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

Goals

Section 1
Section 2
Section 3

- Objectives
- Stages
- Assessment
> Asking
- Activity
- Informed
- Provide
- Activity
- Discussing
- Information
- Remembering

Summary

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Section 3 - Stages in Counseling

Beginning: Asking about Clients' Reproductive Goals

Percentages of new and return clients that were asked about reproductive goals

Source: Askew, et al. Stud Fam Plann, 1994;25(5).
Slide 41


Providers always need to ask each client about personal reproductive goals or if the goals have changed since the last visit. This is important both for first-time and returning clients. Reproductive goals might include delaying first pregnancy, spacing births or having no more children. The needs of clients will differ depending on their reproductive goals, which may be tied to broader issues such as sexuality and personal relationships.

In a study in Nigeria, providers asked only half of all clients about future reproductive goals. While providers asked almost nine out of 10 of the new clients about reproductive goals, they asked only three of 10 returning clients. This study indicates that providers often think – incorrectly – that asking returning clients whether their plans have changed is not necessary.

Providers need to find simple ways to ask about reproductive goals. The first question might be, “How many children do you have?” This will lead to subsequent questions, such as, “Do you want to wait before having another child?” or “Do you want to have any more?” or “How long are you planning to wait before having another child?”

 

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