♡Evolution of Family Planning

Program in the Philippines♡

● 1970s-1985
》 National Population Program

● 1986-1993
》 Philippine Family Planning Program

● 1994-1999
》 International Conference on Population and
Development Plan of Action
●2000-PRESENT
》 A.O no. 50, S.2001
THE NATIONAL FAMILY PLANNING POLICY

》 Millenium Development Goals (MDG)

Summit

》 The Responsible Parenthood and

Reproductive Health Act of 2012
( R.A 10354 )
● PD 965
》 Family Planning and Responsible Parenthood
Instructions Prior to Issuance of Marriage
Liscense
☆Requires all couples to attend Family Planning
Counselling☆
● PD791
》 Requires all Health worker to attend
Training on Family Planning before Teaching
Couple
MATERNAL, NEWBORN, AND
CHILD HEALTH AND NUTRITION

●MNCHN Strategy {Claster Program of DOH}

☆ ENSURE THAT :
》 Every pregnancy is wanted, planned and
supported
》 Evert pregnancy is adequately managed
throughout its course
》 Every delivery is in the facility based and
managed by skilled birth attendant
》 Every mother and newborn pair secures
proper post-partum and post-natal care
with smooth transitions to the women's
health care package for the mother and
child survival package for the newborn.
● POLICIES

》 Family Planning is a health Intervention

》 FP information and service provision will

be based on voluntary decision and informed
choices regardless of age, sex, number of
children, marital status, religious beliefs
and cultural values.
》Only medically safe and legally acceptable
FP methods will be made available in all
public and private health facilities.

》 Quality of care must be ensured in

providing FP services. Privacy and
Confidentiality must be observed
at all times.

》 Every client must be oriented on fertility

awareness to fully understand and
appreciate FP.
》 Integrate FP services in other RH services
( one stop shop health care delivery )

》 Multi-agency participation must be

encouraged at all levels of operations

》 Sustainability of PF services and

commodities musy be promoted through
localization and adoption of the
conyraceptive Self-Reliance strategy.
THE FAMILY PLANNING
PROGRAM METHODS
● TEMPORARY METHOD
( Short-acting)

• FERTILITY BASED AWARENESS METHOD

• ORAL CONTRACEPTIVE PILLS

• INJECTABLES

• CONDOM
● LONG-ACTING TEMPORARY
METHODS

• INTRAUTERINE DEVICE

• PROGESTINE SUBDERMAL IMPLANTS

● LONG-ACTING PERMANENT
METHOD

• FEMALE STERILIZATION

• MALE STERILIZATION
☆ TEMPORARY METHODS
(SHORT-ACTING)
● FERTILITY BASED AWARENESS METHOD (FAB)

1. Billing Ovulation/ Cervical Mucus Method

2. Basal Body Temperature
3. Sympto-thermal Method
4. Standard Days Method
5. Lactational Amenorrhea Mathod
1. CERVICAL MUCUS/BILLING
OVULATION METHOD
• Based on daily obserstion of woman sees and
feels at the vaginal area throughout the day.
• Cervical mucus changes indicate whether days
are fertile or infertile and can be used to avoid
or achieve pregnancy.
• The woman is instructed to observe and record
the feeling of dryness or wetness in her vaginal
area during the day. She abstain from sexual intercourse
during the fertile or " wet days".
• On the 4th day after the last day of wetness,
all dry days are absolutely infertile days.

• On the day following menstruation,couples

can have sexual intercourse on alternate nights.
• Perfect (correct) use , 97% effective
• Typical use 80% effective
2. Basal Body Temperature
• Based on the changes of woman's resting body
temperature (which is lower before ovulation) until it
rises to a higher level after ovulation.
• Infertile days begin from the 4th day of the high
temperature reading to the last day of the cycle.
• All days from the start of menstrual cycle up to the
3rd high temperature reading are considered fertile
days.
• Effectiveness: 99% (perfect use), 80%(typical use)
3. SYMPTO-THERAL METHOD

• Based on the combination of BBT and Billings

ovulation together with other signs:
☆ Breast engorgement
☆ Unilateral lower abdominal pain
which indicate that the woman is fertile or infertile.
•Effectiveness as correctly used: 98%
4. STANDARD DAYS METHOD
• Calculation of fertile ang infertile days for
menstrual cycles of 26-32 days.
• Identifies cycle days 8-19 as the woman's fertile
period.
• Colored beads are used to help the woman keep
track of her fertile and infertile days.
• SDM is 95.25% effective with correct use and
• 88 % effective with typical is use.
5. LACTATIONAL
AMENORRHEA METHOD
• Use of breastfeeding mother as temporary family
planning method.
● A woman is practicing LAM when the following
conditions are met:
1. Exclusively breastfeeding
2. Amenorrhea
3. Infant is less than 6 months old
•As perfect use : 99% effective
• As perfect use means that the woman:
☆Has started breastfeeding as soon as
possible after birth.
☆Has avoided separation from her baby to be
able to breastfeed as required.
☆Breastfeeds th infant on demand with no
more than 4hours interval during the day
and 6hours at night.
•As typical used:98% effective
● TEMPORARY METHODS
(SHORT-ACTING)
• ORAL CONTRACEPTIVE PILLs (OCP)
》99% effective

☆2 TYPES OF OCPs:
1.COMBINED ORAL CONTRACEPTIVE (COCs)
》 Prevent ovulation. Thickens the cervical
mucus, which mkes it difficult for sperm
to pass through.
 》 Contains hormones similar to the woman's
woman's natural hormones;
Estrogen and Progesterone

2. PROGESTIN ONLY PILL (POP)

》 Contains progestine only that is suitable for
breastfeeding mother.
• INJECTABLES
2 TYPES
1. COMBINED INJECTABLE CONTRACEPTIVE (CIC)
》 Contains a combination of estrogen and
progestin in a injectable form.
2. PROGESTIN-ONLY INJECTABLE (POI)
》 Contains a synthetic progestin, which
resembles the female hormone,
progesterone.
 • Inhibition of ovulation
• Thickening of the cervical mucus

EFECTIVENESS:
99% CORRECT USE (No missed or
late injections)

97% TYPICAL USE (Some missed or

late injections)
● CONDOMS
》 Thin sheath of latex rubber made to fit a man's
erect penis.
》 Condoms are often times lubricated and some
some have spermicidal components.
》 Acts as barrier that prevents the sperm from
getting into the vagina.
》 Help prevent both pregnancy and STI's
》 Stop disease organisms in the vagina from
entering the penis.
》 Condoms, in order to be effective, must be used
correctly and consistently every time one is
engaging in sex.
》 If perfectly used as 98% effective
》 If typical used 85% effective
● LONG-ACTING TEMPORARY
METHODS
1. INTRAUTERINE DEVICE (IUFD)
》 a small device ade of plastic or copper.
》 it is placed in the uterus through the vagina
and the cervix using a small applicator.
》 it ha 2 thin strings attached, which hang
down into the vagina.
》 Perfect use: 99.4%
》 Commmon use:99.2%
2. PROGESTIN SUBDERMAL
IMPLANTS (PSI)
》 Subdermal implants are progestin only implant
that are onserted under the skin of the inner
upper arm of women through a preloaded
applicator under local anesthesia.
》 These implants release progestin at a
controlled rate and thus provide very small
doses to achieve the desired contraceptive
effect.
》 Suppresses ovilation through the action of the
progestin.
》 Thickens cervical mucus, thus hindering
sperms from passing through the cervical
canal.
》 Subdermal implants are 99.9% effective
● LONG-ACTING PERMANENT
METHODS
1. FEMALE STERILIZATION/ BILATERAL TUBAL
LIGATION (BTL)
》 a safe and simple surgical procedure
that provides permanent contraception
for women who do not want any more children.
》 Involves cutting or blocking the 2 fallopian
tubes.
》 No fertilization occurs. The fallopian tubes that
carry the eggs from the ovaries are cut off and
blocked. Eggs released from the ovaries
cannot move down the fallopian tubes to meet
the sperm.
》 99% effective
2. MALE STERILIZATION
NO SCALPEL VASECTOMY(NSV)
》 Known as male sterilization, as it provides
permanent contraception for men who decided
they do not want any more children.
》 Safe, simple and quick surgical procedure.
》 Procedures involves tying and cutting a
segment of the vas deferens which carries
the sperm.
》 Works by closing off each vas deferens, keeping
sperm out of the semen.
》 Semen without sperm is ejaculated, but it cannot
cause pregnancy.
》99.9% effective