 berda mhaftaksama, m regist!!!!! 21 fourtyf whoa k avoida neid owa hansa wakama elu llecause wahia wajitera kuwajilili wakama kwaia 13 yei wajitera 20 kwaiko hi eyebrows nisha wakama tizi tomorrow ujirele kwaio ali na zelumifu kwaiba mou mou mawe kaika wakamaaire kwaiba mawe na wakama era avu mwge chiefa kwaiba mouke mouke kwaiba mouke kwaiba mouke nisha wakama isu wakamaere nisha wakamaere kwa m novela ni milyaтом wa bendejاشirip maybe breakout dashi Kwa m cupukshisi njakuja k Sa radwa hintus... kapwa bifhozp Instituntare S hate theuza of tamiwekワクシ siehtu when someone comes to ask fell mily planning services There's a lot of things they consider. If they want to get a baby soonest, maybe after months, or even after some few years, if they don't want to get a baby at all, or if they want to get a child in the next maybe five or ten years, so we don't only look at the safety protocols, we look at what this person needs. There are some people who need family planning, but they don't want the partner to see it. So there are family planning methods that are hideable, and some family planning methods that are not hideable, that's one criteria. There are some family planning methods that are not safe for a person to use, especially in pregnant and breastfeeding women, we don't give them oral contraceptive pills, we give them coils and etc. So when you are trying to use the family planning methods, we don't only look at the safety profile, of course it's there, but we have different profiles that we look for for the person to choose the best family planning method. An effective contraception allows a physical relationship without fear of an unwanted pregnancy and ensures freedom to have children when desired. Family planning has two major classifications. It can be either a long term or a short term. For the long term we also call them permanent family planning methods. For the long term they are also surgical methods. In men vasectomy which is cutting of the tubes that usually transport spams from the testis to the penis or to the urethra, so the connection between the testis and the urethra is cut and that is a permanent solution and that is a permanent form of contraceptive in men. In females the type of permanent contraceptive method we have is cutting of the fallopian tubes or blocking them. The fallopian tubes is the passageway of the egg that is coming from the ovary to the uterus, so if you also cut the passageway the spams that are coming into this female will not get access to the eggs because they have to pass through the fallopian tube and in this instance we have cut the fallopian tube. So there is no way for the sperm to reach the ovum. So that is another permanent method of contraceptive. For the temporary ones we also combine them into hormonal and non-hormonal methods. So for the hormonal methods they contain hormones as the name says. The type of hormone they contain can either be estrogen or it can be estrogen and progesterone combined. They also classified into long term and short term. So for example you've all heard of the pills the family planning, the ones that usually are taken every day. Those ones are either progesterone only pills and also known as POPs or combined oral contraceptives which have both estrogen and progesterone hence the name combined. So for them they are temporary methods and as long as you are taking the pills every day you have a form of contraception but once you discontinue taking the pills your fertility returns. So that is the shortest ones that as per duration concerns. Then the second temporary contraceptive method is called depo ameile the injection that the females usually get after every three months. So the depo contains progesterone only it doesn't have both estrogen and progesterone. Then if you go higher in the timing ladder we have implant or we call it implanone or jadel which gives you a contraceptive period of about five years. If you go higher in the family planning ladder in times of timing you also have the coils, IUCDs. For the coils you have two types you can either have a hormonal type which has a hormone or you have a non-hormonal type it just has a copper coil. So those ones are inserted through the cervix into the uterus and they can give a hormonal contraceptive period of up to ten years. So as I was saying earlier the type of contraceptive that you are using will depend on how long you want the contraceptive. The aim is to achieve contraception in maximum comfort and privacy with minimum cost and side effects. The safety of family planning is well documented it has complications but the complications that you get from family planning are not major complications. For example they include things such as excessive bleeding or having excessive menses. They can also include things as gaining weight. They include things as we call them thrombolik events but what they mean is clotting in different types in different parts of the body. For example if someone has a clot in the brain that manifests as stroke. If someone has a clot in the heart it manifests as MI or heart attack. If someone has a clot in the kidney it leads to kidney failure and if someone has a clot in the feet it causes painful and swollen feets which we call as DVT. But the safety is dependent on the type that you are using. For example for the oral contraceptive pills they give people those thrombolik events, those thrombosis in different parts of the body. But things like progesterone only pills which are called POPs they don't have those type of side effects. So I guess the type of side effects or complications or its safety as per say depends on the type of contraceptive or family planning that the person is using. The ABC approach employs population specific interventions that emphasize abstinence for youth and other unmarried persons including delay of sexual debut, mutual faithfulness and partner reduction for sexually active adults and correct and consistent use of condoms by those whose behavior places them at risk for transmitting or becoming infected with HIV. It depends are they sexually active or not. If they are sexually active and they are trying to avoid pregnancy it is advisable. We usually had the acronym A, B, C, A abstain, B, B faithful, C condoms and then now if that fails we go for the contraception. So advice youths to either abstain, be faithful or use condoms. If all that is not in line with them they can go for the contraceptive methods. So for the contraceptive methods still advise them not to go for the permanent ones because those ones are undiversible and you cannot just go back to your full fertility functioning. So if they are to choose the family planning methods they should choose the temporary ones. And finally here the doctors panting short. For oral contraceptive pills they have been found to reduce the risk of ovarian and uterine or endometrial cancers. So that is one of the non. When we are looking at family planning methods they are usually contraceptive benefits or non contraceptive benefits. These family planning methods are used to treat cases of abnormal uterine bleeding. And if you must use barrier methods, use condoms, if that doesn't work for you you should try and consider the family planning methods so to avoid unwanted pregnancies because pregnancies come with a lot of responsibilities.