The full print document of the us medical eligibility criteria is intended to describe in further detail the medical evidence for each recommendation. In main product revision, improvements were made by adding information and images about contraceptive methods. Who medical eligibility criteria for contraceptive use. Categories of medical eligibility criteria for contraceptive use. Cdc updates eligibility criteria for contraceptive use. Guidance statement recommendations on contraceptive methods used by women at high risk of hiv. Us medical eligibility criteria for contraceptive use, 2016 cdc.
Executive summary published with technical document number whorhr15. Medical eligibility criteria for contraceptive use mec, the first edition of which was published in 1996, presents current world health organization who guidance on the safety of various contraceptive methods for use in the context of specific health conditions and characteristics. Adapted from medical eligibility criteria for contraceptive use, 5th edition. How to access the fsrh uk medical eligibility criteria for contraceptive use uk mec the uk mec helps clinicians decide what contraceptives they can safely recommend based on the medical conditions of patients in their care. Contraception 2016 cdc medical eligibility criteria for. Medical eligibility criteria for contraceptive use updated july 2017. The who medical eligibility criteria for contraceptive use who mec provides evidencebased recommendations to ensure that patients are medically. Using the recommendations medical eligibility criteria for. Medical eligibility criteria wheel for contraceptive use who 2015 c o n v u l s a n ts t t p medical eligibility criteria for contraceptive use u. The goal of the document is to improve access to, and quality of, family planning services by providing policymakers, decisionmakers and the scientific community with recommendations that can be used for developing or revising national guidelines on the. Income numbers are based on your annual or yearly earnings. Centers for disease control and prevention cdc subject. This executive summary contains all the new recommendations that will be incorporated into the fifth edition of the medical eligibility. Implementation guide for the medical eligibility criteria and selected practice recommendations for contraceptive use guidelines.
World health organizationworld health organization, 1996. The united states medical eligibility criteria for contraceptive use, 2016 us mec includes recommendations for using specific contraceptive methods by women and men who have certain characteristics or medical conditions. Medical eligibility criteria for contraceptive use, 2016. Numbers are rising with 383 million adults currently diagnosed with dm and. Quick reference chart for the who medical eligibility criteria for. Medical eligibility criteria for contraceptive use, 2016 revised recommendations for the use of hormonal contraception among women at high risk for hiv infection. The medical eligibility criteria for contraceptive use mec provides guidance regarding. Quick reference chart for category 3 and 4 to initiate or continue use of combined oral contraceptives cocs, depotmedroxyprogesterone acetate dmpa, progestinonly implants, copper intrauterine device. Consider cuiud win 5 days of unprotected intercourse. Medical eligibility criteria for contraceptive use part ii 99 2.
Medical eligibility criteria for contraceptive use 5th ed. Quick reference chart for the who medical eligibility criteria for contraceptive use. Medical eligibility criteria for contraceptive use executive summary 1 acknowledgements the world health organization who would like to thank the members of the guideline development group and the evidence secretariat for their contributions throughout the development of these recommendations. For complete classifications, see medical eligibility criteria for contraceptive use. Medical eligibility criteria for contraceptive use mec, which gave evidencebased guidance on the safety of contraceptive method use for women and men worldwide who had specific characteristics and medical conditions. Medical eligibility criteria wheel for contraceptive use mec the. Individuals california department of health care services. Nonhormonal contraceptive methods july 2012 8 medical eligibility criteria categories 1 a condition for which there is no restriction for the use of the contraceptive method. Since that time, who has regularly updated its guidance on the basis of new evidence, and the who mec is now in its fourth edition. Implementation guide for the medical eligibility criteria and selected practice recommendations for. United states medical eligibility criteria for contraceptive use.
Medical eligibility criteria for contraceptive use executive summary 1 acknowledgements the world health organization who would like to thank the members of the guideline development group and the evidence secretariat for their contributions throughout the development of. Quick reference chart for category 3 and 4 to initiate or continue use of combined oral contraceptives cocs, depotmedroxyprogesterone acetate dmpa, progestinonly implants, copper intrauterine device cuiud, levonorgestral intrauterine system lngius. Medical eligibility criteria for contraceptive use, 2010. Medical eligibility criteria for combined oral contraceptives. The family planning eligibility program covers pap smears if performed.
The purpose of the mec is to improve contraceptive provision practices worldwide. If the client answered yes to at least one of the questions, you can be reasonably sure she is not pregnant. Us medical eligibility criteria us mec for contraceptive. Medical eligibility criteria for contraceptive use cdc 2010 and is designed to assist the primary care provider when counseling on contraception. Medical eligibility criteria for contraceptive use, 2010 description of resource. The whos medical eligibility criteria for contraceptive use mec is a guidance for national guidelines, to be adapted to regionspecific contexts and populations. Mec comprises recommendations for the use of specific contraceptive methods by women and men who have certain characteristics or medical conditions. Fsrh uk mec faculty of sexual and reproductive healthcare. Family planning monthly report fax transmittal sheet. Making changes in the aesthetics and format of the. Medical eligibility criteria for contraceptive use condition subcondition cuiud lngiud implant dmpa pop chc i c i c i c i c i c i c age menarche to medical eligibility criteria for contraceptive use u.
This is the fifth edition of the mec the latest in the series of periodic updates. The goal of the document is to improve access to, and quality of, family planning. Medical eligibility criteria for contraceptive use keywords. Medical eligibility criteria for contraceptive use p. Penelitianthis researchini invent the design of application based medical eligibility model of contraceptive use titled application of clinical decision making system of contraceptive use. Medical eligibility determination form adobe pdf this is the entire form, including background information, clinical detail, scoring sheet eligibility determination, careplan and outcome.
Diabetes mellitus dm, the most common of metabolic disorders, is a global public health concern. Medical eligibility criteria for contraceptive use page 3 goal the goal of this document is to provide policy and decisionmakers and the scientific community with a set of recommendations that can be used for developing or revising national guidelines on medical eligibility criteria for contraceptive use. Who medical eligibility criteria wheel for contraceptive use. The us medical eligibility criteria for contraceptive use mec and us selected practice recommendations for contraceptive use spr provide evidencebased guidance to safely provide contraception counseling and services. All women have the right to evidencebased, comprehensive contraceptive information, education and counselling to ensure informed choice. The first cornerstone, the medical eligibility criteria for contraceptive use mec, now in its fifth edition, provides thorough information and guidance on the safety of various contraceptive methods for use in the context of specific health conditions and characteristics. Medical eligibility criteria for contraceptive use ncbi. Also, women should not use cocs if they report having thrombogenic mutations or lupus with positive or unknown antiphospholipid antibodies. Medical eligibility criteria for contraceptive use mec, the first edition of which was published in 1996, presents current who guidance on the safety of various contraceptive methods for use in the context of specific health conditions and characteristics. This wheel contains the medical eligibility criteria for starting use of contraceptive methods, based on medical eligibility criteria for contraceptive use, 5th edition 2015, one of whos evidencebased guidelines. This pdf contains the files necessary to print the mec wheel. Generally safelow risk, w the following exceptions category may vary if initiating vs continuing this method. New recommendations are summarized from the newly released fifth edition of the guidance. Most contraceptive methods do not protect against sexually transmitted infections stis.
Improving access to quality care in family planning. Medical eligibility criteria for contraceptive use, 2016, as well as additional implementation tools and resources including a mobile app, are available from the centers for disease control and preventions cdcs division of reproductive health web site. Medical eligibility criteria for contraceptive use updated july 2011. Medical eligibility criteria for contraceptive use. Sep 15, 2015 who medical eligibility criteria mec for contraceptive use, fifth edition, 2015 resource september 15, 2015 the materials in the training resource package for family planning have been codeveloped by a consortium of organizations led by usaid, who, and unfpa. Medical eligibility criteria for contraceptive use, fifth edition. Sep 11, 2014 us medical eligibility criteria for contraceptive use, 2010. The recommendations in this report are intended to assist health care providers when they counsel women, men, and couples about contraceptive method choice. Appendix g part 1 summary of us contraceptive use medical eligibility criteria. Consistent and correct use of themale latex condom reduces the risk of stis and hiv. If you received a letter after applying for medical, you can find more information about your coverage on the services page. Members enrolled in the family planning eligibility program are eligible for one annual examination in a 12month period.
Who guidance on the safety of various contraceptive methods in the context. To see if you qualify based on income, look at the chart below. The medical eligibility criteria wheel for contraceptive use. This summary sheet only contains a subset of the recommendations from the us mec. Be sure to explain the health benefits and risks and the side effects of the method that the client will use. It is color coded in the left column to match the corresponding question of the oregon selfscreening risk assessment questionnaire. Medical eligibility criteria for contraceptive use condition subcondition cuiud lngiud implant dmpa pop chc i c i c i c i c i c i c pregnancy 4 na rheumatoid. Medical eligibility criteria for contraceptive use mec. Medical eligibility criteria for contraceptive use who. Quick reference chart for the who medical eligibility.
Pdf medical eligibility criteria for contraceptive use and the. Mec, which provided recommendations on safe use of contraceptive methods for women with various medical conditions and other characteristics and was adapted from global guidance developed by the world health organization who mec 4, 5. Medical eligibility criteria exist in multiple formats described below to encourage greater use and access by medical professionals. Development of the medical eligibility criteria for contraceptive use. Medical eligibility criteria for contraceptive use world health. This document is part of the process for improving the quality of care in family planning. Medical eligibility criteria for contraceptive use, 2010, from guidance developed by the world health organization who and finalized the recommendations after consultation with a group of health professionals who met in.
It updates the third edition of medical eligibility criteria for contraceptive use, published in 2004, and summarizes the main recommendations of an expert working group meeting held at the world health organization, geneva,14 april 2008. Final 20 september 2016 option c 2016 who medical eligibility. It is not intended to replace a clinicians judgment or establish a protocol for all patients. As a consequence, despite the contraindication for ocp use in current bc and survivors, the whos medical eligibility criteria for contraceptive use mec, the us selected practice recommendations. This summary sheet only contains a subset of the recommendations from the usmec. Appendix g part 2 mmwr us medical eligibility criteria for contraceptive use. Medical eligibility criteria wheel for contraceptive use who 2015 c o n v u l s a n ts t t p medical eligibility criteria for contraceptive use, fifth edition. Fhi 360 created a quick reference guide, in the form of a chart, that summarizes the who medical eligibility criteria for combined oral contraceptives, the injectable contraceptive depotmedroxyprogesterone acetate dmpa, progestinonly implants, copper intrauterine devices or a levonorgestrel intrauterine system lngius. Weight bmi measurement is not needed to determine medical eligibility for any methods of contraception because all methods can be used us medical eligibility criteria 1 or generally can be used us medical eligibility criteria 2 among obese women. About this wheel this wheel contains the medical eligibility criteria for starting use of contraceptive methods, based on medical eligibility criteria for contraceptive use, 5th edition 2015, one of whos evidencebased guidelines. Contraception is typically considered safer than pregnancy, especially in patients with medical. Applicationbased medical eligibility criteria model of. Us medical eligibility criteria for contraceptive use, 2010.
United states medical eligibility criteria for contraceptive use, 2016 affirmation of value, november 2016 the updated u. The first cornerstone, the medical eligibility criteria for contraceptive use mec, now in its fifth edition 1, provides thorough information and guidance on the safety of various contraceptive methods for use in the context of specific health conditions and characteristics. Contraceptive eligibility for women at high risk of hiv. Sustainability of the mecspr guidance in national family planning guidelines. As soon as the client answers yes to any question, stop and follow the instructions below. Medical eligibility criteria for contraceptive use u. National center for chronic disease prevention and health promotion. Checklists for family planning and related preventive health. How to access the fsrh uk medical eligibility criteria for contraceptive use uk mec. Medical eligibility criteria for contraceptive use mec, the first edition of which was published in 1996, presents current world health organization who guidance on the safety of various contraceptive methods for use in. The recommendations in the medical eligibility criteria for contraceptive use, fifth edition guidance were released during a global live facebook chat on 1 june 2015.
Using the recommendations medical eligibility criteria. This chart shows a complete list of all conditions classified by who as category 3 and 4. Improving access to quality care on family planning. When youre ready to choose a health plan, learn more about them at our managed care health plan directory. Medical eligibility criteria for contraception was developed by the.
Medical eligibility criteria for contraceptive use part i 17 1. If there is a risk of stihiv, condom use is recommended. Who medical eligibility criteria mec for contraceptive use. The medical eligibility criteria for contraceptive use mec provides guidance regarding which clients can use contraceptive methods safely. Medical eligibility criteria for contraceptive use wikipedia. This guidance comprises recommendations for the use of specific contraceptive methods by women and men who have certain characteristics or medical conditions. Medical eligibility criteria for contraceptive use part i 23 voluntary use of contraception by women is critical for upholding their reproductive rights. The whos medical eligibility criteria for contraceptive use. It guides family planning providers in recommending safe and effective contraception methods for women with medical conditions. Medical eligibility criteria for contraceptive use fifth. These criteria are based on the most current scientific knowledge about the.
Only correct and consistent use of condoms, male or female, protect against stihiv. Medical eligibility criteria for contraceptive use, 4th edition. This is an alphabetical listing of every publication on our website. A comprehensive dissemination and evaluation plan will be implemented. Pdf on oct 1, 2007, p ravi shankar and others published medical eligibility criteria for contraceptive use and the. Manual adobe pdf microsoft word instructions for completing the medical eligibility determination form. Medical eligibility criteria wheel for initiating contraceptive use july 2017 tr ea tm e n t c ur re n t o c e d u r e s s s t d s f e e d i n g f e e di n g s f e e d i n. It guides family planning providers in recommending safe and effective contraception methods for women with medical conditions or medicallyrelevant characteristics. Both documents were updated in 2016 and are endorsed by the north american society for pediatric and adolescent gynecology.
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