WHO updates recommendations to guide family planning decisions – World Health Organization
PATTAYA, 15 th November 2022 — Today
the World Health Organization (WHO) released important updates to its landmark Family Planning Handbook , which
provides health workers and policy makers with the most current information on contraceptive options.
Drawing on lessons from recent outbreaks, this new edition details tangible measures for frontline health workers to protect access to family planning services during emergencies, such as wider access to self-administered contraceptives and the use of
digital technologies by providers. It also expands guidance for women and young people at high risk of HIV.
“Family planning promotes self-actualisation, empowerment, as well as health and wellbeing, and reduces maternal and infant deaths through the prevention of unintended pregnancy plus unsafe abortion, ” said Dr Pascale Allotey, WHO’s Director for Sexual and Reproductive Health and Rights.
“This updated Family Planning Handbook is a vital resource, helping health workers support contraceptive users around the world in making informed choices about the right contraceptive options for them. ”
Experience from recent outbreaks shows that family planning companies can be severely compromised during emergencies. During the initial phases of the COVID-19 pandemic in 2020, approximately 70% of countries reported disruptions to these vital services – intensifying risks of unintended pregnancies
and sexually transmitted infections.
To help avoid such outcomes in the future, the manual details practical measures that support continuity of family planning solutions during epidemics. These include wider access to self-administered contraceptives, and direct distribution of contraceptives
through pharmacies. Health practitioners can also take steps to support ongoing contraceptive access even where physical mobility is reduced, such as providing multi-month supplies.
Self-administered contraceptives include condoms, contraceptive pills, some diaphragms, spermicides and most recently, the option of self-injection associated with DMPA (a progestin-only contraceptive) since this can now be safely administered just under the skin
rather than into the muscle. Many women prefer injectable contraceptives since they are private and non-intrusive, requiring action only ever 2-3 months, with the option of self-injection likely to further increase uptake.
“The updated recommendations in this Handbook show that almost any family planning method can be used safely by all women, and that accordingly, all women should have access to a range of options that meet their unique needs and goals inside life, ”
Dr Mary Gaffield, Scientist plus lead author of the particular Handbook. “Family planning services could be provided safely and affordably so that no matter where they live, couples and individuals are able to choose from safe and effective
family preparing methods. ”
For the first time, the 2022 edition associated with the Handbook includes a dedicated chapter to guide family planning services with regard to women and adolescents at high risk of HIV, including people living in settings where there is high HIV prevalence, those who have multiple
sexual partners, or whose regular partner is living with HIV.
While only condoms protect against HIV and other sexually transmitted infections, almost all contraceptive options – along with the sole exception of nonoxynol-9 spermicide – are now considered safe for ladies and young people in high risk of HIV, i. e. have not been found to increase danger of HIV
transmission or acquisition of infection. For those at high risk of HIV, the manual states that testing, counselling and first-line clinical care and referrals should all be offered as part associated with family planning services.
In addition, the Handbook incorporates the latest WHO guidance on cervical cancer and pre-cancer prevention, screening plus treatment which can all be provided through family planning providers; management of sexually transmitted infections, and family planning in postabortion care .
Now in its fourth edition, WHO’s Family Planning Handbook is the most widely used reference manual on the topic globally, with over a million copies distributed or downloaded to date. It is complemented by the medical eligibility criteria tool for
birth control method use, also downloadable as a dedicated App .
The updated Handbook was released at the International Conference of Family members Planning within Pattaya, Thailand. Support regarding its production and dissemination has been provided through the Johns Hopkins Bloomberg School of Public Health insurance and the United States Agency for International Development (USAID).
At ICFP : Sarah Kessler, [email protected]