DOH NATIONAL FAMILY PLANNING PROGRAM

GOALS:

Safe Pregnancy

• Right age to be pregnant=20-35 years old, not less than 20 & not more than 35
• Right interval of pregnancy=once in 2 or 3 years
• Home Base Mother’s Record (HBMR): the record used for care of mothers in CHN

Laboratory Examinations:

Benedict’s Test: test for sugar in the urine; test for diabetes

• Heat test tube with 5 cc of Benedict’s Solution (blue) in the burner then add 3-5 gtts of urine (amber yellow) then heat again. Observe for the change in color:
• Blue : (-) sugar in urine
• Green : trace of sugar in urine +1 +
• Yellow : traces of sugar in urine +2 ++
• Orange : more traces of sugar in urine +3 +++
• Brick Red : surely diabetic +4 ++++

Laboratory Examinations:

• Acetic Acid Test: test for albumin in urine; test for Pregnancy Induced HPN
• Collect urine in test tube, heat it in burner then add 3-5 gtts of acetic solution (clear white). Observe forchange in color:
• If it remains clear: (-) CHON or albumin in urine
• If it turns cloudy: (+) CHON=proteinuria

POLICIES:

1. Non coercive (give freedom of choice)
2. Integration of Family Planning in all Curricular Program:
• LOI 47 DECS states that Family Planning is to be integrated in all school curricular programs, either baccalaureates or nonbaccalaureates, enrolled separately as one unit
3. Multi-Sectoral Approach: establish relationship with otheragencies which can either be:
• Intrasectoral
• Intersectoral-Local or International (WHO, Unicef, USAID, Japhiego)

METHODOLOGIES:

Biological

1. Basal Body Temperature (BBT)
• Get the temperature early morning before waking up which should be monitored daily at the same time
• There should be a sudden drop of temperature between
• 0.3-0.6°C followed by an increase of temperature by
• 0.3-0.6°C which means that the woman is fertile
2. Sympto-thermal
3. Cervical Mucus Test
• Billing’s Method by Dr. Billing
• Spinnbarkheit (came from a German word Spinner which means to play with the cervical mucus with the finger) or Wet & Dry Method:
• Wet Cervical Mucus (Fertile): abundant, stretchy & transparent
• Dry Cervical Mucus (Safe & Not fertile): whitish, pasty & Adhesive
4. Calendar (Rhythm)
• Deleted already since 1998 because it’s not recommended for irregular cycle of menstruation
• Menstrual cycle should be regular; obtain 4-6 months cycle
5. Lactation Amenorrhea Method (LAM): RA 7600-Breastfeeding & Rooming In Law
• DOH organized Maternal & Child Family Health Institute (MCFHI) with the following members:
• All government hospitals
• Private hospitals (volunteer)
• Normal involution (uterus goes back to normal) of the uterus:after 45 days or 5-6 weeks or 1 ½ months if not breastfeeding
• Frozen breast milk is to be put out of the freezer 2 hours before feeding ( Body of Ref: 2-3 days / Freezer: 3-4 months)
• Left over milk should be discarded & should not be re-preserved or re-frozen because it is already contaminated

Temporary

1. Chemical
• Oral Pills (Logentrol)-has low dose of estrogen & progesterone that inhibits ovulation
• Parenteral: Depot Medroxyprogesterone Acetate (DMPA)/Depoprovera- inhibits ovulation making women amenorrheic; 1991, DMPA was found to be causing cancer of the cervix 1994, DMPA is given IM 4x a year every 3 months (90 days interval)
• Implants: Norplant-it inhibits ovulation effective for 5 years but seldom advocated for use because it is usually expensive; the client buys the device (consists of 5 capsules) & have it implanted at the health center by minor surgical incision in:
• upper inner arm because it is nearest to the brain
• external oblique
• thigh
• gluteal muscles
2. Mechanical:
• IUD
• Up to 10 years protection
• Cervical cap & Diaphragm
• Prevent the sperm to pass the cervix
• Works better with spermicide
• Wore 30 minutes before coitus and keep up to 6hours after coitus
• Condom
• Most effective way to prevent STD’s / STI’s
3. Behavioral
• Abstinence
• Withdrawal
4. Permanent
• Vasectomy (reversible)-since year 2000 in the Philippines
• BLT