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Family Planning: A Global Handbook for Providers

Expanded

Handbook Process and Methodology

This handbook, one of the World Health Organization's family planning cornerstones, provides evidence-based guidance developed through worldwide collaboration. The World Health Organization (WHO) Department of Reproductive Health and Research invited more than 30 organizations to participate in its preparation. The INFO Project at the Johns Hopkins Bloomberg School of Public Health/Center for Communication Programs led the handbook development process.

This handbook is the successor to The Essentials of Contraceptive Technology (Johns Hopkins School of Public Health, Population Information Program, 1997). While Essentials served as a starting point, new evidence-based guidance has been incorporated and new content has been added (see What's New in This Handbook?, p. viii).

Guidance in this book comes from several similar consensus processes:

The 2011 Update of the Handbook

Future Handbook Updates

Some definitions used in this handbook

Effectiveness: Rates are largely the percentages of US women estimated to have unintended pregnancies during the first year of use, unless noted otherwise.
Side effects: Conditions reported by at least 5% of users in selected studies, regardless of evidence of causality or biological plausibility, listed in order of frequency with the most common at the top. Terms describing health risks (percentage of users experiencing a risk): Common: >15% and <45% Uncommon: >1% and <15% Rare: >0.1% and <1% (<1 per 100 and ≥1 per 1,000) Very rare: >0.01% and <0.1% (<1 per 1,000 and ≥1 per 10,000) Extremely rare: <0.01% (<1 per 10,000)

Sources for WHO guidelines and reports of consultations

Community-based health workers can safely and effectively administer injectable contraceptives. Geneva, WHO, 2010.
http://www.who.int/reproductivehealth/publications/family_planning/WHO_CBD_brief/en/index.html

Guidelines on HIV and infant feeding. 2010. Principles and recommendations for infant feeding in the context of HIV and a summary of evidence. Geneva, WHO, 2010.
http://www.who.int/child_adolescent_health/documents/9789241599535/en/index.html

Medical Eligibility Criteria for Contraceptive Use (4th ed.). Geneva, WHO, 2010.
http://www.who.int/reproductivehealth/publications/family_planning/9789241563888/en/index.html

Selected Practice Recommendations for Contraceptive Use (2nd ed.). Geneva, WHO, 2004.
http://www.who.int/reproductivehealth/publications/family_planning/9241562846index/en/index.html

Selected Practice Recommendations for Contraceptive Use: 2008 Update. Geneva, WHO, 2008.
http://www.who.int/reproductivehealth/publications/family_planning/9241562846index/en/index.html

(More on processes, sources, selection criteria, and terminology used in this book can be found online at http://www.fphandbook.org/.)