Family Planning for Clients with HIV

Purpose

This module was developed for use in training physicians, nurses, and midwives and other health care providers who will provide family planning for clients with HIV. This module on Family Planning for Clients with HIV is designed for the providers in developing countries who most often are tasked with providing FP services—primarily nurses and nurse-midwives, as well as primary care physicians—and assume trainees will have at minimum a nurse’s level of clinical training. Although the module can be used for Community Health Workers (CHWs), they would need basic literacy skills. Designed to actively involve the trainees in the learning process, sessions include: a session plan, PowerPoint presentations, and accompanying activities and resources.

Family Planning for Clients with HIV Facilitators Guide

This Facilitator’s Guide contains information on the module design, a description of the materials, and learning objectives, as well as how to conduct brainstorming and facilitate discussions.

Family Planning for Clients with HIV
Word document . 262.82 kB

Learning Objectives

By the end of the training, as appropriate to their scope of practice and job description, trainees should be able to:
1
Describe how HIV/AIDS disproportionately affects women
2
Describe the role of FP in alleviating the burden of HIV
3
Describe how programs and providers can ensure that the sexual and reproductive rights of clients with HIV are upheld
4
Describe how FP and HIV services can be integrated to meet the needs of clients with HIV including programmatic synergies, addressing intimate partner violence, serving key populations, engaging men and counseling couples
5
Describe the contraceptive options available to women and couples with HIV, including issues related to
a. factors that affect FP method choice for clients with HIV b. medical eligibility for hormonal methods and specific concerns related to interactions with specific ARV drugs, rifampicin or rifabutin c. medical eligibility for non-hormonal methods and specific concerns related to HIV transmission to an uninfected partner or superinfection d. breastfeeding recommendations for women with HIV who choose the lactational amenorrhea method (LAM) e. dual method use
6
Demonstrate how to use the Contraceptive Method Considerations for Clients with HIV Including Those on ART: Provider Reference Tool to consider HIV-related medical eligibility issues
7
Describe the components and content of counseling sessions for clients with HIV including those on ARV therapy
8
Describe the key counseling messages for clients who desire to use FP to achieve safe pregnancy
9
Demonstrate during role plays (and/or a supervised practicum) how to counsel clients with HIV as they consider issues related to
a. method options and effectiveness, b. possible interactions between hormonal contraceptives and ARV drugs c. using FP to achieve safe pregnancy, d. dual method use to prevent transmission/acquisition of STIs and unintended pregnancy, and e. situations where emergency contraceptive pills (ECPs) can be used.
10
Describe additional topics that may be appropriate to raise in counseling sessions for clients with HIV (e.g., disclosing HIV status, STI treatment, social and legal concerns)

Module Session Plan

The session plan describes the subject content, method of instruction, learning activities, resources and materials that will support you in preparing for and conducting the session. It includes a training schedule that provides a breakdown of the module by day, time, and topic

Presentation slides

The presentation slides provide technical information on the subject matter. The text for these slides can be found in the speaker notes

All slides are color coded according to information.

Evaluation Tools

The module contains tools for evaluating the knowledge and skill of trainees. These include pre- and post-knowledge assessment questionnaires having objective questions, with instructions for scoring the tests and competency-based skills checklists for assessing the acqired skills during and after the training. It also contains the course evaluation tool.

References

The main references for the implants module as well as for other modules of the TRP are the World Health Organization’s four cornerstones of family planning guidance.
search icon
File Name
File Type
Size
All downloads (0)
PDF
•
307.47 kB
PDF
•
256.32 kB
PDF
•
212.69 kB
PDF
•
642.22 kB
PDF
•
319.73 kB
Word Doc
•
62.15 kB
Word Doc
•
35.15 kB
Word Doc
•
35.85 kB
PDF
•
858.55 kB
Word Doc
•
40.42 kB
PPT
•
5.37 mB
PPT
•
4.96 mB
PPT
•
1.6 mB
PPT
•
827 kB
Word Doc
•
18.03 kB
Word Doc
•
77.14 kB
Word Doc
•
42.01 kB
Word Doc
•
42.19 kB
Word Doc
•
42.78 kB
Presentation Slides

The PowerPoint presentations include technical information on COCs. There are three types of slides:

Pale blue/green slides

Slides conveying most of the technical information are pale blue/green

Pale blue/green slides with a pink header

The pale blue/green slides with a pink header are primarily pictorial slides. Many of them come from WHO’s Decision-Making Tool for Family Planning Clients and Providers. They are useful for all trainees, but are especially useful for trainees of low-literacy.

Pale blue advanced slides

The pale blue advanced slides present research that supports the recommendations in the Global Handbook and the Training Resource Package and can be included or excluded by the facilitator as appropriate. They are especially appropriate for physicians who may desire additional information from supporting research studies. The text for these slides can be found in the speaker’s notes, rather than in the session guide.

Contact Us

For all queries, please email us at srhcfc@who.int.