reproductive health services for adolescents - Pathfinder International

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Module 16/Trainer's Tools Trainer's Tool 11.3A: List of Barriers to Screening Time constraints. Lack of training about the issue. Provider feels there is nothing s/he can do to help. The clinic is not the place to address sexual abuse. There are more important health issues to be addressed. Belief that women won’t want to talk about their experiences. Belief that sexual abuse is a private or shameful issue. Provider believes that sexual abuse does not occur with her/his 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 in the community/country, so why bother to screen for sexual abuse Belief that screening for sexual abuse is not the provider’s responsibility. Pathfinder International 220 Adolescent Curriculum
Time constraints. Trainer's Tool 11.3B: Responses to the Barriers Module 16/Trainer's Tools Developing a standardized screening tool and referral program can make dealing with sexual abuse a time-efficient process. Already RH/FP clinics are seeing survivors of sexual violence. Sexual abuse has been linked to repeat visits and increased use of services, and it can be the cause of chronic or repeat RH problems. Addressing sexual abuse early on can prevent repeat visits in the future, thereby saving time. Lack of training about the issue. It is possible for a provider who is knowledgeable on the subject to conduct a training within their clinic for all staff on the issue of screening and referral. The key to responding to sexual abuse is commitment to the issue. Provider feels there is nothing s/he can do to help. While you may not be able to solve the problem, you can help by detecting the problem, providing an opportunity for the client to talk, helping the client identify a safe place where s/he can stay temporarily, and, if services exist, setting up a referral process. The clinic is not the place to address sexual abuse. Screening for sexual abuse is the next logical next step in the provision of comprehensive care. Adolescents are already coming for other RH/FP services. Often the clinic is the only place where sexual abuse can be addressed, especially if there are no referral services in the community. There are more important health issues to be addressed. Research shows that sexual abuse and its medical consequences are just as—or even more—prevalent than many common conditions for which providers routinely screen. It also has significant consequences for the client's future RH. Belief that young men/women won’t want to talk about their experiences. Research and clinical experience show that this is not the case. Many young men/women are hoping that someone will ask. Many providers are surprised to see how readily clients will talk about the issue when they begin asking their clients direct questions about sexual abuse. Belief that sexual abuse is a private or shameful issue. Staff already discuss sensitive and personal topics with clients. Pathfinder International 221 Adolescent Curriculum
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Comprehensive Reproductive Health a
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ACKNOWLEDGEMENTS The development of
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Table of Contents Notes to the Trai
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• 12.1: Percentage of Adolescents
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Module 16 desirable. All clinic sta
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Module 16 • Clients make their ow
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INTRODUCTION Module 16/Introduction
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Module 16/Introduction CONTENT Know
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UNIT 11: SEXUAL ABUSE Module 16/Uni
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reproductive health services for adolescents - Pathfinder International

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