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FEMALE VOLUNTARY NONSURGICAL STERILIZATION: THE QUINACRINE METHOD
ACKNOWLEDGMENTS We would like to thank the following medical professionals for reviewing the video that accompanies this manual and providing the technical supervision necessary for its production.
Technical Advisors
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Pouru Bhiwandiwala, MD
Raleigh, North Carolina, USA
Elton Kessel, MD
Leasburg, North Carolina, USA
|  | Stephen Mumford, DrPH
Research Triangle Park, North Carolina, USA
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Medical Reviewers
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Fernando Alpizar-Barquero
San Jose, Costa Rica
Rosca Augustin
Cluj-Napoca, Romania
Altaf Bashir
Faisalabad, Pakistan
Rohit V. Bhatt
Baroda, India
Tim Black
London, United Kingdom
James R. Dingfelder
Chapel Hill, North Carolina, USA
Rafael A. Esmundo
Manila, Philippines
Bernard Gartner-Zantman
Caracas, Venezuela
Ajay K. Ghosh
Calcutta, India
Mildred A. Hanson
Edina, Minnesota, USA
Pravin Kini
Bangalore, India
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Jack Lippes
Buffalo, New York, USA
Ajit Mehta
Bombay, India
Rohinee Merchant
Bombay, India
Nargis Motashaw
Bombay, India
Biral Mullick
Calcutta, India
Ljiljana Randic
Rijeka, Croatia
Ashi R. Sarin
Patiala, India
Ariawan Soejoenoes
Semerang, Indonesia
Maya Sood
New Delhi, India
Soroodi-Magnaddain
Tehran, Iran
Jaime Zipper
Santiago, Chile
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 Instructions for Using This Manual Learning Goals of the Manual
CHAPTER 1
Female Voluntary Nonsurgical Sterilization: The Quinacrine Method Learning Objectives |
 Female Sterilization How Does Female Sterilization Work? Quinacrine Female Voluntary Nonsurgical Sterilization How Does Quinacrine Sterilization (QS) Work? Efficacy Safety Possible Complications Possible Side Effects Timing of Insertion Advantages of Quinacrine Sterilization (QS) Disadvantages of Quinacrine Sterilization (QS) Case Study I Case Study II
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CHAPTER 2 Counseling about Quinacrine Sterilization (QS) |
 Learning Objectives Reasons for Contraceptive Counseling Minimum Resources for Effective Counseling Client Screening Quinacrine Sterilization Counseling Ways to Establish a Good Counseling Rapport with your Client Making Sure a Client Understands the Information You Provide Ensuring Informed Choice and Informed Consent Guidelines to Safeguard Against Coercion For or Against QS Case Study III
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CHAPTER 3
The Quinacrine Sterilization Procedure |
 Learning Objectives Prerequisites Equipment needed to perform a QS The Quinacrine Inserter Taking a Client History Contraindications To prepare for the procedure The Bimanual Pelvic Exam The Procedure Immediate Post-procedure Common Insertion Mistake Case Study IV
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CHAPTER 4
Patient Follow-up |
 Learning Objectives Patient Care Immediately After the Procedure Post-procedure Counseling Management of Side Effects and Complications Client Take-home Materials Case Study V
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CHAPTER 5
Infection Prevention |
 Learning Objectives Introduction Infection How Infections Are Transmitted Common Vehicles of Infection Transmission How to Prevent the Transmission of Infection Resources Necessary for Infection Control Steps to Prevent Infection Transmission during a QS Reusing the Cannula/Sound and/or the Inserter Case Study VI Answers to Case Studies I-VI
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Glossary
AppendicesAppendix A
QUINACRINE STERILIZATION REGISTER: DIRECTIONS FOR USE
Objectives and Content of the Register Quinacrine Register and Study Procedures
QUINACRINE STERILIZATION REGISTER
QUINACRINE STERILIZATION FOLLOWUP RECORD
QUINACRINE STERILIZATION REGISTER RETROSPECTIVE DATA: INSTRUCTIONS
QUINACRINE STERILIZATION REGISTER RETROSPECTIVE DATA: Appendix B
Client Information Brochure Appendix C
Volunteer's Consent Form for the Quinacrine Hydrochloride Pellet Female Sterilization Study Appendix D
How To Be Reasonably Sure a Client is not Pregnant Appendix E
Treatment For an Anaphylactic Reaction Reference List
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 The manual is self-instructional. It has general manual objectives and specific chapter objectives. In addition, we have included case studies which serve as a post-test for you to determine if you have acquired the knowledge about various aspects of Quinacrine Sterilization. We suggest that you proceed through the manual in the following way:
1. Read the manual objectives. You will find that being aware of the information you are expected to learn will help you focus on the essential aspects of QS in general.
2. Read Chapter 1 objectives. This serves the same purpose as step 1, however they are more specific to the topic being presented.
3. Read and study the information in Chapter 1.
4. Read the case study and answer the questions that follow it. Do not look back at the chapter to answer the questions.
5. Check your answers against the manual answers which can be found after the end of the last chapter (pages 40-41).
6. If your answer is incorrect, reread the chapter and try to answer the question again.
7. When your answer is correct, proceed to the next chapters in the same way.
8. Turn to the glossary at the end of the chapters, if you read terms that are unfamiliar.
9. After you have completed the chapters, review any information that you found difficult to understand. We have provided a resource guide at the end to provide additional material on selected topics.
Following is a list of the five overall goals of this manual. Each goal is comprised of a number of sub-goals or objectives, which are listed at the beginning of every chapter. Once you, the learner, have completed this manual, you will be able to:
Discuss the criteria used to select appropriate clients for quinacrine sterilizations. List the information and approach necessary to provide an appropriate, accurate and effective quinacrine sterilization counseling session. Safely and accurately perform a quinacrine sterilization procedure. Manage any post-procedure side effects or complications. Know and use necessary infection prevention measures when providing quinacrine sterilizations.
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 Copyright 2002 Revised: April 2002 Center for Research on Population and Security P.O. Box 13067 Research Triangle Park, NC 27709 USA
All rights reserved.
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