La planificación de la familia: el Mundial de Referencia para proveedores
AloSA_IIIIResumen3 de Mayo de 2015
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How can this book help? By enabling health care providers to give better care to
more people. In a straightforward, easily used way, this book translates scientific
evidence into practical guidance on all major contraceptive methods. This
guidance reflects the consensus of experts from the world’s leading health
organizations. With this book in hand, a provider can confidently serve clients
with many different needs and knowledgeably offer a wide range of methods.
The World Health Organization (WHO) appreciates the many contributions
to this book made by people from around the world. The collaboration to
develop, by consensus, an evidence-based book of this scope and depth is a
remarkable achievement. WHO would like to thank particularly the Johns
Hopkins Bloomberg School of Public Health/Center for Communication
Programs for its invaluable partnership in the preparation of this book. WHO
also appreciates the commitment of the many organizations—United Nations
agencies, members of the Implementing Best Practices Consortium, and many
others—that are adopting this handbook and disseminating it to health care
providers throughout the world with the financial support of a wide range of
government agencies and other development partners. These concerted efforts
attest that the job of improving the world’s health lies in good hands.
Paul F.A. Van Look, MD PhD FRCOG
Former Director, Department of Reproductive Health and Research
World Health Organization
Forewords v
From the United States Agency for International Development
The practical, up-to-date guidance in this new handbook will help to improve
the quality of family planning services and maximize people’s access to them.
It can help family planning providers to assist clients choosing a family planning
method, to support effective use, and to solve clients’ problems. Managers and
trainers can use this book, too.
While this handbook covers many topics, 4 overall themes emerge:
1. Almost everyone can safely use almost any method, and providing most
methods is usually not complicated. Thus, methods can be made widely
available and offered even where health care resources are quite limited.
This book defines and explains the many opportunities for people to
choose, start, and change family planning methods appropriately.
2. Family planning methods can be effective when properly provided. For
greatest effectiveness some methods, such as pills and condoms, require
the user’s conscientious action. The provider’s help and support often can
make the difference, such as discussing common possible side effects. Some
methods require the provider to perform a procedure correctly, such as
sterilization or IUD insertion. Short of giving instructions on performing
procedures, this handbook offers the guidance and information that
providers need to support effective and continuing contraceptive use.
3. New clients usually come for services with a method already in mind, and
this is usually the best choice for them. Within the broad range of methods
that a client can use safely, the client’s purposes and preferences should
govern family planning decisions. To find and use the most suitable method,
a client needs good information and, often, help thinking through choices.
This book provides information that client and provider may want to
consider together.
4. Many continuing clients need little support, and for them convenient access
is key. For ongoing clients who encounter problems or concerns, help
and support are vital. This handbook provides counseling and treatment
recommendations for these clients.
With the collaboration of the World Health Organization and many organizations,
many experts worked together to create this book. The United States Agency
for International Development is proud to support the work of many of the
contributors’ organizations and the publication of this book, as well as to have
participated in developing its content. Together with the providers of family
planning who use this book, we all endeavor to make the world a better place.
James D. Shelton, MD
Science Advisor, Bureau for Global Health
United States Agency for International Development
vi Family Planning: A Global Handbook for Providers
Vera Zlidar, Ushma Upadhyay, and Robert Lande of the INFO Project,
Center for Communication Programs at Johns Hopkins Bloomberg School
of Public Health were the principal technical writers and led the handbook
development process, together with Ward Rinehart from the INFO Project
and Sarah Johnson of the World Health Organization, who also served as
editors. Other contributors to the research and writing from the INFO
Project include Fonda Kingsley, Sarah O’Hara, Hilary Schwandt, Ruwaida
Salem, Vidya Setty, Deepa Ramchandran, Catherine Richey, Mahua Mandal,
and Indu Adhikary.
Key technical advisors throughout the development of the book include
Robert Hatcher, Roy Jacobstein, Enriquito Lu, Herbert Peterson, James
Shelton, and Irina Yacobson. Kathryn Curtis, Anna Glasier, Robert Hatcher,
Roy Jacobstein, Herbert Peterson, James Shelton, Paul Van Look, and Marcel
Vekemans conducted final technical review of this book.
The following people provided their expertise during expert meetings in
Baltimore in October 2004, Geneva in June 2005, or both: Yasmin Ahmed,
Marcos Arevalo, Luis Bahamondes, Miriam Chipimo, Maria del Carmen
Cravioto, Kathryn Curtis, Juan Diaz, Soledad Diaz, Mohammad Eslami, Anna
Glasier, John Guillebaud, Ezzeldin Othman Hassan, Robert Hatcher, Mihai
Horga, Douglas Huber, Carlos Huezo, Roy Jacobstein, Enriquito Lu, Pisake
Lumbiganon, Pamela Lynam, Trent MacKay, Olav Meirik, Isaiah Ndong,
Herbert Peterson, John Pile, Robert Rice, Roberto Rivera, Lois Schaefer,
Markku Seppala, James Shelton, Bulbul Sood, Markus Steiner, James Trussell,
Marcel Vekemans, and Wu Shangchun.
The key contributors to this handbook, who are listed above, declared no
conflicts of interest.
The following organizations made extraordinary technical contributions to
the creation of this handbook: The Centre for Development and Population
Activities, EngenderHealth, Family Health International, Georgetown
University Institute for Reproductive Health, JHPIEGO, Management
Sciences for Health, Population Council, and the United States Agency for
International Development.
Many others also contributed their expertise on specific topics and
participated in the development of consensus on technical content.
Contributors include Christopher Armstrong, Mark Barone, Mags
Beksinska, Yemane Berhane, Ann Blouse, Julia Bluestone, Paul Blumenthal,
Annette Bongiovanni, Débora Bossemeyer, Nathalie Broutet, Ward
Acknowledgements
Acknowledgements vii
Cates, Venkatraman Chandra-Mouli, Kathryn Church, Samuel Clark, Carmela
Cordero, Vanessa Cullins, Kelly Culwell, Johannes van Dam, Catherine
d’Arcangues, Barbara Kinzie Deller, Sibongile Dludlu, Mary Drake, Paul
Feldblum, Ron Frezieres, Claudia Garcia-Moreno, Kamlesh Giri, Patricia
Gómez, Pio Iván Gómez Sánchez, Vera Halpern, Robert Hamilton, Theresa
Hatzell, Helena von Hertzen, John Howson, Carol Joanis, Robert Johnson,
Adrienne Kols, Deborah Kowal, Jan Kumar, Anne MacGregor, Luann Martin,
Matthews Mathai, Noel McIntosh, Manisha Mehta, Kavita Nanda, Ruchira
Tabassum Naved, Francis Ndowa, Nuriye Ortayli, Elizabeth Raymond,
Heidi Reynolds, Mandy Rose, Sharon Rudy, Joseph Ruminjo, Dana Samu, Julia
Samuelson, Harshad Sanghvi, George Schmid, Judith Senderowitz, Jacqueline
Sherris, Nono Simelela, Irving Sivin, Jenni Smit, David Sokal, Jeff Spieler, Kay
Stone, Maryanne Stone-Jimenez, Fatiha Terki, Kathleen Vickery, Lee Warner,
Mary Nell Wegner, Peter Weis, and Tim Williams.
Family planning providers in Bangladesh, Brazil, China, Ghana, India, Indonesia,
Kenya, Pakistan, the Philippines, and Zambia offered comments on draft
covers and chapters of the book in sessions organized by Yasmin Ahmed,
Ekta Chandra, Miriam Chipimo, Sharmila Das, Juan Diaz, Carlos Huezo,
Enriquito Lu, Isaiah Ndong, Samson Radeny, Mary Segall, Sarbani Sen, Nina
Shalita, Bulbul Sood, and Wu Shangchun.
John Fiege, Linda Sadler, and Rafael Avila created the layout of the book.
Mark Beisser created the cover and initial design along with Linda Sadler, the
staff at Prographics, and John Fiege. Rafael Avila managed the photographs
and illustrations. Ushma Upadhyay, Vera Zlidar, and Robert Jacoby managed
the book’s production. Heather Johnson managed printing and distribution of
the handbook along with Mandy Liberto, Tre Turner, Roslyn Suite-Parham, and
Quan Wynder.
© 2007, 2008, 2011 World Health Organization and Johns Hopkins Bloomberg School of
Public Health/Center for Communication Programs
ISBN 13: 978-0-9788563-7-3
ISBN 10: 0-9788563-0-9
Suggested citation: World Health Organization
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