[Sexual and reproductive health (services, training, family planning, introduction to management of sexually transmitted diseases, research on the infertile couple). Reference text. 2nd ed.] Salud sexual y reproductiva (servicios, orientacion, planificacion familiar, introduccion al manejo de enfermedades de transmision sexual, investigacion de la pareja infertil). Texto de referencia. Segunda edicion.
This is the second edition of a reference text designed to assist providers of family planning and reproductive health care services in Bolivia to improve their service delivery. The first chapter provides basic guidelines for the organization and administration of reproductive health services, including such topics as personnel needs and functions, distribution and control of inventory, storage, IEC campaigns, standards and norms, record keeping, and the relationship of reproductive health services to national health policy. The next chapter examines techniques and goals for orientation of clients concerning family planning and other reproductive health services. It discusses the rights of clients, benefits of orientation, steps to follow and characteristics of a good provider of family planning orientation, and it gives recommendations for special situations such as voluntary surgical sterilization, work with adolescents, and communication about AIDS. The following chapter provides guidelines for prevention of infection and maintenance of proper hygiene during examinations and procedures. Two chapters on natural family planning techniques follow, the first discussing the various periodic abstinence methods and the next providing instructions for the method of lactation and amenorrhea for the first 6 months postpartum. The chapter also discusses other contraceptive methods appropriate for breast feeding mothers. The next several chapters discuss specific contraceptive methods: barrier methods, IUDs, combined OCs, progestin only methods, Norplant implants, and surgical methods. Postpartum and postabortal methods are also discussed. Current information is provided on indications, precautions, and contraindications for each method in accordance with World Health Organization recommendations. Chapter 14 provides information on the symptoms, etiology, transmission, diagnosis, treatment, and prevention of sexually transmitted diseases. Protocols and flow charts are included throughout the work to aid in organizing services.