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Training of Roma Health Mediators in Reproductive Health

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sick and spread to others.<br />

‣ How can a person avoid gett<strong>in</strong>g a STI?<br />

He/she doesn’t have sex.<br />

Expla<strong>in</strong> that most <strong>of</strong> the people choose to have sex. In this case:<br />

‣ How can sexually active people significantly reduce the risk <strong>of</strong> STIs?<br />

• Use condoms every time they have sex<br />

• Have sex with only one person who is disease free and who has sex only with<br />

him/her (be faithful)<br />

• Do not have sex if he/she or his/her partner has an <strong>in</strong>fection <strong>in</strong> the reproductive<br />

system. Wait until after the <strong>in</strong>fection has been fully treated<br />

• Do not use unclean <strong>in</strong>jection needles or have sex with someone who uses them.<br />

‣ What other ways can sexually active people reduce the risk <strong>of</strong> STIs?<br />

• Reduce the number <strong>of</strong> sexual partners<br />

• F<strong>in</strong>d ways to be sexual that do not <strong>in</strong>clude penetrative sex<br />

• Communicate with their partners about STIs and the risk <strong>of</strong> <strong>in</strong>fection<br />

• Discuss with partner(s) about past sexual partners, needle drug use, and untested<br />

transfusions<br />

• Get regular checkups<br />

• Monitor their bodies for signs <strong>of</strong> <strong>in</strong>fection or for changes<br />

• See a health pr<strong>of</strong>essional if they notice a change that is not typical, or if they th<strong>in</strong>k<br />

they may have been <strong>in</strong>fected with a STI<br />

• Do not abuse drugs or alcohol. These substances can cloud the judgment and<br />

make it harder to protect reproductive health<br />

• Make sure blood has been screened for disease before receiv<strong>in</strong>g a transfusion<br />

• Believe they have the right to keep themselves healthy.<br />

‣ Why is it important to detect early and to treat <strong>in</strong>fections?<br />

Without treatment, STIs can lead to serious complications such as:<br />

• Infertility <strong>in</strong> men and women<br />

• Eight to ten times <strong>in</strong>creased risk <strong>of</strong> gett<strong>in</strong>g HIV/AIDS, if exposed to a STI<br />

• Increased risk <strong>of</strong> cervical cancer<br />

• Risky pregnancy, e.g., miscarriage, still births or <strong>in</strong>fants born with birth defects,<br />

<strong>in</strong>clud<strong>in</strong>g bra<strong>in</strong> damage<br />

• Dur<strong>in</strong>g birth, the newborn can get severe eye <strong>in</strong>fection from mother’s birth-canal<br />

and can become bl<strong>in</strong>d.<br />

167<br />

RFHI/JSI <strong>Roma</strong>nia <strong>Tra<strong>in</strong><strong>in</strong>g</strong> <strong>of</strong> RHMs <strong>in</strong> <strong>Reproductive</strong> <strong>Health</strong> Session 10: STIs

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