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AFRO-NETS> Simple Checklist to Rule out Pregnancy in Non-Menstruating Women



Simple Checklist to Rule out Pregnancy in Non-Menstruating Women
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FHI Study Identifies Low-Tech Solution for a Major Barrier to Contra-
ceptive Access

A recent Family Health International (FHI) study tested a simple check-
list designed to rule out pregnancy among non-menstruating family plan-
ning clients and found that the checklist safely ruled out pregnancy 
90% of the time.

Conducted with the University of Nairobi Department of Ob/Gyn, the 
study examined barriers to services faced by non-menstruating women and 
revealed that about a third of potential new family planning clients in 
Kenya are unnecessarily turned away from family planning clinics be-
cause they are not menstruating at the time of their visit. The princi-
pal rationale for denying services to non-menstruating women is the be-
lief that they might be pregnant.

The checklist would allow the majority of these women to receive the 
services they are seeking, thus greatly reducing the risk of an un-
wanted pregnancy. The study also found that only one percent of non-
menstruating new clients had pregnancies detectable by pregnancy tests, 
a much lower proportion than researchers anticipated. 

JHPIEGO plans to use the checklist for training events to be conducted 
in Kenya early next year. Planned follow-up events include a dissemina-
tion workshop in Kenya in January of 1999, an article in press in the 
East African Medical Journal, and talks given at medical conferences in 
Zimbabwe and Senegal.

For more information, contact:
John Stanback, FHI
Tel: +1-919-544-7040 ext. 519
mailto:jstanback@fhi.org

--
David Hock
Senior Information Projects Co-ordinator
Family Health International
mailto:dhock@fhi.org

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