reproductive health services for adolescents - Pathfinder International

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Module 16/Unit 5 • Levenberg, P., and A. Elster. 1995. Guidelines for adolescent preventive services clinical evaluation and management handbook. Chicago: American Medical Association. • Moeller, T., and G. Bachman. 1995. Be prepared to deal with sexual abuse in teen patients. Contemporary Adolescent Gynecology. Winter:20-25. • Shapiro, K., and E. Israel. 2000. Module 12: Prevention and management of reproductive tract infections. Watertown, MA: Pathfinder International. • Waszak, C.S. 1993. Quality contraceptive services for adolescents: Focus on interpersonal aspects of client care. Fertility Control Reviews. 2 (3):3-6. RESOURCE REQUIREMENTS: • Flip chart • Markers • Space for group work EVALUATION METHODS: • Pre- and post-test • Participant evaluation form • Where Are We • Reflections • Trainer observation and assessment of group work • Verbal feedback • Participation in group discussion TIME REQUIRED: 1 hour, 15 minutes WORK FOR TRAINERS TO DO IN ADVANCE: • Prepare copies of Participant Handout 5.1. Pathfinder International 66 Adolescent Curriculum
Module 16/Unit 5 Specific Objective #1: Identify the elements that should be included in screening and history taking for adolescent reproductive health service provision SCREENING CONTENT Knowledge/Attitudes/Skills The objective of screening is the early detection of disease, problems, abuse, or high risk behavior. • A screening test should ideally: − Be inexpensive. Training/Learning Methods (Time Required) DISCUSSION AND GROUP WORK (45 MIN.) The trainer should: • Explain what screening is. Ask Px, what screening should be done for adolescents − − Be easy to administer. Not cause the patient discomfort or harm. • List the suggestions on a flip chart. • Explain that part of screening includes taking a medical history. • Adolescents should be screened for: • Divide Px into 2 groups. − − − − − Age-appropriate physical and psychosocial development. Sexual activity: Are they at risk for STIs or pregnancy Substance abuse. Physical and sexual abuse. Nutritional status. • Give each group markers and a piece of flipchart. • Ask one group to determine what information should be gathered during history taking for males and the other group to determine what should be included for females. • Ask both groups to explain why each question should be asked. − − Vision. TB. • In addition to administering tests or conducting physical exams, historytaking can also be used as a tool for screening for substance abuse, sexual abuse, and emotional problems. • Allow 20 minutes for the groups to complete their work. • Reconvene the large group. • Ask each group to present their work to the whole group. • Add any missing information. Pathfinder International 67 Adolescent Curriculum
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Comprehensive Reproductive Health a
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ACKNOWLEDGEMENTS The development of
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INTRODUCTION Module 16/Introduction
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