reproductive health services for adolescents - Pathfinder International

Module 16/Unit 11
CONTENT
Knowledge/Attitudes/Skills
with the client’s permission (within
the limitations of the law).
• Ask questions in a non-judgmental
and empathetic manner.
Training/Learning Methods
(Time Required)
• Ask Px what follow-up questions
could be asked if the patient reveals
sexual abuse.
• Fill in any missing content.
−
Need for direct and indirect
questions depending on the client.
ROLE PLAY (25 MIN.)
−
Many adolescents are reluctant to
acknowledge a history of abuse,
even when questioned directly.
Some clients may only disclose
their experience over a period of
time. If you suspect sexual
violence, it is important to followup
with sensitive inquiries during
subsequent visits. Be patient.
Adapted from: IPPF 2000. Statement on
gender-based violence. London: IPPF.
When to Screen
Before physical examination while the
client is fully clothed.
Questions that Can Be Asked
Some of these questions have been
used successfully by other providers.
“Many of the adolescents I see have felt
that someone their own age or older,
sometimes a relative, pressured them
into sexual activities. I’m talking to all my
patients about this, so even if it’s not
happening to them, they might be able to
help a friend in that situation.”
"There are lots of reasons why kids your
age have nightmares or fears. In some
case, it is because someone has
sexually abused them. Is that a
possibility with you”
The trainer should:
• Divide Px into groups of three. One
Px will play the role of the adolescent,
one the role of the provider, and the
other will be the observer.
• Distribute the case studies (Px
Handout 11.3) and the Observer's
Role Play Checklist (Px Handout
11.4).
11.3 11.4
• Ask Px to switch roles using the three
role plays so that each Px has a
chance to practice screening for
sexual abuse.
• The observer should use the
Observer's Checklist to assess the
demonstration and provide feedback
on what was positive, negative, or
missing.
• Reconvene the large group.
• Ask for feedback from the actors and
the observers.
Ask Px, was it difficult or
uncomfortable asking questions
about sexual abuse
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Adolescent Curriculum