Training of Roma Health Mediators in Reproductive Health

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Participant document 92 RFHI Training of RHMs in Reproductive Health Session 5: SDM
Participant document HOW TO USE “INITIAL VISIT” SCREENING CHECKLIST A woman can use the method if her cycles are between 26 and 32 days long and if she and her partner can avoid unprotected sex during the fertile days. This screening checklist will help providers determine if the woman and couple meet the method eligibility criteria. It begins with questions pertaining to the woman and then moves on to questions pertaining to the couple. Women with menstrual cycles between 26 and 32 days long The first section begins with questions that help the provider and the woman determine if she has regular cycles between 26 and 32 days long. 1. Does the woman have regular cycles between 26 and 32 days? This question is designed to help the provider determine if the woman has cycles within the range recommended for SDM users. The woman’s cycle length includes all days between the first day of her last period and the day before she expects her next period. Using a calendar the provider calculates the woman’s cycle length by marking the first day of her most recent period and the day she expects her next period. The provider then counts the days to establish the woman’s cycle length. Recommended Questions: - How often do you get your periods? - Do your periods usually come when you expect them? - When was the first day of your most recent period? - When do you expect your next period to start? - Do your periods ever come earlier or later than you expect them? All women will have some variability with their menstrual cycles. This question helps the provider determine if the woman frequently has shorter or longer periods. If the woman has more than more than one cycle out of the 26 to 32-day range per year, she should consider another method. If the woman does not remember the date her period started, estimate if her cycle is between 26 and 32 days long by asking: - Do your periods come about a month apart? - Do your periods come when you expect them? She must answer yes to both questions for the provider to establish that her cycles are between 26 and 32 days long. Having periods about a month apart is a good indicator that her cycles are within the appropriate range. Women under special circumstances Providers should determine if the woman recently had a pregnancy, currently is breastfeeding or using/has recently used a hormonal method of family planning, as these circumstances may affect cycle length. If any of these circumstances apply, ask her the questions pertaining to her special circumstance. 93 RFHI Training of RHMs in Reproductive Health Session 5: SDM
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Romanian Family Health Initiative A
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2005 - JSI Research & Training Inst
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INTRODUCTION JSI Research and Train
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Acknowledgements This manual was de
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SESSION 1: INTRODUCTION OBJECTIVES:
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Common group norms: • Respect the
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Flip chart/ Participant document TR
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Participant document HEALTH MEDIATO
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Matching questions Below are two li
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Multiple Choice Questions Each of t
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SESSION 2: BASIC CONCEPTS OF REPROD
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Possible Answers: • Not to have c
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‣ How many children do you have?
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an important effect on reducing mat
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Trainer document FAMILY PLANNING De
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Trainer document THE RIGHTS OF THE
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Trainer document RELATIONSHIP BETWE
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(HOLD THE THIRD/SMALLEST SIGN IN FR
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SESSION 3: ANATOMY AND PHYSIOLOGY O
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• What is menstruation? • What
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Trainer document MALE REPRODUCTIVE
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lining like a pillow. If the girl/w
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Participant document 36 RFHI/JSI Ro
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Participant document 38 RFHI/JSI Ro
Page 49 and 50: Participant document MALE AND FEMAL
Page 51 and 52: ‣ What do the terms “conception
Page 53 and 54: ‣ What are the situations in whic
Page 55 and 56: During the exercise move around the
Page 57 and 58: Distribute the participant document
Page 59 and 60: Emphasize that although insertion o
Page 61 and 62: SUMMARY At the end of this session,
Page 63 and 64: Flipchart FAMILY PLANNING METHODS N
Page 65 and 66: FERTILITY AWARENESS METHODS Fertili
Page 67 and 68: Trainer document STEPS FOR CONDOM U
Page 69 and 70: Correct Use of Condom • Check the
Page 71 and 72: 9. Explain the importance of withdr
Page 73 and 74: Trainer document COMBINED ORAL CONT
Page 75 and 76: Trainer document PROGESTAGEN-ONLY P
Page 77 and 78: Trainer document INTRA-UTERINE DEVI
Page 79 and 80: Trainer document VOLUNTARY SURGICAL
Page 81 and 82: Myths and Facts about Vasectomy Myt
Page 83 and 84: Male Condom Show the client the con
Page 85 and 86: Progestagen-Only Pills (POPs) Show
Page 87 and 88: Intrauterine Device (IUD) Show the
Page 89 and 90: Emergency Contraception Pills (ECPs
Page 91 and 92: Using the trainer’s document Stan
Page 93 and 94: • When do you expect your next pe
Page 95 and 96: Participant document CASE STUDIES (
Page 97 and 98: Trainer document CASE STUDIES (answ
Page 99: Participant document The majority o
Page 103 and 104: 6. If she recently had a miscarriag
Page 105 and 106: Participant document FREQUENT ASKED
Page 107 and 108: Recommended question: - Are you and
Page 109 and 110: SESSION 6: SAFE MOTHERHOOD - PREGNA
Page 111 and 112: ‣ What are the first signs of pre
Page 113 and 114: • Comfortable clothing and footwe
Page 115 and 116: o Abdominal pain o Weakness, tiredn
Page 117 and 118: Discuss with participants how they
Page 119 and 120: Flipchart FACTS ABOUT WOMEN’S LIV
Page 121 and 122: Trainer document NORMAL BODY CHANGE
Page 123 and 124: Trainer document/Participant docume
Page 125 and 126: Trainer document MYTHS AND FACTS RE
Page 127 and 128: Work and domestic activities Pregna
Page 129 and 130: Trainer document CASE STUDIES Elena
Page 131 and 132: II-IV. POSTPARTUM VISITS (45 minute
Page 133 and 134: Suggest that another important topi
Page 135 and 136: Trainer document WOMEN’S NEEDS DU
Page 137 and 138: Participant document COUNSELING ON
Page 139 and 140: Explain why newborns need a lot of
Page 141 and 142: • Beside routine weekly visits of
Page 143 and 144: Trainer document ESSENTIAL NEWBORN
Page 145 and 146: Trainer document/Participant docume
Page 147 and 148: SESSION 9: BREASTFEEDING OBJECTIVES
Page 149 and 150: • Every child should be exclusive
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1. Demonstrate how to help a mother
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- for sick or disabled babies. 3. D
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Some women have very large areolas,
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• The baby suckles as often and f
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Flip chart BENEFITS OF BREASTFEEDIN
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Participant document PRINCIPLES OF
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Overhead BABY’S ATTACHMENT TO THE
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Participant document Sore or Cracke
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Trainer document ANSWERS TO FREQUEN
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Trainer document MYTHS ABOUT BREAST
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SESSION 10: SEXUALLY TRANSMITTED IN
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• The sexual act can be vaginal,
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sick and spread to others. ‣ How
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cells (which fight against infectio
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Participant document WAYS TO SIGNIF
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Trainer document HIV/AIDS: WHAT IS
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Participant document HOW IS HIV/AID
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o Sexually transmitted infections c
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Trainer document CAUSES OF INFERTIL
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SESSION 12: BREAST AND CERVICAL CAN
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• For health problems like cancer
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Participant document BREAST SELF-EX
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SESSION 13: BASIC CONCEPTS OF COMMU
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‣ What is the purpose of talking
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‣ How do you feel about asking wo
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• I was told to come • I learne
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Distribute the participant document
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Trainer document FACTORS INFLUENCIN
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• One's personal susceptibility t
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Participant document 7 stages BEHAV
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Participant document DECISION-MAKIN
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SESSION 14: INTERPERSONAL COMMUNICA
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o Note next to each of their respon
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IV-VII. ACTIVE LISTENING (20 minute
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‣ What did she communicate to the
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‣ Did you want to put conditions
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Open questions help women: • To a
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The person who was listening: • P
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Divide the group into 5 small group
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Refer the group to the flip chart F
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Ask participants to change roles wi
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Flip chart OBSTACLES TO COMMUNICATI
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"You're acting like a child." "You
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Participant document ACTIVE LISTENI
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Participant document EXAMPLES OF QU
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Flip chart / Participant document R
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SESSION 15: GROUP EDUCATION SESSION
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• How long people have held these
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o Involve simulations, role play an
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‣ How many people see: a young l
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o Introduce the subject o Invite th
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‣ What did the mediator do to put
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Participant document CONTINUUM IN T
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Flip chart CONTINUUM IN THE EFFECTI
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Common teaching/animation methods:
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Trainer document DESCRIPTION OF ANT
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255 RFHI/JSI Romania Training of RH
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Participant document FACILITATING G
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Participant document CHECKLIST FOR
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Possible questions for facilitating
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Note: It is important that all part
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SESSION 18: EVALUATION OF THE TRAIN
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Participant document HEALTH MEDIATO
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Matching questions Below are two li
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II. Other aspects of the training B
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Training of Roma Health Mediators in Reproductive Health

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