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Reproductive health is a state of complete physical, mental and social well-being, and not merely the absence of reproductive disease or infirmity. Reproductive health deals with the reproductive processes, functions and system at all stages of life. Additionally, all men and women have the right to be informed and to have access to safe, effective, affordable and acceptable methods of family planning of their choice, as well as other methods of their choice for regulation of fertility that are not against the law, and the right of access to appropriate health-care services (UNAIDS, 1994).
In the Western Cape, prescribing by Registered Professional Nurses is governed by section 56 (6) of the Nursing Act no. 33 of 2005. This act requires that Registered Professional Nurses (RPN)) practice within the scope of practice and be authorized to prescribe selected medications as per competency related education/training.


The primary aim of the training is to provide delegates with relevant information and to equip them with the efficient skills and competence to provide an effective Contraceptive and Fertility Planning (CFP) service within the Primary Health care setting.



Any Registered Professional Nurse (RPN) with or without midwifery providing a CFP service in Hospital or PHC setting.



A minimum 10 participants will be accepted for the course with  a maximum of 20 participants.



This is an interactive course which will include the following four phases:

  1. PHASE 1: The clinical training phase includes a continuous 5 day interactive course which includes didactic presentations by specialists in the field of CFP, practical sessions with simulated scenarios and a practical assessment.
  2. PHASE 2: The clinical practice phase follows the clinical training phase. During this phase delegates will have one month to master a set amount of procedures and skills in the clinical field and record in their logbooks.
  3. PHASE 3: The Logbook Submission and Evaluation phase follows the clinical practice phase. In this phase delegates need to submit their logbooks need for evaluation in order to be deemed competent and receive their certificate of competence.
  4. PHASE 4: The (re)authorisation phase follows. Once delegates have received their competence certificates, the process of being (re)authorised as prescribers for CFP will be initiated.
    See figure below.



The following topics will be covered: 

The following theoretical information will be covered:

  1. Principles and skills which guide CFP provision
    • The clients rights
    • Professional and ethical conduct
    • Effective communication
    • Empathic engagement principles/skills
    • Confidentiality and privacy
    • Counselling skills
    • The WHO’s 4 cornerstones to family planning
  2. The male and female reproductive anatomy and physiology
  3. Preparing for a CFP service
  4. The first CFP visit
    • The importance of a full history taking of the client
    • Completing and understanding the importance of collecting an accurate CFP, obstetric and gynaecological history from the client
    • The eligibility criteria for CFP
    • Indications for special screening tests
    • Performing, interpreting and identifying abnormalities in the physical assessment
    • Be able to give the client important information based on their contraceptive choice incl.:
      • Side Effects
      • Stopping contraception
      • Importance of adherence
      • Consequences of Skipping/missed pills and rectification
      • Abnormal side effects/points for return
  5. Understanding all aspects of the various contraceptive choices including:
    • Barrier methods
    • Combined Oral Contraceptives (COC)
    • Progestogen only pills
    • Progestogen only injectables
    • The combined patch
    • Sub-dermal Implants
    • Intrauterine Device (IUDs)
    • Emergency contraception
    • Postpartum Contraception
    • Fertility Awareness – Based and Lactation Amenorrhea Methods
    • Voluntary Sterilisation Contraception (VSC) and Tubal Ligation (TL)
  6. Special considerations for HIV – Positive individuals and couples wanting to conceive
  7. Pre-conception counseling for HIV Positive individuals and couples
  8. Sub fertility and infertility
  9. Referral for TOP
  10. Referral for Hysterectomy

The following practical aspects will be covered (simulation and in PHC- logbook provided):

  1. Examining for the following:
    • Jaundice, Anemia, Oedema, Thyroid abnormalities
  2. Examination of the following:
    • Breast, abdomen, internal and external genitalia, bimanual examination (if applicable)
  3. Sub-dermal Implant insertion and removal
  4. IUD Insertion and removal
  5. PPIUD insertion and removal
  6. Male and female condoms

*Content subject to change



Participants will be subjected to a written examination with a pass rate of 70% as well as a practical assessment during the 5 day training. Participants will also be required to complete a logbook which will be evaluated. Based on the outcome of the above, the delegate will or will not be deemed competent.



The course is registered at Stellenbosch University as a competency short course on NQF level 6.

The nursing participants who complete this course will receive for Phase 1: 3 CPD points for Ethical and Legal and/or Area of Practice,

for Phase 2: 2 CPD points per procedure (2 x 12 = 24) for Ethical and Legal and/or Area of Practice and/or Teaching and/or Research.

Phase 3: 2 CPD points for Ethical and Legal and/or Area of Practice and/or Teaching and/or Research. Phase 4: 2 CPD points for Ethical and Legal and/or Area of Practice and/or Teaching and/or Research.



All participants who complete the course successfully will be awarded with CPD and certificate of completion.



All correspondence to be directed to the People Development Centre (PDC): Ms Theresa Johnson
(T) +27 21 763 5320 (F) +27 86 241 5620 (E )
Course Coordinator: Lauren Terblanche


Course Curriculum

Phase 1: Clinical Training Phase
CFP Pre Assessment 00:30:00
PHASE 1: The clinical training phase Details 00:00:00
Flowdiagram_Algorithm_PPIUD Details 00:00:00
Phase 2: Clinical Practice Phase
PHASE 2: The clinical practice phase Details 00:00:00
Phase 3: Logbook Submission and Evaluation Phase
PHASE 3: The Logbook Submission and Evaluation phase Details 00:00:00
Phase 4: (Re) Authorisation on Phase
PHASE 4: The (re)authorisation phase Details 00:00:00

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