This module on the Lactational Amenorrhea Method (LAM) is designed for the providers in developing countries who most often are tasked with providing FP services—primarily nurses and nurse-midwives, as well as primary care physicians—and assumes trainees will have at minimum level of clinical training. 

Designed to actively involve the trainees in the learning process, sessions include:

• PowerPoint presentations,
• simulation skills practice in the form of roleplays,
• discussions,
• case studies and practice, and
• clinical practice using objective competency-based skills checklists.

Learning Objectives

By the end of the training, trainees should be able to:

1. Describe the characteristics of LAM in a manner that clients can understand:
   
   1. What is LAM and how it works (mechanism and onset of action)
   2. Effectiveness
   3. Non-contraceptive health benefits
   4. Other characteristics (STI/HIV protection, ease of use, return to fertility, when to initiate and discontinue)
2. Demonstrate the ability to:
   
   1. Screen clients for medical eligibility for LAM (three LAM criteria are met)
   2. Explain to clients to maintain exclusive breastfeeding and when LAM is no longer effective
   3. Explain when LAM is no longer effective and to timely transition to another method
   4. Address common concerns, misconceptions, and myths
   5. Conduct follow-up for LAM clients in a way that enhances continuing satisfaction and acceptance
3. Describe when to initiate use of another method (postpartum, switching from LAM to another method)
4. Describe optimal breastfeeding practices

Read the Quick Start guide below, if you haven't already–and then explore the tabs at left to walk through the Facilitator's Guide, illustrative examples, presentation slides, handouts, and more–all of which you are free to adapt for your training participants' needs.