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Healthy Timing &
Spacing of
Pregnancy
Fertility Awareness Methods
Cindy Uttley,
Community Health
Advisor
HTSP
An emphasis on
health of mothers &
children, not size of
family
“Which…do you think was a neighbor?”
“The one who had mercy on him.”
“Jesus told him, ’Go and do likewise.’”
“Woman, has no one
condemned you?
“Then neither do I
condemn you.”
This morning…..
• Barriers
• Advantages
• Samaritan’s Purse
Approach
Barriers to use of
HTSP methods
• Fear
• Disapproval
• Access
Fear
• Side effects – either
minor or serious
• Existing disease
conditions
• Failure
Disapproval
• Spouse
• Religious leaders
• Family
• Community
Access
• Cost
• Availability
• Ease of use
• Cooperation of partner
Advantages of
Fertility Awareness
Methods
• Effective &
affordable
• No side effects
• Includes partner
Effective & Affordable
• 95% effective
• Minimal to no cost
• Easy to use
• No need for follow-up visits
to health center
No Side Effects
• Use only as needed
• Normal menstruation
• No impact on mood
• No physical changes
• No serious health problems
Includes Partner
• Promotes communication
• Provides woman with
“leverage”
• Mutual responsibility
• Infrequent intercourse
Fertility
Awareness
Methods
• Standard Days
• TwoDays
• Lactational
Amenorrhea
Standard Days Method
• “Cyclebeads” - low cost
• Daily reinforcement
• Cycles of 26 -32 days
• Adaptable to context
TwoDays Method
• Vaginal secretions
• Simple to learn
• “If I am wet today, I can get
a baby today or tomorrow”
Lactational
Amenorrhea Method
• Exclusive breastfeeding
• No menstruation
• Prevents ovulation
Samaritan’s Purse
Approach
• Evolving
• Involves Local Church
• Care Groups
• Future?
Evolving
• Emphasis on local church
• Awareness raising &
referral
• Teaching FAMs, homemade
“cyclebeads”
Involves Local Church
• Biblical view of women &
marriage
• Literacy, livelihoods, health
promotion
Care Groups
• Support Groups
• Training of Trainers
• Wide coverage
• Consistent, contextualized
messaging
• Include sessions with men
Future
• Expand promotion of
TwoDays method
• Possible pilot projects
Thank you!
www.samaritanspurse.org

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