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J Series
Series J, Number 55
Family Planning Programs

Developing a Continuing-Client Strategy

How to meet clients' changing family planning needs

CONTENTS

Home

New Perspectives on Continuing Clients

Table 1: Discontinuation of Contraceptive Methods

Realigning Program Goals to Assist Continuing Clients

Table 2: Key Resources for Developing and Maintaining a Continuing-Client Strategy

Adapting Service Delivery to Continuing Clients

Spotlight: In Mali CBD Helps People Continue Family Planning

The Initial Visit: Establishing a Relationship

Continuing Clients: Women's Stories

The Continuing Relationship

Bibliography

Credits

Also See: "Family Planning: A Global Handbook for Providers"

From INFO's Toolbox
Checklist: Suggested Provider Checklist for New Clients
Checklist: Suggested Provider Checklist for Continuing Clients
Table 3: WHO Medical Eligibility Criteria That Differ for Initiation and Continuation of a Contraceptive Method

Quick Look
Table 4: Managing Method Changes
Table 5: Follow-up Guidance for Continuing Users

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See INFO ReportsSee INFO Reports, FOCUS ON...Improving Hormonal Method Continuation
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Checkmark image within a CheckboxSuggested
Provider Checklist for Continuing Clients

Checkbox   Ask whether the client is still using the method listed in their clinic record.
Checkbox   Ask how the client is doing with their method and whether they are satisfied. Ask if they have any questions or anything to discuss.
Checkbox   Ask the client if they have experienced side effects, particularly bleeding changes. Give them any information or help that they need.
Checkbox   Ask the client if they have any new health problems since their last visit. Address problems as appropriate.
Checkbox   Ask the client about major life changes that may affect their needs—particularly plans for having children and STI/HIV risk. Follow up as needed.
Checkbox   If the client would like to switch methods, provide appropriate options.
Checkbox   If the client is using a long-term method (for example, IUD, implants), remind them how much longer the method will protect them from pregnancy.
Checkbox   Give the client more supplies. For example, if the client uses OCs, provide a full year's supply (13 packs), if possible.
Checkbox   Ask the client to update contact information for their clinic record.
Checkbox   Agree on a date for a return visit and assure the client they are welcome to come back anytime.
  Sources: Kim 2003 (66), Miller 1998 (88), WHO 2005 (133), WHO 2007 (134)
From INFO's Toolbox


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