Sanchez/Mansaguiton

Adventist University of the Philippines

College of Medicine

Health Education Plan

Family Planning

I.

Learning Needs Assessment

a. Strategy for assessment: Personal Interview with the Mother
b. Assessment tools used:
1. Family Demographic Profile

Mother: Emiliana Villanueva Valentino

Father: Larry Valentino

Age: 37 years old

Age: 37 years old

Birthdate: February 8, 1978

Birthdate: January 3, 1978

Religion: Roman Catholic

Religion: Roman Catholic

Address: # 084 Brgy. Hoyo, Silang, Cavite

Address: # 084 Brgy. Hoyo, Silang, Cavite

Educational Attainment: 3rd year

Educational Attainment: Elementary

highschool
Occupation: Housewife
Ethnic Origin: Cavitena

Occupation: Welder
Ethnic Origin: Caviteno

Children

2. Interview:
Patient stated that she is not informed of the different family
planning methods and is therefore not utilizing any despite of their
number of children. She expressed her willingness to learn of the
family planning methods.
II.

Objectives
By the end of this session, Patients will be able to do the following :
1. Define and explain family planning in their own words.
Learning Activities/Strategies- Discussion
Resources- Visual Aids
Evaluation Tools- Question and Answer
2. Identify at least 2 benefits and importance of utilizing family planning methods to
the mother, father and children.
Learning Activities/Strategies- Interactive Lecture
Resources- Visual Aids
Evaluation Tools- Question and Answer
3. Enumerate the 2 types of family planning methods

Learning Activities/Strategies- Interactive lecture

Resources- Visual Aids
Evaluation Tools- Question and Answer

4. Cite one advantages and disadvantages of using Pills, Male condom, Calendar
Method and Intrauterine device
Learning Activities/Strategies- interactive discussion
Resources- Visual Aids
Evaluation Tools- Question and Answer
5. Express their concern on the utilization of family planning methods and identify
their preferred choice of family planning method
Learning Activities/Strategies- Asking opinion/concern
Resources- Visual aids, pamphlet
Evaluation Tools- Verbalization of feelings
6. Demonstrate the correct usage or wearing of condom.
Learning Activities/Strategies- Demonstration
Resources- Visual aids, Condoms, Pamphlet, eggplant/penis model
Evaluation Tools- Return demonstration
7. Calculate appropriately the fertile and non-fertile days on the calendar.
Learning Activities/Strategies- Demonstration
Resources- Visual Aids, Calendar, Calculator, Pen, Paper
Evaluation Tools- Return demonstration/ Calculation of a sample problem
8. Determine at least 2 common misperceptions on the use of Family planning
methods
Learning Activities/Strategies- Interactive discussion
Resources- Visual Aids
Evaluation Tools- Question and Answer

III.

Content
1. Time Allotment: 50 minutes
2. Icebreaker: Video Presentation
3. Materials needed: (refer to IEC Materials)
4. Program:
A. Prayer (1 minute)
B. Introduction (3 minutes)
C. Icebreaker (7 minutes)
D. Presentation (15 minutes)
E. Evaluation and Return demonstration (10 minutes)
F. Question and Answer Portion (10 minutes)

G. Awarding (4 minutes)
(translated to Tagalog)
FAMILY PLANNING METHODS
Family Planning (FP) is having the desired number of children and when you want
to have them by using safe and effective modern methods. Proper birth spacing is
having children 3 to 5 years apart, which is best for the health of the mother, her
child, and the family.

A. Benefits and importance of Family planning

Mother
Enables her to regain her health after delivery.
Gives enough time and opportunity to love and provide attention to her husband and
children.
Gives more time for her family and own personal advancement.
When suffering from an illness, gives enough time for treatment and recovery.
Children
Healthy mothers produce healthy children.
Will get all the attention, security, love, and care they deserve.
Father
Lightens the burden and responsibility in supporting his family.
Enables him to give his children their basic needs (food, shelter, education, and better
future).
Gives him time for his family and own personal advancement.
When suffering from an illness, gives enough time for treatment and recovery.
B. Two Types of Family Planning Methods
I.
Natural Family Planning Method
also called fertility awareness or the rhythm method, relies on the
abstinence from sexual intercourse during the most fertile phase of a
II.

woman's menstrual cycle.

Artificial Family Plannning Method
is the use of artificial methods to prevent fertilization of the egg and
conception of the fetus at certain times

C. Family Planning Methods

The Family Planning Methods:
There are different types of family planning methods used to prevent pregnancy.
1. Female sterilization

2. Male sterilization
3. Pills
4. Male condom
5. Injectables
6. LAM
7. Mucus/ Billings/ Ovulation
8. Basal Body Temperature
9. Sympto-thermal method
10. Calendar method
11. IUD
Based on our assessment we have determined the applicable natural and/or artificial
family planning methods for the couple so we will focus our counselling/health education
on these four methods:
a. Pills
b. Male Condom
c. Calendar Method
d. IUD
Pills
Description/Uses:
Contains hormones estrogen and progesterone taken daily to prevent contraceptions
Advantages:
Safe as proven through extensive studies
Convenient and easy to use
Makes menstrual cycle occur regularly and is predictable
Reduces gynecologic symptoms such as painful menses and endometriosis
Reduces the risk of ovarian and endometrial cancer
Reversible, rapid return to fertility
Does not interfere with sexual intercourse
Disadvantages:
Often not used correctly and consistently, lowering its effectiveness
Has side effects such as nausea, dizziness, or breast tenderness, which are not generally
harmful but which some women may find difficult to tolerate
May pose health risks for a small number of women
Offers no protection against sexually transmitted infection. Effectiveness may be lowered
when taken with certain drugs such as rifampicin and most and convulsants
Can suppress lactation

Requires regular resupply

How it is used:
Drugs are taken per orem.
% of Effectiveness:
Perfect Use: 99.7%
Typical Use: 92.0%
Male condom
Description/Uses:
Thin sheath of latex rubber made to fit a mans erect penis to prevent the passage of sperm cells
and sexually transmitted diseased organism into the vagina. It provides dual protection from
STIs including HIV preventing transmission of disease microorganism during intercourse.
Advantages:
Safe and has no hormonal effect
protects against microorganism causing STIs/HIV
Encourages male participation in family planning
Easily accessible
Is used in managing premature ejaculation
Disadvantages:
May cause allergy for people who are sensitive to latex or lubricant
May decrease sensation, making sex less enjoyable for other partner
Interrupt the sexual act
Requires a mans cooperation for its use
How it is used:
Condom is inserted into the erected penis preventing the sperm from getting in the contact with
the egg cell.
% of Effectiveness:
Perfect Use: 98%
Typical Use: 85%
HOW TO USE A CONDOM
2. Check the expiry date on the condom packet.
3. Open the packet but be careful not to tear the condom!
4. Squeeze the air out of the tip of the condom.

5.

Keep hold of the tip of the condom and roll it all the way down to the base of the
penis.
6. Before withdrawing, hold the base of the condom, so it doesnt slip off.
7. Carefully wrap the used condom in a tissue and throw in the bin. Dont flush it
down the toilet.
Calendar Method
Requires that the couple refrain from intercourse on these days the individual is most likely to
conceive based on her menstrual cycle; and
This fertile period usually lasts from 3 to 4 days before until 3 to 4 days after ovulation.
Advantages
1. No drugs or devices needed;
2. It is free;
3. It may be acceptable to members of religious groups that oppose birth control;
4. It encourages couples to learn more about how the female body functions;
5. It encourage communication between partners; and
6. It can also be used to plan a pregnancy.
Disadvantages
1. It requires meticulous record keeping as well as ability and willingness for the individual to
monitor her body changes;
2. It restricts sexual spontaneity during the persons fertile period;
3. It requires extended periods of abstinence from intercourse;
4. It is reliable for individual with regular menstrual cycle; and
5. It may be unreliable during periods of illness, infection, or stress.
1. Keep a diary of menstrual cycle (for six consecutive cycles) to determine when ovulation is
most likely to occur;
2. To calculate safe periods, subtract 18 from the shortest cycle and 11 from the longest cycle
that has been documented;
3. For instance, if she had 6 menstrual cycles that lasted 26 to 30 days, her fertile period would
be from the 8th day (26 minus 18) to the 19th day (30 minus 11);
4. To ensure that pregnancy does not occur, she and her partner should abstain from
intercourse during days 8 to 19 days of her menstrual cycle

(IUD) INTRAUTERINE DEVICE

IUDs work by affecting the mobility and viability of the sperm. The copper triggers a chemical
reaction inside the uterus, which changes the uterine environment, rendering it a hostile
environment for both the egg and sperm. It also interferes with the normal travel of the ovum,
thus preventing fertilization.
The IUD (intrauterine device) is a small device placed inside the uterus for birth control. It is
thought to primarily prevent fertilization by creating an intense inflammatory reaction inside the
uterus that is harmful for sperm, either destroying sperm or making it nearly impossible for
sperm to reach the fallopian tubes. Secondarily, the IUD also makes the uterus unsuitable for
implantation.
Advantages:
Can be removed if the patient wants to get pregnant
Safe and effective
Does not interfere in sex
Disadvantages
May feel little pain after the insertion of IUD
Possible of dislodgement

D. Misconception about Family Planning Methods

There are misconceptions to family planning methods. These misconceptions usually come from
persons who lack knowledge and proper training, are inexperienced, or not updated on the use
of family planning methods. They may also come from clients who had bad experience during
IUD insertions or Vasectomy procedures; who have side effect and many others. Several
misconceptions are listed below with the corresponding proof from research.
Some Family Planning methods cause abortion. This is not true. Abortion is the termination
of pregnancy, while, Family Planning prevents pregnancy through the use of contraceptives,
and abstinence during fertile periods, blocking of tubes, all of which prevent the meeting of
egg and sperm. It prevents induced abortion by preventing unplanned pregnancies.
Using contraceptives will render couples sterile. When couples use temporary methods such
as fertility awareness based methods and contraceptive such as pills, IUD, injectable and
condoms which are used for birth spacing, when pregnancy is desired, a couple can stop
using the contraceptive methods and they can have children again. Vasectomy in men and
tubal ligation in women are considered permanent methods and chosen by couples who
have completed their desired family size.
Using contraceptive methods will result to loss of sexual desire. Sex drive or sexual desire
varies from person to person. I general, use of contraceptives does not affect an individuals
sexual desire. In fact, the use of contraceptives frees the couple from the fear of unwanted
pregnacies. This enhances the couples sexual relationship.

IV.

Learning Activities
IEC Materials:
Pamphlets
Visual aid- cartolina/ powerpoint
Contraceptive Paraphernalias:
Condom, Pills, Calendar, Eggplant/Penis Model (for demonstration)
Activities
Lecture Discussion
Demonstration of proper way to wear condom
Demonstration of Calculating Fertile days using the Calendar method
Question and Answer Portion

V.

Resources
Facility
Patients house
Equipment
Table, chairs, cartolina, marker, tape, calendar, pills, sample condoms,

VI.

eggplant/Penis Model, laptop (if powerpoint is possible)

Budget
Less than 200 pesos
Instructional Media
Video (if possible)
Educational Aids
Pamphlet

Evaluation
Through return demonstration proper way to wear condom
Demonstration of Calculating Fertile days using the Calendar method
Demonstrate the correct usage or wearing of condom.
Question and Answer
1. Define and explain family planning in your own words.
2. Identify at least 2 benefits and importance of utilizing family planning methods to
the mother, father and children.
3. Enumerate the 2 types of family planning methods
4. Cite one advantages and disadvantages of using Pills, Male condom, Calendar
Method and Intrauterine device

5. Determine at least 2 common misperceptions on the use of Family planning

methods