REPRODUCTIVE HEALTH

REPRODUCTIVE HEALTH
• STATE OF COMPLETE PHYSICAL, MENTAL AND SOCIAL
WELL BEING AND NOT MERELY THE ABSENCE OF
INFIRMITY IN ALL MATTERS RELATING TO REPRODUCTIVE
SYSTEM AND TO ITS FUNCTIONS AND PROCESSES (WHO
2008)

• ENABLES WOMEN TO GO SAFELY THROUGH PREGNANCY

AND CHILDBIRTH HAVING A HEALTHY INFANT

• REFERS TO THE CONSTELLATION OF METHODS,

TECHNIQUES AND SERVICES WHICH CONTRIBUTE TO
REPRODUCTIVE HEALTH AND WELL BEING BY
PREVENTING AND SOLVING REPRODUCTIVE HEALTH
PROBLEMS
MAGNA CARTA OF WOMEN (RA 9710)
“THE STATE SHALL AT ALL TIMES PROVIDE FOR A
COMPREHENSIVE, CULTURE SENSITIVE AND GENDER
RESPONSIVE HEALTH SERVICES AND PROGRAMS COVERING
ALL STAGES OF A WOMAN’S LIFE CYCLE AND WHICH
ADDRESSES THE MAJOR CAUSES OF WOMAN’S MORBIDITY
AND MORTALITY”

- States that in the provision of comprehensive health services, due

respect shall be accorded to women’s religious conviction, the rights of
the spouses to find a family in accordance with their religious
convictions, the rights of the spouses to find a family and the demands
of responsible parenthood, and the right of women to protection from
hazardous drugs, devices, intervention and substances.
RA 10354 (RESPONSIBLE PARENTHOOD AND
REPRODUCTIVE HEALTH (RPRH)
• Law signed by Benigno Aquino II on January 17, 2013 is
an act with the declaration that the state recognizes and
guarantees the human rights to sustainable human
development, health, education and information the the
right to choose and make decisions and in accordance
with one’s religious convictions, ethics, cultural beliefs
and demands of responsible parenthood.

• This law states that local government units shall

endeavor to provide adequate services for maternal care
and skilled birth attendance by hiring additional
personnel to achieve an ideal skilled health professional-
to-patient ratio and upgrading facilities to provide
emergency obstetric and newborn care.
RA 10354 (RESPONSIBLE PARENTHOOD AND
REPRODUCTIVE HEALTH (RPRH)
• Directs DOH to procure, distribute to LGUs and
monitor usage of family planning supplies for the
whole country (Congress of the Philippines 2012)

• Takes a client-centered approach and not program

focused which means that the clients will be
provided with services they need.

• LGU are encouraged to integrate the provision of

RH services the required facilities whenever they
can make available and their personnel have the
appropriate competence.
RESPONSIBLE PARENTHOOD
• Refers to the will and ability of a parent to
respond to the needs and aspirations of the
family and children.

• A shared responsibility between parents to

determine and achieve the desired number of
children, spacing and timing of their children
according to their own family life aspirations,
taking into account psychological
preparedness, health status, sociocultural and
economic concerns consistent with their
religious convictions
13 SEXUAL REPRODUCTIVE HEALTH RIGHTS
(please refer to your CHN book Nies and McEwen
p.268-269)
1. Right to Life
2. Right to Liberty and Security of the Person
3. Right to equality and to be free from all forms of discrimination
4. Right to privacy
5. Right to freedom of thought
6. Right to information and education
7. Right to choose whether or not marry and to find and plan a family
8. Right to decide whether or when to have children
9. Right to healthcare and health protection
10. Right to benefits of scientific progress
11. Right to freedom of assembly and political participation
12. Right to be free from torture and ill-treatment
13. Right to development
 COLLEGE OF NURSING
VIRTUAL CLINICAL AFFILIATION PROGRAM
COMMUNITY HEALTH NURSING I (NCM104)
Individual/ Family

FAMILY
PLANNING
“The love for work needs to be re-enthroned in our
lives. Every family should have a plan for work that
touches the life of each family member so that their
eternal principle will be in granted in their lives”.

- M.Russel Ballard
Objectives :

• To learn and understand the

Reproductive Health and Rights
for all through universal access
to quality Family Planning
information.
• To gain self awareness
regarding Family planning.
• To reduce the incidents of
unwanted pregnancies.
Key Variables
The strength are growing
consciousness and awareness of the
world population crisis.
The influence of modern culture, the
availability of efficient Family Planning
methods.
The sky rocketing cost of bearing,
raising and educating children.
What is Family Planning?
- The practice of controlling the
number of children in a family and the
interval between their births,
particularly by means of artificial
contraception or volume sterilization.
- It even implies as birth control.
In our country, Phils. It could means
product of abortion or infanticide.
It means contraception and planned
or RESPONSIBLE PARENTHOOD.
What is Family Planning?
(Nies and McEwen p.269)

• Program which enables couples and individual to decide freely and responsibly the number
and spacing of their children and to have the information and means to do so and to have
access to a full range of safe, affordable, effective, non abortifacient modern natural and
artificial methods of planning pregnancy
• As a component of RA 10354 , 7.40 million women of reproductive age received Modern
Family Planning (MFP) methods in both public and private facilities and clinics in 2018. This
equates to 2.60 million (unintended pregnancies prevented), 1.60 million (probable abortions
avoided, 1410 (maternal deaths averted)

• Modern Contraceptive Prevalence Rate (mCPR) increased from 53% to 57% in 2018 (FHSIS)
• Target mCPR under the Philippine Development plan is 65% for married woman of
reproductive age. However, while the woman of reproductive age reach already succeeded,
the estimated number of women with unmet need for modern family planning , 2.30 million
women of reproductive age have not been served and remains to have unmet need.
4 PILLARS OF FAMILY PLANNING
(Nies and McEwen p. 269)

 RESPONSIBLE PARENTHOOD
 CHILD SPACING
 RESPECT FOR LIFE
 INFORMED CHOICE
BENEFITS OF FAMILY PLANNING
(NIES AND MCEWEN P.270)

BENEFITS TO THE MOTHER

BENEFITS TO CHILDREN
BENEFITS TO THE FATHER
Definition of terms:
Contraception- prevention of unwanted
pregnancy
Responsible Parenthood - purposeful
procreation and socialization of
children
Ovulation- process wherein one of a
woman’s ovaries release an egg
Natural Family Planning – a form of
birth control that doesn’t used pills or
devices.
Family Planning Methods in the Philippines

1. Standard Days Method (Cycle Beads)

 A kind of calendar method
 The menstrual cycle should be regular (menstrual period
always come at the same time)
 The cycle is never shorter than 26 days
 The cycle is never longer than 32 days
STANDARD DAYS METHOD (CYCLE BEADS)
2. Lactational Amenorrhea Method (LAM)
 A modern temporary family planning method that has
been developed as a tool to help and support both
breastfeeding and family planning use.
 Based on the natural infertility results from certain
patterns of breastfeeding.
The baby is fully or nearly fully breastfeeding
3. Symptoms-based methods
-Rely on identifying physical symptoms that are signs that a woman
may be in her fertile window
-This involve tracking a woman’s temperature and or mucus secretions

Methods:
1. 2-day method (Cervical Mucus Method)
2. Sympto-thermal Method
3. Billing/Ovulation Method
2-day method (Cervical Mucus Method)

- A fertility awareness based method of family planning that

uses cervical secretions to a woman using the 2 day
method, check for cervical mucus at least 2 times a day to
detect if she is fertile.
Sympto-thermal method (Basal Body
Temperature Method)
- An effective cooperative, scientifically based on
inexpensive method of natural family planning.
- Uses the temperature of a woman.
- Based on the awareness of the fertility of the couple.
- To use this method, there should be an accurate
combination of the 3 (three) natural planning method –
calendar, basal body temperature, and cervical mucus.
- The couple monitors basal body temperature using
special high resolution thermometer.
Billing/Ovulation Method
- Type of natural family planning known as fertility
awareness based method.
- Based on careful observation of mucus pattern during the
course of your menstrual cycle.
4. Pills
- kind of medicine with hormones, preventing pregnancy
-should be taken regularly
5. Condom
- A thin piece of rubbery materials that filter over the man’s
penis during sex, forming a barrier to protect you from
STD including HIV and unplanned pregnancy.
- May be good birth control option for couple who are
responsible enough to use one each time and people who
want protection against sexually transmitted disease.
- Will protect you and your partner during vagina, anal and
oral sex.
6. Progestin-only injectable

- A form of hormonal contraception and progesterone, only

contraception that are administered by injection.
7. Progestin subdermal implant

- Is a tiny rod about the size of a match stick, and is a long

acting contraceptive that contains 68 mg stenogestrel.
- A worldwide used for more effective and acceptable birth
control.
- Provide low, stable level of synthetic progesterone for
period of months to several years.
- AKA Nexplanon (common brand).
8. IUD (Intrauterine Device)

- Also known as intrauterine contraceptive device or coil.

- A small, often T-shaped birth control device that is inserted
into a woman’s uterus to prevent pregnancy.
9. Bilateral Tubal Ligation (BTL)

- A surgical procedure that involves blocking the fallopian

tubes to prevent the ovum (egg) from being fertilized.
- It can be done by cutting, burning or removing sections of
the fallopian tubes or by placing clips on each tube.
- It is considered a permanent method of sterilization and
birth method.
10. No-Scalpel Vasectomy (NSV)

- A vasectomy procedure variant in which a sharp hemostat

is used to puncture the scrotum to access the vas
deferens instead of giving an incision as in conventional
vasectomy.
- This offers several benefits, the key, being that there is no
need for surgical sutures to close the skin.
Thank You !