Figure 1. Steps in Counseling

• Greet the client by introducing yourself and warmly welcoming her to the clinic.
• Provide general education about family planning.
• Provide information about all contraceptive choices available and the risks and benefits of each. Explain the difference between reversible and permanent contraception. Correct false rumors or misinformation about all methods.

• Obtain basic information (name, address, etc.).
• Ask the client about her reproductive goals and possible need for protection against STDs, including HBV and HIV/AIDS. Ask her if she wants to space or limit births.
• Discuss the client's needs, concerns and fears in a thorough and sympathetic manner. Explore any attitudes or cultural or religious beliefs that either favor or eliminate one or more methods.
• Help the client begin to choose an appropriate method.

• Make sure there is no medical condition that would be a problem or require more frequent followup.
• Clearly discuss the characteristics of the method emphasizing the following points:
• Effectiveness
• Use
• Convenience, comfort and reversibility
• Protection against STDs, including HBV and HIV/AIDS.
• Explain common side effects or problems associated with the method, especially any changes in the menstrual bleeding pattern; and be sure they are fully understood.
• If the client is at risk for STDs, inform her that she should also use a barrier contraceptive.

• Review client assessment data to determine if the client is an appropriate candidate for the method or if she has any problems that should be monitored more frequently while using it.
• Give counseling, including how to use the method and what to do if she experiences any problems or side effects. Special emphasis should be given to menstrual bleeding changes.
• Provide information on warning signs for medical problems and the need to return to the clinic immediately should any occur.
• Assure the client she can return to the clinic at any time to receive advice and medical attention.
• Have the client repeat the instructions.
• Answer any remaining client questions.
• Complete the client record.

• Check whether the client is satisfied.
• Inquire about problems and respond to concerns about side effects or any problems.
• Repeat client instructions for use of the selected method.