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Medical and Service Delivery Guidelines for SRH Services

Third edition (2004)

Las Pautas Médicas y de Prestación de Servicios -Versión Espaňol

Directives Medicales et de Prestation des Services - Version Français

الدليل الطبي لتقديم خدمات الصحة الإنجابية والجنسية

Based on a client-rights approach, the Guidelines offer up-to-date evidence-based guidance on a range of sexual and reproductive issues, including family planning

In the seven years since the previous edition, the Guidelines have been extensively updated and made consistent with the World Health Organization’s (WHO) 2004 Medical Eligibility Criteria for Contraceptive Use and Selected Practice Recommendations for Contraceptive Use.

Like previous editions, the Guidelines were written with the support and technical expertise of IPPF’s International Medical Advisory Panel (IMAP).                                                                                              

Intended users

The intended users of the Guidelines are: 

  • Programme planners and managers 
  • Clinical services providers 
  • Trainers
  • Supervisors of clinical and community-based services 
  • Doctors; Nurses; Midwives, and 
  • Other health professionals.

The recommendations are also relevant to community-based services and can be used for developing materials for these workers/volunteers - best done at the local level.

Instructions for use

The Guidelines can be used as a: 

  • Guide for the delivery of services 
  • Reference document for assessing quality of care
  • Training instrument
  • Tool for supervision

For information on ordering hard copies of the Guidelines, please email medtech@ippf.org

Las Pautas Médicas y de Prestación de Servicios -Versión Espaňol 

Directives Medicales et de Prestation des Services - Version Français

الدليل الطبي لتقديم خدمات الصحة الإنجابية والجنسية

Table of contents, preface and instructions for use

Chapter 1: Clients' rights and providers' needs
Reviews IPPF’s framework of clients’ rights and providers’ needs.

Chapter 2: Counselling
Discusses counselling in sexual and reproductive health care settings.

Chapter 3: The normal menstrual cycle
Provides an overview of the normal menstrual cycle.

Chapter 4: Reproductive health screening for well-women
Discusses reproductive health screening for well-women.

Chapter 5: Hormonal contraception
Reviews hormonal methods of contraception.  The chapter includes a definition of each method; who the method is indicated for; the medical eligibility criteria; counselling and information; and follow-up care.

Chapter 6: Intrauterine devices
Discusses the copper releasing and the progestongene-only intrauterine devices.  The chapter includes a definition of each method; who the method is indicated for; the medical eligibility criteria; counselling and information; and follow-up care.

Chapter 7: Barriers
Discusses barrier methods of contraception, including the male and female condom and diaphragm. The chapter includes a definition of each method; who the method is indicated for; the medical eligibility criteria; counselling and information; and follow-up care.

Chapter 8: Female and male sterilization
Discusses female and male sterilization. The chapter includes a definition of the method; who the method is indicated for; the medical eligibility criteria; counselling and information; and follow-up care.

Chapter 9: Fertility awareness-based methods
Discusses fertility awareness-based methods of contraception.  The chapter includes a definition of each method; who the method is indicated for; the medical eligibility criteria; counselling and information; and follow-up care.

Chapter 10: Emergency contraception
Provides information on emergency contraception, including emergency contraceptive pills and the copper releasing intrauterine device.

Chapter 11: Diagnosis of pregnancy
Discusses the basics of clinical and laboratory pregnancy diagnosis.

Chapter 12: Safe abortion
Provides information on safe abortion procedures, including medical and surgical methods.

Chapter 13: RTIs and STIs
Reviews reproductive tract infections, sexually transmitted infections, and provides information on the treatment of both.

Chapter 14: HIV infection and AIDS
Discusses HIV/AIDS within the context of sexual and reproductive health services. The chapter provides information on prevention, counselling and testing, treatment, and reproductive decision making for the HIV-positive person.

Chapter 15: Infection prevention and control
Discusses infection prevention and control mechanisms in the delivery of sexual and reproductuve health care.