reproductive health services for adolescents - Pathfinder International

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Module 16/Unit 11 Specific Objective #2: Identify physical and behavioral indicators of sexual abuse CONTENT Knowledge/Attitudes/Skills PHYSICAL INDICATORS • Difficulty in walking or sitting • Torn, stained, or bloody underclothing • Pain, swelling, or itching in genital area • Abdominal pain • Abrasions or lacerations of the hymen, labia, perineum, posterior forchette, and breasts • Bruises, bleeding, or lacerations in external genitalia, vaginal, or anal areas • Unexplained vaginal or penile discharge • Perineal warts • Labial fusion • Oral infections (gonorrhea in the mouth) • STIs, especially HPV, HSV, and PID • Poor sphincter tone • Recurrent urinary tract infections • Pregnancy Training/Learning Methods (Time Required) BRAINSTORMING GAME (35 MIN.) The trainer should: • Divide the group into 2 teams. • Give each team 2 pieces of flipchart and markers. • Explain that this is a contest to see which team can come up with the most correct answers within an allotted time period. • Ask the teams to think of as many physical indicators of sexual abuse as they can and write them down on a piece of flipchart. • Allow 5 minutes for brainstorming. • Reconvene the large group. • Ask each team to present their answers on the flipchart. • Fill in any missing content from the left-hand side of the page. • Total the number of correct answers for each team. • Ask the teams to break up again and think of as many behavioral and emotional indicators of sexual abuse as they can. • Allow 5 minutes. • Reconvene the large group. • Ask each team to present their answers on the flipchart. Pathfinder International 144 Adolescent Curriculum
Module 16/Unit 11 CONTENT Knowledge/Attitudes/Skills BEHAVIORAL AND EMOTIONAL INDICATORS • Sexualized behavior (early onset of sexual activity, excessive masturbation) • Post-traumatic stress disorder • Inability to distinguish affectionate from sexual behavior • Low self-esteem Training/Learning Methods (Time Required) • Fill in any missing content from the left-hand side of the page. • Total the number of correct answers for each team. The team who has the most combined points wins. • Give a prize to the winning team. • Conclude by emphasizing the last paragraph in the content section on the left-hand side of the page. • Fear • Anxiety • Guilt • Shame • Depression, withdrawal • Hostility or aggressive behavior • Suicide attempts • Sleeping disorders • Eating disorders • Substance abuse • Intimacy problems • Sexual dysfunction • Runaway behavior • Problems in school • Perpetration of sexual abuse to others Some of these behavioral and emotional indicators are controversial. The only Pathfinder International 145 Adolescent Curriculum
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Comprehensive Reproductive Health a
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ACKNOWLEDGEMENTS The development of
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