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NATURAL FAMILY

PLANNING
• an educational process of planning or preventing
pregnancy based on observation by the couple of naturally
occurring signs and symptoms of the fertile and infertile
phases of the woman’s menstrual cycle
Mainstreaming Natural Family
Planning
 IMPORTANT:
- full information to couples about their
choices of family planning methods

- Fertility Awareness: so that NFP can be


easily understood and applied
• FA – refers to the recognition of a woman’s
fertile and unfertile phases of her reproductive
cycle.
NFP STATISTICS
• 95% - 99% effective
• Theoretical failure rate: 1%-5%
depending on the NFP method used:
 Sympto-thermal method = 99%
 Cervical mucus & BBT method = 98%
 Standard days method = 95.25%
ADVANTAGES OF NFP
• no chemical agents taken nor objects placed
in body
• no invasive procedures like injections or
surgery
• no side effects,
• high method effectiveness
• ensure safe motherhood
• empowers family
• provides value-based marital bonding.
DISADVANTAGES OF NFP
• periodic abstinence
• daily charting
TRADITIONAL METHODS OF NFP
• Rhythym or calendar method

• Withdrawal – Coitus Interuptus  while the married couple are


having sexual intercourse, the penis is withdrawn out of the
vagina before ejaculation
– This is NOT EFFECTIVE
MODERN METHODS OF NFP
• Cervical mucus method
– ovulation or Billing’s
method
– monitoring cervical-
mucus changes to predict
when ovulation occurs

– as ovulation approaches,
the cervical mucus thins
and becomes increasingly
elastic and transparent
MODERN METHODS OF NFP

• Basal Body Temperature

– the body temperature measured


immediately after awakening and
before any physical activity has been
undertaken

– In women, ovulation causes an


increase of one-half to one degree
Fahrenheit (one-quarter to one-half
degree Celsius) in basal body
temperature (BBT)

– monitoring of BBTs is one way of


estimating the day of ovulation
MODERN METHODS OF NFP
• Sympto-thermal method
– Combination of BBT & CMM
– Mucus temperature method
– method that helps you observe three main indicators of
fertility: changes in basal body temperature, cervical mucus
changes and your own calendar calculation

• Lactational Amenorrhea method


– Birth control by breastfeeding
– suppresses ovulation because suckling suppresses the
pituitary so that ovulation does not occur
MODERN METHODS OF NFP
• Standard days method
– Is an effective, new natural family
planning method developed through
scientific analysis of the fertile time in a
woman’s reproductive cycle
– To prevent pregnancy:
• Use of condom
• Abstaining on cycle days 8-19
• CycleBeads – color-coded string of
beads to represent a woman’s cycle to
help her monitor and know her fertile
days
MODERN METHODS OF NFP

• Two-days wet and dry method


National NFP Strategic Plan
Year 2002-2006
Goal:

• Reduce health risks to women and children due to short


birth intervals and too frequent pregnancies and childbirth.
National NFP Strategic Plan
Year 2002-2006
• Objectives:
– Raise FA of at least 75% of young women
immediately before or soon after menarche and of
75% of young men at puberty in preparation for
responsible sexuality and family life.

– Train or retrain at least 75% of frontline health


providers on modern NFP methods

– Raise NFP use rate to 20% among currently


married women/couples who are not yat using any
method of contraception
National NFP Strategic Plan
Year 2002-2006
• Strategies:

3. Policy and organizational strengthening


4. Advocacy and orientation on Fertility Awareness
5. Training and certification of frontline health
providers
6. Raising capability of facilities and services
7. Networking and development of support groups at
all levels especially in the community
8. Monitoring and evaluation
National NFP Strategic Plan
Year 2002-2006
Timetable:
• Year 1 - Awareness-raising and basic technical capability
building and networking
• Year 2 - Monitoring of progress, expansion of services and
networks, sustenance of awareness-raising and capability
building activities
• Year 3 - Mid-term evaluation and redirection
• Year 4 - Expansion of coverage and higher quality improvement
of services
• Year 5 - End of term evaluation and phase out or strategic
planning for next 5 years