reproductive health services for adolescents - Pathfinder International

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Module 16/Unit 11 CONTENT Knowledge/Attitudes/Skills Training/Learning Methods (Time Required) agreed upon indicators are sexualized behavior, including early onset of sexual activity, the inability to distinguish affectionate from sexual behavior, and post-traumatic stress disorder. Other behavioral indicators may be associated with sexual abuse; however, these symptoms do not necessarily differentiate sexually abused adolescents from those with problems other than sexual abuse. Because indications of sexual abuse are not always evident or straightforward, it should be stressed that there is no substitute for a good history. Pathfinder International 146 Adolescent Curriculum
Module 16/Unit 11 Specific objective #3: Demonstrate how to screen for sexual abuse CONTENT Knowledge/Attitudes/Skills BARRIERS TO SCREENING FOR SEXUAL ABUSE Addressing sexual abuse in clinics can seem overwhelming to providers. The following are barriers that providers may express concern about: • Time constraints. • Lack of training about the issue. • Feeling there is nothing they can do to help. • The clinic is not the place to address sexual abuse. • More important health issues to be addressed. • Women’s reluctance to talk about their experiences. • Belief that sexual abuse is a private or shameful issue. • Belief that sexual abuse does not occur with their patients. • Belief that sexual abuse is so prevalent that it is seen as a normal part of life. • There are no services for survivors of sexual abuse, so they should not bother to screen for sexual abuse. However, these barriers are not insurmountable. Already RH/FP clinics are seeing survivors of sexual violence. Staff members already discuss sensitive and Training/Learning Methods (Time Required) BRAINSTORMING (20 MIN.) The trainer should: • Write each barrier on a slip of paper or photocopy Trainer's Tool 11.3A: List of Barriers to Screening and cut so that each barrier is a slip of paper. 11.3A • Explain that addressing sexual abuse in clinics can seem overwhelming to providers. • Ask Px to draw a slip of paper out of a hat or bowl. There will probably not be enough barriers for every Px, so pair some Px together. Ask Px, how would you respond to this barrier (For example: time constraints—RH clinics are already seeing survivors of sexual abuse and dealing with the sexual abuse may prevent RH problems in the future.) • Allow 5 minutes for discussion. • Ask each Px to read her/his barrier and response. • Supplement answers using Trainer's Tool 11.3B. 11.3B Ask Px, can you think of other barriers to screening for sexual abuse • Emphasize that these barriers are not insurmountable. Pathfinder International 147 Adolescent Curriculum
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Comprehensive Reproductive Health a
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ACKNOWLEDGEMENTS The development of
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reproductive health services for adolescents - Pathfinder International

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