HOW TO USE
You can start the pill any time it is reasonably sure that you are not pregnant – for example, during the first 7 days after your menstrual period starts. Take one pill each day until the packet is empty.
Then start the next packet from 28 pill packets. Take the first pill from the new packet the next day. For 21 pill packets. Wait no more than 7 days and than take the first pill.
If you miss a pill, take it as soon as possible, than take the next pill at the regular.
HOW IT WORK
When a woman swallows a pill each day, her ovaries stop releasing eggs. She can not become pregnant without eggs.
Effectiveness: Very effective if taken every day . Effective as usually used.
No STD protection. Also can be used for emergency contraception.
ADVANTAGES
No need to do anything at the time of sex. Monthly periods are regular, light short: milder, fever cramps. Help prevent iron deficiency anemia, ectopic pregnancy, ovarian and uterine cancer and (PID) pelvic inflammatory
DISADVANTAGES
Some women have upset stomach (especially in first 3 months ) and / or spotting or bleeding between menstrual periods, missed periods, mild headache, breast tenderness, and or slight weight gain.
Some women cannot remember taking a pill every day. In rare cases the pill causes heart attack or blood clots deep in the leg. Specially in women with higher blood pressure and in a women who smoke and also over 35 years or old.
WHERE TO GET SERVICES
Oral pills is available in all program and non program outlets, the oral pills is also available in all medical stores.

HOW TO USE
Put a condom on the erect penis before it touches the vagina.
Put the condom on the tip of the penis with the rolled rim away from the body.
The condom should unroll easily to the base of the penis.
HOW IT WORK
A very thin, flexible sheath that covers the man’s erect penis during sex.
It keeps sperm out of the women’s vagina.
Also prevents many STDs from passing between sex partners.
Sex Effectiveness: Effective if used correctly and every time.
Only some what effective as usually used. Best method for STD prevention.
ADVANTAGES
Only method proved to prevent STDs including HIV/ AIDS, and also pregnancy when used correctly with every act of sexual intercourse.
Help prevent conditions caused by STDs, such as pelvis inflammatory disease (PID) in women and infertility in both women and men.
No need to see a health care provider before using.
DISADVANTAGES
Must take time to put condom on erect penis before sex. May decrease sensation.
May cause itching for a few people allergic to latex rubber.
WHERE TO GET SERVICES
Condom is available in all program and non program outlets.
The condom is also available in all medical stores.

HOW TO USE
Procedure: Anesthetic (medicines to stop pain) is injected into the abdomen.
You may also be given medicines to help you relax (Tell the client whether she is going to be awake for asleep. Full sleep – general anesthesia – usually is not needed).
The procedure takes less than 20 minutes. Most women can leave the clinic in a few hours.
HOW IT WORK
A specially trained health care provider make a small surgical opening in the woman’s abdomen and closes off both tubes that carry eggs from the ovaries to the womb.
The eggs cannot meet the man’s sperm. The women still has menstrual periods.
Effectiveness: Very effective and permanent.
No STD protection.
ADVANTAGES
A single procedure leads to effective, lifelong family planning . Nothing to remember and no repeated clinic visits needed. No known long term side effects or health risks. A woman can still have sex as usual.
DISADVANTAGES
Usually painful for a few days after the procedure. Slight chance of infection or bleeding at incision, internal infection or bleeding, or injury to internal organs. Usually not reversible.
WHERE TO GET SERVICES
Services are available in all RHS-A Centers and RHS-B establish in major hospitals.

HOW TO USE
Procedure: Local anesthesia is injected into the scrotum to stop pain. One or two small openings are made in the scrotum. The two tubes that carry sperm to the penis are cut. The ends are tied or closed off. The openings are sewn shut or bandaged. The procedure takes about 15 minutes.
HOW IT WORK
A specially trained health care provider makes a small surgical opening in the man’s scrotum (the sac of skin that hold the testis) and close off both tubes that carry sperms from his testis. The man still produces semen, but it has no sperm in it to make a woman pregnant.
Effectiveness: Very effective and permanent.
No STD protection.
ADVANTAGES
A single, quick procedure leads to effective, life long family planning. A man can still ejaculate and have sex as usual. No known long term side effects or health risks.
DISADVANTAGES
Not effective at once. Couple must use another method for at least the first 20 ejaculations or 3 months.
Usually some discomfort for a few days after the procedure. Possibly also some pain, swelling, and bruising in the scrotum. Usually not reversible.
WHERE TO GET SERVICES
The services are available through all District Head Quarters.

METHOD INJECTABLE

HOW TO USE
Try not to rub the injection site. They could shorted the protection.
Try to come back for another injection in 3 months (for Depo-vera) or 2 months (for Noristerat). But come back even if you must come early or you are late. If more than 2 weeks late, use condom or a vaginal method until you can have another injection.
HOW IT WORK
Injectable Depo-Provera (DMPA) and Noristerat (NET EN) stop ovaries from releasing eggs.
A woman can not become pregnant without an egg. They also thicken cervical mucus so sperm can not pass.
Effectiveness: Very effective when spaced 3 months apart (for DMPA) or 2 months apart
(for NET EN). No STD Protection.
ADVANTAGES
Private. No one else can tell that woman using contraception. Long term yet reversible.
Each reversible . Each injection lasts at least 3 months (DMPA) or 2 months (NET EN).
The woman has to remember only to return for her next injection.
DISADVANTAGES
Change in menstrual bleeding are normal such as light spotting at first and no period after the first year of use. (Some women consider no periods an advantage) .
If stopping to become pregnant, average 4 months longer wait before pregnancy than after stopping other methods.
WHERE TO GET SERVICES
Available at all outlets i.e Family Welfare Centres. (FWC). Reproductive Health Services. (RHS-A & B). Mobile Service Units. (MSU).

HOW TO USE
A specially trained health care provider will place 6 small plastic capsules under the skin of you upper arm. You will get medicine top prevent pain.
Keep this area dry for 4 days. You can take off the gauze after 2 days and the bandage after 5 days.
Most women have changes in menstrual bleeding, especially spotting or light bleeding between periods. This is normal, it is not dangerous and not a sign of danger.
HOW IT WORK
Small plastic capsules placed under the skin of woman’s arm slowly release a hormone. The hormone thickens cervical mucus so sperm can not pass. Some times also stops ovaries from releasing eggs.
Effectiveness:
No STD protection.
ADVANTAGES
Lasts at least 5 years, fertility returns when capsules are taken out. Nothing to remember.
No need to do anything at the time of sex.
Help prevent iron deficiency anemia and ectopic pregnancy.
DISADVANTAGES
Changes in menstrual bleeding normal especially spotting, bleeding between periods. Some women have no periods. Some women consider no periods an advantage. Clinic procedure needed to start or stop use.
WHERE TO GET SERVICES
Service is available at all Reproductive Health Services. (RHS-A).

HOW TO USE
A specially trained health care provider will insert you IUD. During the procedure, please tell the provider if you feel discomfort or pain. You may fell some cramps for a short time afterward.
To make sure the IUD is still in placed check the IUD strings once a week for the first month and then from time to time after a menstrual period.
Wash hands, sit in a squatting position, and insert 1 or 2 fingers into you vagina until you feel the stings. Come back if you can not feel the strings, the strings feel longer or shorter, or you feel some thing hard.
HOW IT WORK
A small flexible plastic frame, often with copper wire or sleeves on it.
A health care provider inserts the IUD into the woman’s womb through her vagina. The IUD stops egg and sperm from meeting.
Effectiveness: Very effective.
No STD protection
ADVANTAGES
Effective prevention of pregnancy for as long as 10 years; fertility returns when IUD is taken out.
No need to do anything at the time of sex. Can be inserted just after child birth.
DISADVANTAGES
May women at first have longer, heavier, longer heavier menstrual periods, bleeding or spotting between periods, or more menstrual camps or pain. Clinic procedure needed to start or stop use.
Pelvic inflammatory disease is more likely to follow STD injection if a woman is using an IUD .
WHERE TO GET SERVICES
The services are available in all program and non program outlets.