PostpartumFPMessages

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Information about PostpartumFPMessages
Education

Published on January 15, 2008

Author: Umberto

Source: authorstream.com

The year of living dangerously…. Women in the first year postpartum:  The year of living dangerously…. Women in the first year postpartum Catharine McKaig 11 December 2007 Slide2:  “My husband also wanted to delay, but after the birth we did not care to use contraceptive methods. We were thinking that after menstruation begins, we will follow the rhythm method, but I didn’t see menstruation. Within this time, I became pregnant again. My second child arrived one year after the first birth.” –New mother, Sylhet Bangladesh Session Outline:  Session Outline Case for Community-based PPFP Program experience and messages LAM and beyond Maximizing postpartum contacts Example from Burkina Faso, Kenya Resources The Case for PPFP: Mortality and Unmet Need:  The Case for PPFP: Mortality and Unmet Need Maternal mortality reduction 32% Child mortality reduction 10% Address unmet need 3-4 times higher than for all women Waiting for Immunization Services, Sylhet, Bangladesh Photo by S. Ahmed Unmet need: 1st year postpartum and all women:  Unmet need: 1st year postpartum and all women Borda, M. Family Planning Needs during the First Year Postpartum. ACCESS-FP Postpartum women are in the communities:  Postpartum women are in the communities 50% of deliveries worldwide take place in the home 70% of those women receive no postpartum care And no or limited opportunity for PPFP Service contacts are multiple, but not systematically integrated:  Service contacts are multiple, but not systematically integrated *Fort, A. et al. Postpartum care. DHS Comparative Reports 15 Slide8:  FAMILY PLANNING ANC-FP messages- Immediate Post Partum Family Planning 0-48 hours Postpartum FP 6 wk visit Extended postpartum FP 6 weeks to 12 months Birth Preparedness ANC Delivery care 3-6 days 6 weeks POSTPARTUM Immunization EBF 6wks Immunization EBF 10 wks Immunization EBF 14 wks Infant feeding 6 mo Immunization-Measles 9 mo TT Immunization Immediate Neonatal care 6-12 hrs Later postnatal 3-6 days Immediate postpartum 6-12 hrs MATERNAL HEALTH NEONATAL & INFANT HEALTH PMTCT PED CARE PROGRAMMATIC FRAMEWORK: PPFP IN AN INTEGRATED CONTEXT HIV Opportunities? Antenatal Messages:  Antenatal Messages Immediate and exclusive breastfeeding Fertility intentions and return to fertility LAM or other methods as fertility intentions indicate Pregnancy spacing Counseling, Syhlet Bangladesh Photo by B. de Negri Immediate Postpartum Messages:  Immediate Postpartum Messages Exclusive breastfeeding Fertility intentions and return to fertility Pregnancy spacing LAM or other methods as fertility intentions indicate Importance of postnatal care Postpartum Family Planning Counseling, Burkina Faso Photo by C. McKaig PNC Messages- 6 weeks :  PNC Messages- 6 weeks Exclusive breastfeeding Fertility intentions and return to fertility Pregnancy spacing LAM or other methods as fertility intentions indicate Contraceptive choices that have no affect on breastfeeding Importance of well baby care PNC Counseling, Embu Kenya Photo by H. Blanchard Messages for Well Baby Care:  Messages for Well Baby Care Exclusive breastfeeding through first six months, then complementary feeding Fertility intentions and return to fertility Pregnancy spacing LAM and transition to other methods as fertility intentions indicate Contraceptive choices that have no affect on breastfeeding Well Baby Visit, Sylhet Bangladesh Photo by S. Ahmed NO Missed Opportunity! At every Immunization visit, ASK about FP intentions and LAM transition plan! :  NO Missed Opportunity! At every Immunization visit, ASK about FP intentions and LAM transition plan! Family Planning & well baby Clinic Think, and provide the Link! Kenya: Comparison of 6 week immunization and PNC/FP:  Kenya: Comparison of 6 week immunization and PNC/FP Burkina Faso: Revitalize LAM and transition- ACCESS-FP and IRH/Georgetown:  Burkina Faso: Revitalize LAM and transition- ACCESS-FP and IRH/Georgetown Advocacy on LAM & transition to other methods 9 health facility sites in Ouagadougou LAM training combined with CTU Messages simplified on exclusive breastfeeding Support supervision- note accomplishments for service providers Lessons learned from Burkina Faso:  Lessons learned from Burkina Faso Take home brochures for LAM for clients with pictures of the three criteria and messages on the need to transition Routine promotion of LAM provided women information about their pregnancy risk Women systematically reached- ANC, delivery, PNC Resource list:  Resource list Postpartum Contraception Options ACCESS- FP www.accesstohealth.org Programmatic Framework for Postpartum Family Planning in an Integrated Service Context ACCESS-FP www.accesstohealth.org The IUD: A Contraceptive Option for Postpartum and PostabortionACCESS-FPwww.accesstohealth.org The Lactational Amenorrhea Method (LAM): A Postpartum Contraceptive Choice for Women who Breastfeed. ACCESS-FPwww.accesstohealth.org Family Planning for Postpartum Women: Seizing a missed opportunity. USAID/MAQwww.maqweb.org Postpartum Contraception: Family Planning Methods and Birth Spacing After Childbirth. ACCESS-FPwww.accesstohealth.org Contraception after Pregnancy Part of “Contraception and Reproductive Health Services” FHIwww.fhi.org/training/en/modules/AFTER/default.htm Postpartum and Postabortion Contraception Module 13 in “Comprehensive Reproductive Health and Family Planning Training Curriculum”Pathfinderwww.pathfind.org/pf/pubs/module13.pdf Slide19:  Embu, Kenya Photo by A. Nash-Mercado

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