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reproductive health services for adolescents - Pathfinder International

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Module 16/Unit 3<br />

−<br />

−<br />

CONTENT<br />

Knowledge/Attitudes/Skills<br />

Effectively negotiate safe sex to<br />

prevent unwanted pregnancy and<br />

STIs, including HIV.<br />

Resist unwanted sexual overtures<br />

from adults.<br />

Training/Learning Methods<br />

(Time Required)<br />

topics and dynamics useful in<br />

working with <strong>adolescents</strong><br />

• Review the concept of decisionmaking<br />

found in the content section<br />

on the left-hand side of the page.<br />

−<br />

Identify and obtain needed<br />

<strong>services</strong> <strong>for</strong> pregnancy<br />

prevention, prenatal and<br />

postpartum care, and STI/HIV<br />

diagnosis, counseling, and<br />

treatment.<br />

Decision-Making<br />

• Decision-making involves an array of<br />

conclusions and actions to achieve<br />

intended results.<br />

• Adolescents must make decisions<br />

frequently, ranging from simple (and<br />

marginally consequential) to major<br />

(and very consequential) decisions,<br />

such as:<br />

−<br />

−<br />

What shall I wear today<br />

Should I have sexual relations<br />

• Depending on the culture and on a<br />

person’s “locus of control,” the<br />

potential to make decisions varies, as<br />

does the young person’s sense of<br />

her/his ability to make decisions.<br />

−<br />

−<br />

Some cultures and social policies<br />

define in detail what is expected<br />

adolescent behavior, such as<br />

appropriate dating behavior. This<br />

limits options <strong>for</strong> decision-making.<br />

With an “external locus of control,”<br />

a person believes that external<br />

factors (such as fate or luck)<br />

determine what happens to<br />

her/him. With an “internal locus of<br />

GROUP WORK AND DISCUSSION<br />

(40 MIN.)<br />

The trainer should:<br />

• Explain that this exercise will help Px<br />

understand a variety of challenging<br />

situations that young people may<br />

have to face. (Review the exercises<br />

to make sure they are relevant and/or<br />

add others that are meaningful to<br />

your group.)<br />

• Break Px into small groups (4-6),<br />

explaining that each group will predict<br />

consequences <strong>for</strong> different decisions<br />

<strong>adolescents</strong> might make.<br />

• Hand each group a list of decisions<br />

(Px Handout 3.2) and blank paper.<br />

3.2<br />

• Explain that groups will think about<br />

each decision and predict the 3 most<br />

likely consequences. Then, circle the<br />

best possible consequence and put a<br />

line through the worst one.<br />

• Allow 15 minutes <strong>for</strong> this process.<br />

• Reconvene the large group.<br />

• Write the first decision on the flipchart<br />

and ask each group to name one<br />

positive consequence they predicted.<br />

<strong>Pathfinder</strong> <strong>International</strong><br />

40<br />

Adolescent Curriculum

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