Training of Roma Health Mediators in Reproductive Health

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Q: When should I start giving my baby supplementary foods? A: Until 6 months of age, exclusive breastfeeding is best. When the baby is 6 months old, it is time to start giving him supplementary foods, such as cereals, fruits, fruit juice, etc. Continue breastfeeding in combination with supplementary foods for as long as possible, at least two years is good. Do not give formula, and do not use feeding bottles. The baby can be weaned gradually directly from the breast to the cup. Q: What is proper nutritional advice for nursing mothers? A: It is important for nursing mothers to eat a healthy and varied diet with plenty of protein, calcium, iron and vitamins so that they can produce plenty of milk without putting their own health at risk. They should continue taking iron supplements for three months after delivery. They should consume dairy products (milk, cheese, yogurt) every day. They should drink plenty of water and avoid alcohol and cigarettes. Many mothers find that nursing an infant helps them regain their pre-pregnancy figure quickly. 160 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 9: Breastfeeding
Trainer document MYTHS ABOUT BREASTFEEDING Myth: "You have to drink a lot of milk to produce more milk." Fact: It is not true. Any type of food and fluids taken in by the mother in adequate quantity is sufficient to produce milk. The production of breast milk is not dependent on the milk intake by the mother. The baby's suckling on the breast is also important, "more suckling- more milk." Myth: "Small breasts will not produce enough milk." Fact: Being able to breastfeed successfully does not depend on the size of the woman’s breast. The size of the breasts depends upon the fatty tissue layer under the skin. Special sacs in the breast, which are present in all women, produce breast milk. Myth: "You have to stop eating certain foods during breastfeeding." Fact: The woman can continue eating most of her favorite foods during breastfeeding. Though some people report problems with different food, many others don't have any problems with the same kind of food. If the woman is worried about a particular food, she may eat a small amount each time and see whether it causes any problem to her baby. If it really bothers her baby every time she eats it, she should quit eating this food. Myth: "Working with cold water will affect the milk supply." Fact: This is not true. Some people believe that it may cause cold to the baby but it does not. Myth: "If you were not able to breastfeed your first baby, you won't be able to breastfeed successfully this time." Fact: Mothers can be successful in breastfeeding their babies even if they were not able to breastfeed the first baby, so it is important to be confident. Myth: "Mother's milk 'comes in' after three days." Fact: One may say that it actually starts flowing freely by the third day but the yellowish milk (colostrum) starts coming out as early as baby starts suckling and it is sufficient for baby's demands for the first three days. Myth: It is not practical to fully breastfeed the baby. Fact: Once the mother has clearly understood the benefit for her baby and herself and she is determined to fully breastfeed her baby, it is not difficult to do so. Myth: If the mother fully or nearly fully breastfeeds her baby, she will become very weak and malnourished. Fact: If the mother clearly understands the dictum “feed the mother to feed the baby” and takes a well balanced diet, she will remain healthy and successfully breastfeed her baby. 161 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
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Participant document CASE STUDIES (
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Trainer document CASE STUDIES (answ
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Participant document The majority o
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Participant document HOW TO USE “
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6. If she recently had a miscarriag
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Participant document FREQUENT ASKED
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Recommended question: - Are you and
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SESSION 6: SAFE MOTHERHOOD - PREGNA
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‣ What are the first signs of pre
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• Comfortable clothing and footwe
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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
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: Trainer document ANSWERS TO FREQUEN
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
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
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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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