208312 Revitalized LAM Approach: Increasing Quality Services for Facility and Community-Based Reproductive and Maternal-Newborn Health Programs

Tuesday, November 10, 2009: 10:45 AM

Justine A. Kavle, PhD, MPH, CPH , School of Medicine, Dept of OB/GYN ; Institute for Reproductive Health, Georgetown University, Washington, DC
Catharine McKaig, DrPH , Access-Fp, Jhpiego, Johns Hopkins University, Baltimore, MD
The Lactational Amenorrhea Method (LAM) is a reliable family planning method, with 98% protection against pregnancy in the first 6 months after childbirth, in several clinical trials. LAM can protect a woman from pregnancy as long as she meets the three following criteria: fully or nearly fully breastfeeding, postpartum amenorrhea and she is less than six months postpartum. LAM can benefit the mother and the child by providing protection from pregnancy in the first six months postpartum, and contributing to healthy timing and spacing of pregnancies (HTSP). Yet, LAM is an underutilized method, due to low levels of awareness, knowledge and training of health providers and availability of services. The LAM Working Group provides a forum for organizations and agencies interested in the revitalization of LAM to develop strategies and tools necessary for repositioning LAM in FP programs and integrating LAM into maternal-newborn- child health (MNCH) programs. In order to revitalize LAM and increase available quality LAM services in facility- and community-based programs worldwide, the LAM Working Group proposes a two-pronged approach: 1) reposition LAM as a gateway to other modern family planning methods; 2) integrate LAM into MNCH services and programs in addition to family planning programs. This paper will present the advances of the LAM Interagency Working Group including a bibliography of lay reference materials, the rationale and strategy for repositioning LAM and updated training curricula and provider/client tools. Future suggested research directions will be highlighted.

Learning Objectives:
Participants will be able to explain the rationale and strategy for repositioning LAM as presented by the LAM Interagency Working Group. Further, participants will know at least two-three tools and strategies for repositioning LAM in FP programs and integrating LAM into MNCH programs that are currently available. Participants will also be able to highlight at least one future direction in LAM research

Keywords: Maternal and Child Health, Family Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Research (and Phd) in maternal and child health (as relates to pregnancy and postpartum health, and nutrition), field and programmatic work experience with UNICEF, HKI, USAID, and current research on LAM integration in programs
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.