RPH

Includes bibliographical references. (50 plus ref.). ; This volume presents recommendations developed by the Technical Guidance/Competence Working Group of the US Agency for International Development, in collaboration with the World Health Organization, for updating contraceptive delivery services to make them consistent with current clinical and epidemiologic evidence. Its objective is to improve both access to and the quality of family planning (FP) services through better use of resources. Section 1 contains information in a question-and-answer format on female sterilization, vasectomy, combined injectable contraceptives, levonorgestrel-releasing IUDs, the lactational amenorrhea method, natural FP, withdrawal, progestin-only pills during breast feeding, barrier methods, and oral contraceptives as emergency contraceptive pills. Pelvic examination, blood pressure, breast examination, sexually transmitted disease (STD) screening, cervical cancer (CC) screening, mandatory lab tests, infection prevention procedures, and counseling are discussed in relation to each of these methods. Section 2 contains checklists for use by health care workers in community-based service settings to use to identify appropriate candidates for combined oral contraceptive and injectable use. Finally, Section 3 contains information on reproductive health issues such as client-provider interaction, contraceptive method efficacy, STD risk assessment, dual method use, FP methods, protection against STDs, and CC prevention.