PROGRAMS RELATED TO
FAMILY HEALTH
FAMILY PLANNING refers to a program which enables couples and individuals to decide
freely and responsibly the number and spacing of their children and to have the
information and means to do so, and to have access to a full range of safe, affordable,
effective, nonabortificacient modern natural and artificial methods of planning pregnancy
(Congress of the Philippines, 2012).
Republic Act No. 10354
The Responsible Parenthood and Reproductive
Health Act of 2012 (RPRH Act)
• In 2003, there are about 84M Filipinos to grow
annually at 2.36% and expected to double in 29
years.
• The total fertility rate is at 3.5 children/women.
• The use of contraceptive increases gradually from
15.4% (1996), 48.9% (2003), to 57% (2018).
• 44% of women got pregnant with their first child at
the age of 20-24.
• In 2003, among married women, 48.8% use any
form of contraceptive method and 51.1% do not
use any form of contraceptive at all.
• In 2018, modern Contraceptive Prevalence Rate
(mCPR) increased from 53% to 57% (FHSIS). The
target mCPR is 65% for married women of
reproductive age.
• 43% women of reproductive age have not yet been
served and remains to have unmet need for
modern family planning.
• 835,000 unintended pregnancies that could have
been avoided, 492,000 possible abortions
prevented, and 440 maternal deaths that could
have been averted.
NATIONAL FAMILY PLANNING PROGRAM (NFPP)
A national mandated priority public health program to attain the country's national
health development: a health intervention program and an important tool for the
improvement of the health and welfare of mothers, children and other members of the
family. It also provides information and services for the couples of reproductive age to
plan their family according to their beliefs and circumstances through legally and
medically acceptable family planning methods.
BENEFITS OF FAMILY PLANNING
Mother
• Enables her to regain her health after delivery.
• Prevents pregnancy-related health risks
• Gives enough time and opportunity to love and
provide attention to her husband and children.
• Gives more time for her family and own personal
advancement.
• When suffering from an illness, gives enough
time for treatment and recovery.
Children
• Reduces infant mortality
• Healthy mothers produce healthy children.
• Will get all the attention, security, love, and care they
deserve.
Father
• Lightens the burden and responsibility in supporting his
family.
• Enables him to give his children their basic needs
(food, shelter, education, and better future).
• Gives him time for his family and own personal
advancement.
• When suffering from an illness, gives enough time for
treatment and recovery.
PURPOSE OF FAMILY PLANNING
PREVENT PREGNANCY
Due to: mother has medical condition, parents have
genetic disorders, achieved directed number of
children, plan spacing
PURPOSE OF FAMILY PLANNING
PLAN PREGNANCY
ABSTINENCE
The only completely effective means of preventing pregnancy.
NATURAL
FAMILY
NFP – Inexpensive, not hazardous,
approved by some religions
- Identify fertile periods/unsafe
days
PLANNING
NATURAL
FAMILY
PLANNING
SIGNS OF
OVULATION
SIGNS OF OVULATION
Mittelschmerz
Increase Body Temperature Cervical Mucus Unilateral Pelvic Pain
Breast tenderness
Blooming Increase Sexual Urge
CONTRACEPTION
– voluntary prevention of pregnancy
• Natural or Fertility
Awareness Method
- Standard Days Method
(Cycle Beads)
- Lactation Amenorrhea
Mehtod (LAM)
- Basal Body Temp.
- Billings Ovulation/Cervical
Mucus Method
- Symptothermal Method
- Rhythm Method
- Coitus Interruption
• Artificial Methods
- Condom (Male & Female)
- Injectibles
- Oral Contraceptive Pills
- Intrauterine Device
• Permanent Methods
- Vasectomy
- Bilateral Tubal Ligation
• Use within 6 months after delivery
• Exclusive Breastfeeding
• No Pacifier
No sexual intercourse from 5th to 24th of the cycle
ORGASM
COITUS
INTERRUPTUS!!!
ABSTINENCE
➢ Most effective
➢ Difficult compliance
• DepoProvera, DMPA, MedroxyProgesterone
• IM every 3 months
• Can be used in breastfeeding
Contraindications: Smokers, DVT, CVD, DM, HPN, Estrogen-dependent cancers
ORAL CONTRACEPTIVE PILLS
A bdominal pain
C hest pain
H eadache (severe)
Eye (blurring of vision)
S harp leg pain
INTRAUTERINE DEVICE
Period is delayed
Abdominal pain
Increased temperature
Noticeable vaginal discharge
String periodically checked
After 10 to 20 Anatomic Success: 40% - 90%
100 % safe Clinical Success: 18% - 60%
Ejaculations
50% to 70% successful reversal rate
But with high percentage of ectopic pregnancy
POSTPARTUM CONTRACEPTION CONSIDERATIONS
• Breastfeeding – Lactation Amenorrhea Method
• Fertility Awareness:
- Not reliable until menstrual cycles are re-established
- Not breastfeeding: Menses returns at 4-6 weeks
• IUD – wait 6-8 weeks for complete involution
• Pharmacologic Methods - Minipills
