Sexual health and family planning·Reproductive and sexual health

Infertility

Gap: WHO no PNPKPrioritas 26 paket UHC · 42 actionNICE ✗PNPK ✗

PNPK · Indonesia

Pedoman Nasional yang relevan

Manual seed (pedoman lain)

Pedoman Pelayanan Kontrasepsi dan Keluarga Berencana (2020) Pedoman Nasional Penanganan Infeksi Menular Seksual 2016 (2016)

NICE · UK Benchmark

Guideline NICE yang relevan

Tidak ada NICE guideline yang ter-match. Indonesia harus mengandalkan sumber lain (WHO, regional) untuk benchmark.

UHC Compendium

Paket UHC dalam kategori ini (6)

Diagnosis of infertility

WHO #461 · 7 action

Gap: WHO no PNPK

History and physical examination | Basic laboratory tests | Advanced laboratory tests

Lihat 7 action detail

History and physical examination
Tasks: Conduct vital signs measurement, Conduct history taking, Conduct physical examination, Provide clinical advice
Basic laboratory tests
Tasks: Provide counselling and information and obtain consent, Conduct diagnostic testing, Document examination findings
Advanced laboratory tests
Tasks: Provide counselling and information and obtain consent, Conduct diagnostic testing, Document examination findings
X-ray
Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination
Ultrasound
Tasks: Provide counselling and information and obtain consent, Document examination findings, Conduct radiological examination
Hysteroscopy
Tasks: Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer procedural anaesthesia, Conduct gynaecological procedure
Medicines: Bupivacaine, Ephedrine, Lidocaine, Lidocaine + epinephrine
Laparoscopy
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Provide post-procedural care, Conduct obstetric and gynaecological surgery, Provide nursing support for obstetric and gynaecological surgery, Assist with obstetric and gynaecological surgery
Medicines: Halothane, Isoflurane, Nitrous oxide, Ketamine, Propofol

Management of female infertility

WHO #462 · 10 action

Gap: WHO no PNPK

Oral contraceptive pills for endometriosis | Oral estrogen receptor modulators for ovulation induction | Oral medications for ovulation induction

Lihat 10 action detail

Oral contraceptive pills for endometriosis
Tasks: Prescribe medication
Medicines: Ethinylestradiol + noresthisterone, Ethinylestradiol + levonorgestrel
Oral estrogen receptor modulators for ovulation induction
Tasks: Prescribe medication
Medicines: Clomifene, Letrozole, Metformin, Bromocriptine, Cabergoline
Oral medications for ovulation induction
Tasks: Prescribe medication
Medicines: Clomifene
Intramuscular gonadotropins for female infertility
Tasks: Prescribe intramuscular medication, Administer intramuscular medication
Medicines: Chorionic gonadotropin, Recombinant follicle-stimulating hormone (FSH), Human menopausal gonadotropin (HMG), Gonadotropin-releasing hormone agonist (GnRH agonist)- Leuprorelin
Intramuscular medication for ovulation induction
Tasks: Prescribe intramuscular medication, Administer intramuscular medication
Medicines: Human menopausal gonadotropin (HMG), Recombinant follicle-stimulating hormone (FSH), Chorionic gonadotropin
Subcutaneous gonadotropins for female infertility
Tasks: Prescribe medication, Administer subcutaneous medication
Medicines: Chorionic gonadotropin
Tuboplasty
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Provide post-procedural care, Conduct obstetric and gynaecological surgery, Assist with obstetric and gynaecological surgery
Medicines: Halothane, Isoflurane, Nitrous oxide, Ketamine, Propofol
Hysteroscopic septoplasty
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Provide post-procedural care, Conduct obstetric and gynaecological surgery, Provide nursing support for obstetric and gynaecological surgery, Assist with obstetric and gynaecological surgery
Medicines: Bupivacaine, Ephedrine, Lidocaine, Lidocaine + epinephrine
Removal of endometriosis lesion
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Send specimen for laboratory tests, Provide post-procedural care, Conduct obstetric and gynaecological surgery, Assist with obstetric and gynaecological surgery
Medicines: Halothane, Isoflurane, Nitrous oxide, Ketamine, Propofol
Surgery for uterine fibroid
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Administer general anaesthesia, Provide post-procedural care, Conduct obstetric and gynaecological surgery, Assist with obstetric and gynaecological surgery, Provide nursing support for obsetric and gynaecological surgery
Medicines: Halothane, Isoflurane, Nitrous oxide, Ketamine, Propofol

Management of infertility

WHO #463 · 8 action

Gap: WHO no PNPK

Harvesting of donated oocytes | Self collection of sperms for intrauterine insemination/in vitro fertilization | Provider led collection of sperms for intrauterine insemination/in vitro fertilization

Lihat 8 action detail

Harvesting of donated oocytes
Tasks: Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer procedural anaesthesia, Conduct fertility procedure
Medicines: Halothane, Isoflurane, Nitrous oxide, Ketamine, Propofol
Self collection of sperms for intrauterine insemination/in vitro fertilization
Tasks: Prepare the patient and organize the equipment, Send specimen for laboratory tests
Provider led collection of sperms for intrauterine insemination/in vitro fertilization
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Send specimen for laboratory tests, Administer local anaesthesia, Conduct urological procedure
Medicines: Bupivacaine, Ephedrine, Lidocaine, Lidocaine + epinephrine
Oocyte retrieval
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer procedural anaesthesia, Conduct gynaecological procedure
In vitro fertilization (IVF)
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct fertility procedure
Embryo transfer
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct fertility procedure, Administer sedation
Medicines: Halothane, Isoflurane, Nitrous oxide, Ketamine, Propofol
Intrauterine insemination
Tasks: Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct fertility procedure
Referral for adoption services
Tasks: Provide referral for specialised services

Management of male infertility

WHO #464 · 5 action

Gap: WHO no PNPK

Oral medications for male infertility | Intramuscular medications for male infertility | Surgery for epididymal blockage

Lihat 5 action detail

Oral medications for male infertility
Tasks: Prescribe oral medication
Medicines: Cabergoline
Intramuscular medications for male infertility
Tasks: Prescribe intramuscular medication, Administer intramuscular medication
Medicines: Chorionic gonadotropin
Surgery for epididymal blockage
Tasks: Provide pre-procedural medical care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct urological surgery, Assist with urological surgery, Provide nursing support for urological surgery, Administer regional anaesthesia
Surgery for vasectomy reversal
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Administer local anaesthesia, Conduct urological surgery, Assist with urological surgery, Provide nursing support for urological surgery
Varicocelectomy
Tasks: Provide pre-procedural medical care, Provide pre-procedural nursing care, Provide counselling and information and obtain consent, Prepare the patient and organize the equipment, Provide post-procedural care, Conduct urological surgery, Assist with urological surgery, Provide nursing support for urological surgery, Administer spinal anaesthesia

Prevention of infertility

WHO #465 · 11 action

Gap: WHO no PNPK

Condition-specific nutrition assessment and counselling | Counselling on causes of biological determinants of infertility/subfertility | Counselling on preventing exposure to environmental pollutants that may affect fertility

Lihat 11 action detail

Condition-specific nutrition assessment and counselling
Tasks: Conduct clinical assessment, Conduct counselling
Counselling on causes of biological determinants of infertility/subfertility
Tasks: Conduct counselling
Counselling on preventing exposure to environmental pollutants that may affect fertility
Tasks: Conduct counselling
Counselling on STI prevention, prompt treatment, risk reduction, and safer sex
Tasks: Conduct counselling
Counselling on timed intercourse and self-assessment of ovulation
Tasks: Conduct counselling
Integrated counselling on healthy diet, physical activity, weight management, and alcohol and tobacco use
Tasks: Conduct counselling
Self-testing
Cryopreservation of gametes (oocytes/sperms)
Tasks: Provide counselling and information and obtain consent, Develop referral plan, Conduct fertility procedure
Oral iron and folic acid supplementation
Male condoms
Female condoms

TCI intervention for infertility

WHO #466 · 1 action

Gap: WHO no PNPK

Electroacupuncture

Lihat 1 action detail

Electroacupuncture