Training of Roma Health Mediators in Reproductive Health

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• What should she and/or other family members have done differently? • If you were aware of her situation (before it became too late), what should/could/would you have done? One representative of each group will present their conclusions in front of their colleagues. Ask the other participants if they have questions, comments or a different approach. Using the solutions/proposals identified by participants, summarize the session. Emphasize that, despite the fact that women have been giving birth to children for thousands of years and despite the fact that the science is advancing all the time, still there are cases when women and/or children are dying during pregnancy and delivery. Emphasize that maternal mortality it would be lower if: • Women had good health and nutrition before getting pregnant (they are biologically prepared for the pregnancy) • Pregnant women received antenatal care on regular basis, went to hospital for delivery, and received postnatal follow-up • Women had all the necessary information about the normal changes during pregnancy and postpartum period and how to stay healthy • Women and their families sought emergency care immediately when a pregnancyrelated problem occurred. Review with the group the flip chart The Role of Health Mediators in Safe Motherhood 110 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 6: Pregnancy
Flipchart FACTS ABOUT WOMEN’S LIVES Every minute (throughout the world): 380 women become pregnant 190 women face an unplanned or unwanted pregnancy 110 women experience a pregnancy-related complication 40 women have an abortion 1 woman dies b 111 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
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Distribute the participant document
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Emphasize that although insertion o
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SUMMARY At the end of this session,
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Flipchart FAMILY PLANNING METHODS N
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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 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: Discuss with participants how they
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
Page 159 and 160: Flip chart BENEFITS OF BREASTFEEDIN
Page 161 and 162: Participant document PRINCIPLES OF
Page 163 and 164: Overhead BABY’S ATTACHMENT TO THE
Page 165 and 166: Participant document Sore or Cracke
Page 167 and 168: 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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