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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

Integrating HIV voluntary counselling and testing services into reproductive health settings : stepwise guidelines for programme planners, managers and service providers

MYAYA, Mary
2004

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This guide aims to provide reproductive and sexual health programme planners, managers and providers with the information necessary to integrate voluntary counselling and testing (VCT) for HIV/AIDS within their services. In particular it considers integration within the context of family planning (FP) service provision. FP and VCT provision have similar aims of reaching sexually active people and promoting safe and healthy sexuality. FP settings therefore offer specific opportunities for reaching women with VCT. This guide looks at the continuum of possibilities available for integrating VCT. It is divided into 5 sections. Section 1 provides an introduction to VCT; section 2 details an assessment process for use when considering how to integrate VCT services; section 3 describes factors to consider when planning the integrated service; section 4 covers specific implementation issues; and section 5 focuses on monitoring and evaluation. The appendices contain checklists, sample monitoring tools and further reference material. Most of the references are available through the Internet

Enhancing quality for clients : the balanced counseling strategy

POPULATION COUNCIL
July 2003

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Based on experience in Peru and Guatemala, this brief presents the "balanced counseling strategy", an approach to improving the quality of reproductive health services and in particular, provider-client interaction. This strategy structures interaction between service provider and client to focus on the client's needs, support the client's choice of appropriate methods, and improve information provision on the methods. It consists of a decision tree, used in combination with job aids or visual memory aids. This brief outlines the origin and rationale for developing the strategy, details its adaptation for use in other contexts and lists several findings and lessons learned

Counseling the postabortion client : a training curriculum

KLITSCH, Michael
Ed
2003

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Training pack for training providers who interact with postabortion clients. It will enable them to use communicaiton and counseling skills to assess the client's needs; listen to her concers, answer her questions, give her information about the procedure, and help her make decisions about family planning, STI and HIV prevention and other reproductive health services

Comprehensive counseling for reproductive health : an integrated curriculum. Trainers' manual

ENGENDERHEALTH
2003

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Developed by EngenderHealth, this curriculum is designed to prepare all levels of sexual and reproductive health (SRH) providers to use communication and counseling skills to assess and address clients' comprehensive SRH needs. It introduces the concept of integrated SRH counseling - a two-way interaction between a client and a provider to assess and address the client's overall SRH needs, regardless of what health service he or she is working within or what services the client has requested. The curriculum trains providers to focus on the client as a whole person and to consider factors both inside and outside the clinic that influence a client's SRH decision-making. The trainer's manual consists of an introduction to trainers, a detailed curriculum with session guides and a series of appendicies containing additional materials

Comprehensive counseling for reproductive health : an integrated curriculum. Participant's handbook

ENGENDERHEALTH
2003

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Developed by EngenderHealth, this curriculum is designed to prepare all levels of sexual and reproductive health (SRH) providers to use communication and counseling skills to assess and address clients' comprehensive SRH needs. It introduces the concept of integrated SRH counseling - a two-way interaction between a client and a provider to assess and address the client's overall SRH needs, regardless of what health service he or she is working within or what services the client has requested. The curriculum trains providers to focus on the client as a whole person and to consider factors both inside and outside the clinic that influence a client's SRH decision-making. The participant's handbook provides information on the principles and approaches of client-centred communications related to SRH and further details the role of providers in creating a good climate for communication, assisting clients in making good decisions and helping clients follow through on their decisions. The handbook also includes relevant worksheets

Counseling and communicating with men

ENGENDERHEALTH
2003

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Focuses on strengthening service providers' ability to interact with, communicate with, and counsel men (with or without their partners) on reproductive health issues. Topics include counseling and communication approaches, provider biases toward and against men that may need to be addressed, and effective communication and counselling techniques. The participant's handbook is intended for use by health care staff who participate in a training workshop, and can be used both during the course and as reference material after the course is over. The trainer's resource book is intended for use by skilled, experienced trainers, and provides guidance, suggestions, and training activities to be used to teach the content of the training course

Management of men's reproductive health problems

ENGENDERHEALTH
2003

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Provides information to clinicians and other service providers in diagnosing and managing reproductive health disorders in men. Topics include disorders of the male reproductive system, including infertility and sexually transmitted infections; sexual and reproductive history assessment; and step-by-step instructions for performing a genital examination. Consists of a participant's handbook and trainer's resource book.The participant's handbook is intended for use by health care staff who participate in a training workshop, and can be used both during the training course and as reference material after the course is over. The trainer's resource book is intended for use by skilled, experienced trainers, and provides guidance, suggestions, and training activities to be used to teach the content of the training course

Increasing client participation in family planning consultations : 'smart patient' coaching in Indonesia

MI KI, Young
et al
2003

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This is a report of the study 'Operations research: impact of client communication training on client participation and contraceptive continuation in Indonesia'. Family planning clients were given a brief training session to improve their communication skills before seeing a service provider. The findings show that women agreed that coaching helped them to gain confidence, ask more questions and express their concerns. Providers were more likely to tailor information to individual needs. Eight months following the intervention, clients were more likely to continue to use a contraceptive method

Comprehensive reproductive health and family planning training curriculum

PATHFINDER INTERNATIONAL

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These training modules have been designed for the training of physicians, nurses, and midwives by clinical trainers who do not have an extensive training background. Training sessions include simulation skills practice, case studies, role plays, discussions, clinical practices, on-site observation, specific measurable objectives, knowledge, attitudes, skills checklists, and exercises for the development of action plans. Module contents available online: 1. Introduction/Overview 2. Infection Prevention 3. Counselling 4. Combined oral contraceptives and progestin-only pills 5. Emergency Contraceptive Pills (ECPs) 6. DMPA 7. IUDs 8. Lactational Amenorrhea and Breast Feeding Support 9. Condoms and spermicides 11. MVA for treatment of incomplete abortion 12. Reproductive tract infections 13. Postpartum/Postabortion Contraception 14. Training of Trainers 16. Reproductive Health Services for Adolescents

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