Role

of
Family
Planning
DISEDIAKAN OLEH
In Responsible parenting
DR JASON JIMMY LEE PILLAY

MEDICAL AND HEALTH OFFICER UD44

MATERNAL MORTALIY RATE

CONCEPT AND POLICY

The National Population and Family Development

Board, the NPFDB, was established in 1966 under the
Population and Family Development Act 1966 (Act 352)
under the Prime Ministers Department

Many amendments taken place from 1966 till 2007

It was then gazetted on February 8 2007 which includes

a broader scope not only limiting themselves to planning
services but also family development and socio-economics
perspectives

Currently it is under the purview of the Ministry of

Women, Family and Community Development.

What is Family Planning ?

Theconceptoraprogramoflimitingthesize
offamiliesthroughspacingor
preventionofpregnancies,especiallyforecon
omicreasons.

KEY FACTS ( WORLD HEALTH ORGNISATION )

An estimated 225 million women in developing

countries would like to delay or stop childbearing
but are not using any method of contraception.
Some family planning methods, such as condoms,
help prevent the transmission of HIV and other
sexually transmitted infections.
Family planning / contraception reduces the need
for abortion, especially unsafe abortion.
Family planning reinforces peoples rights to
determine the number and spacing of their
children.
By preventing unintended pregnancy, family
planning /contraception prevents deaths of
mothers and children.

AIM OF FAMILY PLANNING

To advocate, promote and provide information,
education and contraceptive services so that
eligible couples may plan the timing of births and
size of their families.
To advocate and disseminate relevant
information and education relating to family life
education, family development, population and
family planning.
To promote and provide education, information
and services related to men and women
reproductive health.

BENEFITS OF FAMILY
PLANNING
Preventing pregnancy related health risk in
women
Reduce infant Mortality
Empowering people and enhance education
Reduce adolescent pregnancy
Slow population growth

Taken from WHO

http://who.int/mediacentre/factsheets/fs351/en/

WHAT DO YOU THINK ABOUT

THIS ?

TYPES OF
CONTRACEPTI
ON

1.

Natural Method/
Fertility awarness
period

method
Ovulation method
Symptothermal method
Lactation Amenorrhea
Method

3.

Hormonal

Calendar

t
h
g
i
R

Barrier method

2.

Condom Male/Female
Cervical cap
Diaphargm
Spermicides

Pills
Progesterone ( mini
pills )
Combined pills
Patch
Implants
Injections

i
o
Ch

4.

5.

!
!
!
ce

Intrauterine devices
.
Hormonal Mirena
.
Non Hormonal Multiload
Permanent

.Bilateral

tubal ligation
.Vasectomy

NATURAL METHOD

Voluntary avoidance of intercourse during the

fertile phase of the menstrual cycle to avoid
pregnancy
Not safe for those having irregular periods or less
than 26 wks period or more than 36 wks

CONDOMS

97 -98 % succes rate if

use carefully

LACTATION AMENORRHEA METHOD

Exclusive Breastfeeding for 6 months after
childbirth
Induces amenorrhea

COMBINED ORAL CONTRACEPTIVE

PILLS

Contains two
hormones (estrogen
and progestogen
Effect : Thicken
cervical mucus and
suppress ovulation
>99% effective with
correct and
consistent use

Additional benefit ;
50 % reduction in risk of
ovarian and endometerial
cancer
Improvement of acne
Reduction in heavy bleeding
periods
Prevents colon cancer

PROGESTERONE PILLS ( MINI

PILLS )
Contains only synthetic
progestogen hormone
Effect : Thicken cervical mucus
and suppress ovulation
Can be used while
breastfeeding; must be taken at
the same time each day
Suitable for women with
contraindicaiton to Combined
oral contraceptive pills
Side effects: unpredicting
bleeding pattern
Newer drugs : have a larger
window period for 12 hours

CONTRACEPTIVE PATCH

Patch is apply for 3

weeks 1x per week
Waterproof
Less effective in those

INJECTABLES
Injected into the muscle every 2
or 3 months, depending on
product
Type of Intramuscular Inj.

Depo-provera

150 mgm ( 3 months )

Noristeral (norigest) 200 mgm ( 2
months )

Thickens cervical mucous to block

sperm and egg from meeting and
prevents ovulation
Suitable for those who miss pills
often
Delayed return to fertility (about
14 months on the average) after
use; irregular vaginal bleeding
common, but not harmful

INTRAUTERINE
CONTRACEPTION
DEVICE

Small flexible plastic device containing copper

sleeves or wire that is inserted into the uterus
Copper component damages sperm and prevents
it from meeting the egg.

Also prevent implantation of

zygote to the walls of the uterus
>99% effective
Wont feel it ..It wont get lost
Side effects
Heavier Periods
Increased risk for Pelvic
Inflammatory disease

LNG IUS : MIRENA

Long acting, reversible
A T-shaped plastic device
inserted into the uterus that
steadily releases small amounts
of levonorgestrel each day
Suppresses the growth of the
lining of uterus (endometrium
Last for 5 years
Side effects :

Irregular

bleeding patterns
No periods ( Ameonorrhea )
Ectopic Pregnancies ( Pregnancy
outside from the uterus )

IMPLANT

IMPLANON

Small, flexible rods or capsules

placed under the skin of the upper
arm; contains progestogen
hormone only
Last for 3 years
Thickens cervical mucous to block
sperm and egg from meeting and
prevents ovulation
Side effects
Irregular bleeding early till 5
months
Evidence of 2.5% people having
alopecia , depressive symptoms,
and dysmenorrhea ( period
pain )

VASECTOMY
3 months delay in
taking effect while
stored sperm is still
present;
Does not affect male
sexual performance;
Side effects of this
type of
contraception are
very rare.
Possible
psychological side
effect for a man is
loss of libido

h
c
hi

h
t
is

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TAWAU BRANCH MAIN CLINIC

Block 42, No.332, 1st Floor, Fajar
Commercial Complex
Jalan Merdeka 2, 91000 Tawau
Tel / Fax: 089-771172

SERVICES OFFERED
Contraception services
Non contraceptive services

Screening

for breast cancer

Pregnancy test
Pap Smear
Blood Investigation Routine for Non Communicable
Diseases
Menopausal counselling
Immunisation for Hepatitis B

Community And Health services

Women Development and Child Child Project
Family planning /Population educaiton

THANK YOU

Sabah Family Planning

Association ( NGO )

PARENTHOOD = HAPPY
FAMILY