Community Health Volunteer's Training Manual - Population Council

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Reproductive and Child Health Except abstinence, condoms are the only kind of birth control method that is also highly effective in preventing HIV infections, other sexually transmitted diseases and pregnancies. Exercise 4.4.4 Demonstration Objective 1. To demonstrate how to put on condoms (male or female) Time: 10 Minutes Question 1. What is the right way to put on a condom? Demonstrate it. Box 4.4.3: Steps on how to put on a male condom Instructions to the Facilitator 1. Use a dummy to demonstrate how to put on a male condom 2. Ask participants to try it and observe 3. Use the SHOWED process to demonstrate. 1. Check condom carefully for expiry date and any damages before removing it from the wrapper 2. Look for the rough edges and tear it from there 3. Be careful lest you tear it with your fingernails or rings in the process 4. Hold the tip of the condom between the fingers and squeeze out the air 5. Place the condom on the dummy penis and roll down 6. The tip of the condom is left to catch the semen during ejaculation 7. After ejaculation, take penis out of the vagina slowly before it becomes soft – NB: If the man waits until his penis becomes soft, the condom can fall off inside the woman and the semen can spill. This can make her pregnant. She can get STDs including HIV & AIDS 8. Hold the condom firmly at the base as you take it out so as not to spill the semen into the vagina 9. Tie the condom up and wrap it 10. Dispose of it properly by burning or putting it into the KVIP. How to use a spermicidal agent (Foaming tablet) Spermicidal agents are chemical products inserted into a woman’s vagina before sex that weaken or kill sperm. Spermicidal agents are often used as a temporary method while waiting for a long-term method or by couples who have intercourse infrequently. Spermicidal agents may also be preferred by menopausal women because they increase vaginal lubrication. (Box 4.4.4). 207
Module 4 The work of Community Health Volunteers 208 Box 4.4.4: Instructions for use of spermicidal agents (foaming tablets) 1. Wash your hands with soap and dry them 2. Put the tablet into the vagina with a finger and push it as far back as you can 3. Wait for 5 – 10 minutes for the tablet to completely dissolve before having sex 4. Use another tablet each time you have sex 5. The tablets do not work if you insert them after having sex 6. Afterwards, do not wash your vagina or douche for at least 6 hours 7. If you feel a burning or itching sensation in your vagina, visit the clinic to check for a vaginal problem 8. The effectiveness of foaming tablets increase greatly if you use a condom as well They can be used immediately after childbirth because they have no hormonal side effects. Spermicidal agents come in several different forms - cream, jelly (gels), melting suppository, foaming tablet, aerosol foam and C – film. Topic 2 Reproductive and child health services Reproductive and child health (RCH) services in Ghana are provided to women in the reproductive age group and children from birth to the age of five. These services are to ensure healthy mothers and children. The services are provided free of charge for women from conception/pregnancy to delivery, and up to six weeks after delivery. Children also enjoy free services at the child welfare clinics from birth to five years of age. The ranges of RCH services provided are shown in Box 4.4.5 below. Box 4.4.5: RCH Services Provided in Ghana • Antenatal care services (ANC): every pregnant woman should be seen by a health professional at least four times during the pregnancy. (Pregnant women should get sulphurdoxine pyrimethamine (SP) to protect her and the foetus against malaria. SP should start when there is movement of the foetus (baby). It is three tablets and administered as a Direct Observe Therapy – DOT. It is given three times at four week intervals till delivery. NB: SP should not be given at 36 weeks.) • Supervised delivery: women who are delivered by professional midwives, doctors or skilled nurses survive pregnancy better than those delivered by non-professional so women should be encouraged to deliver with a professional • Postnatal care services (PNC): the survival of mothers and newborns improves when they are attended to by professional within three days after delivery so volunteers should encourage all mothers to see a professional after delivery. If delivery occurs in the home the first visit should be made within 24 hours after birth; follow-up visits should be done at least 2-3 days, again at 6-7 days and again at 6 weeks
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USAID UNITED STATES AGENCY I N T E
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© 2009 The Population Council, Inc
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Preface iv The Community-based Heal
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Acknowledgements vi The Ministry of
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viii MDGs Millennium development go
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x Module 4 The work of Community He
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Module 1 The CHPS Concept Module Ov
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Module 1 The CHPS Concept Topic 1 T
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Module 1 The CHPS Concept 16 Exerci
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Module 1 The CHPS Concept 20 Box 1.
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Community Health Volunteer's Training Manual - Population Council

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