2023. Since May 2013, the number of IMPLANON® and IMPLANON NXT® implants provided in targeted countries has doubled, bringing greater choice to millions of women in some of the world’s poorest regions. The International Contraceptive Access (ICA) Foundation—a public-private partnership between the Population Council and Bayer HealthCare Pharmaceuticals—commits to donating contraceptive products to public health organizations, such as multilaterals, governments and NGOs in Family Planning 2020 (FP2020) focus countries. The foundation commits to offering in donation up to 20,000 levonorgestrel releasing intrauterine systems (LNG IUS) per year from 2016 to 2020 to qualified service organizations in the 69 FP2020 focus countries—after approval by the Board of the project proposals LNG IUS is a contraceptive method containing a synthetic female hormone, levonorgestrel, which is released slowly into the uterus (womb), and is widely used in other contraceptive methods, such as implants and oral contraceptive pills. Pfizer is responsible for quality manufacturing of Sayana® Press, as well as obtaining registrations in key markets. The consortium of public and private sector donors and aid organizations supporting this collaboration will assist with procurement and support country introductions and the delivery of Sayana® Press to health facilities.
Merck for Mothers is a 10-year, $500 million initiative focused on creating a world where no woman dies giving life. Merck for Mothers and the Bill & Melinda Gates Foundation have formed an eight-year, $50 million collaboration to expand access to family planning.
The project is a phased national expansion of a novel supply chain model designed to ensure a reliable supply of family planning products at government-operated health facilities in Senegal.  A pilot of this model  conducted in two Senegalese districts (with 40 health facilities) in 2012 succeeded in reducing stock out rates to less than 2% of facilities and increasing utilization by 38%. Supporting 7 additional projects that are responsive to local maternal health and family planning needs. Merck for Mothers is integrating postpartum family planning services into its maternal health programs to help women space their pregnancies.
Merck for Mothers is focused on broadening the range of service delivery points that offer a mix of family planning options and quality, client-centered care. In Rajasthan, India, MSD for Mothers and Hindustan Latex and Family Planning Promotion Trust are growing a network of community health workers to help increase access to maternal health services and family planning products for low-income women in urban and rural areas. The Merck for Mothers Global Giving Program was designed to amplify the reach of the Merck for Mothers initiative and engage MSD offices around the world by supporting local projects to improve maternal health and access to family planning. The government of Madagascar commits to increasing the state budget devoted to family planning, including contraceptive purchasing and delivery, by at least 5 percent annually. UNFPA (United Nations Population Fund) works to deliver a world where every pregnancy is wanted, every childbirth is safe and every young person’s potential is fulfilled. UNFPA will double the proportion of its resources focused on family planning from 25 percent to 40 percent based on current funding levels, bringing new funding of at least US $174 million per year from core and non-core funds. Following the London Summit on Family Planning, UNFPA has continued to invest significantly in Family Planning to fulfill the commitments made at the Summit. An analysis of expenses conducted by UNFPA in 2012 demonstrated that, in 2012, UNFPA spent a bit over 40% of its overall resources on Family Planning. The Government of Cameroon commits to ensuring contraceptive security to avoid stock outs, providing the full range of contraceptives by ensuring quality services, including family planning counseling, training, and supervision of health workers, and ensuring the government’s and its partners’ accountability for funding family planning. The [Family Health Directorate] is organizing a family planning caravan that will offer free family planning services and raise awareness amongst the population. The Logistics Management and Information System (LMIS) was developed and launched to improve the management and availability of contraceptives and other medicines. The “SMS for Life” campaign for the telephone collection of data on the stock levels of contraceptives and family planning services among 22 districts in 6 regions of the country was launch.
Specifically, Cameroon’s central warehouse distributed 33,708 implants to public health facilities in 2015 compared to 9,063 implants two years before.
The Government of Ethiopia is strengthening youth reproductive health services for family planning in universities by giving training on comprehensive family planning for health professionals and by equipping universities’ clinics with family planning commodities. In addition, a multisectoral task force for youth was established and led by the Ministry of Health to expand and strengthen adolescent and youth reproductive health activities.
The federal Ministry of Health has engaged in several activities to strengthen Ethiopia’s family planning program and to increase the number of family planning contraceptive users, with a particular focus on pastoralist communities. The Reproductive Maternal and Neonatal Health Innovation Fund (RIF) has supported interventions in four regions where fertility is high, use of reproductive maternal and neonatal health services is low and where communities lack access to services, such as pastoralist women. PLMU and PFSA conducted supportive supervision and evaluation to monitor stock-outs at service delivery points. The government’s recently revised Reproductive Health Strategy and costed-implementation plan documents contained detailed activities focused on ensuring commodities security and monitoring the availability of contraceptives. The Government of Ethiopia is driven to meet its FP2020 commitments, which prioritize expanding access to Long Acting Reversible Contraceptives (LARCs). IUCD Scale-Up Initiative: Taking into account the early success of the Implanon Scale-Up Initiative and the increasing demand for LARCs in Ethiopia, the Federal Ministry of Health launched and implemented an IUCD scale?up project in 2011 and, based on the results of the first round of the project, the second round has been extended till 2017. The Federal Ministry of Health has implemented activities to increase awareness of long term family planning methods through community mobilization efforts, behavioral change and communication using different media and conducted sensitization workshops focusing on IUCD for regional health office head, program coordinator, and region political leaders and religious, clan and community leaders, youth and women organization.
The revised reproductive health strategy incorporates new strategies for long-acting reversible methods. The government of Madagascar commits to strengthen community mobilization and distribution of contraception by prioritizing the needs of women and girls located in difficult-to-reach areas. The government of Somalia commits to strengthening reproductive health commodity security by developing and implementing a strategy and action plan. Management Sciences for Health (MSH) commits to improving the health systems that support and sustain family planning programs because the success of family planning and reproductive health integrated programming is only as strong as the health system that supports it. MSH pledges to strengthen supply chain systems for family planning commodities and help reduce stock outs by providing tools and technical assistance to ensure contraceptive security. MSH also commits to using and building upon its performance management approaches and frameworks, such as the Leadership Development Program, to help decision makers use real-time data to implement, track and propel results of high-impact practices in family planning. Niger will work to include injectable contraceptives in methods provided by community health workers (CHWs). Niger will also work to increase demand by scaling up the network of 200 Ecole Des Maris (School for Husbands), working with faith based networks, and integrating FP in the school health curriculum. Injectables have been included in the methods that can be provided by community health workers. The Ecole Des Maris (School for Men) are considered very successful and are now nationally scaled (from 11 in 2007 to 610 at the end of 2013; these will continue to expand). Family planning information has been integrated into the school health curriculum in Niger’s capital, but contraceptive methods being offered at schools has not started. The MoH constructed a survey tracking 41 indicators, including contraceptive coverage rate and other RMNCH indicators, defined as being important for achieving national strategies.
Software has been implemented in the 42 districts that allows the MoH to monitor commodities and identify bottlenecks and stock outs.
Faced with costly and complicated product registration processes in several countries, many companies limit their market entry to countries they may perceive as low risk and have significant market potential. RHTargetMarket is an interactive, web-based tool that supports manufacturers in their decision to expand investments in contraceptive markets in FP2020 and other countries. Since the launch of the Implant Access Program (IAP) in 2013, tremendous progress has been made toward expanding contraceptive access and options and strengthening global family planning systems overall. What impact can the Rapid Response Mechanism have on manufacturers of family planning commodities? Alleviating myself from the hassle of having to seek out any birth control when I returned to living in Buenos Aires made the trip back much easier. I didn’t have any trips back to California planned soon, and I was rather frightened about the prospect of having to get birth control without the help of the nice people at Planned Parenthood, or that of my own gynecologist. In Argentina, getting your hands on some birth control is incredibly easy: either request birth control free of charge at a public hospital or health center, or march up to a pharmacy and buy some. If you’re requesting birth control for the first time from a public hospital, you’ll be required to have a medical consultation with a gynecologist beforehand. The prices I list throughout have been gathered from the Farmacity locations in my surrounding area, or by calling up specific branches, but prices may vary slightly from pharmacy to pharmacy. Spanish-speakers can find information on the Programa Nacional de Salud Sexual y Procreacion Responsable. Information on prices and availability is specific to the United States, but much of its material can be useful regardless of geographical location. In addition to being available for free at public hospitals and health centers, the shot was quoted to me at Farmacity at the low price of AR$40. As the shot has to be injected on the same day of each month in order for it to be effective, a lack of reliable availability can lead to imperfect use and subsequently, babies. Unlike the previously-mentioned methods, the patch is not available through the public health system. Like Band-Aids and just about everything that claims to be ‘nude’ in color, the patch comes in only one shade of medium beige, because Caucasian are apparently still the default human color.
It’s kind of weird, I’ll admit; a plastic ring that sits inside of you, it has to be stored in the refrigerator, and like most products marketed to women, it came with the most inane TV commercial.
To use it, you’ll to have to be comfortable sticking your fingers in your vagina at least once a month, but if you can use an o.b.
It is so ubiquitous that like most things male, it has the privilege of just being referred to as a condom, no specification needed. Both work by blocking sperm’s entry to the cervix, and are usually used in conjunction with spermicide. To keep your womb or your partner’s womb empty forever, you can request a vasectomy or have your tubes tied free of charge at a public hospital or health center, after a medical consultation. To obtain a hormonal plastic IUD, which lasts 5 years, you’ll have to go through the private sector.
Claudia Maria Battista is a gynecologist based in Recoleta (3rd floor, Arenales 1611, 4811 6127) who can administer both hormonal and non-hormonal IUDs, after a medical consultation.
Battista has just the thing – the implant, also known as the implante or anticonceptivo subcutaneo.
Hospital Aleman does not, nor does Sanatorio Mater Dei, home of the preferred gynecology department of Florencia Kirchner. The gynecology department of the latter does however offer referrals to gynecologists who can administer IUDs or implants. And while I love impromptu trips to Uruguay as much as anyone, sometimes there just isn’t time for that. The morning-after pill can also be purchased at pharmacies such as Farmacity, where it is available free of age-restrictions and without a prescription. The only other emergency contraceptive on the market, the so-called morning-after pill sold as Plan B, is significantly less effective, becomes less effectual with each passing day and will not work after 72 hours.
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You can talk to your health professional about this as using ECP as a regular method of birth control is not recommended. Therefore, service delivery strategies need to be tailored to reach populations in different locations, such as urban areas, rural towns, villages and remote areas. The service includes education, information, counselling, provision of contraceptive methods and referrals. The service includes education, counselling and the provision of contraceptive methods, such as oral pills, condoms and injectables.
The major advantage of using this approach is that it can provide medically complex methods, such as IUCDs, hormonal implants and sterilisation.


In this approach, CBD workers, usually village women, are trained to educate their neighbours about family planning and to distribute certain contraceptives. In these approaches, contraceptives, such as oral contraceptive pills, condoms and injectables, are sold at reduced, subsidised prices in pharmacies, from market stalls, and so on. When a commercial retail sales approach is used, the retailers are often the customers’ only source of information about the products.
The planning, implementation, monitoring and evaluation processes of all health programmes, including family planning, are very similar and integrated. Such a document is a valuable tool for efficient and effective programme implementation, and should be used regularly and consistently as a monitoring tool at all levels. It is the process by which the organisation assesses its current situation and decides how to scale up to achieve its vision. However, there should be complete harmony between the strategic objectives and the annual targets. The core plan is the summarised form of a plan which mainly focuses on annual targets, major objectives, and major activities, while the comprehensive plan deals with detailed activities, including time of execution and cost.
Next, divide the number of potential acceptors to be visited each month by the number of Health Extension Practitioners at the service site, so that each Health Extension Practitioner will know how many people she will need to visit each month. This provides an important reference which can be used by all staff members, and communicates in a concise way what the project will do and when it will do it. With regard to family planning, you need to know what has to be monitored and how — you can refer to national HMIS technical guidelines. Programme evaluations may be either process evaluation, which examines the appropriate execution of programme components, or outcome evaluation, which examines the benefits of implementing an intervention or any of its components. Keeping records and preparing and analysing reports are effective ways to determine clients’ needs and their use patterns, without doing a formal programme evaluation. The purpose of the ICC is to have an up-to-date and continuous record, in one location, of all transactions for each item in the inventory (refer to HMIS forms). It provides a daily log of the number of client visits, subdivided by the types and quantities of contraceptives dispensed to each client on a monthly basis. It provides summary information from the DAR and ICC concerning the number and types of clients served, and quantities of each type of contraceptive received and dispensed over a three-month period (refer to HMIS forms).
It is usually the monthly average of the quantity of that product that has been dispensed to users during the past three or six months. If the months of supply in your stocks are less than the time remaining before your next delivery of supplies, then you may need to arrange for an emergency delivery (see Table 2.2). They are used to promote the idea of family planning programmes, as well as specific contraceptive methods, and to highlight locations where services and products are available.
In the Ethiopian context, a successful model household can be used to communicate the message to their peers.
For more details, refer to your Health Education, Advocacy and Community Mobilisation Module. These are door-to-door service delivery, facility-based service delivery, community-based distribution (CBD) and commercial retail sales. Keeping records and preparing and analysing reports are effective ways to determine clients’ needs and use patterns, without doing a formal programme evaluation. Media and traditional forms of entertainment can be useful for transmitting this information to the community.
Write your answers in your Study Diary and discuss them with your Tutor at the next Study Support Meeting.
Medically complex methods, such as IUCDs, hormonal implants, and sterilisation, can be provided at these health facilities.
For example, the revised Health Information System (HIS) now integrates family planning and family planning commodities into monitoring and HIS tools at each level of the health system.
Their advocacy efforts resulted in the first ever budget allocation ($1 million) as well as the passing in early 2014 of the new law on family planning. The Association participated in the Contraceptive Security Committee, which plays a leading role in finding solutions to challenges to contraceptive availability. The Planned Parenthood Federation of Nigeria (PPFN), an IPPF Member Association, worked with Ministry of Health technical staff and policy makers to convince them of the importance of realizing this commitment.
Merck continues to work with the Bill & Melinda Gates Foundation and other FP2020 partners in implementing the IMPLANON® Access Program. Since 2003, the ICA Foundation has donated nearly 75,000 LNG IUS devices to organizations in 28 developing countries in an effort to serve the reproductive needs of women and families in resource-poor settings. Sayana® Press combines Depo-Provera with Uniject™, a completely self-contained one-dose injection system that eliminates the need for health workers to store medicines and syringes or measure out doses.
Sayana® Press has been registered or has registration pending in over 10 of the 69 priority family planning markets.
At the country level, the organizations will also work with local governments to help ensure injectable contraceptive methods are included in reproductive health plans and budgets, coordinate health worker trainings, and raise awareness about the availability of Sayana® Press. As part of this commitment, we have launched our first project in partnership with IntraHealth International and the Senegalese Ministry of Health and Social Action to support the expansion of an innovative distribution model which uses incentives to ensure the availability of contraceptive supplies at public health facilities across the country. This will include a minimum of US $54 million per year, from 2013-2019, in increased funding for family planning from UNFPA’s core resources. The Family Health Department is currently developing a pilot project for community-based distribution with Sayana Press in two health districts. The government will further increase its funding to uphold the rights of all people to access and choose voluntary family planning through the strong network of primary health care providers. Members of the task force include representatives from different government ministries, CSOs, and partners. The government has conducted a series of advocacy workshops in pastoralist areas by using religious leaders to address religious, cultural and other related barriers to using family planning. The program is being implemented in Somali, Afar and pastoralist districts of Southern Nations Nationalities and Peoples Region (SNNPR) and Oromiya. About 1.8 million Implanon insertions have been made nationwide by HEWs since the beginning of the scale?up program.
To date, IUCD service has been expanded to 300 woredas (districts) through choice-based interventions. Also, the ministry has ensured continuous supply of long acting family planning commodities to health institutions. Madagascar also pledges to ensure contraceptive security, including products for emergency contraception, to beneficiaries and institutionalize the annual national campaign for family planning.
In addition, Somalia pledges to establish a coordinated supply chain mechanism to ensure continuous availability of high-quality contraceptives and other essential reproductive and maternal health commodities. Madagascar also pledges to increase advocacy about family planning among communities, adolescents and young people, men and religious leaders and commits to strengthening coordination, commitment and collaboration between the public and private sector to improve reproductive health services, training, supplies, equipment and commodities.
In addition, MSH pledges to support national, subnational and local leaders to advocate and plan for achieving FP2020 goals by working through MSH’s global, regional and country projects. In addition, MSH pledges to help build leadership skills at all levels of the health system, including governing bodies, service providers, and community health workers, to align support to FP2020 goals, including expanding MSH's YOUTHLEAD program to build the leadership skills of young family planning champions. They will focus on new strategies to reach marginalized groups, including through Friends of Youth centers, and integrate family planning teaching into school health curricula. To measure progress on the implementation of population policies, Niger will conduct contraceptive coverage surveys every 3 years, as well as conduct a national RHCS survey every year to follow indicators on the security of RH products, with emphasis on the availability of contraceptive products. At the centers, youth can organize activities, hold discussions, and access information on reproductive issues and family planning. The MoH asserts that certain regions, where the schools are present, have seen an increase in family planning coverage rates.
All regions must provide information on all of the indicators during yearly evaluations at a national level. Customized information can help them make informed decisions about where to register contraceptives, facilitate market entry and increase profit-making potential. There are far more brands of the birth control pill available than there are for other methods, which also means that prices vary widely, with a range of AR$30-$120 for a month’s supply at Farmacity. Its oft forgotten counterpart, the female condom, is a mystery to most, as it is not widely available in many parts of the world. The best option for each patient and the price of the IUD must be discussed with the doctor, and Dr. In the case of late-night emergencies, the Farmacity on Florida 474 is open 24 hours a day.
You may also need emergency contraception if you have missed taking contraceptive pills or a condom breaks.
The most common family planning service delivery approaches comprise health facilities, health posts, health centres, hospitals, and community-based distribution, which includes commercial retail sales, door-to-door service delivery, and workplace distribution.
This approach started with the establishment of the Health Extension Programme and has been cost-effective, and the preferred way to reach the majority of people in their homes.
These retailers should be given training in basic information about the products, and how to refer people who have problems with a contraceptive.
Although generally at a higher cost, family planning services are often available from private for-profit healthcare providers. Strategic planning is the way in which it directs its efforts and resources towards what is truly important for the sector. Then, list down all possible activities that can be executed during the period and who would be responsible for each activity.
The activities in work plans are based on the annual plan, which has been developed at woreda level, but also includes more detailed information on activities, such as which villages and households are to be visited, the timing of these visits, and the dates of the supervisory visits, holidays, self-assessment sessions and training.
It includes monitoring of inputs, outputs, outcomes and impacts of health programmes, including family planning. The routine data collection and aggregation process provides a summary of performance data. Information on the quantities dispensed is taken from the DAR or summary reports of dispensed-to-user data (see Figure 2.1). Almost all media are used to promote family planning communications, including radio, television, billboards and brochures. You can check your answers with the Notes on the Self-Assessment Questions at the end of this Module.
In 2013, the government added contraception to the list of free services provided to women as part of maternal health care.
As a result, the government allocated an additional US$8.4 million to purchase contraceptives in 2013. The Family Planning Organization of the Philippines, an IPPF Member Association, are engaged in Track20 project.
The price agreement allows Sayana® Press to be offered to women in FP2020 countries at reduced or zero cost. In addition, stakeholders have sought waivers to make Sayana® Press available in markets where there is no registration. Beside this, the ministry is producing radio and TV messages on family planning and translating these messages into local languages. The implementation of innovative activities aimed at reducing barriers and increasing demand for reproductive maternal and neonatal health (RMNH) services is designed to complement on-going efforts to increase access to services for pastoralist communities in Ethiopia. Furthermore, the government plans to increase institutional and workforce capacity in supply chain management and ensure the reproductive health supply chain is integrated with the emerging national health sector commodity supply chain.
Niger plans to have bi-annual follow-throughs of the supply chain of contraceptive products at the level of all 42 country districts and of the 8 regions as well as the national office of pharmaceutical and chemical products (ONPPC and the 3 regional ONPPC depots).
If going through the public or private system, you’ll have to consult individually to find out if your preferred brand is available. Does their lack of popularity mean there is just something inherently less sexy about tapping up cervixes and covering vaginal walls than sliding a piece of latex over a penis? Battista speaks English, if your Spanish is not up to par to discuss your reproductive system.
Like the IUD, the implant requires no maintenance once it’s in place, and it lasts up to three years. The one-step and two-step pills are available behind the counter for around AR$40, depending on the brand.
Other approaches involve training paramedics, pharmacists, traditional birth attendants, midwives, traditional healers and outreach workers to provide family planning services. Note that, in the Ethiopian health sector context, currently all health services and programmes are integrated and harmonised, so there is no room for parallel or vertical plans.
The most common form of monitoring is often based on input and output indicators using routinely collected service data. Based on agreed Health Management Information Systems (HMIS) performance indicators, the performance monitoring committee will review the adequacy of achievements against the annual targets on a regular basis. This information can be collected by using simple HMIS records, forms and reports (for details, refer to National HMIS technical guidelines). According to a demographic and health survey (DHS), one major health problem of this kebele is a very high maternal and child mortality rate.
To increase access for family planning services, different capacity building for health professionals has been provided.
I won’t lie, a recent NPR article on counterfeit and defective morning-after pills found at pharmacies in Peru does freak me out a bit about the status of morning-after pills worldwide.
In the planning process, you need to ensure that family planning is integrated into other health programmes. Monitoring of outcomes and impacts, on the other hand, requires the collection of target population level data, and for this reason is done at a higher level and for fewer selected priority areas only. In addition, women of the kebele, on average, are estimated to have seven live births in their lifetime.
In addition, facilities have also been better equipped with family planning commodities and supplies. While the hormonal version of the IUD works by emitting hormones locally, the implant sends hormones throughout your bloodstream. The DHS survey also reveals that 40% of couples in the kebele know only one method of contraceptive as a means of birth control, and very few, only 5% of respondents, have received orientation on using condoms to prevent pregnancy.



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