TABLE 4.

Programmatic Guidance for Family Planning and Menstrual Health Integration by Reaching Populations with Special Needsa,b

AdolescenceMid-Life and Reproductive YearsPerimenopause and Menopause
  • When providing services to populations with special or unique needs,b ensure that both their MH and FP needs are adequately addressed and counsel on contraceptive-induced menstrual changes accordingly.

  • Ensure that individuals are not denied their rights to information about sexual and reproductive health, including MH and FP, and consent to FP method use/provision.

  • Ensure populations with special or unique needs are included in FP and MH research and product introduction programs and that these research studies and programs are informed by the populations they are serving and designed to be as accessible as possible.

  • Ensure all individuals with menstrual discomfort and/or disorders have adequate counseling and access to contraception as a management or prevention option.

  • Ensure people with menstrual disorders are included in FP and MH research and product introduction programs when possible.

  • Abbreviations: FP, family planning; MH, menstrual health.

  • 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.

  • b Including youth, perimenopausal people, people with disabilities, people living with HIV, postpartum people, refugees, migrants or other mobile populations, sex workers, people in the lesbian, gay, bisexual, transgender, queer community, survivors of abuse and violence, and those who are incarcerated, among others.