{"id":47307,"date":"2026-03-16T14:52:13","date_gmt":"2026-03-16T14:52:13","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=47307"},"modified":"2026-03-16T14:52:13","modified_gmt":"2026-03-16T14:52:13","slug":"including-fertility-awareness-methods-in-routine-nhs-contraceptive-consultations","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/sq\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/type-2-rcf-funded-projects\/including-fertility-awareness-methods-in-routine-nhs-contraceptive-consultations\/","title":{"rendered":"P\u00ebrfshirja e metodave t\u00eb nd\u00ebrgjegj\u00ebsimit p\u00ebr fertilitetin n\u00eb konsultat rutin\u00eb t\u00eb NHS p\u00ebr kontracepsionin"},"content":{"rendered":"<div class=\"assembler_default-group assembler_module_group assembler_default-group_1 assembler_module_group_1\"><div class=\"assembler_module_area assembler_module_area_1\"><div class=\"assembler_text-module assembler_module assembler_text-module_1 assembler_module_1  transparent\"><a tabindex=\"-1\" title=\"Seksioni me titull module-1\" id=\"module-1\" href=\"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/47307\/#module-1\" class=\"anchor\"><span class=\"hidden\">Seksioni me titull module-1<\/span><\/a><!-- Template found for text-module - Template: template-text - Matched: _only --><section class=\"w-full mx-auto max-w-content pt-12 sm:pt-24 pb-12 sm:pb-24\">\r\n  <div class=\"entry-content w-full !px-0 max-w-small\">\r\n        <h1>P\u00ebrfshirja e metodave t\u00eb nd\u00ebrgjegj\u00ebsimit p\u00ebr fertilitetin n\u00eb konsultat rutin\u00eb t\u00eb NHS p\u00ebr kontracepsionin<\/h1>\n<h2><strong>Financimi<\/strong><\/h2>\n<p>Financimi i Aft\u00ebsive K\u00ebrkimore ICB t\u00eb NHS Bristol, North Somerset dhe South Gloucestershire.<\/p>\n<h2><strong>Cili \u00ebsht\u00eb problemi?<\/strong><\/h2>\n<p>Shtatz\u00ebnia e paplanifikuar mbetet nj\u00eb problem i r\u00ebnd\u00ebsish\u00ebm i sh\u00ebndetit publik n\u00eb Mbret\u00ebrin\u00eb e Bashkuar, me uljen e p\u00ebrdorimit t\u00eb kontraceptiv\u00ebve dhe rritjen e shkall\u00ebs s\u00eb abortit vitet e fundit. K\u00ebto rezultate ndikojn\u00eb n\u00eb m\u00ebnyr\u00eb disproporcionale tek njer\u00ebzit q\u00eb jetojn\u00eb n\u00eb zona m\u00eb t\u00eb pafavorizuara, komunitetet e pakicave etnike dhe ata me v\u00ebshtir\u00ebsi n\u00eb t\u00eb nx\u00ebn\u00eb, duke reflektuar pabarazi m\u00eb t\u00eb gjera sh\u00ebndet\u00ebsore.<\/p>\n<p>Preferencat p\u00ebr kontracepsionin kan\u00eb ndryshuar. Disa njer\u00ebz po largohen nga metodat hormonale p\u00ebr shkak t\u00eb shqet\u00ebsimeve n\u00eb lidhje me efektet an\u00ebsore ose d\u00ebshir\u00ebs p\u00ebr opsione m\u00eb &quot;natyrale&quot;. Metodat e nd\u00ebrgjegj\u00ebsimit p\u00ebr fertilitetin (FAM), t\u00eb cilat shpesh mb\u00ebshteten nga aplikacionet e telefonave inteligjent\u00eb, jan\u00eb gjithnj\u00eb e m\u00eb popullore. K\u00ebto metoda p\u00ebrfshijn\u00eb identifikimin e dit\u00ebve pjellore duke ndjekur ciklet menstruale dhe shenjat biologjike, t\u00eb tilla si temperatura e trupit dhe mukusi cervikal, dhe duke shmangur seksin e pambrojtur gjat\u00eb k\u00ebtyre koh\u00ebrave.<\/p>\n<p>Nd\u00ebrsa disa FAM bazohen n\u00eb prova dhe jan\u00eb efektive me edukim dhe mb\u00ebshtetje klinike, shum\u00eb aplikacione nuk kan\u00eb validim dhe mund t\u00eb japin parashikime t\u00eb pasakta, ve\u00e7an\u00ebrisht pas lindjes s\u00eb f\u00ebmij\u00ebs, abortit ose p\u00ebr cikle t\u00eb parregullta. Pa udh\u00ebzime dhe mb\u00ebshtetje nga NHS, mb\u00ebshtetja n\u00eb k\u00ebto mjete mund t\u00eb rris\u00eb shtatz\u00ebnit\u00eb e pad\u00ebshiruara dhe abortet pasuese, ve\u00e7an\u00ebrisht midis grupeve q\u00eb tashm\u00eb p\u00ebrjetojn\u00eb pabarazi.<\/p>\n<p>Aktualisht, konsultat e NHS-s\u00eb p\u00ebr kontraceptiv\u00ebt nuk ofrojn\u00eb vazhdimisht informacion t\u00eb qart\u00eb dhe t\u00eb bazuar n\u00eb prova mbi FAM-t\u00eb. Adresimi i k\u00ebtij boshll\u00ebku p\u00ebrputhet me prioritetet e Bordit t\u00eb Kujdesit t\u00eb Integruar (ICB) t\u00eb Bristol, North Somerset dhe South Gloucestershire (BNSSG) mbi sh\u00ebndetin riprodhues, parandalimin, zgjedhjen e informuar dhe reduktimin e pabarazive sh\u00ebndet\u00ebsore.<\/p>\n<h2><strong>Cili \u00ebsht\u00eb q\u00ebllimi i hulumtimit?<\/strong><\/h2>\n<p>Financimi i RCF do t\u00eb mb\u00ebshtes\u00eb pun\u00ebn zhvillimore t\u00eb udh\u00ebhequr nga sh\u00ebrbimet p\u00ebr t\u00eb p\u00ebrsosur nj\u00eb nd\u00ebrhyrje nd\u00ebrgjegj\u00ebsuese p\u00ebr fertilitetin dhe p\u00ebr t\u00eb p\u00ebrgatitur nj\u00eb aplikim t\u00eb fort\u00eb k\u00ebrkimor t\u00eb NIHR n\u00eb t\u00eb ardhmen. Aktivitetet do t\u00eb p\u00ebrfshijn\u00eb P\u00ebrfshirjen e Pacientit dhe Publikut (PPI), angazhimin e pal\u00ebve t\u00eb interesuara dhe nj\u00eb rishikim t\u00eb shpejt\u00eb t\u00eb literatur\u00ebs.<\/p>\n<p>Rishikimi i shpejt\u00eb do t\u00eb identifikoj\u00eb provat ekzistuese mbi pengesat dhe leht\u00ebsuesit p\u00ebr ofrimin e FAM-ve brenda konsultave rutin\u00eb t\u00eb NHS-s\u00eb p\u00ebr kontraceptiv\u00ebt. PPI dhe angazhimi i pal\u00ebve t\u00eb interesuara do t\u00eb shqyrtojn\u00eb perceptimet e p\u00ebrdorshm\u00ebris\u00eb, fizibilitetit dhe pranueshm\u00ebris\u00eb, dhe do t\u00eb identifikojn\u00eb situatat e preferuara (p.sh., pas lindjes s\u00eb f\u00ebmij\u00ebs, abortit, gjat\u00eb konsultave rutin\u00eb t\u00eb sh\u00ebndetit riprodhues) dhe mjediset p\u00ebr zbatim (p.sh., praktikat e mjek\u00ebve t\u00eb p\u00ebrgjithsh\u00ebm, sh\u00ebrbimet e sh\u00ebndetit seksual, farmacit\u00eb).<\/p>\n<p>P\u00ebr t\u00eb mb\u00ebshtetur p\u00ebrfshirjen gjith\u00ebp\u00ebrfshir\u00ebse, do t\u00eb p\u00ebrdoret nj\u00eb gam\u00eb qasjesh angazhimi, duke p\u00ebrfshir\u00eb grupe t\u00eb vogla diskutimi (deri n\u00eb pes\u00eb pjes\u00ebmarr\u00ebs), takime individuale dhe mund\u00ebsi online ose ball\u00eb p\u00ebr ball\u00eb. Do t\u00eb rekrutohen deri n\u00eb 20 an\u00ebtar\u00eb nga prejardhje t\u00eb ndryshme socio-demografike n\u00eb t\u00eb gjith\u00eb BNSSG-n\u00eb, t\u00eb mb\u00ebshtetur nga organizatat e komunitetit (p.sh., Caafi Health, Bristol Health Partners). Pjes\u00ebmarr\u00ebsit do t\u00eb p\u00ebrfshijn\u00eb njer\u00ebz t\u00eb kualifikuar p\u00ebr kontracepsion me p\u00ebrvoja t\u00eb ndryshme n\u00eb aksesin n\u00eb kujdesin sh\u00ebndet\u00ebsor.<\/p>\n<p>Deri n\u00eb 10 pal\u00eb t\u00eb interesuara (p.sh., klinicist\u00eb, komisioner\u00eb) do t\u00eb rekrutohen gjithashtu p\u00ebr t\u00eb marr\u00eb pjes\u00eb n\u00eb diskutime individuale p\u00ebr t\u00eb identifikuar pengesat n\u00eb nivel sh\u00ebrbimi dhe ato strukturore. Financimi nga RCF do t\u00eb ofroj\u00eb gjithashtu koh\u00eb t\u00eb dedikuar p\u00ebr zhvillimin e aplikacionit NIHR, duke siguruar q\u00eb propozimi t\u00eb pasqyroj\u00eb p\u00ebrvoj\u00ebn e jetuar dhe prioritetet e sh\u00ebrbimit.<\/p>\n<h2><strong>Si do t\u00eb arrihet kjo?<\/strong><\/h2>\n<p>Projekti i synuar i financuar nga NIHR do t\u00eb nd\u00ebrtohet mbi m\u00ebsimet nga ofrimi aktual i sh\u00ebrbimeve, reagimet e pacient\u00ebve dhe gjetjet nga faza RCF. Ai do t\u00eb zbatoj\u00eb dhe vler\u00ebsoj\u00eb ofrimin e metodave t\u00eb nd\u00ebrgjegj\u00ebsimit p\u00ebr fertilitetin brenda konsultave kontraceptive t\u00eb NHS t\u00eb identifikuara si t\u00eb p\u00ebrshtatshme gjat\u00eb pun\u00ebs s\u00eb financuar nga RCF.<\/p>\n<p>Hulumtimi do t\u00eb vler\u00ebsoj\u00eb ndikimin, pranueshm\u00ebrin\u00eb, fizibilitetin dhe kostot e ofrimit t\u00eb FAM-ve si pjes\u00eb e kujdesit rutin\u00eb t\u00eb NHS-s\u00eb. Do t\u00eb shqyrtoj\u00eb n\u00ebse ofrimi i FAM-ve dhe mb\u00ebshtetjes s\u00eb bazuar n\u00eb prova p\u00ebrmir\u00ebson zgjedhjen e informuar dhe autonomin\u00eb riprodhuese, duke ruajtur sigurin\u00eb dhe barazin\u00eb.<\/p>\n<p>T\u00eb dh\u00ebnat sasiore do t\u00eb p\u00ebrfshijn\u00eb rezultate t\u00eb tilla si shtatz\u00ebnit\u00eb e paplanifikuara dhe nivelet e aborteve brenda BNSSG. T\u00eb dh\u00ebnat cil\u00ebsore do t\u00eb shqyrtojn\u00eb p\u00ebrvojat e nd\u00ebrhyrjes nga p\u00ebrdoruesit e sh\u00ebrbimit dhe profesionist\u00ebt e kujdesit sh\u00ebndet\u00ebsor. Nj\u00eb vler\u00ebsim ekonomik do t\u00eb vler\u00ebsoj\u00eb kostot dhe vler\u00ebn e mundshme p\u00ebr parat\u00eb p\u00ebr NHS-n\u00eb.<\/p>\n<p>Nd\u00ebrhyrja do t\u00eb bashk\u00ebprodhohet me pacient\u00ebt dhe klinicist\u00ebt p\u00ebr t\u00eb siguruar p\u00ebrshtatshm\u00ebrin\u00eb dhe aksesin kulturor, ve\u00e7an\u00ebrisht p\u00ebr popullatat CORE20PLUS. Q\u00ebllimi i p\u00ebrgjithsh\u00ebm \u00ebsht\u00eb t\u00eb forcohet cil\u00ebsia, q\u00ebndrueshm\u00ebria dhe barazia e k\u00ebshillimit kontraceptiv t\u00eb NHS-s\u00eb, duke mb\u00ebshtetur nj\u00ebkoh\u00ebsisht zgjedhjen e informuar dhe duke zvog\u00ebluar pabarazit\u00eb sh\u00ebndet\u00ebsore.<\/p>\n<h2><strong>Kush po e udh\u00ebheq hulumtimin?<\/strong><\/h2>\n<p>Ky hulumtim drejtohet nga Dr. China Harrison, bashk\u00ebpun\u00ebtore k\u00ebrkimore n\u00eb Universitetin e Bristolit.<\/p>\n<h2><strong>Informacion i m\u00ebtejsh\u00ebm<\/strong><\/h2>\n<p>P\u00ebr m\u00eb shum\u00eb informacion ose p\u00ebr t&#039;u p\u00ebrfshir\u00eb n\u00eb k\u00ebt\u00eb projekt, ju lutemi d\u00ebrgoni email\u00a0<a href=\"mailto:bnssg.research@nhs.net\"><strong>bnssg.research@nhs.net<\/strong><\/a><\/p>\n  <\/div>\r\n  <\/section><\/div><!-- .assembler_text-module.assembler_module.assembler_text-module_1.assembler_module_1..transparent --><\/div><!-- .assembler_module_area.assembler_module_area_1 --><\/div><!-- .assembler_default-group.assembler_module_group.assembler_default-group_1.assembler_module_group_1  -->","protected":false},"excerpt":{"rendered":"<p>The intended NIHR-funded project will build on learning from current service provision, patient feedback, and findings from the RCF phase.<\/p>","protected":false},"author":16,"featured_media":0,"parent":32896,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-47307","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/47307","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/comments?post=47307"}],"version-history":[{"count":2,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/47307\/revisions"}],"predecessor-version":[{"id":47309,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/47307\/revisions\/47309"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/pages\/32896"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/media?parent=47307"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/sq\/wp-json\/wp\/v2\/tags?post=47307"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}