Training of Roma Health Mediators in Reproductive Health

More documents

Recommendations

Info

o Ask about previous breastfeeding experience o Discuss (as appropriate): • When to start breastfeeding and to continue as long as possible (ideally until the baby is two years-old) • Basic principles of breastfeeding • Correct position during breastfeeding • Care of the breasts during breastfeeding • Common discomforts and how to deal with them • Nutritional needs of the mother, her health and fertility o Check/observe breastfeeding position and technique, and offer suggestions if necessary o Provide emotional support as necessary • Express empathy and understanding of a mother’s feelings when talking to her. • Express confidence in the mother to make her feel good and build her confidence o Involve the whole family in newborn care and in supporting the mother Conclusions: Mediators should ensure that the following messages are communicated to the community (to mothers and women of reproductive age, and to families expecting a child) • Begin breastfeeding immediately after delivery. During the first three days, it is especially important to feed the baby with colostrum, the thick yellowish fluid which is rich in antibodies, proteins, and vitamins. • Feed frequently, both day and night, whenever the baby is hungry. • Feed from both breasts. • Feed at least every four hours, more frequently in the early weeks. • Breastfeed exclusively for the first four-six months. • When semi-solid foods are introduced, breastfeed first and then give supplemental food. • Do not use pacifiers/nipples/bottles. • Express breast milk if separated from the baby. • Continue to breastfeed even when the mother or baby is sick. • Maintain a nutritionally sound diet for the mother and satisfy her own hunger/thirst (and identify what local foods constitute a good diet). • Is not necessary to give baby water/teas. If the baby appears thirsty, it is best for mother to drink water, so that she will produce more milk. • Continue to breastfeed for as long as possible (up to two years). 150 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 9: Breastfeeding
Flip chart BENEFITS OF BREASTFEEDING For the Baby: • Breast milk o Has what the baby needs o Changes as the baby matures o Is easy to digest. o Is clean. o Is at the right temperature. o Protects the baby against certain illnesses and infections • Breastfeeding makes the baby feels warm and secure For the Mother: • Suckling by the baby helps the mother's uterus to contract to its normal shape and size • Breastfeeding: o Reduces the bleeding after delivery o Helps the mother to lose fat o Forms a bond of love with the baby. o Is convenient o Protects the mother from pregnancy 151 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 9: Breastfeeding
Page 1 and 2:
Romanian Family Health Initiative A
Page 3 and 4:
2005 - JSI Research & Training Inst
Page 5 and 6:
INTRODUCTION JSI Research and Train
Page 7 and 8:
Acknowledgements This manual was de
Page 9 and 10:
SESSION 1: INTRODUCTION OBJECTIVES:
Page 11 and 12:
Common group norms: • Respect the
Page 13 and 14:
Flip chart/ Participant document TR
Page 15 and 16:
Participant document HEALTH MEDIATO
Page 17 and 18:
Matching questions Below are two li
Page 19 and 20:
Multiple Choice Questions Each of t
Page 21 and 22:
SESSION 2: BASIC CONCEPTS OF REPROD
Page 23 and 24:
Possible Answers: • Not to have c
Page 25 and 26:
‣ How many children do you have?
Page 27 and 28:
an important effect on reducing mat
Page 29 and 30:
Trainer document FAMILY PLANNING De
Page 31 and 32:
Trainer document THE RIGHTS OF THE
Page 33 and 34:
Trainer document RELATIONSHIP BETWE
Page 35 and 36:
(HOLD THE THIRD/SMALLEST SIGN IN FR
Page 37 and 38:
SESSION 3: ANATOMY AND PHYSIOLOGY O
Page 39 and 40:
• What is menstruation? • What
Page 41 and 42:
Trainer document MALE REPRODUCTIVE
Page 43 and 44:
lining like a pillow. If the girl/w
Page 45 and 46:
Participant document 36 RFHI/JSI Ro
Page 47 and 48:
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 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 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: • The baby suckles as often and f
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,
Page 175 and 176: sick and spread to others. ‣ How
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
Page 197 and 198: ‣ What is the purpose of talking
Page 199 and 200: ‣ How do you feel about asking wo
Page 201 and 202: • I was told to come • I learne
Page 203 and 204: Distribute the participant document
Page 205 and 206: Trainer document FACTORS INFLUENCIN
Page 207 and 208: • One's personal susceptibility t
Page 209 and 210:
Participant document 7 stages BEHAV
Page 211 and 212:
Participant document DECISION-MAKIN
Page 213 and 214:
SESSION 14: INTERPERSONAL COMMUNICA
Page 215 and 216:
o Note next to each of their respon
Page 217 and 218:
IV-VII. ACTIVE LISTENING (20 minute
Page 219 and 220:
‣ What did she communicate to the
Page 221 and 222:
‣ Did you want to put conditions
Page 223 and 224:
Open questions help women: • To a
Page 225 and 226:
The person who was listening: • P
Page 227 and 228:
Divide the group into 5 small group
Page 229 and 230:
Refer the group to the flip chart F
Page 231 and 232:
Ask participants to change roles wi
Page 233 and 234:
Flip chart OBSTACLES TO COMMUNICATI
Page 235 and 236:
"You're acting like a child." "You
Page 237 and 238:
Participant document ACTIVE LISTENI
Page 239 and 240:
Participant document EXAMPLES OF QU
Page 241 and 242:
Flip chart / Participant document R
Page 243 and 244:
SESSION 15: GROUP EDUCATION SESSION
Page 245 and 246:
• How long people have held these
Page 247 and 248:
o Involve simulations, role play an
Page 249 and 250:
‣ How many people see: a young l
Page 251 and 252:
o Introduce the subject o Invite th
Page 253 and 254:
‣ What did the mediator do to put
Page 255 and 256:
Participant document CONTINUUM IN T
Page 257 and 258:
Flip chart CONTINUUM IN THE EFFECTI
Page 259 and 260:
Common teaching/animation methods:
Page 261 and 262:
Trainer document DESCRIPTION OF ANT
Page 263 and 264:
255 RFHI/JSI Romania Training of RH
Page 265 and 266:
Participant document FACILITATING G
Page 267 and 268:
Participant document CHECKLIST FOR
Page 269 and 270:
Possible questions for facilitating
Page 271 and 272:
Note: It is important that all part
Page 273 and 274:
SESSION 18: EVALUATION OF THE TRAIN
Page 275 and 276:
Participant document HEALTH MEDIATO
Page 277 and 278:
Matching questions Below are two li
Page 279 and 280:
II. Other aspects of the training B
show all

Training of Roma Health Mediators in Reproductive Health

Create successful ePaper yourself

Delete template?

Save as template?