Family Planning: A Global Handbook for Providers
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Previous Chapter Previous Page Next Page Next Chapter Preventing Sexually Transmitted InfectionsThe basic strategies for preventing STIs involve avoiding or reducing the chances of exposure. Family planning providers can talk to clients about how they can protect themselves both from STIs, including HIV, and pregnancy (dual protection). Choosing a Dual Protection StrategyEvery family planning client needs to think about preventing STIs, including HIV—even people who assume they face no risk. A provider can discuss what situations place a person at increased risk of STIs, including HIV (see Who Is At Risk?), and clients can think about whether these risky situations come up in their own lives. If so, they can consider 5 dual protection strategies. One person might use different strategies in different situations; one couple might use different strategies at different times. The best strategy is the one that a person is able to practice effectively in the situation that she or he is facing. (Dual protection does not necessarily mean just using condoms along with another family planning method.)
Many clients will need help and guidance to make their dual protection strategy succeed. For example, they may need help preparing to talk with their partners about STI protection, learning how to use condoms and other methods, and handling practical matters such as where to get supplies and where to keep them. If you can help with such matters, offer to help. If not, refer the client to someone who can provide more counseling or skills-building, such as role-playing to practice negotiating condom use. |