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Family planning course for nurses and midwives in the Philippines.

Nurses and midwives in the Philippines often have closer contact with more people and with people in more remote areas than do doctors or family planning clinics. Presidential decree 79 issued in 1972 provided for the utilization of nurses and midwives for direct family planning services that is IUD insertions and pill dispensing rather than limiting them to education and motivation functions. The Family Planning Organization of the Philippines (FPOP) started to plan a course and sent 2 nurses for training one to Downstate Medical Center New York and the other to Fabella Memorial Hospital Manila. The FPOP comprehensive Family Planning Training Course was launched in coordination with the National Family Planning Programme. Graduates are expected to acquire a theoretical foundation in the concepts of family planning specifically in the Philippines knowledge of the anatomy and physiology of human reproduction skills in motivation and counselling and the ability to establish a clinic perform examinations insert and remove IUDs manage minor side-effects and identify problems for referral. The 1st week of the course lays the theoretical groundwork; the remaining 8 weeks include observation and supervised clinic practice. A 1-month mandatory internship follows. Graduates are awarded a certificate of training from the FPOP and a license for IUD insertion and Pill dispensing from the Philippine Commission on Population. The course is evaluated by questionnaires and follow-up visits to the participants in their own settings 3 months after the end of the course. Thus far no problems in the performance of the newly trained nurses and midwives have been observed.