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Client-Provider Interaction: Family Planning Counseling
Introduction Contents Post-Test References Go To Presenter Info

Goals

Section 1
Section 2

- Introduction
- Objectives
- Important
- Activity
- Characteristics
- Two Experts
- Tools
- Communication
- Clients Talk
- Types
- Activity
- Nonverbal
- Activity
- Verbal
- Language
- Continuation
- Technical
- Effectiveness
- Mechanism
- Activity
- Side Effects
> Discontinuation
- Counseling
- Medical
- Activity
- Affect Choice
- Affect Choice
- Breastfeeding
- STDs
- Dual Method
- Correctly
- Activity
- Return
- Activity

Section 3

Summary

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Section 2 - Focus on Counseling

Side Effects and Discontinuation

Reasons for discontinued use of contraceptive method chart

Side effects are a major reason
for method discontinuation

Source: Mwathe, et al. Unpublished FHI report, 1993.
Slide 29


Side effects are a major reason for discontinuing use of a contraceptive method. Providers need to prepare clients for side effects. Without counseling about the possibility of side effects, clients may discontinue a method when side effects appear.

A study among more than 1,000 clients in Kenya looked at discontinuation rates of three methods: combined oral contraceptives, the injectable DMPA, and intrauterine devices. For all three methods, the reason most often cited for discontinuation was side effects. Half of those who stopped using combined oral contraceptives did so because of side effects. One third of the DMPA users who discontinued and one fourth of intrauterine device users who quit did so because of side effects.

 

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