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Long-term success, defined as satisfied clients and high
continuation rates, will occur only if clinic staff recognize the importance of providing
both followup care and prompt management of side effects and other problems. Explaining
the common side effects to clients, as well as what to do if certain problems occur,
promotes safe, effective and continued contraceptive use. Health care providers also need
to ensure that clients know how to use a contraceptive method. In particular a client
should know:
To help a client understand and remember the most important points, be sure to explain them clearly and simply. Have the client repeat the instructions so it is certain that s/he clearly understands the method. If possible, also give written instructions to the client or her/his spouse. For some contraceptive methods (e.g., injectables), an appointment card should be given as a reminder unless privacy is an issue. Clients should be taught warning signs and told to return to the clinic immediately if any occur. This chapter contains sample instructions for all commonly available contraceptive methods. (While detailed instructions are provided for NFP, it is understood that considerable additional training would be needed for a client to use these methods effectively.)
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