There are many different types of contraception, but not all types are appropriate for all situations. The most appropriate method of birth control depends on an individual’s overall health, age, frequency of sexual activity, number of sexual partners, desire to have children in the future, and family history of certain diseases. Ensuring access for all people to their preferred contraceptive methods advances several human rights including the right to life and liberty, freedom of opinion, expression and choice and the right to work and education, as well as bringing significant health and other benefits.

1. FAMILYPLANNING
BRIEF AND CONCISE CONCEPT

2. EVOLUTION OF PHILIPPINE FP PROGRAM
-FP is implemented for 38 years as health intervention-oriented program
-1970 to 1985, PFFP started as FP service delivery component to achieve fertility reduction by
contraceptive-oriented approach.
-1986 to 1993- FP program underwent another shift that emphasized integration with other RH
programs giving importance to recognizing CHOICE and RIGHT of FP users.
-In line with our commitment to international conference on woman, held in Cairo, and Fourth World
Conference on Woman, held in Beijing.
-Develop policy framework in Reproductive Health(RH). With goal of providing universal access to RH
services as flagship program, implicit in the policy is the right of men and woman to be informed and
to have access to safe, effective affordable and acceptable family planning.
-in 2000, to present , national FP policy, AO No.50-A.s 2001. was formulated the pressecribe policy of
FP service in the country. As family planning as means towards responsible parenthood. Likewise, to
signify government commitment to MDG on improvement of of maternal and childhood health and
child health and reduction of maternity and child mortality.
-Maternal,Newborn,and Child health and Nutrition(MNCHN) strategy in 2008.
-DOH issue AO No.005, s 2011 to ensure quality standard in delivery of FP program and services
through compliance to informed choice and volunterism

3. Philippine Family Planning Program(PFPP)
To empower woman and men to live healthy,
productive and fulfilling lives with right to
achieve their desired family size through
quality, medically sound, and legally
permissible.
VISION
The DOH, in partnership with LGUs,NGOs,
private sectors and communities shall ensure
the availability of FP information and services
to men and woman who need them.
MISSION

4. GUIDING PRINCIPLE OF PFPP
1. Respect for sanctity of life- FP aim to prevent abortion and therefore can save both mother
and children
2. Respect of Human Right-FP services will made available using only medically and legally
permissible methods appropriate to health status of the client.
3. Freedom of choice and volunterism- couple and individuals will make a FP decision base
informed choice including their own moral, cultural or religious beliefs.
4. Respect for the life of clients and determine their desired family size- couple and individuals
have the basic right to decide freely and responsibly the number and spacing of their children.

5. National FP Policy (A.O No.50-A, 2001)
prescribesthekeypoliciesforFPservicesfocusonmodernFPmethodsincludingnaturalFP.Policystatementsthat guideFP programpromotionand
implementation
1. FP as health intervention to promote overall health of all Filipinos particularly the woma nand children
by;
o preventing high-pregnancy
o Preventing unwanted/unplanned pregnancies
o Reducing maternal deaths; and
◦ Responding to unmet needs of woman
2. FP as means towards responsible parenthood.( planning the future reflect the will and ability to
responses to the needs of the family and children)
3. FP information and services will be provided based voluntary and informed choice for men and woman
of reproductive age regardless of age, number of children, marital status religious belief and cultural
values
4. Only medically safe and legally acceptable FP methods shall be made available in all public,NGOs, and
private health facilities
5. Quality care must be promoted and ensured in providing in FP services.( privacy and confidentiality
should be strictly observed in delivering FP services

6. National FP Policy (A.O No.50-A, 2001)
Continue
6. Effort must be undertaken to orient client in fertility awareness as basic information to fully
understand and appreciate FP
7. Multi-agency participation is essential. Involvement of private sector, academe, church,
media, community and other stakeholder must be encourage at all levels of operation.
8. FP services in the context of RH approach, must be integrated with the delivery of other
health services
9. sustainability of FP services and commodities must be promoted through localization and
adaptation of contraceptive self-reliance .

7. MATERNALHIGHRISKFACTORS
Maternal high risk factor refer to;
◦ Too young ( mother who are below 18 years old)
◦ Result to hemorrhage/anemia, toxemia, iron deficiency, miscarriage/stillbirth, prolonged labor)
◦ Low birth weight, birth related defect, prematurity, high incidence of fetal death and morbidity
◦ Too old ( mother who are 35 years old)
◦ Hemorrhage, prolonged labor, toxemia
◦ Too many (mother who have four or more pregnancies)
◦ Hemorrhage, prolonged labor, toxemia
◦ Too close( birth interval less 3 years old)
◦ Anemia and malnutrition
◦ Increase vulnerability and illness
◦ Physical stress
◦ Too ill( mother having chronic disease and disorder.)

8. HEALTHBENEFITSOFFAMILYPLANNING
BENEFITS TO MOTHERS
◦ Significant reduction in maternal mortality and morbidity ‘-using effective FP
methods reduces death and high risk pregnancies among woman who are young, too
old or too ill to bear children safely
◦ Non contraceptive health benefits of hormonal contraceptives
◦ Studies show that combined contraceptive provide significant non contraceptive health benefits,
prevent/reduce ectopic pregnancy, ovarian cyst and cancer, endometrial cancer, benign breast cancer,
excessive menstrual bleeding and anemia, menstrual cramping and discomfort
BENEFITS TO INFANT AND CHILDREN
◦ Reduction of infant and child mortality and morbidity
BENEFITS TO FATHER
◦ Provide enough time for treatment for sick father
◦ Lighten the burden and responsilities in supporting his family
◦ Enable to give the children a good education, good home, and better future

9. THE CONCEPT OF FERTLITY AND JOINT FERTILITY
Fertility is the capacity of the woman to conceive and bear a child and capacity of a man to have
a woman conceive.
When we refer to joint fertility, we focus on both male and female fertility , not separate but a
joint or combine perspective. Joint fertility involves contributions from both the male( sperm)
and the female( egg) resulting to conception of child.
MALE FERTLITY – start on puberty and are always fertile and fertility end at dealth
FEMALE FERTILITY- unlike male, female fertile only on certain days with in menstrual cycle,
which is during ovulation , on the other days are infertile
◦ Fertilization occurs when there are sperm cells available to fertilized at the time of ovulation.
◦ Female fertility end at menopause which occur at 50 years old of age( average )

10. FPSERVICERECORDINCLIENTASSESMENT
Client Assessment is a process by which the health worker learns about the health status,the FP
needs and eligibility of the client for contraceptive use. The first step is assessing client tis to take
client clinical history.
Purpose
 establish client health status
Determine client eligibility for using contraceptive methods
Determine whether the client in good health, needs further examination and management
including closer follow up and referral.
Identify the needs for additional procedure and laboratory

11. Step in client Assessment
1. Note that for each step, client comfort and privacy should always be considered
- greet client cordially
- establish rapport
-establish the purpose of the visit
-explain client procedure including physical and laboratory exam if needed
-encourage client to ask question openly/freely
2. Take and record client client and health history using client Family Planning Service Record Form 1
(FP form 1)
2. Discuss with the client the:
-finding based on the history
-need to perform further examination like physical and laboratory examination
- Need for referral for laboratory examination or further management ;if necessary

12. Client History Taking
Client History Taking is the process of gathering data by interviewing the client about past
and present medical and/reproductive health status. Obtaining the client history during the
initials visit is important to identify needs and factors or conditions that may affect suitability
for using the FP methods. It therefore , it si the responsibility of the service provider to be
able to elicit such information prior to provision of method
Client history taking enable the service provider to:
1. Assesses the client’s reproductive health status and identifies the RH needs of the client.
2. Identify risk factors or area of precuations in the use of a FP method
3. Properly record and verify data gathered in FP Form 1
FP Form 1

13. WHO MEDICAL ELIGIBILITY CRITERIA (WHO MEC )
FOR CONTRACEPTIVE USE
WHO MEC is an available references tool for assessing clients on their eligibility for initiating and
continuing the use method. It give recommendation based on the latest clinical evidence available on
the safety of the methods for the people with certain health conditions. On the basis of these
recommendations, possible conditions of client wanting to initiate or continue using contraceptive
method are classified under one of the following four categories listed
CATEGORY 1- A condition that has NO RESTRICTION on the used of contraceptive methods
CATEGORY 2- A condition where THE ADVANTAGE of using the method generally OUTWEIGH
the theoretical and proven RISK. This method can be use GENERALLY used,
but CAREFUL FOLLOW UP may required
CATEGORY 3- A condition where the THEORITICAL OR PROVEN RISK usually OUTWEIGH the
ADVANTAGE of using the methods, use of this method is NOT RECOMMENDED
UNLESS OTHER MORE APPROPRIATE METHOD ARE NOT AVAIALBLE OR
ACCEPTABLE
CATEGORY 4- UNACCEPTABLE HEALTH RISK , DO NOT PROVIDE THE METHOD

14. WHOMECWHEELFORCONTRACEPTIVE
MECWHEELINCLUDERECOMMENDATIONoninitiatinguseofSIXCOMMONTYPEOF
CONTRACEPTIVE
1.CombinedPills(lowdoseoralcontraceptive)
2.Combinedinjectablecontraceptive
3.Progestinonlypills
4.Progestinonlyinjectable,DMPA(onceevery3months),andNETEN(onceeverytwo
months)
5.Progesteroneonlyimplant(Norplant,Jadelle,Implanon)
6.CopperbearingIUD.

15. DETERMINING IF A WOMAN IS NOT
PREGNANT
NO
GIVE BIRTH WITHIN LAST SIX MONTH, ARE YOU FULLY
BREASTFEEDING OR NEARLY FULLY BREASTFEEDING?, AND HAD
MENSTRUAL CYCLE?
YES
NO
HAVE YOU ABSTAINED FROM SEXUAL INTERCOURSE SINCE YOUR
LAST MENSTRUSL PERIOD?
YES
NO HAVE YOU HAD BABY IN THE LAST 4 WEEKS? YES
NO
DID YOUR LAST MENSTRUAL PERIOD START WITHIN THE LAST 7
DAYS
YES
NO
HAVE YOU HAD A MISCARRIAGE OR ABORTION IN THE LAST 7
DAYS
YES
NO
HAVE YOU BEEN USING A RELAIBLE CONTRACEPTIVE METHOD
CONSISTENTLY AND CORRECTLY
YES

16. FERTILITYAWARENESS-BASEDMETHODAND
LACTATIONAMENORRHEAMETHOD
areFPmethodthatfocusontheawareness ofthebeginningandendoffertiletimeonwomanmenstrualcycle.
Thesemethodinvolve
◦ 1.determinationoffertileandinfertileperiods within themenstrualcycle
◦ 2.Observation ofsignandsymptoms ofinfertileandfertileduringmenstrualcycle
SIGNOFFERTILITY
1. Changesincervicalmucus
2. Changeinbasal body temperature
3. Thefirstday ofmenstruation is thesignforkeepingtrackofwomanmenstrualcycle.

17. FABMETHODS
1.CERVICALMUCUS/BILLINGOVULATIONMETHODS-
◦ basedontheobservationof womanseefeel athervaginaarea.Apracticeofcouplestoavoidpregnancy.Onthe4th daysorlast
menstruation.Alldryareabsolutelyinfertile. Couplemayengagesexualintercoursealternatenightonly,withcorrectuse, 97
%effective,withtypicaluse98%effective. Spinbarkhiettestformucustodeterminestatusof mucusisnecessary. Thetwo
daysmucusbasedmethodrulestatethatsignify thatintercoursewillnotresulttopregnancy
2.BASALBODYTEMPERATURE-basedonwomanrestingtemperature.Whichislowerbefore ovulationandbodytemperature
higherlevelbeginningaroundthetimeofovulation.
3.SYMPTO-THERMALMETHOD(SDM)-combinedofbasalbodytemperatureandcervicalmethod/billingovulationmethod. Methods
is98percentteffective whencorrectlyuse.
4.STANDARDDAYSMETHOD(SDM)-basedoncalculatedfertile andinfertile periodformenstrualcycle.Qualifiedwomanhas26
to32 dayscycle. Counselledcouplestoabstainsexualintercourseon day8-19toavoidpregnancy.Methodsdeviceiscalled“cycle
beads”.

18. ADVANTAGEOFFABMETHOD
1. effective when use correctly
2. No physical side effect
3. No prescription needed
4. inexpensive
5. no follow up, no medical appointment
6. better understanding of the couple about
sexual physiology and reproduction
7. shared responsibility
8. foster better communication
9.
DISADVANTAGEOFFABMETHOD
1. Inhibit sexual
2. No physical side effect
3. No prescription needed
4. inexpensive
5. no follow up, no medical appointment
6. better understanding of the couple about
sexual physiology and reproduction
7. shared responsibility
8. foster better communication
9.