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COUNSELING FOR CONTRACEPTION

COUNSELING FOR CONTRACEPTION. Dr. ROZA OLYAI, CHAIRPERSON ADOLESCENT HEALTH COMMITTEE, FOGSI Dr. DURGA SHANKAR DASH, CUTTACK,ORISSA. “A Single Conversation With A Wise Man Is Better Than Ten Years Of Study.” - Chinese proverb. Family Planning – Counseling

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COUNSELING FOR CONTRACEPTION

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  1. COUNSELING FOR CONTRACEPTION Dr. ROZA OLYAI, CHAIRPERSON ADOLESCENT HEALTH COMMITTEE, FOGSI Dr. DURGA SHANKAR DASH, CUTTACK,ORISSA

  2. “A Single Conversation With A Wise Man Is Better Than Ten Years Of Study.” - Chinese proverb

  3. Family Planning – Counseling Counseling is a key element in quality of care and is also as important part of both initiation and follow-up visits and should respond to client’s needs not only in contraception but also related to Sexuality and the prevention of STI’s, including infection with HIV.

  4. Family Planning Education Provides information on all available methods. Provides up-to-date and unbiased information. Uses one-or two-way communication. Can be done through individual group or mass communication. Dispels rumours & misconceptions Encourages the client to ask questions Involves active listening Assures that client is fully informed Helps client make her /his own choice.

  5. Objectives of counseling in FP services • To provide complete and accurate information • To identify and discuss fears, concerns, a client may have • To help the client to choose the best available alternative - To ensure that the client understands, help/advice of health personnel available whenever needed

  6. Principles Focuses on individual client’s needs and situation by assuring: - Confidentiality - Voluntary choice - Informed consent - Client’s rights - Empowerment

  7. C – credibility O – observant U – unbiased N – non-judgmental S – sensitive E – empathetic L – listens effectively L – lets client decide O – open-minded R – respects the rights of client GOOD COUNSELLOR

  8. GATHER ( WHO Recommendation for Contraceptive Counseling) • Greetthe client in a friendly and respectful manner. • Ask the client about Family Planning needs. • Tell the client about different methods / services. • Help the client to make her/his own decision about which method/service to use. • Explain to the client how to use the method/services she/he has chosen. • Return visit and follow-ups of client scheduled.

  9. The Clinician’s/Counselor’s priorities • Recognize the patient’s goals for control of fertility. • Identify the patient’s health risks that result in some methods being preferred over others. • Determine the patient’s ability to consistently and correctly use the preferred method.

  10. Fertility Goals Method Characteristics The Patient’s Goals for Fertility Control STI = sexually transmitted infection. Forrest JD. Obstet Gynecol. 1993;82:105-111.

  11. Key Points For Counselor • Client’s need to be put first. • Customized to the individual’s need. • Develop good rapport with client. • Listen and empathize. • Facilitate the client in making informed decision. Effective counseling improves client satisfaction.

  12. Issues to be addressed during counseling • Choice of methods- overview & information for chosen method. • Medical eligibility criteria. • Possible side-effects & benefits and risks. • How to use. • When to start. • What to remember. • Follow-up and support • Consistent and correct usage. • Life style issues • Method failure and its management Provide the method which the client chooses, provided there are no contraindications.

  13. Rights Of The Client ? It is important to remember that they have: • The right to decide whether or not to practice family planning. • The freedom to choose which method to use. • The right to privacy and confidentiality. • The right to complete and accurate information. • The right to form/express their own opinions, • The right to refuse any type of examination.

  14. “Sometimes The Best helping Hand You Can Get Is A Good, Firm Push.” - Joann Thomas

  15. Summary • Each visit with a female patient should include a discussion of her contraception needs • General counseling and education principles can be applied when discussing contraception • The counseling process is ongoing • Assessment of patient needs • Education on risks and benefits of methods • Education on proper use • Education on what to do if there is method failure

  16. Thanks to all contributors. Dr Adarsh Bhargava. Dr Ashwini Bhalerao. Dr Alka Kriplani. Dr. Kalpana Apte. Dr Mala Arora. Dr.Meenakshi Bharath. Dr. Mandakini Parihar. Dr.Nozer Sheriar. Dr.Parikshit Tank. Dr. Roza Olyai. Dr.Sasikala Kola. Dr.Sujata Mishra.

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