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The balanced counseling strategy plus : a toolkit for family planning service providers working in high HIV/STI prevalence settings

POPULATION COUNCIL
2011

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"This "is an interactive, client-friendly approach for improving counseling on family planning and prevention, detection, and treatment of sexually transmitted infections (STIs) including HIV. The BCS+ was adapted from the Balanced Counseling Strategy, an evidence-based and well-researched tool for improving counseling on contraceptive methods. The BCS+ toolkit, developed and tested in Kenya and South Africa, provides the information and materials needed for health care facility providers to provide complete and high-quality family planning counseling to clients who live in areas with high rates of HIV and STIs.The BCS+ tools are generic and can be revised according to national and/or regional guidelines and different contexts
This second edition toolkit includes the following: * BCS+ Trainer’s Guide: Supervisors and others can use this to train health care facility directors and service providers on how to use the BCS+ for counseling family planning clients. * BCS+ User’s Guide: This guide focuses on how to implement the Balanced Counseling Strategy Plus. It can be distributed during training or used on its own with the BCS+ job aids. * BCS+ job aids comprising: - BCS+ algorithm that summarizes the 19 steps needed to implement the BCS+ during a family planning counseling session. These steps are organized into four stages: pre-choice, method choice, post-choice, and STI/HIV counseling. - BCS+ counseling cards that the provider uses during a counseling session. There are 26 counseling cards, the first of which contains six questions that the service provider asks to rule out the possibility a client is pregnant. Each of the next 16 cards contains information about a different family planning method. The next 3 cards provide advice on pregnancy and the postpartum period. The last 6 cards provide essential information for counseling on preventing, detecting, and treating STIs and HIV. - BCS+ method brochures on each of the 16 methods represented by the counseling cards. The brochures provide counseling to clients on the method they have chosen and then are given to clients for later reference. This means clients do not have to rely on their recollection of what was discussed with the provider. - WHO Medical Eligibility Criteria Wheel (offsite link) guides providers through medical conditions and medications that may be contraindications to use of particular contraceptive methods. The BCS+ tools are generic and can be revised according to national and/or regional guidelines and different contexts"
A video describing use of the BCS+ toolkit in South Africa also is available. To obtain Microsoft Word versions of BCS+ files to modify or revise according to your local setting, please contact the publisher

Mental health aspects of women’s reproductive health : a global review of the literature

WORLD HEALTH ORGANIZATION (WHO)
UNITED NATIONS POPULATIONS FUND (UNFPA)
2009

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This report presents information outlining "the ways in which mental health concerns intersect with women’s reproductive health. It includes a discussion of the bio-psycho-social factors that increase vulnerability to poor mental health, those that might be protective and the types of programmes that could mitigate adverse effects and promote mental health." This review is useful for public health professionals, planners, policy makers and programme managers to raise awareness of mental health aspects of women’s reproductive health

The WHO Reproductive Health Library

WORLD HEALTH ORGANIZATION (WHO). Special Programme of Research, Development & Research Training in Human Reproduction
2005

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This CD-ROM is targetted at health care professionals and assists them in understanding research evidence, making decisions about best practice, and establishing implementation procedures to assure the change. It contains editorials, articles on research, research synthesis and methodology, summaries of beneficial and harmful forms of care, systematic reviews and commentaries, implementation aids, registers of funding agencies and NGOs involved in reproductive health, and links to websites about research and research synthesis. This edition includes 13 new Cochrane Reviews (bringing the total to 101), and corresponding commentaries and practical recommendations. This issue includes a new video on 'Vacuum extraction for assisted vaginal delivery'.

Follow up reproductive health needs assessment in the process of evaluating a CBD programme in Lushoto Division, Lushoto District

KRAUT, Angela
et al
April 2004

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This study is a follow up to a baseline study (2000) on GTZ supported Community Based Distribution (CBD) activities in Lushoto Division in Tanzania. The study found that contraceptive prevalence was 43.2 per cent, almost double previous figures, and that women's knowledge of contraceptive methods had increased to 84.4 per cent from 77.1 per cent. CBD agents provide an important 'social link' between communities and the professional health sector. The knowledge of long term methods is high and it seems, in the comparison with non-CBD villages, that CBD agents intensify the demand for these services. The number of unplanned pregnancies has decreased to 26.8 per cent from 58.3 per cent , while a higher proportion of deliveries was attended by health personnel (37.5 per cent from 22 per cent). In the context of this study, it was however not possible to measure the CBD contribution to these changes over time, other contributing factors being difficult to measure

Reproductive health in refugee situations : an inter-agency field manual

UNITED NATIONS HIGH COMMISSIONER FOR REFUGEES (UNHCR)
et al
1999

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A guide for field staff involved in introducing and strengthening reproductive health (RH) interventions in refugee situations. May be useful in decision-making around planning, implementing, monitoring and evaluating RH activities. Advocates for a multi-sectoral approach to meeting the reproductive health needs of refugees and fosters co-ordination among all partners

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