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Identify the critical content of the new WHO Programming Strategies for PPFP (Postpartum Family Planning). Discusses how these guidelines can be used to advocate for country-level programming in PPFP.
Originaltitel
New WHO Guidance on Programming Strategies for Postpartum Family Planning
Identify the critical content of the new WHO Programming Strategies for PPFP (Postpartum Family Planning). Discusses how these guidelines can be used to advocate for country-level programming in PPFP.
Identify the critical content of the new WHO Programming Strategies for PPFP (Postpartum Family Planning). Discusses how these guidelines can be used to advocate for country-level programming in PPFP.
Postpartum FamiIy PIanning Holly Blanchard & Rehana Gubin, on behalf of the MCHlP FP Team June 24, 2013 Jhpiego Mini-University Objectives ! Provide a primer on key messages for postpartum family planning (PPFP) ! ldentify the critical content of the new WHO Programming Strategies for PPFP guidance ! Discuss how this guidance can be used to advocate for country-level programming in PPFP Unique Needs of Postpartum Women Consider: ! Healthy timing & spacing of pregnancy ! Return to sexual activity ! Breastfeeding status ! Lactational amenorrhea method (LAM) and transition to another FP method ! Continue breastfeeding ! Return to fertility pregnancy risk ! lntegration: tailoring to fit with timing & service Pakistan Return to FertiIity and Pregnancy Risk Factors infIuencing return to fertiIity among aII women 0-24 months postpartum Risk of pregnancy among sexuaIIy active women 0-24 months postpartum Postpartum Women: N = 3,375 Return to Menses: N = 2,304 Sexually Active: N = 2,741 Exclusive Breastfeeding: N = 430 Predominant Breastfeeding: N = 755 Sexually Active: N = 2,741 Using Modern FP: N = 571 Predominant Breastfeeding: N = 456 0-5.9 Months 6-11.9 Months 12-23.9 Months 0% 0% 0% 0% 0% 0% 1% 1% 1% 1% 1% Predominant BF Modern FP Use At Risk of Pregnancy Composite not at risk * see note Note: the women predominantly breastfeeding from 6-11.9 months have increasing risk of return to fertility, especially if their menses return SexuaIIy Active and Not FuIIy Breastfeeding: Data from 6 Countries 0 20 40 60 80 100 120 Ethiopia-2005 Rwanda-2005 Uganda-2006 Madagascar-2004 Zambia-2007 Malawi-2004 % not fully BF 3-6 months % sexually active by 3-6 months Column1 Source: Winfries et al, 2010 Importance of HeaIthy Birth-to- Pregnancy IntervaIs: Data from Kenya 15 35 22 11 17 >11 months 12-23 months 24-35 months 36-47 48 + 50% of Kenyan women have BTPIs that are too short (Iess than 24 months) FP Options for Every Woman Every Time TimeIine to WHO Programming Strategies Guidance 2010 WHO receive requests from Member States for guidance on PPFP 2010 & 2011 invite USAID & MCHIP 2011 PPFP Tech Meeting Invite COP on CaII to Action with WHO RHR 2011 InternationaI FP conference Dakar WHO RHR 2012 CoIIective CaII to Action on PPFP 2013 Women DeIiver WHO RHR SmartChart TM PrincipIes of Advocacy Step 1: Program Decisions (Define Objective) Step 2: Context Step 3: Strategic Choices (Audience SeIection) Step 4: Communication Activities (Messages & TooIs) Step 5: Measurements of Success Step 6: FinaI ReaIity Check Summary The MCHIP FP Team ! Anne Pfitzer ! Barbara Deller ! Holly Blanchard ! Elaine Charurat ! Chelsea Cooper ! Leah Elliott ! Elizabeth Sasser ! Devon Mackenzie ! Rehana Gubin Thank you! www.mchip.net
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