Philippines Toolkit: Service Delivery

Post-Pregnancy Family Planning

Competencies

FAMILY PLANNING COMPETENCY-BASED TRAINING 1

Prerequisites: Registered midwives, nurses, general physicians (Registered Obstetricians exempted)

TRAINING + PRACTICUM (5 days)
  • Orientation on Philippine FP Program
  • Human Reproductive Anatomy
  • Informed Choice and Voluntarism
  • FP Client Assessment
  • Infection Prevention in FP services
  • Fertility awareness-based method
  • Lactation amenorrhea
  • Hormonal contraceptive(COC, POP)
  • Condoms
  • Counseling for FP / GATHER (Greet, Ask, Tell, Help, Explain, Return) Approach
  • Counseling Demo-Return Demo (1 day)
POST-TRAINING EXAM (6 months after)

FPCBT 2 - PROGESTIN-ONLY SUBDERMAL IMPLANT

Prerequisites: Registered midwives, nurses, general physicians (Registered Obstetricians exempted); FPCBT 1 Training

TRAINING (3 days)
  • Informed Choice and Voluntarism
  • Counseling, Informed Consent
  • Insertion and removal of PSI
  • Infection Control, Management of Side Effects
SKILLS TRAINING AND PRACTICUM (1 day)
  • Skills training on PSI insertion and removal
  • Subdermal Implant Insertion on 10 clients
POST-TRAINING EXAM (6 months after)
  • Provision of PSI on 10 clients (at least 1-2 observed by during return demo PTE)

FPCBT 2 - POSTPARTUM INTRAUTERINE DEVICE INSERTION

Prerequisites: Registered midwives, nurses, general physicians (Registered Obstetricians exempted); FPCBT 1 Training; Training hospital for practicum

TRAINING
  • Informed Choice and Voluntarism
  • Counseling, Informed Consent
  • Local Anesthesia, Surgical insertion of IUD
  • Infection Control, Management of Side Effects
SKILLS TRAINING AND PRACTICUM (2 days)
  • Skills training on IUD insertion
  • Postpartum IUD insertion on 10 clients
POST-TRAINING EXAM (6 months after)
  • Provision of IUD on 10 clients (at least 1-2 observed by during return demo PTE)

FPCBT 2 - INTERVAL INTRAUTERINE DEVICE INSERTION

Prerequisites: Registered midwives, nurses, general physicians (Registered Obstetricians exempted); FPCBT 1 Training; Training hospital for practicum

TRAINING
  • Informed Choice and Voluntarism
  • Counseling, Informed Consent
  • Infection Control, Management of Side Effects
SKILLS TRAINING AND PRACTICUM (2 days)
  • Skills training on IUD insertion
  • Interval IUD insertion on 10 clients
POST-TRAINING EXAM (6 months after)
  • Provision of IUD on 10 clients (at least 1-2 observed by during return demo PTE)

NO SCALPEL VASECTOMY

FP Permanent Method Training

Prerequisites: Registered midwives, nurses, general physicians (Registered Obstetricians exempted); FPCBT 1 Training; Training hospital for practicum

TRAINING (2 days)
  • Informed Choice and Voluntarism
  • Counseling, Informed Consent
  • Surgical Procedure, Anesthesia
  • Infection Control, Management of Side Effects
  • Post-operative Management
PRACTICUM (2 days)
  • NSV conducted on 5 clients

BILATERAL TUBAL LIGATION BY MINILAPAROTOMY UNDER LOCAL ANESTHESIA

FP Permanent Method Training

Prerequisites: Registered physician (Registered Obstetricians exempted), team of nurses, and midwives; FPCBT 1 Training; Training hospital for practicum

TRAINING (2 days)
  • Informed Choice and Voluntarism
  • Counseling, Informed Consent
  • Surgical Procedure, Anesthesia
  • Infection Control, Management of Side Effects
  • Post-operative Management
PRACTICUM (2 days)
  • BTL on 5 clients

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