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close this bookReproductive 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.)
close this folderChapter Six: Family Planning
View the document(introduction...)
View the documentPreliminary Considerations
View the documentAssessment of Needs
View the documentImplementation of Family Planning Services
View the documentExamples of Methods That May Be Provided in Refugee Settings
View the documentMale Involvement in Family Planning Programmes
View the documentMonitoring
View the documentFurther Readings
View the documentAnnex 1: Appropriate Family Planning Methods at Different Stages in a Woman's Reproductive Life
View the documentAnnex 2: Contraceptive Choice Decision Tree for Refugees Who Desire More Children
View the documentAnnex 3: Family Planing Consultation Card
View the documentAnnex 4: Calculating Contraceptive Requirements

Monitoring

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:

· date
· 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
· Contraceptive prevalence in country of origin known
· Family planning services sites established with participation of refugees
· Contraceptives procured and logistics system in place
· Health and community workers trained in family planning service delivery
· Family planning record keeping system in place
· Involvement of male community undertaken