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FP_FULL_30_SLIDE_PRESENTATION_WITH_CHARTS_REFS 2 [Autosaved].pptx
- 1. Family Planning in Pakistan ShaheenButt MSN Scholar Sarhad University Peshawer November 2025
- 2. Objectives • 1. Describethe consequences of population growth in Pakistan. • 2. Identify Family Planning (FP) services available in Pakistan. • 3. Identify social, economic, political and religious aspects of FP in Pakistan. • 4. Discuss the responsibilities / role of a nurse for Family Planning. • 5. Describe the indications, contraindications, advantages and side effects of different contraceptive methods. • 6. Discuss the importance and steps of counseling skills
- 3. Definition of Family Planning •WHO: FP allows control over timing/number of children • Achieved via contraception & infertility care • Supports rights & health •References: WHO 2022
- 4. Importance of FP •Improves maternal/child health • Reduces population pressure •References: UNFPA 2024
- 5. Population Growth (2025) • Population255M • Growth rate 2.55% • Projected 400M by 2050 •References: PBS 2025
- 6. Population Age Structure References: UNFPA 2024 0-14 15-24 25-44 45-64 65+ 0 510 15 20 25 30 35 40 Data
- 7. Population growth in Pakistan Consequences •A. Social Consequences • Overcrowding • Pressure on education • Strain on healthcare • Poor sanitary conditions •References: Population Council 2023
- 8. Economical Consequences •Unemployment •underemployment •High dependency ratio •Lower GDP per capita •Increasing poverty •References: PBS 2025 .
- 9. Environmental & Health Impact •Depletion of natural resources • Pollution • Climate change •References: WHO 2023
- 10. Maternal & Child Risks •1 in 89 maternal mortality risk • 30% pregnancies high-risk • Short spacing ↑ stunting 40% • Infectious diseases •References: UNFPA 2024
- 11. FP Services: Public Sector •A. Public Sector • Population Welfare Department (PWD) clinics. • Family Welfare Centers (FWCs). • Reproductive Health Centers (RHCs). • Basic Health Units (BHUs) and Rural Health Centers (RHCs). • MCH (Maternal & Child Health) Centers. •References: NIPS 2019
- 12. B. Private Sector •Private hospitals, clinics, pharmacies. • General practitioners and gynecologists offering contraceptive counseling and services. •References: Population Council 2023
- 13. FP Services: NGO Sector •Greenstar • Marie Stopes • UNFPA and USAID supported services. •References: UNFPA 2024
- 14. D. Community-Based Services •Lady Health Workers (LHWs) providing: – Counseling – Distribution of condoms & oral pills – Referral for IUD, injectable, implants, sterilization
- 15. Social Barriers • Lowliteracy • Son preference • Myths & fears •References: NIPS 2019 •(Nadeem, Malik et al. 2021)
- 16. Religious Acceptability • Islam allowsFP • CII supports FP • Ulema involvement helps •References: Islamic Advisory Group 2018
- 17. Political & Policy Gaps •Devolution issues • 0.08% GDP funding • Weak implementation •References: UNFPA 2024
- 18. Nursing Role inFP • Counseling • Method provision • Follow-up • Advocacy •References: Stanhope 2020
- 19. Counseling Skills • Buildrapport • Explore needs • Provide accurate info • Helps clients make informed decisions • Reduces fear, myths, and misconceptions • Improves satisfaction and long- term continuation of FP •References: WHO FP Handbook 2018
- 20. GATHER Model • Greet •Ask • Tell • Help • Explain • Return •References: WHO 2018
- 21. Overview of Methods • Short-acting •Long-acting • Permanent • Traditional •References: WHO 2022
- 22. Barrier Methods • Malecondoms • STI protection • User dependent • A. Barrier Methods (Condoms) • Indications: • Protection from STIs • Spacing pregnancies Contraindications: • Latex allergy Advantages: • Cheap, available, prevents STIs Side effects: • Allergy, breakage risk •References: WHO 2022
- 23. Oral Contraceptive Pills • COC& POP • 91-99% effective • Contraindications important •References: FP Global Handbook 2018
- 24. Injectables • DMPA/NET-EN • >99%effective • Delayed fertility •References: FP Handbook 2018
- 25. IUDs • Copper T •LNG-IUS • Long-term reversible •References: UNFPA 2024
- 26. Implants • Implanon NXT •3-year protection • Highly effective •References: WHO 2022
- 27. Emergency Contraception • LNG 72h •UPA 120h • Copper IUD •References: WHO 2022
- 28. Permanent Methods • Tuballigation • Vasectomy (>99.5% effective) •References: WHO 2022
- 29. Maternal Mortality Comparison References: WHO 2023 PakistanIndia Bangladesh Iran 0 20 40 60 80 100 120 140 160 180 200 Data
- 30. Barriers to Family PlanningUptake Based on multiple articles (Dehlendorf, Cleland, Mwaikambo): • Misconceptions • Low male involvement • Youth access limited • Lack of knowledge • Cultural myths (e.g., infertility fears) • Male partner opposition • Poor quality counseling • Stock-outs of contraceptives • Limited youth-friendly services
- 31. Way Forward • Improvesupply • Engage men • Religious leader programs • Strengthen LHW system •References: UNFPA 2024
- 32. Summary • FP essentialfor nation • Nurses central role • Evidence-based counseling critical (Cleland et al. 2022)
- 33. References • WHO 2022; •UNFPA 2024; • NIPS 2019; • : PBS 2025 • Population Council 2023; Cleland et al. 2022; • Islamic Advisory Group 2018 • Nadeem, M., et al. (2021). "Women Decision Making Autonomy as a Facilitating Factor for Contraceptive Use for Family Planning in Pakistan." Social Indicators Research 156(1): 71-89