Updated family planning guide promotes empowerment, health and wellbeing – WHO 


WHO’s up to date landmark Household Planning Handbook, launched on Tuesday, informs well being staff on defending entry to household planning companies throughout emergencies, and supplies coverage makers with probably the most present info on contraceptive choices. 

Household planning promotes self-actualization, empowerment, in addition to well being and wellbeing, and reduces maternal and toddler deaths via the prevention of unintended being pregnant and unsafe abortion”, said Pascale Allotey, WHO’s Director for Sexual and Reproductive Well being and Rights.  

Drawing on classes discovered, it additionally expands steering for girls and younger individuals at excessive danger of HIV. 

‘An important useful resource’ 

Expertise from current outbreaks reveals that household planning companies might be severely compromised throughout emergencies.  

In the course of the preliminary phases of the COVID-19 pandemic in 2020, roughly 70 per cent of nations reported disruptions to those important companies – intensifying dangers of unintended pregnancies and sexually transmitted infections. 

The guide advocates for continued household planning help companies throughout epidemics, together with via wider entry to self-administered contraceptives, pharmacy distribution and multi-month provides. 

“This up to date Household Planning Handbook is an important useful resource, serving to well being staff help contraceptive customers all over the world in making knowledgeable selections about the correct contraceptive choices for them”, mentioned the senior WHO official.

Self-injections 

Self-administered contraceptives embrace condoms, contraceptive tablets, some diaphragms, spermicides and most just lately, the choice of self-injection of a progestin-only contraceptive, referred to as DMPA, which might now be safely administered just below the pores and skin moderately than into the muscle.  

Many ladies choose non-public and non-intrusive injectable contraceptives that require motion solely each two to 3 – making this selection more likely to enhance uptake. 

“The up to date suggestions on this Handbook present that just about any household planning methodology can be utilized safely by all girls, and that accordingly, all girls ought to have entry to a variety of choices that meet their distinctive wants and objectives in life,” mentioned lead creator Mary Gaffield.  

 

© UNICEF/Mithila Jariwala

Household planning helps well being and reduces maternal and toddler deaths by stopping unintended pregnancies and unsafe abortions.

Excessive-risk focus 

For the primary time, the 2022 version features a devoted chapter to information household planning companies for girls and adolescents at excessive danger of HIV, together with individuals residing in excessive HIV prevalence areas and people with a number of sexual companions or whose common companion resides with HIV. 

Whereas solely condoms shield in opposition to HIV and different sexually transmitted infections, all contraceptive choices – with the only exception of nonoxynol-9 spermicide – at the moment are considered safe for girls and younger individuals at excessive danger of HIV as they haven’t been discovered to extend danger of HIV transmission or contract an infection.  

For these at excessive danger of HIV, the guide states that testing, counselling and first-line scientific care and referrals ought to all be supplied as a part of household planning companies. 

“Household planning companies might be offered safely and affordably in order that irrespective of the place they reside, {couples} and people are ready to select from protected and efficient household planning strategies”, underscored the lead creator. 

Adolescent pregnancy is a global phenomenon with clearly known causes and serious health, social and economic consequences.

© UNICEF/Claudio Versiani

Adolescent being pregnant is a worldwide phenomenon with clearly identified causes and severe well being, social and financial penalties.

Added pluses 

The handbook additionally incorporates WHO’s newest steering on cervical most cancers and pre-cancer prevention, screening and treatment, which might all be offered via household planning companies; management of sexually transmitted infections; and family planning in postabortion care

Now in its fourth version, the handbook is probably the most broadly used reference information on the subject globally, with over 1,000,000 copies distributed or downloaded thus far.  

It’s complemented by the medical eligibility standards device for contraceptive use, additionally downloadable as a dedicated App

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