Training of Roma Health Mediators in Reproductive Health

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- What do you like about it? - Is there something that you or your partner doesn’t like about the method? Have you discussed this with your partner? Have you been able to resolve the issue, or would you like to consider another method? 7. Is the couple able to use CycleBeads correctly? This question is designed to remind the provider to determine if the woman is using CycleBeads correctly and to ask her some general questions about how she uses the beads. Recommended questions: - Can you explain to me how you are using your beads? - Which are the days you can get pregnant? - When do you normally move the ring on your CycleBeads? - Where do you keep your CycleBeads? - Have you been able to remember to move the ring? - What do you do if you forget to move the ring? - Does your partner help you move or remember to move the ring? 100 RFHI Training of RHMs in Reproductive Health Session 5: SDM
SESSION 6: SAFE MOTHERHOOD – PREGNANCY AND PRENATAL CARE OBJECTIVES: By the end of the session, the participants should be able to: 1. Explain health services related to “Safe Motherhood” and their importance in reducing maternal mortality 2. Describe the role of health mediators in promoting Safe Motherhood in their communities 3. Describe normal changes that occur in a woman’s body during pregnancy. 4. Name common discomforts during pregnancy. 5. Explain essential components of prenatal care and the purpose of prenatal visits 6. Name the prescribed schedule for prenatal visits and situations when women need to seek emergency medical care 7. Explain the importance of hospital delivery, including preparations and when to go TRAINING METHODS: Discussion, Mini-lecture, Small Group Work, Case Study TIME: 3 hours MATERIALS: Flipcharts: • Facts about women’s lives Trainer documents: • Normal Body Changes During Pregnancy • Coping with Common Discomforts • Myths and Facts Regarding Pregnancy (and slips of paper containing myths) • Needs of Pregnant Women • Case Studies Participant documents: • Coping with Common Discomforts • Safe Motherhood Services / The Role of Health Mediators in Safe Motherhood • Needs of Pregnant Women INSTRUCTIONS: I-II. INTRODUCTION: SAFE MOTHERHOOD (15 minutes) Introduce the session by asking the group what they understand by the concept “Safe Motherhood”. Correct and/or complete their ideas as necessary. • Women stay healthy throughout pregnancy and give birth to normal, healthy babies. • Women are protected from complications during pregnancy, childbirth and after childbirth. • Women have safe deliveries • Newborns receive good care after birth. 101 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 6: Pregnancy
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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
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Participant document MALE AND FEMAL
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‣ What do the terms “conception
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‣ What are the situations in whic
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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 and 100: Participant document The majority o
Page 101 and 102: Participant document HOW TO USE “
Page 103 and 104: 6. If she recently had a miscarriag
Page 105 and 106: Participant document FREQUENT ASKED
Page 107: Recommended question: - Are you and
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
Page 151 and 152: 1. Demonstrate how to help a mother
Page 153 and 154: - for sick or disabled babies. 3. D
Page 155 and 156: Some women have very large areolas,
Page 157 and 158: • 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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