FAMILY PLANNING

By: Rae Angeli S. Penales, RN, USRN

Principles
Responsible Parenthood
each family has the right and duty to determine the desired number of children they might have and when they might have them.

Responsible Parenting proper ubringing and education of chidren so that they grow up to be upright, productive and civic-minded citizens

Birth Spacing

interval between pregnancies (which is ideally 3 years). - It enables women to recover their health - improves women's potential to be more productive - realize their personal aspirations - allows more time to care for children and spouse/husband

Informed Choice

upholding and ensuring the rights of couples to determine the number and spacing of their children according to their life's aspirations reminding couples that planning size of their families have a direct bearing on the quality of their children's and their own lives

Respect for Life

Abortion is NOT a FP method

Intended Audience
Men and women of reproductive age (15-49) years old including

adolescents

Mandate
EO 119
EXECUTIVE ORDER NO. 119 (January 30, 1987) REORGANIZING THE MINISTRY OF HEALTH, ITS ATTACHED AGENCIES AND FOR OTHER PURPOSES.

EO 102
EXECUTIVE ORDER NO. 102 (May 24, 1999) REDIRECTING THE FUNCTIONS AND OPERATIONS OF THE DEPARTMENT OF HEALTH

Vision
Empowered men and women living healthy, productive and fulfilling lives and exercising the right to regulate their own fertility through legally and acceptable family planning services.

Mission
The DOH in partnership with LGUs, NGOs, the private sectors and communities ensures the availability

of FP information and services

to men and women who need them.

Program Goals
To provide universal access to FP information, education and services whenever and wherever these are needed.

Objectives
To help couples, individuals achieve their desired family size within the context of responsible parenthood
and improve

their reproductive health.

Reduce:
- Maternal mortality rate - Infant mortality rate - Total fertility rate Increase:

- Contraceptive Prevalence rate - Proportion of modern FP methods use

Key Result Areas

1. Policy, guidelines and plans formulation 2. Standard setting 3. Technical assistance to CHDs/LGUs and other partner agencies 4. Advocacy, social mobilization 5. Information, education and counselling 6. Capability building for trainers of CHDs/LGUs 7. Logistics management 8. Monitoring and evaluation 9. Research and development

Strategies
I. Frontline participation of DOHretained hospitals
II. Family Planning for the urban and

rural poor III. Demand Generation through

Community-Based Management Information System

IV. Mainstreaming Natural Family Planning in the public and NGO health facilities V. Strengthening FP in the regions with high unmet need for FP:

CAR, CHD 5, 8, NCR, ARMM

VI. Contraceptive Interdependence Initiative

Major Activities
I. Frontline participation of DOHretained hospitals

II. Family Planning for the urban and rural poor III. Demand Generation through
Community-Based Management Information System

IV. Mainstreaming Natural Family Planning in the public and NGO

health facilities V. Strengthening FP in the regions with high unmet need for FP: CAR, CHD 5, 8, NCR, ARMM VI. Contraceptive Interdependence Initiative VII. Development /Updating of FP
Clinical Standards

I.

Formulation of FP related policies/guidelines. of FP advocacy and IEC materials

II. Production and reproduction

III. Provision of logistics support

such as FP commodities and VS drugs and medical supplies

Other partners
1. Funding Agencies 2. NGOs 3. Other GOs

QUESTIONS

Modern Methods of FP
By DOH (2010)
Benefits: - Mother - Father - Children - Family

Contraindications to artificial methods

History of coronary diseases, stroke, blood clotting problems History of cancer of the reproductive system Abnormal liver function Pregnancy Smoker Hypertension Vaginal bleeding Smoker High cholesterol

Temporary artificial methods:

Condom
- 98% effective - Protection Against STD - Cheap - Can break - Allergy to latex

Injectables for women

2 types: - Combined injectable contraceptive > 99.95% effective >Once a month >Should not be used when breastfeeding

- Progestin only injectable > 99.7% effective > Once in 3 months > No effect on lactation

Pills
2 types: - Combined oral contraceptive > 99.7% effective > Inhibits ovulation > Not ideal for breastfeeding mothers

- Progestin only pills > 99.5% effective > Inhibits ovulation > May be used by lactating mothers

HOW DO PILLS ACT?

Signals your body that you are pregnant thereby inhibiting ovulation Makes the environment of the uterus less likely to get a pregnancy started Thickens your cervical mucus thereby making it difficult for the sperm to pass thru Estrogen affects the quality and quantity of the breastmilk

Contraindications to natural methods:

Illness Irregular menses Inability to keep careful records

Natural methods
Standard Days Method
- 95% effective - Uses cycle beads - Ideal for females with 26-32 days menstrual cycle - Abstinence is important during fertile days

Cycle beads

Lactation Amenorrhea Method

99.5% effective Inhibits ovulation

Has the following conditions to be effective: 1. Exclusive breastfeeding 2. Amenorrhea 3. Baby is less than 6 months old

Basal Body Temperature

- 99% effective - Body temperature should be taken prior to getting out of bed

- Abstinence is important during ferile

periods

 Billings Ovulation or Cervical Mucus Method

- 97% effective - Cervical mucus is observed

- Abstinence should be observed

during fertile periods

Sympto-thermal Method
- 98% effective
- A combination of BBT, CMM, and other pre-menstrual symptoms

- Abstinence should be observed on

fertile periods

Permanent/ Long term Methods

Intrauterine Device
- 99.4 effective - Up to 10 - cheap

years effectivity

- No effects on lactation
- Best inserted after

menstruation

COPPER IUD
Immobilizes sperm Changes the lining of the uterus Does not affect ovulation and menstruation

HORMONAL IUD
Contains small amounts of progestin Thickens cervical mucus Slows down the growth of cervical lining Reduces menstrual bleeding Approved for use up to 5 years

No Scalpel Vasectomy
- 99.9% effective

- Vas deferens is tied to prevent

thorough passage of sperm during ejaculation

Bilateral Tubal Ligation

- 99.5% effective

- Fallopian tubes are cut and tied to

prevent thorough passage of the egg during ovulation

QUESTIONS

RH Bill
The Responsible Parenthood, Reproductive Health and Population and Development Act of 2011 Author: Senator Miriam DefensorSantiago

 ABORTION is not legal however

care to post-abortion patients should be given without prejudice.

ALL types of FP method should be

made available to the public.

WHY IS IT CONTROVERSIAL?
Sec. 7. Access to Family Planning. All

accredited public and private health facilities shall provide a full range of modern family planning methods,
except in specialty hospitals which may render such services on an optional basis. No person shall be denied

information and access to family planning services.

Sec. 9. Family Planning Supplies as Essential Medicines. The National Drug

Formulary shall include hormonal contraceptives, intrauterine devices, injectables and other safe, legal and effective family planning products and supplies in accordance (with FDA guidelines). These products and supplies
shall also be included in the regular purchase of essential medicines and supplies of all national and local hospitals, provincial, city, and municipal health offices, including rural health units.

WHY IS IT NECESSARY?
11 MOTHERS DIE EVERYDAY!
3,000 to 5,000 mothers die every year 162 mothers out of 100,000 live births die 11% of all deaths among women of reproductive age in the Philippines are maternal deaths 23 million (from 15 to 49 years old) are of reproductive age 15 million are at risk of pregnancy

SEC. 5. Midwives for Skilled Attendance

The Local Government Units (LGUs) with the assistance of the DOH, shall employ an adequate number of midwives through regular employment or service contracting, subject to the provisions of the Local Government Code, to achieve a minimum ratio of one (1)

fulltime skilled birth attendant for every one hundred fifty (150) deliveries per year, to be based on the
annual number of actual deliveries or live births for the past two (2) years; Provided, That people in geographically isolated and depressed areas shall be provided the same level of access.
QUESTIONS

THANK YOU