BScNM BPH BARRIER METHODS USED IN FAMILY PLANNING PROGRAM What will be discussed Barrier contraceptive methods Introduction to available methods Counselling Emphasis on male condom Learning Outcomes ID: 1000054
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1. JUSTINE BAGIRISANO, RM, BScNM, BPHBARRIER METHODS USED IN FAMILY PLANNING PROGRAM
2. What will be discussed:Barrier contraceptive methodsIntroduction to available methodsCounsellingEmphasis on male condom
3. Learning OutcomesBarrier contraceptive methodsDiscusseffectiveness, risks, indication and contra indicationadvantages and disadvantagesside effects/complicationsTeach the condom useWhat else do you expect from this session?
4. Barrier MethodsTo prevent pregnancy: block ovum and sperm from meeting Barrier methods may have failure rates due to design and human error
5. Barrier Contraceptive MethodsMECANICAL METHODSCHEMICAL METHOD BOTHCondoms- Male/FemaleSpermicides in form:mousses (Delfen*),gel, crèmes (Koromex*), ovules, comprimés moussants (Conceptrol*)IUD (Copper or Melena) &DiaphragmCervical CapSpongeCervical ring
6. Family Planning Counselling for Barrier Use During the first visit:Ensure privacyTell to the client to come before finishing all condomsAsk if she/he is satisfied of services delivered to her/himEncourage the client to ask/respond to questions for clarificationProvide condoms when requestedRemind her/him that condoms are also provided by CHWsThank the client, accompany him/her, and say "goodbye"
7. Family Planning Counselling for Barrier Use During the second and other following:Ensure privacyAsk to client if she/he is satisfied about using condomsAsk if she/he wants to use condom againIf not, help the client to choose another method
8. Diaphragm
9. Cervical Cap
10. Sponge
11. Vaginal Ring (NUVARING)Effective: 95-99% Does not require prescriptioncan make periods more regular and less painful, no pill to take daily, ability to become pregnant returns quickly when use is stopped.
12. Male CondomLatex and Polyurethane Water or oil based lubricantsNo prescription is needed
13. Male CondomPrevention: pregnancy and spread of STD’s/HIV86-97 % effective
14. Male CondomCombining condoms with spermicides raises effectiveness levels to 99%
15. Advantages and DisadvantagesAdvantagesDisadvantagesNo medical prescriptionCheap Easy to teach/useCan be used while waiting to use another methodMen participation in FP programNo systematic side effectsCan prevent premature ejaculationRequire partner motivationPossibility of condom damageInterfere with sexual intercourse
16. AdvantagesDisadvantagesDoes not interfere with BreastfeedingThe only reversible method for menIs integrated in Community-Based Provision program Interrupt the prelude of intercourse (Must immediately be available)Possibility of allergy on latexThe couple may stop use it or forget Advantages and Disadvantages
17. Female CondomAlternative to male condomsLubricated polyurethane sheathPhysically inserted in the vagina79-95% effectiveNo prescription
18. Advantages and DisadvantagesAdvantagesDisadvantagesPrevent: HIV/STIs and pregnancyNo side effect (only when dammaged or poor hygiene) Expensive (around 1 USD)Cultural BARRIERMust be immediately availableUncomfortable when insertsome women: no orgasmMisused: side effects (STIs, Pregnancy)
19. Indication and Contraindication Male & Female CondomIndicationsContraindication Choice of the coupleOccasional sexual intercourseDiscordant coupleFor anyone Allergic to latex Impossible to maintain erection Not long term method
20. Instructions for ClientsAvailability of condoms all the timeCombine condom and spermicides for maximum effectivenessNever open the condom envelop with teeth, knife, scissors or other sharp instrumentsDon’t use the condom if the envelop is damagedDo not add other types of oil to increase the lubrication to avoid damageCondoms are single useNote the expiry date
21. Female Condom
22. Male Condom
23. SummaryDo you feel confident to be able to explain how to use male and female condom use?Types of barrier methodsAdvantages and DisadvantagesEffectivenessInstructions for use