session ii, slide #1111 family planning counseling session ii:

Session II, Slide #1111

Family Planning CounselingSession II:


FP Counseling:

Beliefs and Attitudes

• Be aware of your beliefs and attitudes

• Clients may not return if they feel judged or pushed

• Remain neutral and nonjudgmental

• Respect the rights of your clients

• Practice helps


Communication and Counseling Skills

• Success of FP counseling depends on ability to establish and maintain a good connection:

– Builds trust

– Helps client relax

– Helps client communicate openly

• Good communication and counseling skills are keys for maintaining good connection throughout the counseling session


Communicating Effectively and Maintaining Rapport

• Show respect

• Be relaxed, friendly and attentive

• Use simple, clear language

• Use open-ended and probing questions appropriately

• Listen carefully to client

• Ask client about feelings

• Encourage client participation

• Explain what will occur during visit and procedures

• Ensure client understanding and correct misunderstandings

• Use job aids appropriately

• Correctly record information on data-collection forms


Stages of FP Counseling

1

2

3

4

Establish rapport and assess client’s needs and concerns

Provide information to address client’s needs and concerns

Help client make an informed decision or address a problem

Help carry out client’s decision


Counseling Tool for Family Planning


Assess Client’s Needs and Concerns

• Greet client appropriately

• Ensure privacy, confidentiality, and client comfort

• Ask about reason for visit

• Ask about partner(s), home life, family, health, sexual behavior, HIV status

• Ask about plans to have children, desire for FP

• Explore STI risk and what client does to avoid STIs

1


Questions About the Client

• Ideal family size

• Home life

• Partner(s)

• Health

• Sexual behavior

• HIV status


No method in mind? We can discuss:

• Protection from sexually transmitted infections (STIs) or HIV/AIDS

• Your experiences with family planning

• What you have heard about family planning methods

• Your plans for having children

• Your partner’s or family’s attitudes

• Other needs and concerns

Provide Information to Address Client’s Needs and Concerns

Now let’s discuss how a method can meet

your needs

2

Part 1



Part 2

• Inform client when needs or concerns are beyond provider’s capability

• Advise on how to prevent STIs

• Advise on how to have a healthy pregnancy (if client wants to become pregnant)

2



Part 3

• Explain benefits of FP and healthy spacing

• If client wants FP, help client identify methods suited to her needs

• Give information on methods of interest

• Respond to other client questions or concerns

2



Part 4

• Display the method-selection job aid(s) for your client

• Ask these 4 questions to identify methods suited to client’s needs and goals:

1. Do you wish to have children in the future?

2. Are you breastfeeding an infant less than six months old?

3. Do you have the cooperation of your partner in FP?

4. Are there any methods that you do not want to use or have not tolerated in the past?

2


• Effectiveness

• How long client wants protection from pregnancy

• Ease of use

• Health benefits and possible side effects

• Safety

How Clients Choose Methods


• Ask client if she or he has any questions about methods you discussed

• Ask client to choose a method

• Use pregnancy checklist or method screening checklist to determine if client can use method

• Agree on decision or plan in partnership with client

3 Help Client Make An Informed Decision


• Vasectomy or Female Sterilization

• Condoms (Male or Female)

• Vaginal Methods

• LAM

• Fertility Awareness-Based

Methods

What method are you using?

• IUD

• The Pill

• The Mini-Pill

• Long-Acting Injectable

• Monthly Injectable

• Implants


Help Carry Out Client’s Decision

• Give FP method and condoms, if needed

• Explain/demonstrate correct use

• Ask client to explain/ demonstrate, reinforce understanding or correct demonstration

• Remind client about side effects, reasons to return

• Role-play or rehearse negotiation skills

• Arrange follow-up, resupply, or referral, as needed

4

session ii, slide #1111 family planning counseling session ii:

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