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NORMAL Counseling Tool for Menstrual Bleeding Changes (job aid)

March 2019 — This job aid contains guidance for health care workers to counsel family planning clients on bleeding changes associated with the use of hormonal contraception and the copper intrauterine device (IUD). Fears and misconceptions about menstrual bleeding frequently contribute to discontinuation and non-use of contraception. In addition, although amenorrhea or reduced bleeding can have important noncontraceptive health and lifestyle advantages for women, these potential benefits are often not emphasized in counseling sessions.

A review of counseling and training materials commonly used in international family planning programs found that current materials inadequately address women’s concerns about bleeding changes. As a result of the review, FHI 360 co-developed this tool in collaboration with PSI and with funding from the U.S. Agency for International Development.

The tool is available in two forms:

  1. A facility-based tool that can be used by health care providers in clinics and other health care facilities.
  2. A community-based tool that can be used by community health workers and volunteers to counsel low-literacy clients. This tool is being field-tested in Kenya. Continue to check here for updates.