1. Activity 4.2 Factors that Influence Contraceptive Decision Making 1 Providing Quality Contraceptive Counseling & Education: A Toolkit for Training Staff

2. Family Planning National Training Centers · Supported by Office of Population Affairs Discuss the multiple factors that influence sexual and reproductive health decisions, and more specifically, contraceptive decision-making. Purpose 2

3. Family Planning National Training Centers · Supported by Office of Population Affairs Informed decision Clear understanding of options and how they relate to preferences Explore personal issues, life circumstances, and preferences that may affect use Method satisfaction Consistent and correct use Why is this so important? 3

4. Family Planning National Training Centers · Supported by Office of Population Affairs What should be included in our assessment? 4

5. Family Planning National Training Centers · Supported by Office of Population Affairs Initial Assessment Considerations: Does the client have any health issues and/or safety considerations that would rule out certain methods? What is the client’s reproductive life plan and pregnancy intention? What is important to the client in a birth control method? 5

6. Family Planning National Training Centers · Supported by Office of Population Affairs Factors that influence contraceptive decision-making: Cultural considerations Clients values and preferences Partner involvement Personal life circumstances –Homelessness –Income –Mental health –Substance use/abuse Reproductive coercion/IPV STD/HIV protection Myths/misinformation Method characteristics: –Effectiveness –How the method is used –Menstrual and other side effects –Other considerations –Potential risks 6

7. Family Planning National Training Centers · Supported by Office of Population Affairs Contraceptive Counseling Process Guide 7

8. Family Planning National Training Centers · Supported by Office of Population Affairs Question Brainstorm 8

9. Family Planning National Training Centers · Supported by Office of Population Affairs 9

10. Your Personal Values & Biases in the Counseling Session 10

11. Family Planning National Training Centers · Supported by Office of Population Affairs What is the best method for a teen? “An IUD is best for a teen because it is one of the most effective methods and will best protect her from an unintended pregnancy.” “Teens should not have an IUD because IUDs are too much of a health risk.” 11

12. Family Planning National Training Centers · Supported by Office of Population Affairs What is the best method for a teen? “An IUD is best for a teen because it is one of the most effective methods and will best protect her from an unintended pregnancy.” (FALSE) “Teens should not have an IUD because IUDs are too much of a health risk.” (FALSE) The best method is the one the client chooses. 12

13. Family Planning National Training Centers · Supported by Office of Population Affairs Questions/Comments 13

14. Family Planning National Training Centers · Supported by Office of Population Affairs References & Resources Borrero S, et al. “It just happens”: a qualitative study exploring low-income women’s perspectives on pregnancy intention and planning. Contraception. 2015; 91(2): 150-6. Dehlendorf C, Levy K, Kelley A, Grumbach K, Steinauer J. Women's preferences for contraceptive counseling and decision making. Contraception. 2013 Aug; 88(2): 250-6. Donnelly KZ, Foster TC, Thompson R. What matters most? The content and concordance of patients’ and providers’ information priorities for contraceptive decision making. Contraception. 2014 Sep; 90(3): 280-7. Grady CD, Dehlendorf C, Cohen ED, Schwarz EB, Borrero S. Racial and ethnic differences in contraceptive use among women who desire no future children, 2006- 2010 National Survey of Family Growth. Contraception. 2015 Jul; 92(1): 62-70. 14

15. Family Planning National Training Centers · Supported by Office of Population Affairs Contact us 15