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RHO archives : Topics : Contraceptive Methods

Table 2.  Factors in Individual Choice of Postabortion Family Planning

Facility, Provider, and Community Capability

Issues to Consider

Recommendations

Opportunity, space, and private environment for counseling and informed decision making.

Emergency-care settings may be too crowded and hectic to ensure privacy and informed choice.

Do not give permanent or long-acting methods without adequate counseling.

Arrange space and time for private counselling.

If adequate counseling is impossible, offer temporary methods (oral contraceptives, condoms, spermicides, female barriers, or injectables) and provide referrals for further counseling regarding other methods.

Choice of contraceptive methods.

Do not limit the range of methods offered. Limiting the availability of methods will deny some women access to the most appropriate methods or to their preferred methods.

Make a range of methods available. Reduce provider bias for or against particular methods by educating providers about appropriate use of all methods.

Links with family planning resources in the community.

Consider the woman's access to follow-up care and resupply in recommending methods.

Make sure counselors and providers know about family planning resources throughout the area served.

Establish referral links among family planning resources or between abortion-care and family planning services.

Adapted from Leonard, A.H. and Ladipo, O.A. Post-Abortion Family Planning: Factors in Individual Choice of Contraceptive Methods. Advances in Abortion Care 4(2) (1994).

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