|Reproductive Health in refugee situations - An Inter-Agency Field Manual (United Nations Fund for Population Activities - United Nations High Commission for Refugee - World Health Organisation, 1999, 142 p.)|
|Chapter Six: Family Planning|
Providers should maintain a daily activity register and individual forms to help them record information and offer effective follow-up. The following information should be recorded:
· user name-or, if required for confidentiality, only a number
· user information (age, parity, address)
· method selected (and brand name)
· side effects experienced
· type of user (new, repeat, etc.)
· reason for discontinuation-dropout or changed to other method
· date of next visit (for follow-up).
Record-keeping forms should be simple and appropriate to the information gathered and to staff literacy levels. All staff should receive training in how to maintain appropriate records and be informed of how the information being collected will be useful to users and providers.
Family Planning Indicators
· Indicators to be collected at the health-facility level
Contraceptive Prevalence Rate (CPR). CPR is the percentage of women who are using (or whose partner is using) a method of contraception at a given point in time.
· Indicators to be collected at the community level
Community-based surveys could be carried out to assess the knowledge, attitudes and practices of refugees concerning family planning services.
· Indicators concerning training and quality of care
Regular skills training and assessments. Health personnel implementing family planning programmes should be trained and their skills assessed regularly. An indicator of this competency should be monitored at least once a year. A possible indicator to assess the skills of family planning workers is the proportion of health workers appropriately implementing family planning services.
(Refer to Chapter Nine-Monitoring and Surveillance.)
Checklist for Establishing Family Planning Services
· Assessment of attitudes of
different groups undertaken