reproductive health services for adolescents - Pathfinder International

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Module 16/Unit 6 CONTENT Knowledge/Attitudes/Skills Training/Learning Methods (Time Required) pregnancy and STIs/HIV. Specific Objective #2: Identify reasons why adolescents may not practice safe sex CONTENT Knowledge/Attitudes/Skills REASONS WHY ADOLESCENTS MAY NOT PRACTICE SAFE SEX Ignorance • Think they are not vulnerable to pregnancy or STIs/HIV. “It can’t happen to me” or "I don't have sex often enough to get pregnant or contract a STI/HIV." • May not have adequate or accurate information about protection. − − − School sex education is often inadequate or non-existent. Parents and others are reluctant to provide practical information. Some believe that providing information encourages sexual activity, though this has been proven to be untrue. Media gives unrealistic notions of sexuality and usually omits any mention of protection. • May have misinformation or myths about methods and their side effects. • Don't know that methods are available. • Don’t know where, how, or when to get methods. • Myths about dangers of contraception Training/Learning Methods (Time Required) LEARNING EXERCISE (40 MIN.) The trainer should: • Hand out 5 note cards or index cards to each Px. • Ask them to write one reason why adolescents practice unprotected sex on each of their 5 cards. • Allow 5 minutes for Px to write. • Collect all of the cards and discuss each card. • Group together cards that are alike. • Supplement answers from the list in the content section on the left-hand side of the page. • Ask Px to discuss how they would counsel an adolescent based on the reasons given for why s/he did not use protection. • Distribute Px Handout 6.2: Talking About Condoms and explain to Px that these are some of the responses that can be suggested to an adolescent who is having trouble negotiating condom use. 6.2 Pathfinder International 82 Adolescent Curriculum
Module 16/Unit 6 CONTENT Knowledge/Attitudes/Skills are common and difficult to defuse. • May not believe that protection is needed with a regular partner. • May not believe that protection is needed if their partner looks healthy. • May think that STI/HIV transmission only occurs among "certain people" (i.e. commercial sex workers, poor people, or "other" ethnic groups). Training/Learning Methods (Time Required) • Emphasize that the responses listed in Px Handout 6.2 will be used later in Unit 9 when demonstrating proper counseling techniques. UNIT SUMMARY (5 MIN.) The trainer should: • Summarize the unit content. • Link content to the next session. • May not be aware of alternatives to risky sex, such as mutual masturbation, etc. Denial • "Sex just happened." • "I only had sex once." • “My partner would not expose me to any risk.” • "Sex should be spontaneous." • Peers are not using protection so why should they • Don't think they will get pregnant or contract a STI. • Didn't expect to have sex. Lack of Access • Access to contraceptive services for adolescents is limited by law, custom, or clinic/institutional policy. • Availability and cost of different methods may restrict access. • Irregular supply of methods available. Pathfinder International 83 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 List of Acronyms AIDS ARH
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