**Counseling: -through counseling,mid-wife help clients make &carry out their own choice. -counseling is more widely used in reproductive health,&family planning

** principles of counseling

-treat each client well : -the care provider is polite,show respect for every client. -build trust. -speak openly. -answer question. -maintain confidentiality. 2-Interact : -care provider listen,learns,&responds to client. -care provider can help client,by under-standing her needs,concerns,&situation. 3-give information to client : -care provider learn what information each client need. -the stage of person life,suggests what information is important -information should be given accurately. -language should be simple &clear.

4-avoid too much information : -it make hard to remember. -information overload. -let the client to make their informed choice. -what client choice should be respected. -explain advantages &dis-advantages of the subject.

Informed choice : ** -person freely make decision,based on accurate,useful information. -the goal of family planning counseling is to help clients make informed choice. *Informed: -client has clear,accurate,specific information. -information overload should be avoided. *choice: -clients make their own decision without pressure.

**Topics of counseling:- 1-Effectiveness: -experience of the client,good or bad. -How well family planning method prevent pregnancy. 2-advantages &dis-advantages: -it is important to remember that dis- advantages for some people are advantages for other. 3-side effects &complications: -the client needs to know side effect of each method,especially serious sign. -client need to know when to see the Dr,or Midwife,and to return to clinic

How to use : -clear instructions are important, what to do in case of mistake,special matters as remembering. 5-STIs prevention : -how to prevent STIs\AIDS through use of condom. 6-when to return: -return to clinic to get more supplies (pills,condom). -return for follow up in case of IUD. -client is always welcome back for any reason.

Steps in counseling new client counseling new clients about family planning is process. -the process consist of 6 steps remembered with GATHER: *1-Greet clients in open respectful manner, privacy & confidentiality should be maintained. -ask client how you can help,&explain what the clinic can provide. *2-Ask clients about themselves : -let client talk about their family planning,&reproductive wishes,her concerns,need,knowledge. -ask them about family planning method in mind. -put your-self in client place.

3-Tell client about choices : - depending on clients need,tell here what reproductive health choices might make. -focus on method that most interest client,& briefly mention other available method. *4-Help clients make an informed choices : -the provider should help client to express feeling &ask question -consider medical eligibility for methods that interest client. -ask if partner will support client decision.

*5-Explain fully how to use the chosen : -after client chooses family planning method give her supplies. -explain method of use, encourage questions,&answer them openly. -give condom to any one at risk of STIs. *6-Return visit should be well come : -discuss& agree when the client will return for follow up,&more supplies. -always invite client to come back any time for any reason