Training of Roma Health Mediators in Reproductive Health

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Immunization Schedule for Infants AGE VACCINE DISEASE At birth BCG Tuberculosis Hepatitis B Hepatitis B 2 months DTP Diphtheria, whooping cough (pertussis), tetanus Polio Poliomyelitis Hepatitis B (second dose) Hepatitis B 4 months DTP(second dose) Diphtheria, whooping cough (pertussis), tetanus Polio (second dose) Poliomyelitis 6 months DTP (third dose) Diphtheria, whooping cough (pertussis), tetanus Polio (third dose) Poliomyelitis Hepatitis B (third dose) Hepatitis B 12 months DTP (rappel I) Diphtheria, whooping cough (pertussis), tetanus Polio (rappel I) Poliomyelitis 13 months MMR Measles, Mumps, Rubella 2yr ½ DTP (rappel II) Diphtheria, whooping cough (pertussis), tetanus Polio (rappel II) Poliomyelitis 138 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 8: Newborn Care
SESSION 9: BREASTFEEDING OBJECTIVES: By the end of the session, the participants should be able to: 1. Describe how breast milk is produced 2. Name the benefits of breastfeeding for infants and for mothers 3. Describe essential principles of breastfeeding (when to begin, frequency, duration, exclusivity) 4. Identify essential techniques and positions for successful breastfeeding 5. Name common problems with breastfeeding and what to do in case they occur 6. Explain common myths about breastfeeding and the role of mediators in overcoming these myths. TRAINING METHODS: Presentation, Discussion, Demonstration, Small Groups TIME: 1 hour 45 minutes MATERIALS: • Baby doll (for demonstration) • Breast model Flipcharts/Overheads • Benefits of Breastfeeding • Baby’s Attachment to the Breast Trainer documents: • How Breast Milk is Produced • Benefits of Breastfeeding • Answers to Frequently Asked Questions • Myths about Breastfeeding Participant documents: • Principles of Breastfeeding • Care of the Breasts during Breastfeeding • Common Problems during Breastfeeding INSTRUCTIONS I-II. PRODUCTION OF BREAST MILK AND BENEFITS OF BREASTFEEDING (15 minutes) Introduction Refer participants to the previous session and what was said about breastfeeding: • Breast milk is the perfect food for a baby • Breastfeeding is so important that it would be the topic of a separate session Explain that in order to best help mothers breastfeed successfully, we need to understand: • How breast milk is produced and what influences it production 139 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 9: Breastfeeding
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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
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Trainer document STEPS FOR CONDOM U
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Correct Use of Condom • Check the
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9. Explain the importance of withdr
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Trainer document COMBINED ORAL CONT
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Trainer document PROGESTAGEN-ONLY P
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Trainer document INTRA-UTERINE DEVI
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Trainer document VOLUNTARY SURGICAL
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Myths and Facts about Vasectomy Myt
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Male Condom Show the client the con
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Progestagen-Only Pills (POPs) Show
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Intrauterine Device (IUD) Show the
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Emergency Contraception Pills (ECPs
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Using the trainer’s document Stan
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• 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 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: Trainer document/Participant docume
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
Page 169 and 170: Trainer document MYTHS ABOUT BREAST
Page 171 and 172: SESSION 10: SEXUALLY TRANSMITTED IN
Page 173 and 174: • The sexual act can be vaginal,
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Page 177 and 178: cells (which fight against infectio
Page 179 and 180: Participant document WAYS TO SIGNIF
Page 181 and 182: Trainer document HIV/AIDS: WHAT IS
Page 183 and 184: Participant document HOW IS HIV/AID
Page 185 and 186: o Sexually transmitted infections c
Page 187 and 188: Trainer document CAUSES OF INFERTIL
Page 189 and 190: SESSION 12: BREAST AND CERVICAL CAN
Page 191 and 192: • For health problems like cancer
Page 193 and 194: Participant document BREAST SELF-EX
Page 195 and 196: 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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