Contraception counselling and provision

Module 2

Contraception counselling and provision

Assignment

Training course in adolescent sexual and reproductive health 2022 for WHO Eastern Mediterranean Region

January 31, 2022 - Geneva

Assignment (20 marks in total)

Answer the following questions using the clues provided to review the selected aspects of the relevant documents.

Global presentation

Question 1 (3 marks)

Contraception is provided free of charge at a government clinic in a rural Northern Indian community. However, a young woman in that community does not use them. Identify three possible reasons for this.

Clue: Refer to the Contraception, counselling and provision global presentation slides, “Rationale - 2/2,” “Key concepts to consider – 1/2,” and “Key concepts to consider – 2/2”.

Global reading – 1

Chandra-Mouli V, Akwara E. Improving access to and use of contraception by adolescents: What progress has been made, what lessons have been learnt, and what are the implications for action? Best Practice & Research Clinical Obstetrics & Gynaecology. 2020 Jul 1;66:107-18.

Question 2 (3 marks)

What are three things that Chile did to counter its high adolescent fertility rate?

Clue: Refer to page 113, The case of Chile - Improving access to and use of contraception by adolescents: What progress has been made, what lessons have been learnt, and what are the implications for action? (Chandra-Mouli and Akwara, 2020).

Question 3 (5 marks)

Name three approaches to improving contraceptive uptake among adolescents that you believe would be most effective in your country context and explain why.

Clue: Refer to the global presentation and the global readings and support your answer with examples from the literature/case studies from your country.

Global reading – 2

High-Impact Practices in Family Planning (HIPs). Adolescent-friendly contraceptive services: mainstreaming adolescent-friendly elements into existing contraceptive services. Washington (DC): USAID; 2015.

Question 4 (4 marks)

Name four challenges to adolescent contraceptive services that are particularly relevant in the Eastern Mediterranean Region.

Clue: Refer to slide 21 of the presentation, Contraception, counselling and provision: Regional perspective.

Regional case study

Barbour B, Salameh P. Knowledge and practice of university students in Lebanon regarding contraception. East Mediterr Health J. 2009 Apr;15(2):387-99.

Question 5 (5 marks)

5.1 What percentage of male and female sexually active students sampled in Lebanon University had used a contraceptive method? (2 marks)

Clue: Refer to page 394, Practice regarding sexual habits and contraception of “Knowledge and practice of university students in Lebanon regarding contraception” (Barbour and Salameh, 2009).

5.2 What was the most commonly used method of contraception among male and female sexually active students at Lebanon University? (2 marks)

Clue: Refer to page 394, Practice regarding sexual habits and contraception of “Knowledge and practice of university students in Lebanon regarding contraception” (Barbour and Salameh, 2009).  

5.3 What methods of contraception were the male respondents from Lebanon University aware of? (1 mark)

Clue: Refer to page 389-390, Knowledge regarding contraceptives of “Knowledge and practice of university students in Lebanon regarding contraception” (Barbour and Salameh, 2009).