Content Related to Menstrual Bleeding Changes in Key International Family Planning Counseling and Training Resources
| Resource/Lead Organization(s) | Contraceptive Method | Messages/Content Evaluated | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Type of Expected Bleeding Changes | Comparison of Bleeding Changes Among Different Methods | When to Address Bleeding Changes | Type of Reassurance Provideda | Strategies to Manage Bleeding Changes and Associated Symptoms | Overview of Function and Biological Process of Menstruation | Potential Benefits of Oligomenorrhea or Amenorrhea | Expected Bleeding Changes for Special Populationsb | ||
| The Balanced Counseling Strategy Plus: A Toolkit for Family Planning Service Providers Working in High HIV/STI Prevalence Settings24/Population Council | Implants | Y | Y | After method initiation | 2 | N | N | Y | N |
| DMPA injectable | Y | N | After method initiation | 1 | N | N | Y | N | |
| Copper IUD | Y | N | After method initiation | 2 | N | N | N/A | N | |
| LNG IUS | Y | N | After method initiation | 2 | N | N | Y | N | |
| Training Resource Package for Family Planning25c/ USAID, WHO, and UNFPA | Implants | Y | N | Before method initiation | 2 | N | N | Y | N |
| DMPA injectable | Y | N | Before method initiation | 3 | Y | N | Y | N | |
| Copper IUD | Y | N | Before method initiation | 2 | Y | N | N/A | Y | |
| Providing Long-Acting Reversible Contraception (LARC) Learning Resource Package (Modular/Facility-Based)26d/MCSP, Jhpiego | Implants | Y | N | Before method initiation | 2 | Y | N | Y | Y |
| Copper IUD | Y | N | Before method initiation | 2 | Y | N | N/A | N | |
| LNG IUS | Y | N | Before method initiation | 2 | Y | N | Y | Y | |
| Pathfinder Family Planning Resources27–32c/Pathfinder | Implants | Y | N | Before method initiation | 3 | Y | N | Y | N |
| DMPA injectable | Y | N | Before method initiation | 2 | Y | N | Y | Y | |
| Copper IUD | Y | N | Before method initiation | 2 | Y | N | N/A | Y | |
| Family Planning: A Global Handbook for Providers, 3rd ed.33/WHO and K4Health Project, Johns Hopkins CCP | Implants | Y | N | Before and after method initiation | 3 | Y | N | Y | N |
| DMPA injectable | Y | N | Before and after method initiation | 3 | Y | N | Y | N | |
| Copper IUD | Y | N | Before and after method initiation | 2 | Y | N | N/A | N | |
| LNG IUS | Y | N | Before and after method initiation | 2 | N | N | Y | N | |
| LNG IUS Training Manual for Family Planning34e/ICA Foundation | LNG IUS | Y | Y | Before method initiation | 2 | Y | N | Y | N |
↵Abbreviations: CCP, Center for Communication Programs; DMPA, depot medroxyprogesterone acetate; ICA, International Contraceptive Access; IUD, intrauterine device; LNG IUS, levonorgestrel intrauterine system; K4Health, Knowledge for Health; MCSP, Maternal and Child Survival Program; UNFPA, United Nations Population Fund; USAID, United States Agency for International Development; WHO, World Health Organization.
↵a 1=none; 2=general "no harm" message; 3=detailed "no harm" message.
↵b Special populations include youth and postpartum women.
↵c Method-specific information on the LNG IUS is not included in this resource.
↵d Method-specific information on DMPA is not included in this resource.
e Information about the LNG IUS is not included in all resources because it is not widely available in developing countries. The ICA Foundation donates free LNG IUS units and has LNG IUS training resources for providers on their website. The ICA Foundation materials were reviewed for information on the LNG IUS specifically and did not include information on implants, DMPA, or the copper IUD.