TABLE 5.

Programmatic Guidance for Family Planning and Menstrual Health Integration by Engaging Stakeholders and Strengthening National Policiesa

PreadolescenceAdolescenceMid-Life and Reproductive YearsPerimenopause and Menopause
Implement SBCC and Advocacy Programs
  • Include messaging about FP, MH, and contraceptive-induced menstrual changes in SBCC campaigns and interventions, including interventions that destigmatize and make these topics more understandable to relevant audiences.

  • Advocate at the policy level to ensure decision-makers are educated on the issues of FP, MH, and contraceptive-induced menstrual changes and aware of the best ways to include these issues in policy-level decisions.

Strengthen National Policies and Guidelines
  • Review and update FP, MH, and SRHR policies to ensure that adequate, evidence-based information about FP-MH integration and contraceptive-induced menstrual changes is included and promoted.

  • Review and update FP, MH, and SRHR guidelines to ensure that adequate, evidence-based information about FP-MH integration and contraceptive-induced menstrual changes is included. Update clinical guidance and training for health care providers as needed.

  • Abbreviations: FP, family planning; MH, menstrual health; SBCC, social and behavior change communication; SRHR, sexual and reproductive health and rights.

  • a In all areas of integration, conduct programmatic research, implementation science, and routine or enhanced monitoring and evaluation that can be used to inform and improve future programs.