IMPORTANT NOTE: This chart is not a medical glossary. Descriptions are taken from key reference sources to provide a practical guide to evaluators, program managers and
MIS staff who use many of these medical terms when collecting and analyzing service statistics.
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
SRH - CONTRACEPTION
Temporary
Methods Hormonal
SRH FP - CONTRACEPTION - ORAL
CONTRACEPTIVES - OC (COCs + POPs)
Oral Contraceptives or Pills, nclude both Combined Oral Contraceptives (COCs) and ProgestogenOnly Pills (POP)
IPPF Medical and Service Delivery Guidelines 2004 Chapter 5
Contraceptives - Oral Contraceptives
• Initial Consultation
• Follow up/Ressuply
• Method Specific Counselling
Combined oral contraceptives (COCs) are preparations of synthetic oestrogen and progestogen.
• Ej: Lo-Femenal, Microgynon, Duofem, Nordet
http://www.ippf.org/ContentController.aspx?I
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IPPF – Hormonal Contraceptive Directory
IPPF Extranet – www.ippf.net
SRH FP - CONTRACEPTION - COMBINED
INJECTABLE CONTRACEPTIVES – CIC (1 MONTH)
Combined injectable contraceptives (CICs) contain a short-acting
Contraceptives - Combined Injectable Contraceptives (1
month)
• Initial Consultation
• Follow up/Ressuply
• Method Specific Counselling
Combined Injectable Contraceptives (1 month dosis)
SRH FP - CONTRACEPTION - PROGESTOGEN ONLY
INJECTABLES - (2 OR 3 MONTHS)
Progestogen-only injectable contraceptives (POIs) are composed of synthetic steroid hormones
which resemble the female hormone progesterone. The injectable preparation is released slowly into
the bloodstream from the site of injection in the muscle. A single injection provides safe and highly
effective contraception for 2 or 3 months.
• Acetato de medroxiprogesterona de depósito (AMPD) (Cyclofem, Depo Provera)
• Initial Consultation
• Follow up/Ressuply
• Method Specific Counselling
The progestogen-only pill (POP) is an oral hormonal contraceptive that contains a progestogen only.
• Ej: Levonorgestrel, Micronor (noretisterona)
oestrogen and a long-acting progestogen. The injectable preparation is released slowly over the
course of 28 days from the site of injection. A single injection is given each month.
• Ej: Cyclofem, Cycloprovera, Lunelle y Novafem
• Ej: Mesigyna y Norigynon
IPPF Medical and Service Delivery Guidelines 2004 Chapter 5
http://www.ippf.org/ContentController.aspx?I
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IPPF – Hormonal Contraceptive Directory
IPPF Extranet – www.ippf.net
IPPF Medical and Service Delivery Guidelines 2004 Chapter 5
http://www.ippf.org/ContentController.aspx?I
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• Enantato de noretisterona (EN-NET) (Mesigyna, Noristerat, Norigynon)
IPPF – Hormonal Contraceptive Directory
IPPF Extranet – www.ippf.net
Contraceptives - Progestogen Only Injectables (2 months)
Contraceptives - Progestogen Only Injectables (3 months)
SRH FP - CONTRACEPTION - SUBDERMAL
IMPLANTS
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Progestogen-only implants are placed subdermally and release progestogen at a controlled rate, thus
providing very small daily doses to achieve the desired contraceptive effect.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 5
1
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
• Initial Consultation
• Available proprietary implants include the 6-capsule Norplant,
• Follow up/Reinsertion
• Method Specific Counselling
• Removal
Contraceptives - Subdermal implants 6 rods
Contraceptives - Subdermal implants 2 rods
Contraceptives - Subdermal implants 1 rod
•
SRH FP - CONTRACEPTION - OTHER HORMONAL
METHODS
Contraceptives - Other methods - Transdermal Patch (1
month)
• Initial Consultation
• Follow up/Ressuply
• Method Specific Counselling
Contraceptives - Other methods - Vaginal Ring (1 month)
• Initial Consultation
the 2-rod Jadelle and the 1-capsule Implanon
The transdermal contraceptive patch is a novel delivery system for combined hormonal contraception
which is easy to use and reversible. Its efficacy parallels that achieved with the combined oral
contraceptive pill but has the benefit of weekly rather than daily administration, with improved
compliance.
Web links as of December 2005
http://www.ippf.org/ContentController.aspx?I
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IPPF Medical and Service Delivery Guidelines 2004 Chapter 5
http://www.ippf.org/ContentController.aspx?I
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A vaginal ring is a thin, transparent flexible ring that is inserted into the vagina to provide
contraceptive protection. It is an easy to use and reversible method of hormonal contraception. It
works by releasing a continuous low dose of oestrogen and progestogen. It is worn continuously for 3
weeks then removed for 1 week; a new ring is inserted every month.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 5
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• Follow up/Ressuply
• Method Specific Counselling
Temporary
Methods Barrier
SOURCE
SRH FP - CONTRACEPTION - CONDOMS
Includes both male and female condoms
Contraceptives - Condoms - Male Condom
The male condom is a sheath made to fit over the erect penis. It collects semen and acts as a barrier
preventing passage of sperm into the vagina.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 7
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The female condom, is made of soft pliable polyurethane prelubricated with a silicone-based
substance (dimethicone). It is inserted into the vagina before sexual intercourse.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 7
http://www.ippf.org/ContentController.aspx?I
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• Initial Consultation
• Follow up/Ressuply
• Method Specific Counselling
Contraceptives - Condoms - Female Condom
• Initial Consultation
• Follow up/Ressuply
• Method Specific Counselling
SRH FP - CONTRACEPTION - DIAPHRAGMS /
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Includes in the same method Diaphragm and Cervical Cap
2
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
CERVICAL CAP
Contraceptives - Diaphragm / Cervical Cap
• Initial Consultation
• Follow up/Ressuply
• Method Specific Counselling
SRH FP - CONTRACEPTION – SPERMICIDES
• Initial Consultation
• Follow up/Ressuply
• Method Specific Counselling
Contraceptives - Spermicides - Foam
Tabs/Tube/Suppositories
Contraceptives - Spermicides - Foam Tabs/Strip
Contraceptives - Spermicides - Foam Cans
Contraceptives - Spermicides - Cream & Jelly
Contraceptives - Spermicides - Pessaries
A diaphragm is a shallow, dome-shaped rubber cup with a flexible rim. When correctly inserted into
the vagina before intercourse, the dome covers the cervix. The cervical cap is a latex, dome-shaped
device that fits snugly over the cervix.
The cervical cap is a birth control device for women. It is made of latex rubber and is shaped like a
small cup. It is designed to fit tightly over the cervix. (The cervix is the opening of the uterus.) The cap
is smaller and more rigid than a diaphragm.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 7
http://www.ippf.org/ContentController.aspx?I
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University of Michigan Health System (HON Accredited
website)
http://www.med.umich.edu/1libr/wha/wha_ce
rvcp_spa.htm
Spermicides are chemicals that inactivate and kill sperm. To a certain degree, they also form a barrier
over the cervix. The principal spermicidal agents acting as surfactants are nonoxynol-9, octoxynol,
menfegol and benzalkonium chloride. The different kinds of carriers for spermicide include creams,
jellies (gels), suppositories, films, foaming tablets or suppositories and aerosol foams.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 7
http://www.ippf.org/ContentController.aspx?I
D=846
Pessaries: contraceptive device consisting of a flexible dome-shaped cup made of rubber or plastic; it
is filled with spermicide and fitted over the uterine cervix
C-film: a 5-cm square of polyvinyl alcohol impregnated with 67 mg of nonylphenoxypolyethoxyethanol
(Nonyl-9).
http://www.answers.com/pessaries?gwp=11&ver=1.0.7
.178&method=3
http://debussy.hon.ch/cgibin/HONselect_sp?browse+E07.858.499#Se
arch
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi
?cmd=Retrieve&db=PubMed&list_uids=4457
300&dopt=Abstract
Contraceptives - Spermicides - C-film
Temporary
Methods - IUD
SRH FP - CONTRACEPTION – INTRAUTERINE
DEVICE ( IUD)
• Initial Consultation
• Follow up/Reinsertion
• Method Specific Counselling
• Removal
Contraceptives - IUD - Hormone releasing IUD (5 years)
Service Descriptions for Statistic Reports to IPPF – as of July 2006
The intrauterine device (IUD) is a safe and effective method of reversible contraception. IUDs are
small flexible devices made of metal and/or plastic; they may be inert, or may release copper or
hormone. (Older copper-bearing devices and the inert IUDs are no longer recommended).
IPPF Medical and Service Delivery
Guidelines 2004 - Chapter 6
http://www.ippf.org/ContentController.aspx?I
D=846
Levonorgestrel-releasing IUD may be an adequate choice for women who are likely to have pain or
bleeding problems using the copper IUDs.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 6
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FAMILY /
SUBFAMILY
SERVICE
Contraceptives - IUD - Copper releasing IUD (10 years)
DESCRIPTION / EXAMPLES
The newer copper-bearing devices (TCu 380A, TCu 220C, ML Cu 375 and Nova T) are more
effective and offer a longer duration of use than older copper-bearing devices (e.g., ‘TCu 200’ and
‘Copper 7’).
SOURCE
Web links as of December 2005
IPPF Medical and Service Delivery Guidelines 2004 Chapter 6
http://www.ippf.org/ContentController.aspx?I
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Permanent
Methods Female
SRH FP - CONTRACEPTION - FEMALE VOLUNTARY
SURGICAL CONTRACEPTION (FVSC)
• Contraceptive surgery
Voluntary female sterilization (also known as tubectomy, tubal occlusion, tubal ligation or surgical
contraception) is among the most effective contraceptive methods available. The sterilization
procedure the oviducts (fallopian tubes) to prevent the sperm and ovum from uniting.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 8
http://www.ippf.org/ContentController.aspx?I
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• Method Specific Counselling
• Reversal
Contraception Surgical - Female VSC - Minilaparatomy
Minilaparotomy is a simplified laparotomy approach using an incision of 5 cm or less.
Contraception Surgical - Female VSC - Laparoscopy
The operator uses endoscopic equipment inserted through a 1.0-1.5 cm incision under the umbilicus.
Contraception Surgical - Female VSC - Laparotomy
Laparotomy uses an incision over 5 cm in length. It should not be used in routine sterilization
procedures. It may be used when sterilization is performed in conjunction with caesarean section or
another gynaecological operation.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 8
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IPPF Medical and Service Delivery Guidelines 2004 Chapter 8
http://www.ippf.org/ContentController.aspx?I
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IPPF Medical and Service Delivery Guidelines 2004 Chapter 8
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Permanent
Methods - Male
SRH FP - CONTRACEPTION - MALE VOLUNTARY
SURGICAL CONTRACEPTION (MVSC)
• Contraceptive surgery
• Method Specific Counselling
• Reversal
Contraception Surgical - Male VSC - Incisional vasectomy
Contraception Surgical - Male VSC - No-scalpel
Vasectomy (NSV)
Male sterilization, or vasectomy, is the interruption of the male reproductive capacity for the purpose
of permanently ending fertility.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 8
http://www.ippf.org/ContentController.aspx?I
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Conventional or incisional vasectomy is a surgical procedure in which each vas deferens is occluded
or cut so that sperm are not released into the ejaculate.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 8
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IPPF Medical and Service Delivery Guidelines 2004 Chapter 8
The NSV technique uses a vasal nerve block and two specialized instruments (a ringed clamp and
dissecting forceps) to isolate and deliver the vas. Because the scrotal skin puncture made with the
dissecting forceps is so small, sutures are not needed.
http://www.ippf.org/ContentController.aspx?I
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Fertility
awarenessbased methods
SRH FP - CONTRACEPTION - AWARENESS-BASED
METHODS (FAB)
• Initial Consultation
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Fertility awareness-based methods are contraceptive methods based on an awareness of the start
and end of the fertile time of a woman’s menstrual cycle.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 9
http://www.ippf.org/ContentController.aspx?I
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FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
• Follow up/Training
• Method Specific Counselling
Contraception FAB Methods - Cervical Mucous Method
(CMM)
The cervical mucus method (Billings method) is based on recognizing and interpreting cyclic changes
in cervical mucus that occur in response to changing oestrogen levels.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 9
http://www.ippf.org/ContentController.aspx?I
D=846
Contraception FAB Methods - Calendar Based Method
(CBM)
The calendar or rhythm method (Ogino-Knaus method) involves numerical calculations based on
previous menstrual cycles to estimate the fertile period. It has a high failure rate because it relies on
past information to predict the length of future cycles, a prediction which has limited accuracy.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 9
http://www.ippf.org/ContentController.aspx?I
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Contraceptive
Counselling
Contraception FAB Methods - Sympto-thermal method
The sympto-thermal method (STM) combines various periodic abstinence techniques, especially
cervical mucus changes, the calendar method and BBT.
Contraception FAB Methods - Standard days method
The SDM is based on the fact that a woman can become pregnant only during certain days in each
menstrual cycle.
Contraception FAB Methods - Basal Body Temperature
Method (BBT)
The basal body temperature (BBT) method is founded on the increase in body temperature that
occurs shortly after ovulation, associated with the secretion of progesterone by the corpus luteum.
SRH FP - CONTRACEPTION COUNSELLING
Contraceptive counselling is a structured conversation between two or more people that assists one
or more of the participants to work through particular issues that she or he faces with regard to sexual
and reproductive health (SRH) needs and contraception, to explore their feelings and to find ways to
deal with them.
• General FP Counselling
IPPF Medical and Service Delivery Guidelines 2004 Chapter 9
http://www.ippf.org/ContentController.aspx?I
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IPPF Medical and Service Delivery Guidelines 2004 Chapter 9
http://www.ippf.org/ContentController.aspx?I
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IPPF Medical and Service Delivery Guidelines 2004 Chapter 9
http://www.ippf.org/ContentController.aspx?I
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IPPF Medical and Service Delivery Guidelines 2004 Chapter 2
http://www.ippf.org/ContentController.aspx?I
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Contraception - Method Counselling
Emergency
Contraception
SRH FP - EC – COUNSELLING
• Method Specific Counselling
Contraceptive counselling should not be a prerequisite for providing emergency contraception but
should be given whenever it is requested or accepted by the client.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 10
http://www.ippf.org/ContentController.aspx?I
D=846
Emergency contraception refers to the type of contraception that is used as an emergency procedure
to prevent unintended pregnancy following an unprotected act of sexual intercourse.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 10
http://www.ippf.org/ContentController.aspx?I
EC - Method Counseling
SRH FP - EC – THERAPEUTIC
• Method Supply
Service Descriptions for Statistic Reports to IPPF – as of July 2006
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FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
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• Initial Consultation / IUD Insertion
• Follow-Up
EC - Combined Oral Contraceptives - Yuzpe
EC Progestogen Only Pills
Combined oestrogen/progestogen pills, containing ethinyl oestradiol and levonorgestrel, can be taken
in a regimen known as the “Yuzpe method”.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 10
http://www.ippf.org/ContentController.aspx?I
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The most convenient regimen is a single dose consisting of 1.5 mg levonorgestrel taken as soon as
possible after unprotected intercourse; alternatively, one dose of 0.75 mg levonorgestrel can be taken
as soon as possible after unprotected intercourse followed by a same dose taken 12 hours later.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 10
http://www.ippf.org/ContentController.aspx?I
D=846
EC Dedicated Product
A wide range of regular oral contraceptive products can be used for emergency contraception. The
Consortium, however, believes that dedicated products for emergency contraception-that is, products
that are specially packaged and labeled for this indication-are easier to dispense and use correctly.
International Consortium for Emergency
Contraception
http://www.cecinfo.org/html/res-productissues.htm
EC Copper releasing IUD
A copper-releasing IUD can be used within 5 days of unprotected intercourse as an emergency
contraceptive. When the time of ovulation can be estimated, the IUD can be inserted beyond 5 days
after intercourse, if necessary, as long as insertion does not occur more than 5 days after ovulation.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 10
http://www.ippf.org/ContentController.aspx?I
D=846
SRH - NON CONTRACEPTION (SRH – NON FP)
Abortion
SRH – NON FP - ABORTION / PRE ABORTION
COUNSELLING
Abortion Counselling - Pre - Abortion Counseling
Although counselling must never be imposed, every woman contemplating abortion should have
access to supportive empathetic counselling responsive to her personal circumstances and cultural
background.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
http://www.ippf.org/ContentController.aspx?I
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SRH – NON FP - ABORTION / PRE-ABORTION
CONSULTATION (DIAGNOSTICS)
Abortion Diagnosis - Exclusion of Anaemia
(Haemoglobin/Hematocrit tests)
Haemoglobin/haematocrit if physical examination suggests anaemia, or in areas where this condition
is prevalent, to prepare the provider for prompt action should haemorrhage occur.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
http://www.ippf.org/ContentController.aspx?I
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Abortion Diagnosis - Tests for ABO and Rhesus (Rh)
blood groups typing
Tests for ABO and Rhesus (Rh) blood groups typing when available, in case of complications that
might require blood transfusion.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
http://www.ippf.org/ContentController.aspx?I
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Service Descriptions for Statistic Reports to IPPF – as of July 2006
6
FAMILY /
SUBFAMILY
SERVICE
Abortion Diagnosis - Exclusion of ectopic pregnancy
(through ultrasound)
DESCRIPTION / EXAMPLES
Ultrasound for detection of ectopic pregnancy beyond 6 weeks. If ectopic pregnancy is suspected, it
is essential to confirm diagnosis immediately and initiate treatment or transfer the woman to a facility
where the diagnosis can be confirmed and treatment initiated.
SOURCE
Web links as of December 2005
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
http://www.ippf.org/ContentController.aspx?I
D=846
Abortion Diagnosis - Cervical cytology (Pap smear
citology test)
Cervical cytology may be offered to women, especially in settings where there is a high prevalence of
cervical cancer and STIs. However, accepting this service must never be a pre-condition for
providing the abortion.
Abortion Diagnosis - HIV testing
HIV testing can be proposed, as well as other tests related to STIs or specific diseases.
SRH – NON FP - ABORTION / INDUCED ABORTION
(SURGICAL)
Abortion can be induced surgically (e.g., by vacuum aspiration, or dilation and curettage)
Abortion Induced (Surgical) - Dilatation And Curettage
(D&C)
Dilatation and curettage (D&C) involves dilating the cervix with mechanical dilators or
pharmacological agents and using sharp metal curettes to scrape the walls of the uterus. It is less
safe than vacuum aspiration and more painful.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
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IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
http://www.ippf.org/ContentController.aspx?I
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IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
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IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
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Abortion Induced (Surgical) - Dilatation And Evacuation
(D&E) (2nd trimester of pregnancy)
Abortion Induced (Surgical) - Manual Vacuum Aspiration
(MVA)
Dilatation and evacuation (D&E) is used from about 12 completed weeks of pregnancy. It requires
preparing the cervix, dilating the cervix and evacuating the uterus using electric vacuum aspiration
with cannulae and forceps.
Vacuum aspiration is a very safe procedure, which involves evacuating the contents of the uterus
through a plastic or metal cannula attached to a vacuum source. The vacuum can be generated
either by an electric pump or with a hand-held plastic syringe.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
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IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
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SRH – NON FP - ABORTION (MEDICAL)
An “abortion” is the termination of a pregnancy. It can be spontaneous (also called miscarriage) or
induced. Abortion can be induced medically (e.g., using an antiprogestogen and/or prostaglandins),
safely or unsafely.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
http://www.ippf.org/ContentController.aspx?I
D=846
Abortion Care - Induced Abortion Pharmaceutical/Medical
The most widely used medical regimens to terminate pregnancy combine treatment with the
antiprogestogen mifepristone and with a prostaglandin, such as misoprostol. Medical methods of
abortion up to 9 weeks are safe and effective.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
http://www.ippf.org/ContentController.aspx?I
D=846
Service Descriptions for Statistic Reports to IPPF – as of July 2006
7
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
SRH – NON FP - ABORTION / INCOMPLETE
ABORTION TREATMENT ABORTION (SURGICAL)
Incomplete abortion is more common with medical methods. It should be suspected if visual
examination of the tissue aspirated during surgical procedure does not confirm to estimated duration
of the pregnancy. The completion is performed through a surgical method as described above.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
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Abortion (Post Abortion Surgical) - Incomplete
Spontaneous Abortion - D&C
Abortion (Post Abortion Surgical) - Incomplete
Spontaneous Abortion - MVA
Abortion (Post Abortion Medical - Incomplete
Spontaneous Abortion - Pharmaceutical/Medical
SRH – NON FP - ABORTION / POST ABORTION CARE
Abortion Care - Post - Follow-up including Uterine
Involution Monitoring & Bimanual Pelvic Examination
See corresponding surgical method above.
See corresponding surgical method above.
See corresponding medical method above.
Women's clinical and physiological situation after an abortion in the second trimester is similar to that
of the first trimester, but there are certain differences that will affect initiation or use of particular
methods. The most significant difference that affects contraceptive use is that after a second trimester
abortion the uterine size is larger and uterine involution (return to normal size) is slower than in a first
trimester abortion, usually taking 4-6 weeks. This factor is significant in fitting female barrier methods,
ensuring proper fundal placement of IUDs, and in locating the fallopian tubes for female sterilization.
WHO - Post abortion family planning:
In postpartum clients, an abdominal exam is important for assessing the size and relative location of
the uterine fundus. For clients who will be having an interval or postabortion minilaparotomy, the
physical exam should include a bimanual pelvic exam to determine the position, flexion, mobility, size,
shape, and condition of the uterus.
http://www.who.int/reproductivehealth/publications/post_abortion_family_pla
nning/clinical_concerns.html
Engenderhealth 2003:
http://www.engenderhealth.org/res/offc/steril/
minilap/pdf/minilaparotomy_ch3-4.pdf.
SRH – NON FP - ABORTION / POST ABORTION
COUNSELLING
Abortion Counselling - Post Abortion Counseling –
Including Family Planning
HIV/AIDS
SRH – NON FP - HIV/AIDS TREATMENT
CONSULTATION
HIV/AIDS Consult -Treatment- Anti Retro Viral (ARV)
HIV/AIDS Consult -Treatment - Opportunistic Infection
(OI)
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Women should be given information and counselling on post-abortion contraception before they leave
the health facility, and a method started, if desired.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
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Antiretroviral drugs (ARVs) inhibit the replication of HIV. ARVs are effective in decreasing HIV-related
morbidity and mortality.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
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IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
HIV-positive people have compromised immune systems and are more susceptible to a range of
opportunistic infections (OIs), such as tuberculosis, malaria, candidiasis, etc. Symptoms for these
8
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
infections may manifest themselves differently in HIV-positive people.
http://www.ippf.org/ContentController.aspx?I
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HIV/AIDS Consult - Post Exposure Prophylaxis (PEP)
PEP is a short-term antiretroviral treatment to reduce the likelihood of HIV infection after potential
exposure, either occupationally or through sexual intercourse. PEP should be commenced as soon
as possible after the incident and ideally within 2-4 hours. Combination therapy is recommended, as it
is believed to be more effective than a single agent.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
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HIV/AIDS Consult -Treatment - Psycho-Social Support
Counselling and social support can help people and their carers cope more effectively with each
stage of the infection and enhances their quality of life. With adequate support clients are more likely
to be able to respond adequately to the stress of being infected and are less likely to develop serious
mental health problems.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
http://www.ippf.org/ContentController.aspx?I
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HIV/AIDS Consult -Treatment – Home Care
Services are provided in the home through a case management system and include nursing, home
health aide/homemaker and personal care attendant services, respiratory therapy, physical therapy,
occupational therapy, speech therapy, social work and mental health services, nutritional counseling,
durable medical equipment, diagnostic testing, intravenous therapy, nutritional supplements, and
medical day care
NJ Department of Health & Senior Services / Home
Care Program
http://www.state.nj.us/health/aids/homecare.
htm
SRH – NON FP - HIV ANTIBODY SRH LAB SERO
STATUS LAB TESTS
HIV/AIDS Antibody Lab Tests - ELISA (Blood) Test
Enzyme-Linked Immunosorbent Assay (ELISA). An immunoassay utilizing an antibody labeled with
an enzyme marker such as horseradish peroxidase. While either the enzyme or the antibody is bound
to an immunosorbent substrate, they both retain their biologic activity; the change in enzyme activity
as a result of the enzyme-antibody-antigen reaction is proportional to the concentration of the antigen
and can be measured spectrophotometrically or with the naked eye. Many variations of the method
have been developed.
MeSH NLM http://www.nlm.nih.gov
HIV/AIDS Antibody Lab Tests - Western Blot (WB) Assay
The WB is a confirmatory test: it is only performed if the ELISA is positive. The WB can be positive,
negative, or indeterminate. Identification of proteins or peptides that have been electrophoretically
separated by blot transferring from the electrophoresis gel to strips of nitrocellulose paper, followed
by labeling with antibody probes.
MeSH NLM http://www.nlm.nih.gov
HIV/AIDS Antibody Lab Tests - Indirect
Immunofluorescence Assay (IFA)
The IFA can be used instead of the WB to confirm ELISA results. Like the WB, it uses a blood
sample. Because it is faster than a WB, some labs that use it can get results to the client more
quickly. A form of fluorescent antibody technique commonly used to detect serum antibodies and
immune complexes in tissues and microorganisms in specimens from patients with infectious
diseases. The technique involves formation of an antigen-antibody complex which is labeled with
MeSH NLM http://www.nlm.nih.gov
Service Descriptions for Statistic Reports to IPPF – as of July 2006
9
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
fluorescein-conjugated anti-immunoglobulin antibody
Murex-SUDS. The technology used to perform this test is called the Single Use Diagnostic System
(SUDS) for HIV. This system is a screening test using a small sample of blood, comparable to the
ELISA/EIA. It is more than 99% accurate when used 3 months after possible exposure.
Public Health
http://www.metrokc.gov/health/apu/infograms
/testing.htm
A test that detects HIV antibodies in urine. Tests are now available and FDA approved for using oral
fluids or urine to test for antibodies to HIV. (Note: oral fluids (including saliva) and urine contain
antibodies to HIV—they do not contain HIV itself.
Public Health Seattle and King County
http://www.metrokc.gov/health/apu/infograms
/testing.htm
The viral load test measures the amount of HIV virus in blood. There are different techniques for
doing this:
The PCR (polymerase chain reaction) test uses an enzyme to multiply the HIV in the blood sample.
Then a chemical reaction marks the virus. The markers are measured and used to calculate the
amount of virus.
The bDNA (branched DNA) test combines a material that gives off light with the sample. This
material connects with the HIV particles. The amount of light is measured and converted to a viral
count.
The single most important measure is the enumeration of circulating T-helper or CD4+ lymphocytes.
A single value establishes a statistical estimate of disease-free survival time, the risk for developing
P. carinii pneumonia, and the risk for complications such as retinitis due to cytomegalovirus
AIDS.org
SRH – NON FP - HIV/AIDS PREVENTION
COUNSELING
Good counselling assists people to make informed decisions, cope better with their health condition,
lead more positive lives, and prevents further transmission of HIV.
HIV/AIDS Prevention Consult
The role of SRH services includes prevention information and counselling messages directed to
infected and uninfected individuals.
World Health Organization:
http://www.who.int/health-servicesdelivery/hiv_aids/English/fact-sheet-7/
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
http://www.ippf.org/ContentController.aspx?I
D=846
SRH – NON FP - HIV/AIDS PRE/POST TEST
COUNSELLING
Voluntary counselling and testing (VCT) is an integral component of SRH services and should be
offered to high-risk/vulnerable groups. It allows individuals to know their HIV status and thereby
provides an early access for HIV counselling, treatment and care.
HIV/AIDS Other Lab Tests - Rapid Test (Murex-SUDS)
SRH – NON FP - HIV/AIDS LAB TESTS (OTHER)
HIV/AIDS Other Lab Tests - Urine Test for HIV
HIV/AIDS Other Lab Tests - Assessment of Immunologic
Function (Viral Load)
HIV/AIDS Other Lab Tests - Assessment of Immunologic
Function (CD4 count)
http://www.aids.org/factSheets/125-ViralLoad-Tests.html
Annals of Internal Medicine
http://www.annals.org/cgi/content/full/118/9/7
42
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
http://www.ippf.org/ContentController.aspx?I
D=846
HIV/AIDS Counselling - PRE Voluntary Counselling &
Testing (VCT)
Counselling should be confidential, non-judgmental, and be tailored to the needs and realities of the
client. This enables clients to make an informed choice about learning about their HIV status and to
take appropriate action
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
http://www.ippf.org/ContentController.aspx?I
D=846
HIV/AIDS Counselling - POST Test - Clients Only
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Post test counselling includes discussion of either positive or negative results.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
http://www.ippf.org/ContentController.aspx?I
10
FAMILY /
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DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
D=846
STI/RTI
HIV/AIDS Counseling - POST Test (Negative)
Post test counselling includes discussion of either positive or negative results.
HIV/AIDS Counseling - POST Test (Positive) - Sexual
Partners
HIV Management includes partner notification and counselling.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 12
http://www.ippf.org/ContentController.aspx?I
D=846
Prevention is the most important strategy for the control of STIs, including HIV infection. This is
mainly done through education.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 13
http://www.ippf.org/ContentController.aspx?I
D=846
IPPF Medical and Service Delivery Guidelines 2004 Chapter 13
http://www.ippf.org/ContentController.aspx?I
D=846
SRH – NON FP - STI/RTI COUNSELLING
STI/RTI Prevention Counseling
STI/RTI Counseling. POST Test
SRH – NON FP - STI/RTI CONSULTATION
STI/RTI Consultation
Counselling on the importance of future prevention should be provided to clients who have an
RTI/STI. It is also necessary to discuss the need of treating the sexual partner(s).
RTI/STI includes four types of infection: Infections which affect the reproductive tract, infections of the
female reproductive tract which are not transmitted sexually, but are the result of an overgrowth of
organisms normally present in the vagina; infections which are transmitted sexually to areas beyond
the reproductive tract, such as syphilis and HIV infection. Infections of the female reproductive tract
due to complications of reproductive events or procedures performed on the reproductive tract.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 13
http://www.ippf.org/ContentController.aspx?I
D=846
SRH – NON FP - STI/RTI LAB TESTS
STI/RTI Test - Bacterial Vaginosis
Caused by a mixed over-growth of organisms that usually exist within the vagina. Observation of
more than 20% vaginal epithelium cells covered with bacteria (clue cells) at direct microscopic
examination of a saline wet mount (or Gram stain).
IPPF Medical and Service Delivery Guidelines 2004 Chapter 13
http://www.ippf.org/ContentController.aspx?I
D=846
STI/RTI Test - Candidiasis
Candida albicans. Direct microscopic examination of a saline or potassium hydroxide wet mount
preparation.
STI/RTI Test - Chancroid
Haemophilus ducreyi. Observation of Gram-negative coccobacilli in chains at direct microscopy
examination (Gram stain), or culture.
STI/RTI Test - Chlamydia
Chlamydia trachomatis (serovirus D to K). Serological tests or culture.
STI/RTI Test - Gonorrhea
Neisseria gonorrhoeae. Observation of Gram-negative intracellular diplococci on direct microscopy
examination of Gram-stained urethral or endocervical discharge specimen; or culture of specimen.
Service Descriptions for Statistic Reports to IPPF – as of July 2006
IPPF Medical and Service Delivery Guidelines 2004 Chapter 13
http://www.ippf.org/ContentController.aspx?I
D=846
IPPF Medical and Service Delivery Guidelines 2004 Chapter 13
http://www.ippf.org/ContentController.aspx?I
D=846
IPPF Medical and Service Delivery Guidelines 2004 Chapter 13
http://www.ippf.org/ContentController.aspx?ID=846
IPPF Medical and Service Delivery Guidelines 2004 Chapter 13
11
FAMILY /
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DESCRIPTION / EXAMPLES
STI/RTI Test - Herpes Simplex (HSV)
Herpes simplex virus (HSV) types 1 and 2. Tissue culture.
STI/RTI Test - Human Papillomavirus (HPV)
A species of papillomavirus causing warts in humans. These benign, squamous epithelial neoplasms
can sometimes progress to malignancy. The HPV test uses advanced, molecular technology to
determine whether one of the virus types that cause cervical cancer is present in the cervical cells.
STI/RTI Test - Syphilis
Treponema pallidum. Dark-field microscopy of secretion from a primary or secondary lesion, or
serological tests (RPR or VDRL).
STI/RTI Test - Trichomoniasis
Trichomonas vaginalis. Culture of vaginal fluid (women) or urine specimen (men).
STI/RTI Test – Hepatitis B
Laboratory diagnosis of Hepatitis B infection centres on the detection of HBsAg, as the most
important means for ensuring blood safety. Positive test reactions are then confirmed by retesting
with a neutralization assay.
SOURCE
Web links as of December 2005
http://www.ippf.org/ContentController.aspx?I
D=846
IPPF Medical and Service Delivery Guidelines 2004 Chapter 13
http://www.ippf.org/ContentController.aspx?ID=846
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi
The HPV Test:
http://www.thehpvtest.com/30plus/section2_2
.html
IPPF Medical and Service Delivery Guidelines 2004 Chapter 13
http://www.ippf.org/ContentController.aspx?I
D=846
IPPF Medical and Service Delivery Guidelines 2004 Chapter 13
http://www.ippf.org/ContentController.aspx?I
D=846
http://www.who.int/diagnostics_laboratory/ev
aluations/hepb/en/
SRH – NON FP - STI/RTI TREATMENT
STI/RTI Treatment - Syndromic diagnosis with clinical
treatment
The syndromic approach bases treatment on groups of symptoms (client complaints) and signs (client
and provider observations) which can be explained by more than one possible infection. These
groups are called syndromes. This approach requires that providers of health care know the most
common causative organisms for each syndrome and the appropriate anti-microbial treatment.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 13
http://www.ippf.org/ContentController.aspx?I
D=846
STI/RTI Treatment - Etiological diagnosis with clinical
treatment
When comprehensive laboratory facilities are available, it may be possible to identify the specific
causative organism and provide specific treatment for an RTI/STI. Sensitivity tests can also be done
to guide treatment.
IPPF Medical and Service Delivery Guidelines 2004 Chapter 13
http://www.ippf.org/ContentController.aspx?I
D=846
Gynecology
SRH – NON FP - GYNECOLOGICAL BIOPSY
Removal of specimens in the form of small pieces of tissue from the woman's body.
Gynecological Biopsy - Conization
Gynecological Biopsy - Needle Biopsy
The excision of a cone of tissue, especially of the CERVIX UTERI.
Removal and examination of tissue obtained through a transdermal needle inserted into the specific
region, organ, or tissue being analyzed.
Removal and examination of tissue obtained through mechanical aspiration.
Dilatation of the cervix uteri followed by a scraping of the endometrium with a curette for diagnostic
purposes.
Gynecological Biopsy - Aspiration Biopsy
Gynecological Biopsy - Dilatation & Curretage (D&C)
Service Descriptions for Statistic Reports to IPPF – as of July 2006
MesH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Biopsy&field=entry#TreeE0
1.450.230.100
12
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
SRH – NON FP - GYNECOLOGICAL ENDOSCOPY
Procedures of applying endoscopes for disease diagnosis and treatment. Endoscopy involves
passing an optical instrument along either natural body pathways such as the digestive tract, or
through keyhole incisions to examine the interior parts of the body. With advances in imaging,
endoscope, and miniaturization of endosurgical equipment, surgery can be performed during
endoscopy.
Endoscopic examination of the cervix and vagina by means of a specially designed endoscope
introduced vaginally.
Endoscopic examination of the abdomen's interior by means of a laparoscope.
Endoscopic examination of the interior of the uterus.
Endoscopic examination of the female pelvic viscera by means of an endoscope introduced into the
pelvic cavity through the posterior vaginal fornix.
An incision in the uterus, performed through either the abdomen or the vagina
The surgical removal of one or both ovaries.
The surgical removal of one or both breasts. Mammectomy.
Removal of only enough breast tissue to ensure that the margins of the resected surgical specimen
are free of tumor.
MeSH NLM http://www.nlm.nih.gov
SRH – NON FP - GYNECOLOGICAL DIAGNOSTIC
IMAGING
Any visual display of structural or functional patterns of organs or tissues for diagnostic evaluation. It
includes measuring physiologic and metabolic responses to physical and chemical stimuli, as well as
ultramicroscopy.
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Diagnostic+Imaging&field=
entry
Gynecological Diagnostic Imaging - Radiography Hysterosalpingography
Gynecological Diagnostic Imaging - Radiography Mammography
Gynecological Diagnostic Imaging - Ultrasonography
Radiography of the uterus and fallopian tubes after the injection of a contrast medium.
Gynecological Endoscopy - Colposcopy
Gynecological Endoscopy - Laparoscopy
Gynecological Endoscopy - Hysteroscopy
Gynecological Endoscopy - Culdoscopy
Gynecological Endoscopy - Hysteretomy
Gynecological Endoscopy - Ovariectomy
Gynecological Endoscopy - Mastectomy
Gynecological Endoscopy - Lumpectomy
Gynecological Diagnostic Imaging - Tomography
Gynecological Diagnostic Imaging - Dexa, Bone Density
Scan
SRH – NON FP - GYNECOLOGICAL EXAM DIAGNOSIS
Gynecological Exam - Manual Pelvic Exam (includes
Palpation)
Gynecological Exam - Manual Breast Exam
Gynecological Exam - Vaginal Smears Sampling (Pap
smear)
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Radiographic examination of the breast.
The visualization of deep structures of the body by recording the reflections of echoes of pulses of
ultrasonic waves directed into the tissues.
Imaging methods that result in sharp images of objects located on a chosen plane and blurred
images located above or below the plane.
Dual X-ray absorptometry (DXA) is the preferred technique for measuring bone mineral density
(BMD). [DXA is also called dual energy X-ray absorptometry or DEXA.] DXA is relatively easy to
perform and the amount of radiation exposure is low.
Examination of a woman's outer and inner genitals for any abnormalities
Manual exam of breasts for lumps, thickening, irregularities, and discharge. It is prudent to offer
clinical breast examination to women over
40 and those under 40 with other risk factors, which are primarily related to family history (eg, breast
cancer in a first-degree relative).
The breasts should also be examined, with palpation of the axillae to detect abnormal masses or
tenderness.
Collection of pooled secretions of the posterior vaginal fornix for cytologic examination.
Medicine Net.com
http://www.medicinenet.com/bone_density_s
can/article.htm
Discoveryhealth.com
http://health.discovery.com/encyclopedias/illn
esses.html?article=2074
IPPF Medical and Service Delivery Guidelines 2004 Chapter 4
http://www.ippf.org/ContentController.aspx?I
D=846
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect_sp?browse+E01.370.378.900
13
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
Gynecological Exam - Consultation without pelvic exam
Gynecological examination specifically avoiding pelvic exam.
Gynecological Exam - Other consultations
Gynecological consultation required due to several specific reasons. Examples in eIMS: Gynecology,
Consult, Vaginal Discharge, Urethral Discharge, etc.
SRH – NON FP - GYNECOLOGICAL CYTOLOGIC
TESTS
Gynecological Lab Test - Cytology Analysis
Planned Parenthood offers birth control
without pelvic exam:
http://www.trumanindex.com/news/2002/09/1
9/News/Planned.Parenthood.Offers.Birth.Co
ntrol.Without.Pelvic.Exam-277667.shtml
Cytologic examination of pooled secretions of the posterior vaginal fornix
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect_sp?browse+E01.370.378.900
Hormone Replacement Therapy (HRT) is medication containing one or more female hormones,
commonly estrogen plus progestin (synthetic progesterone). Some women receive estrogen-only
therapy (usually women who have had their uterus removed). HRT is most often used to treat
symptoms of menopause such as "hot flashes," vaginal dryness, mood swings, sleep disorders, and
decreased sexual desire. This medication may be taken in the form of a pill, a patch, or vaginal
cream.
Merck Source:
http://www.mercksource.com/pp/us/cns/cns_
hl_adam.jspzQzpgzEzzSzppdocszSzuszSzc
nszSzcontentzSzadamzSzencyzSzarticlezSz
007111zPzhtm
Gynecological Therapies - Menstrual regulation
Menstrual disorders include premenstrual syndrome, dysmenorrhea, and amenorrhea. Vaginal
bleeding may be abnormal during the reproductive years when menstrual periods are too heavy or
too light, last too long, occur too often, or are irregular. Any vaginal bleeding that occurs before
puberty or after menopause is abnormal until proven otherwise.
Merck Source:
http://www.mercksource.com/pp/us/cns/cns_
merckmanual_frameset.jspzQzpgzEzhttpzCz
zSzzSzwwwzPzmerckzPzcomzSzmmhezSzs
ec22zSzch244zSzch244azPzhtml
Gynecological Therapies - Female Genital Mutilation
Treatment of Complications
Matters of female genital mutilation must be handled sensitively taking into account differing cultural
issues, but the child’s welfare is paramount.
The British Medical Association:
http://www.bma.org.uk/ap.nsf/Content/FGM
SRH – NON FP - GYNECOLOGICAL SURGERIES
Gynecological Surgeries - Cryosurgery - Cervical
The use of freezing as a special surgical technique to destroy or excise tissue.
MeSH NLM http://www.nlm.nih.gov
Gynecological Surgeries - Cauterization (Cervical /
Vaginal)
The destruction of tissue with a hot instrument, an electrical current, or a caustic substance.
Gynecological Surgeries - Female Genital Mutilation
Reconstructive Surgery
Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.
Cancer Dictionary Page UK:
http://cancer.c.dictionarypage.info/cauterizati
on/
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Reconstructive+Surgical+Pr
ocedures&field=entry
Gynecological Surgeries - Other Female Surgeries
Other gynecological surgeries nos considered above.
SRH – NON FP - GYNECOLOGICAL COUNSELLING
Effective counselling is particularly important in helping people with concerns about sexual and
SRH – NON FP - GYNECOLOGICAL THERAPIES
Gynecological Therapies - Menopause Consultations,
Hormonal Replacement Therapy
Service Descriptions for Statistic Reports to IPPF – as of July 2006
IPPF Medical and Service Delivery Guidelines 2004 14
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
reproductive health because many people feel unable to talk with relatives or friends about these
concerns.
Obstetrics
Chapter 2
http://www.ippf.org/ContentController.aspx?I
D=846
IPPF Medical and Service Delivery Guidelines 2004 Chapter 4
http://www.ippf.org/ContentController.aspx?I
D=846
Gynecological Counselling - Menopause Consultations,
Counseling
The menopause is associated not only with short-term acute symptoms that may cause women
discomfort and distress, but also, and more importantly, with long-term complications
Gynecological Counselling - Pap Smear, Importance (pre
test guidance)
Essential counselling, because cervical cytology (pap screening) is currently the best available
method for the detection of pre-malignant and malignant disease of the cervix.
Gynecological Counselling - Pap Smear, Abnormal
Results (post test follow-up guidance)
Gynecological Counselling - Breast Exam Results,
Mammography/Biopsy
Gynecological Counselling - Female Genital Mutilation
Counselling to women presenting the indicated specific problems.
SRH – NON FP - OBSTETRICS - PRE NATAL
DIAGNOSTIC PROCEDURES
Determination of the nature of a pathological condition or disease in the postimplantation embryo,
fetus, or pregnant female before birth.
Obstetrics - Pre-Natal Diagnosis - Fetoscopy
Endoscopic examination, therapy or surgery of the fetus and amniotic cavity through abdominal or
uterine entry
Obstetrics - Pre-Natal Diagnosis - Ultrasonography, Prenatal
The visualization of tissues during pregnancy through recording of the echoes of ultrasonic waves
directed into the body.
Obstetrics - Pre-Natal Diagnosis - Pelvimetry
Measurement of the dimensions and capacity of the pelvis. It includes cephalopelvimetry
(measurement of fetal head size in relation to maternal pelvic capacity), a prognostic guide to the
management of labor.
Obstetrics - Pre-Natal Diagnosis - Placental Function
Tests
Methods used for the assessment of placental function.
Me SH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&index=10538&field=all&HM=&II=
&PA=&form=&input=
SRH – NON FP - OBSTETRICS - PRE NATAL CARE
Care provided the pregnant woman in order to prevent complications, and decrease the incidence of
maternal and prenatal mortality.
Obstetrics - Pre natal Care - Uterine Monitoring
Measurement or recording of contraction activity of the uterine muscle. It is used to determine
progress of labor and assess status of pregnancy. It is also used in conjunction with fetal monitoring
to determine fetal response to stress of maternal uterine contractions.
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_cgi?mode=
&index=10893&field=all&HM=&II=&PA=&form=&input=
Medical Dictionary Online
IPPF Medical and Service Delivery Guidelines 2004 Chapter 4
http://www.ippf.org/ContentController.aspx?I
D=846
Counselling to women presenting the indicated specific problems.
Counselling to women presenting the indicated specific problems.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E01.370.378.630
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E01.370.378.630.30
0
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E01.370.350.850.86
5
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E01.370.378.605
http://www.online-medicaldictionary.org/Uterine+Monitoring.asp?q=Ute
Service Descriptions for Statistic Reports to IPPF – as of July 2006
15
FAMILY /
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DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
rine+Monitoring
Obstetrics - Pre natal Care - Fetal Monitoring
Physiologic or biochemical monitoring of the fetus. It is usually done during labor and may be
performed in conjunction with the monitoring of uterine activity. It may also be performed prenatally as
when the mother is undergoing surgery.
Medical Dictionary Online
http://www.online-medicaldictionary.org/omd.asp?q=fetal+monitoring
Obstetrics - Pre natal Care - Immunisations
Immunizations (vaccinations) are given to initiate or augment resistance to an infectious disease.
Immunizations provide a specialized form of immunity that provides long-lasting protection against
specific antigens, such as certain diseases.
MeSH
http://www.nlm.nih.gov/medlineplus/ency/ima
gepages/9671.htm
SRH – NON FP - OBSTETRICS - PRE NATAL
COUNSELLING
Obstetrics - Pre natal Counselling - Pre Natal Care Info
Counselling on maternal and newborn health
WHO:
http://www.who.int/topics/prenatal_care/en/
Obstetrics - Pre natal Counselling - Unplanned Pregnancy
Counselling on unwanted pregnancy, that ocurrs when woman or girl decides, of her own free will,
her pregnancy is undesired.
WHO:
http://search1.who.int/search?q=unplanned+
pregnancy&ie=utf8&site=who_main&output=
xml_no_dtd&client=who_main&proxystyleshe
et=who_main&oe=utf8
Obstetrics - Pre natal Counselling - HIV Prevention and
Testing
The prevention and care of HIV/AIDS and sexually transmitted infections (STIs) should be part of
reproductive health programmes at all levels including primary health care.
WHO:
http://www.who.int/mediacentre/factsheets/fs
250/en/
SRH – NON FP - OBSTETRICS - PREGNANCY TESTS
Tests to determine whether or not an individual is pregnant.
Obstetrics - Lab Tests - Pregnancy Tests - Agglutination
Inhibition - Urine 1 test
Tests that are dependent on the clumping of cells, microorganisms, or particles when mixed with
specific antiserum
Obstetrics - Lab Tests - Pregnancy Tests Radioimmunoasays - Blood test
Sensitive assay using radiolabeled ANTIGENS to detect specific ANTIBODIES in SERUM. The
antigens are allowed to react with the serum and then precipitated using a special reagent such as
PROTEIN A sepharose beads. The bound radiolabeled immunoprecipitate is then commonly
analyzed by gel electrophoresis.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E01.370.378.620
MeSH: Serologic Tests
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Serologic+Tests&field=entr
y#TreeE01.450.495.735
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Radioimmunoprecipitation+
Assay&field=entry#TreeE01.450.495.735.84
0
SRH – NON FP - OBSTETRICS - PRE NATAL LAB
TESTS
Obstetrics - Pre-Natal Lab Tests - Urine 1
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Examination of urine by chemical, physical, or microscopic means. Routine urinalysis usually includes
performing chemical screening tests, determining specific gravity, observing any unusual color or
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
16
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
odor, screening for bacteriuria, and examining the sediment microscopically.
Web links as of December 2005
gi?mode=&term=Urinalysis&field=entry#Tree
E01.450.890
Obstetrics - Pre-Natal Lab Tests - Glicemia de Jejum
Percentage of sugars in blood, also known as Impaired Fasting Glucose to determine pre-diabetes
conditions. Gestational diabetes mellitus is carbohydrate intolerance of variable severity with onset or
first recognition during the current pregnancy. Pregnancy is a metabolic stress test for diabetes;
women who fail the test and develop gestational diabetes may be obese, hyperinsulinemic, and
insulin-resistant or thin and relatively insulin-deficient.
Merck Source:
http://www.mercksource.com/pp/us/cns/cns_
merckmanual_frameset.jspzQzpgzEzhttpzCz
zSzzSzwwwzPzmerckzPzcomzSzmmhezSzs
ec22zSzch244zSzch244azPzhtml
Obstetrics - Pre-Natal Lab Tests - Hemoglobin (HB)
Measurement of hemoglobin concentration in blood.
Obstetrics - Pre-Natal Lab Tests - Blood Type
Testing erythrocytes to determine presence or absence of blood-group antigens, testing of serum to
determine the presence or absence of antibodies to these antigens, and selecting biocompatible
blood by crossmatching samples from the donor against samples from the recipient.
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Hemoglobinometry&field=e
ntry#TreeE01.450.375.410
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Blood+Grouping+and+Cros
smatching&field=entry#TreeE01.450.375.120
Obstetrics - Pre-Natal Lab Tests - VDRL
Venereal Disease Research Laboratory slide test - The CSF-VDRL test is used to diagnose
neurosyphilis (syphilis associated with brain or neurologic involvement). This test detects the
presence of reaginic antibodies in cerebrospinal fluid (CSF), which is the fluid that surrounds the
spinal cord and brain.
Medline Plus:
http://www.nlm.nih.gov/medlineplus/ency/arti
cle/003623.htm
Obstetrics - Pre-Natal Lab Tests - HIV
Obstetrics - Pre-Natal Lab Tests - Amniocentesis
HIV antibody and other laboratory tests (see HIV/AIDS section)
Percutaneous transabdominal puncture of the uterus during pregnancy to obtain amniotic fluid. It is
commonly used for fetal karyotype determination in order to diagnose abnormal fetal conditions.
Online Medical Dictionary
http://www.online-medicaldictionary.org/omd.asp?q=Amniocentesis
Obstetrics - Pre-Natal Lab Tests - Chorionic Villi Sampling
A method for diagnosis of fetal diseases by sampling the cells of the placental chorionic villi for DNA
analysis, presence of bacteria, concentration of metabolites, etc. The advantage over amniocentesis
is that the procedure can be carried out in the first trimester.
Online Medical Dictionary
http://www.online-medicaldictionary.org/omd.asp?q=Chorionic+Villi+Sa
mpling
SRH – NON FP - OBSTETRICS - SURGERY CHILD
BIRTH
Obstetrics - Surgery - Child Birth, Vaginal Delivery
Obstetrics - Surgery - Child Birth, Cesarean Delivery
Service Descriptions for Statistic Reports to IPPF – as of July 2006
A vaginal delivery occurs when a baby is born through the vagina (birth canal). This is also called a
natural delivery.
Healthtouch.online:
http://www.healthtouch.com/bin/EContent_H
T/cnoteShowLfts.asp?fname=07171&title=V
AGINAL+DELIVERY+&cid=HTHLTH
Extraction of the fetus by means of abdominal hysterotomy.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E04.520.252.500
17
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
Obstetrics - Surgery - Emergency Obstetric Care (EmOC)
EmOC is discussed in terms of 'basic' and 'comprehensive' care available within a facility that is
provided to a woman with obstetric complications. Basic services include: Administration of parenteral
antibiotics, oxytocic drugs, anticonvulsants; and performance of manual removal of placenta and
retained products; and perform assisted vaginal delivery. Comprehensive services include the Basic
services plus surgery and blood transfusion.
Obstetrics - Surgery - Other Obstetrical Surgeries
Other obstetrical surgeries not considered above (biopsy, endoscopy, etc.)
SRH – NON FP - OBSTETRICS - POST NATAL CARE
The care provided a woman following the birth of a child.
Obstetrics - Post natal Care - Consultation including
Uterine Involution Monitoring
Consultation including verification of the return of the uterus to its normal size, which occurs within 46 weeks after the baby's birth.
SRH – NON FP - OBSTETRICS - POST NATAL
COUNSELLING
Obstetrics - Post-Natal Counselling - FP Methods
Clients should make their own decision on which contraceptive method is appropriate for them. The
counsellor should help each client to match her or his family planning needs and preferences to a
safe and appropriate method.
Obstetrics - Post-Natal Counselling - Breastfeeding
Advice
In sexual and reproductive health settings, counselling can be used for a variety of tasks which
include making informed decisions about breastfeeding.
Obstetrics - Post-Natal Counselling - HIV
In many instances, the basic post natal care of the HIV-infected woman and her infant will be no
different from routine postnatal care. However, the mother (and possibly partner/family) might need
additional counselling and support. Such counselling might include decisions on infant feeding and
advice on birth control. It is important that the woman and her family are involved in a continuum of
care. HIV-infected women are more prone to medical complications.
SOURCE
Web links as of December 2005
Engederhealth:
http://www.engenderhealth.org/res/offc/mac/
emoc/pdf/manual/qi-emoc-01.pdf
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E02.760.741
Biology Dictionary:
http://womenstudy.cla.umn.edu/courses/320
2/vocab.html
IPPF Medical and Service Delivery Guidelines 2004 Chapter 2
http://www.ippf.org/ContentController.aspx?I
D=846
IPPF Medical and Service Delivery Guidelines 2004 Chapter 2
http://www.ippf.org/ContentController.aspx?I
D=846
WHO:
http://www.who.int/health-servicesdelivery/hiv_aids/English/fact-sheet-10/
Urology
SRH – NON FP - UROLOGICAL ENDOSCOPY
Urological Endoscopy - Cystoscopy
Endoscopic examination, therapy or surgery of the urinary bladder.
Urological Endoscopy - Ureteroscopy
Endoscopic examination, therapy or surgery of the ureter.
SRH – NON FP - UROLOGICAL DIAGNOSTIC
IMAGING
Urological Diagnostic Imaging - Urography
Radiography of any part of the urinary tract.
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E01.370.388.250.18
0
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E01.370.388.250.92
0
Health on the Net Foundation:
http://debussy.hon.ch/cgi18
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
bin/HONselect?browse+E01.370.350.700.83
0
SRH – NON FP - UROLOGICAL DIAGNOSIS (OTHER )
Urological Diagnosis Other - Exam
Infertility /
Subfertility
A surgical specialty concerned with the study, diagnosis, and treatment of diseases of the urinary
tract in both sexes and the genital tract in the male. It includes the specialty of andrology which
addresses both male genital diseases and male infertility.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.810.860
Urological Diagnosis Other - Prostate Exam
Digital rectal exam (DRE): An exam to detect abnormalities that can be felt (palpated) from within the
rectum. The doctor inserts a lubricated, gloved finger into the rectum and feels for anything that is not
normal. If available, transurethral ultrasound is also utilised.
MedicineNet.com:
http://www.medicinenet.com/script/main/art.a
sp?articlekey=24521
Urological Diagnosis Other - Prostate Cancer Screening
Prostate Specific Antigen: Kallikrein-like serine proteinase produced by epithelial cells of both benign
and malignant prostate tissue. It is an important marker for the diagnosis of prostate cancer.
Urological Diagnosis Other - Peniscopy
Endoscopic examination, therapy or surgery of the penis
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+D08.811.277.656.30
0.760.442.750
National Center for Biotechnology
Information NLM:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi
?cmd=Retrieve&db=PubMed&list_uids=2450
635&dopt=Abstract
Urological Diagnosis Other - Other Urogenital Services
Methods and procedures for the diagnosis of diseases or dysfunction of the urinary tract or its organs
or demonstration of its physiological processes.: Kidney function tests, Nephrostomy, Ureteroscopy,
Urinalysis, Urinary Catheterization, Urography
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Diagnostic+Techniques,+Ur
ological&field=entry#TreeE01.370.390
SRH – NON FP - UROLOGICAL SURGERY
Surgery performed on the male genitalia.
Urological Male Surgery - Biopsy
Removal and pathologic examination of specimens in the form of small pieces of tissue from the living
body.
Urological Male Surgery - Circumcision
Excision of the prepuce or part of it.
Urological Male Surgery - Other Surgical Services
Other urological male surgeries: Orchiectomy (testicles), Prostatectomy (prostate), Transrectal highintensity focused ultrasound
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Urologic+Surgical+Procedu
res,+Male&field=entry#TreeE04.950.774.860
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Biopsy&field=entry#TreeE0
4.074
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Circumcision&field=entry#T
reeE04.950.774.860.226
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Urologic+Surgical+Procedu
res,+Male&field=entry#TreeE04.950.774.860
SRH – NON FP - INFERTILITY BIOPSY
Infertility Biopsy - Endometrial biopsy
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Evaluate whether the endometrium is going through its normal stages of change during the menstrual
cycle and to determine whether cancerous conditions are present.
WebMD Health:
http://my.webmd.com/hw/healthy_women/hw
4583.asp
19
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
Infertility Biopsy - Testicular biopsy
Testicular biopsy is a procedure to obtain a sample of tissue from the testicles for examination. The
testicles are the male reproductive organs, which produce sperm and the hormone testosterone.
Medline Plus
http://www.nlm.nih.gov/medlineplus/ency/arti
cle/003908.htm
SRH – NON FP - INFERTILITY ENDOSCOPY
Infertility Endoscopy - Laparoscopy
Infertility Endoscopy - Histeroscopy
SRH – NON FP - INFERTILITY DIAGNOSTIC IMAGING
Infertility Diagnostic Imaging - Histerosalpingography
In this procedure the telescope is inserted through the abdomen, not the cervix. It allows doctors to
see directly inside the pelvic region and provides them with a close-up view of the fallopian tubes,
ovaries, and the uterus
Womenshealth Channel:
http://www.womenshealthchannel.com/infertil
ity/diagnosis.shtml
This procedure enables the physician to directly examine the inside of the uterus for abnormalities or
growths
Womenshealth Channel:
http://www.womenshealthchannel.com/infertil
ity/diagnosis.shtml
X-ray procedure known as a contrast study, which involves injecting a dye through the cervix into the
uterus and fallopian tubes
Womenshealth Channel:
http://www.womenshealthchannel.com/infertil
ity/diagnosis.shtml
eCureMe:
http://www.ecureme.com/especial/obgyn/Bas
ic_Infertility_Tests.asp
eCureMe:
http://www.ecureme.com/especial/obgyn/Bas
ic_Infertility_Tests.asp
Infertility Diagnostic Imaging - Ovarian ultrasound
Checks the growth and number of egg cells and whether ovulation takes place
Infertility Diagnostic Imaging - Transvaginal ecography
Detects deformation of the fallopian tubes and assesses the condition of the ovaries and uterus.
SRH – NON FP - INFERTILITY LAB TESTS
Evaluation of the infertile couple
Infertility Lab Test - Post-coital test or Sims-Huhner test
Assesses the quality of the cervical mucus and the ability of sperm to penetrate and survive in the
cervical mucus
Infertility Lab Test - Fallopian Tube Patency Tests
Methods for assessing the patency of the fallopian tubes.
Infertility Lab Test - Clomiphene citrate challenge test
(CCCT)
Evaluates ovarian reserve, that is, how many remaining, viable eggs a woman has stored in her
ovaries
Infertility Lab Test - Semen analysis
Simple test designed to measure the quality and quantity of a man’s sperm
Infertility Lab Test - Basal Temperature
Monitoring of basal body temperature (measured early in the morning when body temperature is at its
lowest point) can help determine if ovulation is occurring. This temperature usually rises by 0.5ºF to
1.0ºF after ovulation. However, basal body temperature patterns can sometimes be difficult to
interpret.
The analysis of the cervical mucus is oriented to recognizing and interpreting cyclic changes in
Infertility Lab Test - Mucose Analysis
Service Descriptions for Statistic Reports to IPPF – as of July 2006
UpToDate Patient Information:
http://patients.uptodate.com/topic.asp?file=e
ndo_hor/6753
Department of Obstetrics & Ginecology University of Florida:
http://www.fertilityjourney.com/testinganddiag
nosis/testsforwomen/postcoitaltest/index.asp
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E05.820.390
Womenshealth Channel:
http://www.womenshealthchannel.com/infertil
ity/diagnosis.shtml
Womenshealth Channel:
http://www.womenshealthchannel.com/infertil
ity/diagnosis.shtml
UpToDate Patient Information:
http://patients.uptodate.com/topic.asp?file=e
ndo_hor/6753
IPPF Medical and Service Delivery Guidelines 2004 20
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Infertility Lab Test - Sperm Count
A count of sperm in the ejaculum, expressed as number per milliliter.
Infertility Lab Test - Spermiogram
Standard semen analysis can provide information about the volume and pH of semen; the
concentration, motility (movement), and shape of sperm; the presence of immature sperm; and the
presence of other substances and cells that affect fertility.
Web links as of December 2005
Chapter 9
http://www.ippf.org/ContentController.aspx?I
D=846
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E01.450.870
UpToDate Patient Information:
http://patients.uptodate.com/topic.asp?file=e
ndo_hor/6753
Infertility Lab Test - Hormonal analysis
Blood levels of the hormone progesterone are a more accurate indicator of ovulation. Normally, levels
of progesterone rise after ovulation. Progesterone tests are usually performed 18 to 24 days after the
first day of a menstrual period.
UpToDate Patient Information:
http://patients.uptodate.com/topic.asp?file=e
ndo_hor/6753
Techniques for the artifical induction of ovulation, the rupture of the follicle and release of the ovum
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Ovulation+Induction&field=
entry#TreeE05.820.800.984
The transfer of embryos from an in vivo or in vitro environment to a suitable host to improve
pregnancy or gestational outcome. In human fertility treatment programs, preimplantation embryos
ranging from the 4-cell stage to the blastocyst stage are transferred to the uterine cavity between 3-5
days after Fertilization in Vitro.
An assisted reproductive technique that includes the direct handling and manipulation of oocytes and
sperm to achieve fertilization in vitro.
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Embryo+Transfer&field=ent
ry#TreeE05.820.800.500
Infertility Treatment - Gamete Intrafallopian Transfer
A technique that came into use in the mid-1980's for assisted conception in infertile women with
normal fallopian tubes. The protocol consists of hormonal stimulation of the ovaries, followed by
laparoscopic follicular aspiration of oocytes, and then the transfer of sperm and oocytes by
catheterization into the fallopian tubes.
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Gamete+Intrafallopian+Tra
nsfer&field=entry#TreeE05.820.800.875
Infertility Treatment - Artificial Insemination
Artificial introduction of semen or spermatozoa into the vagina to facilitate fertilization
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Insemination,+Artificial&fiel
d=entry#TreeE05.820.800.937
Infertility Treatment - Oocyte Donation
Transfer of preovulatory oocytes from donor to a suitable host. Oocytes are collected, fertilized in
vitro, and transferred to a host that can be human or animal.
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Oocyte+Donation&field=ent
ry#TreeE05.820.800.968
Infertility Treatment - Zygote Intrafallopian Transfer
A technique in assisted reproduction consisting of hormonal stimulation of the ovaries, follicular
aspiration of preovulatory oocytes, in-vitro fertilization, and intrafallopian transfer of zygotes at the
pronuclear stage (before cleavage).
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Zygote+Intrafallopian+Tran
sfer&field=entry#TreeE05.820.800.992
Infertility Treatment - Other assisted reproductive
techniques (Other generic inferlitlity treatment)
Other clinical and laboratory techniques used to enhance fertility in humans.
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Reproductive+Techniques,
cervical mucus that occur in response to changing oestrogen levels.
SRH – NON FP - INFERTILITY TREATMENT
Infertility Treatment - Ovulation Induction
Infertility Treatment - Embryo Transfer
Infertility Treatment - Fertilization in Vitro
Service Descriptions for Statistic Reports to IPPF – as of July 2006
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Fertilization+in+Vitro&field=
entry#TreeE05.820.800.750
21
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
+Assisted&field=entry#TreeE05.820.800
SRH – NON FP - INFERTILITY CONSULTATION
Consultation on the diminished or absent ability to conceive or produce an offspring. In contrast,
sterility is the complete inability to conceive or produce an offspring
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+C12.294.365
Counselling on the diminished or absent ability to conceive or produce an offspring.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+C12.294.365
SRH – NON FP - COUNSELLING - GBV
Gender-based violence (GBV) is both a human rights violation and a public health problem. It can
take the form of psychological, physical or sexual abuse, and in all of its manifestations it can have
serious implications for a woman's sexual and reproductive health. GBV has been linked to increased
risk of gynecological disorders, unsafe abortion, pregnancy complications, miscarriage, low birth
weight and pelvic inflammatory disease.
IPPF/WHR:
http://www.ippfwhr.org/programs/program_gb
v_e.asp
Counselling - GBV - Individual Counseling
Counselling - GBV - Support Groups for Survivors
Counselling - GBV - Legal Counseling
Counselling - GBV - Intimate Partner Sexual Abuse
Counselling - GBV - Intimate Partner Physical Abuse
Counselling - GBV - Intimate Partner Emotional Abuse
Counselling - GBV - NonIntimate Partner Sexual
Assalt/Rape
Counselling - GBV - Screening Only - Gender Based
Violence
General GBV counselling in private.
General GBV counselling in groups.
Specific GBV on legal issues and support.
Specific GBV on intimate partner sexual abuse.
Specific GBV on intimate partner physical abuse.
Specific GBV on intimate partner emotional abuse.
Specific GBV on non-intimate partner sexual assault or rape.
SRH – NON FP - COUNSELLING - DOMESTIC
VIOLENCE
Deliberate, often repetitive, physical abuse by one family member against another: marital partners,
parents, children, siblings, or any other member of a household.
Counselling - Domestic Violence, Child Abuse
Counselling - Domestic Violence, Screening Only Child
Abuse
Specific counselling on child abuse.
Screening of Only Child Abuse during other type of consultation
SRH – NON FP - COUNSELLING - FAMILY
Family Counseling - An umbrella term for a number of therapeutic approaches all of which treat the
family as a whole rather than singling out specific individuals for independent treatment.
Counselling - Family - Parent/Child Relationship
Counselling - Family- Family Conflict
Specific Famiy Counselling on Parent/Child relationships
Specific Famiy Counselling on family conflicts
Infertility/Subfertility Consultation
SRH – NON FP - INFERTILITY COUNSELLING
Infertility/Subfertility Counseling
Other
Specialized
Counselling Gender Based
Violence
Other
Specialized
Counselling Family/Marital
Relationship
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Screening of Gender Based Violence during other type of consultation.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+I01.198.240.856.350
PsichNet-UK: http://www.psychnetuk.com/counselling_psychology/counselling_
psychology_family.htm
22
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
Counselling - Family, Delinquency
Specific Famiy Counselling on member's delinquency
SRH – NON FP - COUNSELLING - PRE-MARITAL /
MARITAL
Pre-marital counselling tackles concerns relating to the impending marriage, clears up
misconceptions about sex, talks about issues like interpersonal relationships and family planning and
in short, prepares a person for marriage. Marital therapy attempts to revive marriages that are
unhappy and on the brink of a break-up.
Counselling - Pre-Marital / including Pre-Marital Family
Planning
Counselling - Marital - Relationship, Partner Negotiation
Counselling - Marital – Sexuality /Sexual Disfunction
General Pre-Marital including contraceptive method alternatives
COUNSELLING - YOUTH Less than 25 yrs
Adolescents are among the groups at highest risk for STIs. Targeting adolescents for specific
prevention activities can promote healthy sexual behaviors and help prevent the establishment of
risky behaviors. Because barriers to care faced by adolescents are different from those of older
individuals, STI prevention programs should develop specific prevention activities for adolescents.
Counselling - Youth - Life Skills Counseling
Counselling - Youth - Sexuality
Counselling - Youth - Telephone / Internet Hotline
Counseling
Counselling - Youth - SRH Counselling
Specific Youth Counselling on Life Skills
Specific Youth Counselling on Sexuality
Telephone / Internet hotline counselling services
SRH – NON FP - COUNSELLING - MALE
Counselling - Male - SRH Counselling
Counselling - Male - Sexuality
Counselling - Male - GBV
Specific Marital Counselling on partner relationships & negotiation
Specific Marital Counselling on sexuality and sexual disfunction
CDC STD Prevention:
http://www.cdc.gov/std/program/special/2PGspecial.htm
General Youth Counselling on SRH
General Male Counselling on SRH
Specific Male Counselling on Sexuality
Specific Male Counselling on Gender Based Violence
Other
Specialized
Counselling Other
counselling
services
SRH – NON FP - COUNSELLING SERVICES (OTHER)
Counseling - Other - Sexuality Issues (25 years and over)
Counseling - Other
Specific Counselling on Sexuality Issues to adults
Other types of SRH counselling non included above
Other SRH
Medical
Services
SRH – NON FP - OTHER SRH MEDICAL SERVICES
Generic SRH Medical Services not included above in the four types of service details: consultation,
diagnostic test, therapy/treatment and Surgery
Other SRH Medical Services - Consultation
Other SRH Medical Services - Diagnostic Test
Other SRH Medical Services - Therapy / Treatment
Other SRH Medical Services - Surgery
Other SRH Consultations
Other SRH Diagnostic Tests
Other SRH Therapy/Treatment
Other SRH Surgery
Service Descriptions for Statistic Reports to IPPF – as of July 2006
WebHealthCentre.com:
http://www.webhealthcentre.com/general/sm
_martial.asp
23
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
NON SRH MEDICAL SPECIALTIES
Medical
Specialties System Oriented
ANGIOLOGY
Study and treatment of Blood and Lymph vessels
Medical Dictionary:
http://medicaldictionary.thefreedictionary.com/angiology
Angiology - Consultation
Angiology - Diagnostic Test
Angiology - Therapy / Treatment
Angiology - Surgery
Angiology - Consultation
Angiology - Diagnostic Test
Angiology - Therapy / Treatment
Angiology - Surgery
CARDIOLOGY
The study of the heart, its physiology, and its functions
Cardiology - Consultation
Cardiology - Diagnostic EKG
Cardiology - Therapy / Treatment
Cardiology - Surgery
Cardiology - Consultation
Cardiology - Diagnostic Electrocardiogram
Cardiology - Therapy / Treatment
Cardiology - Surgery
DENTISTRY
The profession concerned with the teeth, oral cavity, and associated structures, and the diagnosis
and treatment of their diseases including prevention and the restoration of defective and missing
tissue.
Dentistry - Diagnosis
Dentistry -Therapy / Treatment
Dentistry - Orthodontics
Dentistry - Periodontics
Dentistry -Therapy / Treatment
Dentistry - Orthodontics: A dental specialty concerned with the prevention and correction of dental
and oral anomalies (malocclusion).
Dentistry - Surgery
Dentistry - Periodontics: dental specialty concerned with the histology, physiology, and pathology of
the tissues that support, attach, and surround the teeth, and of the treatment and prevention of
disease affecting these tissues.
Dentistry - Surgery
DERMATOLOGY
A medical specialty concerned with the skin, its structure, functions, diseases, and treatment.
Dermatology - Consultation
Dermatology - Consultation
Dermatology - Diagnostic Test
Dermatology - Therapy / Treatment
Dermatology - Diagnostic Test
Dermatology - Therapy / Treatment
Service Descriptions for Statistic Reports to IPPF – as of July 2006
International Union of Angiology
http://www.i.u.angiology.org/
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.409.16
3
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E06+info+4
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E06.658#MeSH
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E06.721#MeSH
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.185
American Board of Medical Specialties:
http://www.abms.org/member.asp
http://www.abderm.org/
24
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
Dermatology - Surgery
Dermatology - Surgery
ENDOCRINOLOGY
A subspecialty of internal medicine concerned with the metabolism, physiology, and disorders of the
endocrine system (relativa to hormones and glans).
Endocrinology - Consultation
Endocrinology - Diagnostic Test
Endocrinology - Therapy / Treatment / Treatment
Endocrinology - Surgery
Endocrinology - Consultation
Endocrinology - Diagnostic Test
Endocrinology - Therapy / Treatment
Endocrinology - Surgery
GASTROENTEROLOGY
A subspecialty of internal medicine concerned with the study of the physiology and diseases of the
digestive system and related structures (esophagus, liver, gallbladder, and pancreas).
Gastroenterology - Consultation
Gastroenterology - Diagnostic Test
Gastroenterology - Therapy / Treatment / Treatment
Gastroenterology - Surgery
Gastroenterology - Consultation
Gastroenterology - Diagnostic Test
Gastroenterology - Therapy / Treatment
Gastroenterology - Surgery
GENETICS
The branch of science concerned with the means and consequences of transmission and generation
of the components of biological inheritance.
Genetics - Counselling
Genetics - Consultation
Genetics - Diagnostic Test
Genetics - Therapy / Treatment
Genetics - Counselling
Genetics - Consultation
Genetics - Diagnostic Test
Genetics - Therapy / Treatment
NEPHROLOGY
A subspecialty of internal medicine concerned with the anatomy, physiology, and pathology of the
kidney.
Nephrology - Consultation
Nephrology - Diagnostic Test
Nephrology - Therapy / Treatment
Nephrology - Surgery
Nephrology - Consultation
Nephrology - Diagnostic Test
Nephrology - Therapy / Treatment
Nephrology - Surgery
NEUMOLOGY
Pulmonary medicine: A subspecialty of internal medicine concerned with the study of the respiratory
system. It is especially concerned with diagnosis and treatment of diseases and defects of the lungs
and bronchial tree.
Neumology - Consultation
Neumology - Diagnostic consultation
Neumology - Therapy / Treatment
Neumology - Surgery
Neumology - Consultation
Neumology - Diagnostic consultation
Neumology - Therapy / Treatment
Neumology - Surgery
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G01.782.323
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.409.40
5
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G01.273.343
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.409.58
0
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.409.67
5
25
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
NEUROLOGY
A medical specialty concerned with the study of the structures, functions, and diseases of the nervous
system.
Neurology - Consultation
Neurology - Consultation
Neurology - Diagnostic Test
Neurology - Therapy / Treatment
Neurology - Surgery
Neurology - Diagnostic Test
Neurology - Therapy / Treatment
Neurology - Surgery
OPHTALMOLOGY
A surgical specialty concerned with the structure and function of the eye and the medical and surgical
treatment of its defects and diseases.
Ophtalmology - Consultation
Ophtalmology - Consultation
Ophtalmology - Diagnostic Test
Ophtalmology - Therapy / Treatment
Ophtalmology - Surgery
Ophtalmology - Diagnostic Test
Ophtalmology - Therapy / Treatment
Ophtalmology - Surgery: cataract extraction, corneal transplantion, filtering, light coagulation,
blepharoplasty, eye enucleation, eye evisceration, etc.
ORTHOPEDICS
A surgical specialty which utilizes medical, surgical, and physical methods to treat and correct
deformities, diseases, and injuries to the skeletal system, its articulations, and associated structures.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.810.494
Orthopedics - Consultation
Orthopedics - Consultation
American Board of Medical Specialties:
http://www.abms.org/member.asp
Orthopedics - Diagnostic Test
Orthopedics - Therapy / Treatment
Orthopedics - Surgery
Orthopedics - Diagnostic Test
Orthopedics - Therapy / Treatment
Orthopedics - Surgery
OTHORHINOLARINGOLOGY
A surgical specialty concerned with the study and treatment of disorders of the ear, nose, and throat.
Othorhinolaringology - Consultation
Othorhinolaringology - Consultation
Othorhinolaringology - Diagnostic Test
Othorhinolaringology - Therapy / Treatment
Othorhinolaringology - Surgery
Othorhinolaringology - Diagnostic Test
Othorhinolaringology - Therapy / Treatment
Othorhinolaringology surgical procedures are performed on the ear and its parts, the nose and nasal
cavity, or the throat, including surgery of the adenoids, tonsils, pharynx, and trachea; Adenoidectomy,
laryngectomy, laryngoscopy, pharingectomy, pharingostomy, rhinoplasty, tonsillectomy,
tracheostomy, tracheotomy, otologic procedures
PODOLOGY
Podiatry: A specialty concerned with the diagnosis and treatment of foot disorders and injuries and
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.550
American Board of Medical Specialties:
http://www.abms.org/member.asp
http://www.abpn.com/
http://www.abns.org/content/default.asp
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.810.468
American Board of Medical Specialties:
http://www.abms.org/member.asp
http://www.abop.org/
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E04.540#MeSH
https://www.abos.org/default.aspx
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.810.526
American Board of Medical Specialties:
http://www.abms.org/member.asp
http://www.aboto.org/
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E04.580
Health on the Net Foundation:
26
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
anatomic defects of the foot.
Podology Podology Podology Podology -
Consultation
Diagnostic Test
Therapy / Treatment
Surgery
Podology Podology Podology Podology -
SOURCE
Web links as of December 2005
http://debussy.hon.ch/cgibin/HONselect?browse+G02.696
Consultation
Diagnostic Test
Therapy / Treatment
Surgery
RHEUMATOLOGY
A subspecialty of internal medicine concerned with the study of inflammatory or degenerative
processes and metabolic derangement of connective tissue structures which pertain to a variety of
musculoskeletal disorders, such as arthritis.
Rheumatology - Consultation
Rheumatology - Diagnostic consultation
Rheumatology - Therapy / Treatment
Rheumatology - Surgery
Rheumatology - Consultation
Rheumatology - Diagnostic consultation
Rheumatology - Therapy / Treatment
Rheumatology - Surgery
OPTOMETRY
The professional practice of primary eye and vision care that includes the measurement of visual
refractive power and the correction of visual defects with lenses or glasses.
Optometry - Consultation
Optometry - Diagnostic Test
Optometry - Consultation
Optometry - Diagnostic Test
PSYCHIATRY
The medical science that deals with the origin, diagnosis, prevention, and treatment of mental
disorders.
Psychiatry - Diagnostic consultation
Psychiatry - Diagnostic consultation
Psychiatry - Therapy / Treatment
Psychiatry - Therapy / Treatment
PSYCHOLOGY
The science dealing with the study of mental processes and behavior in man and animals.
Psychology - Diagnostic consultation
Psychology - Therapy / Treatment
Psychology - Diagnostic consultation
Psychology - Therapy / Treatment
RADIOLOGY
A specialty concerned with the use of x-ray and other forms of radiant energy in the diagnosis and
treatment of disease, including nuclear medicine.
Radiology - Diagnostic Imaging
Radiology - Diagnostic Imaging: Computer-Assisted Image Interpretation, Three-Dimensional
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.409.73
0
Medical
Specialties Disease
Oriented
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.553
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+F04.096.544
American Board of Medical Specialties:
http://www.abms.org/member.asp
http://www.abpn.com/
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+F04.096.628
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.700
American Board of Medical Specialties:
http://www.abms.org/member.asp
http://www.theabr.org/
MeSH:
27
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Imaging, Magnetic Resonance Imaging, Radiography, Spectroscopy, Tomography, Ultrasonography,
etc.
Web links as of December 2005
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Diagnostic+Imaging&field=
entry
Radiology - Therapy / Treatment
Radiology - Therapy / Treatment: The use of ionizing radiation to treat malignant neoplasms and
other benign conditions. The most common forms of ionizing radiation used as therapy are x-rays,
gamma rays, and electrons. A special form of radiotherapy, targeted radiotherapy, links a cytotoxic
radionuclide to a molecule that targets the tumor. When this molecule is an antibody or other
immunologic molecule, the technique is called Radioimmunotherapy.
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Radiotherapy&field=entry#T
reeE02.810
ONCOLOGY
Oncology - Diagnostic Test
Study, treatment and surgery on cancer.
Medical Oncology: A subspecialty of internal medicine concerned with the study of neoplasms.
Oncology - Therapy / Treatment
Cancer treatment includes surgery, chemotherapy, radiation therapy, clinical trials, proton therapy,
complementary medicine, and cutting edge technologies (photodinamic therapy, vaccine therapies,
etc.).
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.409.515
OncoLink (University of Pennsylvania)
http://es.oncolink.org/treatment/index.cfm
Radiation Oncology: A subspecialty of medical oncology and radiology concerned with the
radiotherapy of cancer.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.409.51
5.500#MeSH
Oncology - Surgery
Surgical Oncology (see treatment section above)
ALLERGY
A medical specialty concerned with the hypersensitivity of the individual to foreign substances
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.030
Allergy - Consultation
Allergy - Consultation
Allergy - Diagnostic Test
Allergy - Diagnostic Test: Prick Technique, Intradermal, Scratch tests, Challenge testing, Blood RAST
tests, etc
Allergy - Therapy / Treatment
Allergy - Therapy / Treatment: Includes the use of antihistamines, descongestants, anti-inflammatory
agents, mast cell stabilizers, corticosteroids, bronchodilators, etc.
American Board of Medical Specialties:
http://www.abms.org/member.asp
http://www.abai.org/
American Academy of Allergy, Asthma and
Immunology:
http://www.aaaai.org/patients/publicedmat/tip
s/whatisallergytesting.stm
American Academy of Allergy, Asthma and
Immunology:
http://www.aaaai.org/patients/publicedmat/tip
s/asthmaallergymedications.stm
IMMUNOLOGY
A medical specialty concerned with the protection from the infection or disorder originated by and
allergy.
Immunology - Consultation
Immunology - Consultation
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.030
American Board of Medical Specialties:
28
FAMILY /
SUBFAMILY
Medical
Specialties Community
Oriented
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
http://www.abms.org/member.asp
http://www.abai.org/
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Immunologic+Tests&field=e
ntry
Immunology - Diagnostic Test
Immunology - Diagnostic Test: Diagnostic techniques involving the demonstration or measurement of
an immune response, including antibody production or assay, antigen-antibody reactions, serologic
cross-reactivity, delayed hypersensitivity reactions, or heterogenetic responses: Basophil
Degranulation Test, Cell Migration Inhibition, Cytotoxicity Tests, Fluorescent Antibody Technique,
Hemolytic Plaque Technique, Histocompatibility Testing, Immune Adherence Reaction,
Immunoassay, Leukocyte Adherence Inhibition Test, Immunologic Monitoring, Serologic Tests, Skin
Tests.
Immunology - Therapy / Treatment
Immunology - Therapy / Treatment
American Board of Medical Specialties:
http://www.abms.org/member.asp
http://www.abai.org/
FAMILY HEALTH
The health status of the family as a unit including the impact of the health of one member of the family
on the family as a unit and on individual family members; also, the impact of family organization or
disorganization on the health status of its members.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+N01.400.300
https://www.theabfm.org/index.aspx?bhcp=1
Family Health - Hypertension Screening
Hypertension: Persistently high arterial blood pressure. Currently accepted threshold levels are 140
mm Hg systolic and 90 mm Hg diastolic pressure.
Family Health - Physical Exam
Systematic and thorough inspection of the patient for physical signs of disease or abnormality.
Family Health - Weight & Vital Signs
Vital signs are physical signs that indicate an individual is alive, such as heart beat, respiratory rate,
temperature, and blood pressure. These signs can be observed, measured, and monitored to assess
level of physical functioning of an individual. Normal ranges of measurements of vital signs may
change with age, sex, weight, exercise tolerance, and condition.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+C14.907.489
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E01.370.600
Yahoo Health: Sympthom verification
http://health.yahoo.com/ency/adam/002341
Yahoo Health: Weight control
http://health.yahoo.com/ency/healthwise/tx43
79;_ylt=AgbQ1wEq2NjUGxbyXhEiOX8v3MQ
F
Family Health - Diabetes Screening
A heterogeneous group of disorders that share glucose intolerance in common.
Family Health - Urinalysis
Examination of urine by chemical, physical, or microscopic means. Routine urinalysis usually includes
performing chemical screening tests, determining specific gravity, observing any unusual color or
odor, screening for bacteriuria, and examining the sediment microscopically.
Family Health - Colesterol screening
Cholesterol: The principal sterol of all higher animals, distributed in body tissues, especially the brain
and spinal cord, and in animal fats and oils.
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+C18.452.394.750
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E01.370.390.810
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+D04.808.247.222.28
4
29
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.513
Family Health - Nutrition Counseling
Nutrition: The science of food, the nutrients and other substances contained therein, their action,
interaction, and balance in relation to health and disease.
Family Health - Diet/Weight Control Counseling
Diet: Regular course of eating and drinking adopted by a person. This does not include Diet Therapy,
a specific diet prescribed in the treatment of a disease.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E05.272
GERIATRICS
The branch of medicine concerned with the physiological and pathological aspects of the aged,
including the clinical problems of senescence and senility.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.398
Geriatrics - Consultation
Geriatrics - Diagnostic Test
Geriatrics - Therapy / Treatment
Geriatrics - Surgery
Geriatrics - Consultation
Geriatrics - Diagnostic Test
Geriatrics - Therapy / Treatment
Geriatrics - Surgery
PEDIATRICS
A medical specialty concerned with maintaining health and providing medical care to children from
birth to adolescence.
Pediatrics - Consultation
Pediatrics - Consultation
Pediatrics - Diagnostic - Neonatal Screening (at Birth)
The identification of selected parameters in newborn infants by various tests, examinations, or other
procedures. Screening may be performed by clinical or laboratory measures. A screening test is
designed to sort out healthy neonates from those not well, but the screening test is not intended as a
diagnostic device, rather instead as epidemiologic.
Pediatrics - Diagnostic - Well Baby Care / Infant Health
Check
Care of infants in the home or institution.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+N02.421.088.120
Pediatrics - Therapy / Treatment - Nutrition
Improving health status of an individual by adjusting the quantities, qualities, and methods of nutrient
intake.
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Nutrition+Therapy&field=en
try#TreeE02.642
Pediatrics - Therapy / Treatment - Immunization
Vaccination: Administration of vaccines to stimulate the host's immune response. This includes any
preparation intended for active immunological prophylaxis.
Pediatrics - Therapy / Treatment - Oral rehydration
(ORT/ORS)
Fluid therapy: Therapy whose basic objective is to restore the volume and composition of the body
fluids to normal with respect to water-electrolyte balance. Fluids may be administered intravenously,
orally, by intermittent gavage, or by hypodermoclysis.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E02.095.520.400.53
0.890
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E02.319.360
Pediatrics - Therapy / Treatment - Neonatal Intensive
Care
Continuous care and monitoring of newborn infants with life-threatening conditions, in any setting.
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.610
American Board of Medical Specialties:
http://www.abms.org/member.asp
http://www.abp.org/
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E01.370.500.580
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E02.760.190.400.40
30
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
5
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E04.950.774.860.22
6
Pediatrics - Surgery - Circumcision
Excision of the prepuce or part of it.
Pediatrics - Surgery - Other
Other types of pediatric services not considered above
PHYSICAL MEDICINE & REHABILITATION
A medical specialty concerned with the use of physical agents, mechanical apparatus, and
manipulation in rehabilitating physically diseased or injured patients.
Physical Medicine & Rehabilitation - Consultation
Physical Medicine & Rehabilitation - Consultation
Physical Medicine & Rehabilitation - Diagnostic Test
Physical Medicine & Rehabilitation - Therapy / Treatment
Physical Medicine & Rehabilitation - Diagnostic Test
Physical Medicine & Rehabilitation - Therapy / Treatment: Restoration to the maximum degree
possible of a person or persons suffering from disease or injury.
Physical Medicine & Rehabilitation - Surgery
Physical Medicine & Rehabilitation - Surgery
PREVENTIVE MEDICINE
A medical specialty primarily concerned with prevention of disease and the promotion and
preservation of health in the individual.
Preventive Medicine - Consultation
Preventive Medicine - Consultation
Preventive Medicine - Diagnostic Test
Preventive Medicine - Diagnostic Test
EMERGENCY MEDICINE
A branch of medicine concerned with an individual's resuscitation, transportation and care from the
point of injury or beginning of illness through the hospital or other emergency treatment facility.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.200
Emergency Medicine - Evaluation
Emergency Medicine - Evaluation
Emergency Medicine - Initial Treatment
Emergency Medicine - Initial Treatment
American Board of Medical Specialties:
http://www.abms.org/member.asp
http://www.abem.org/public/
HOSPITALIZATION
The confinement of a patient in a hospital.
Hospitalization - Ambulatory (1 day)
Hospitalization - Extended (>1day)
Hospitalization - Ambulatory (1 day)
Hospitalization - Extended (>1day)
HEMATOLOGY
A subspecialty of internal medicine concerned with morphology, physiology, and pathology of the
blood and blood-forming tissues.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.620
American Board of Medical Specialties:
http://www.abms.org/member.asp
http://www.abpmr.org/
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.620.60
0#MeSH
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.630
American Board of Medical Specialties:
http://www.abms.org/member.asp
http://www.abprevmed.org/
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+E02.760.400
Medical
Specialties Diagnostic/Ther
apeutic
Procedures
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Health on the Net Foundation:
http://debussy.hon.ch/cgi31
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
bin/HONselect?browse+G02.403.776.409.44
5
Hematology - Diagnostic Test
Hematology – Consultation
Hematology - Diagnostic Test: Blood Cell Count, Blood Coagulation Tests, Blood Grouping and
Crossmatching, Blood Sedimentation, Bone Marrow Examination, Erythrocyte Aggregation,
Erythrocyte Indices, FIGLU Test, Hematocrit, Hemoglobinometry, Osmotic Fragility, Platelet Function
Tests, Schilling Test (vitaming B12 absorption test).
MeSH:
http://www.nlm.nih.gov/cgi/mesh/2005/MB_c
gi?mode=&term=Hematologic+Tests&field=e
ntry
Hematology - Therapy / Treatment
Hematology - Therapy / Treatment: of blood and blood-forming tissue disorders.
http://www.bcbsok.com/specialtiesGlossary.h
tml
TOXICOLOGY
The science concerned with the detection, chemical composition, and pharmacologic action of toxic
substances or poisons and the treatment and prevention of toxic manifestations.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G01.703.795
Toxicology - Consultation
Toxicology - Diagnostic tests
Toxicology – Consultation
A toxicology test examines blood, urine, or hair for the presence of drugs. In rare cases, stomach
contents, sweat, or saliva may also be examined.
Care for victims of poisoning who require intensive medical treatment.
Toxicology - Therapy / Treatment
http://webcenter.health.webmd.netscape.co
m/hw/lab_tests/hw27448.asp
http://newsbureau.upmc.com/emergency/Tox
.htm
CHEMICAL PATHOLOGY LAB TESTS
Chemical pathology (also known as clinical biochemistry or clinical chemistry) is the area of pathology
that is generally concerned with analysis of bodily fluids. All biochemical tests come under chemical
pathology. These are usually performed on serum, (the yellow watery part of blood that is left after
cells are removed).
Wikipedia:
http://en.wikipedia.org/wiki/Chemical_patholo
gy
Chemical Patology - Consultation
Chemical Patology - Diagnostic Test
Chemical Patology - Consultation
Chemical tests for various components of blood and urine. Subsequently other techniques were
applied including the use and measurement of enzyme activities, spectrophometry, electrophoresis
and immunoassay.
http://encyclopedia.thefreedictionary.com/Ch
emical%20pathology
Note: Tests that require examination and measurement of the cells of blood, as well as blood clotting
studies, are not included as these are usually grouped under the medical specialty of Hematology.
PATHOLOGY LAB TESTS
Clinical Pathology: A subspecialty of pathology applied to the solution of clinical problems, especially
through the use of laboratory methods in clinical diagnosis
Patology - Consultation
Patology - Consultation
Patology - Diagnostic Test
Anatomic pathology is the branch of pathology that is concerned with the diagnosis of disease based
on the gross and microscopic examination of cells and tissues. Contrary to popular belief, the field
mostly concerns the study of tissue obtained from live patients. In fact, almost all tissues removed
from a patient for any reason are examined by a pathologist
MICROBIOLOGY
The study of microorganisms such as fungi, bacteria, algae, viruses, and archaea (unicellular
organisms lacking nuclei).
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.776.600.500
American Board of Medical Specialties:
http://www.abms.org/member.asp
http://www.abpath.org/default.aspx
Wikipedia:
http://en.wikipedia.org/wiki/Anatomical_patho
logy
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G01.273.540
32
FAMILY /
SUBFAMILY
Medical
Specialties Other
SERVICE
SOURCE
Web links as of December 2005
Wikipedia:
http://en.wikipedia.org/wiki/Microbiology
Microbiology - Consultation
Microbiology is the study of microorganisms, including viruses, prokaryotes and simple eukaryotes.
Today, most of the work in microbiology is done using methods from biochemistry and genetics. It is
also related to pathology, immunology, and epidemiology as many microorganisms are pathogens.
Microbiology - Diagnostic Test
Microbiology lab tests include: Bacteriology--Aerobic and anaerobic bacteria are biochemically
identified to the species level using manual and automated methodologies. Mycobacteriology-Mycobacteria are identified to species level.Mycology--Yeasts and fungi are isolated on selective
media. Parasitology--Stool specimens submitted appropriately in stool collection kits are processed
and examined for the presence of intestinal parasites. And, DNA Amplification--Genital and urine
specimens from males and females can be tested for Chlamydia trachomatis and Neisseria
gonorrhoeae using DNA Amplification technology.
Microbiology Laboratory Tests Descriptions Virginia Commonwealth University:
http://www.pathology.vcu.edu/clinical/microi
mmun/descriptions.html
CHIROPRACTIC
A system of therapy that seeks to utilize the recuperative powers of the body and the relationship
between the musculoskeletal structures and functions of the body, particularly of the spinal column
and the nervous system, in the restoration and maintenance of health.
Chiropractic - Consultation
Chiropractic - Therapy / Treatment
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.110
A system of therapy and medicine based on the theory that the normal body is a vital mechanical
organism whose structural and functional states are of equal importance and is capable of making its
own remedies against infections and toxic conditions when there are favorable environmental
circumstances and adequate nutrition.
Osteophaty - Consultation
Osteophaty - Therapy / Treatment
Osteophaty - Diagnostic Test
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.500
PLASTIC SURGERY
The branch of surgery concerned with restoration, reconstruction, or improvement of defective,
damaged, or missing structures.
Health on the Net Foundation:
http://debussy.hon.ch/cgibin/HONselect?browse+G02.403.810.788
Plastic Surgery - Consultation
Plastic Surgery - Therapy / Treatment
Plastic Surgery - Surgery
Plastic Surgery - Consultation
Plastic Surgery - Therapy / Treatment
Plastic Surgery - Surgery
OTHER NON SRH MEDICAL SERVICES
Other Non SRH Medical Services - Consultation
Other Non SRH Medical Services - Diagnostic Test
Other Non SRH Medical Services - Therapy / Treatment
Other Non SRH Medical Services - Surgery
Generic NON SRH Medical Services not included above in the four types of service details:
consultation, diagnostic test, therapy/treatment and Surgery
Other Non SRH Medical Services - Consultation
Other Non SRH Medical Services - Diagnostic Test
Other Non SRH Medical Services - Therapy / Treatment
Other Non SRH Medical Services - Surgery
SALES & RENTALS MEDICAL
Sales of Medicines
Sales Medical Supplies
Sales Medical Equipment
Sustainability-oriented sale and rental of Medical supplies, equipment and facilities
Sales of Medicines
Sales Medical Supplies
Sales Medical Equipment
Chiropractic - Consultation
Chiropractic - Therapy / Treatment
OSTEOPHATY
Osteophaty - Consultation
Osteophaty - Therapy / Treatment
Osteophaty - Diagnostic Test
Other NON SRH
Services
DESCRIPTION / EXAMPLES
Service Descriptions for Statistic Reports to IPPF – as of July 2006
33
FAMILY /
SUBFAMILY
SERVICE
DESCRIPTION / EXAMPLES
SOURCE
Web links as of December 2005
Rental Medical Equipment / Infrastructure
Rental Medical Equipment / Infrastructure
NON SRH -NON MEDICAL PRODUCTS & SERVICES
SALES & RENTALS NON MEDICAL
Sales of IEC Materials
Sales of IEC Services
Sales of other generic products
Other Generic Non Medical Products & Services
Service Descriptions for Statistic Reports to IPPF – as of July 2006
Sustainability-oriented sale and rental of Non-Medical products and services
Sales of IEC Materials
Sales of IEC Services
Sales of other generic products
Other Non Medical Products & Services
34