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Training of Roma Health Mediators in Reproductive Health

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Distribute the participant document Ways to Significantly Reduce the Risk <strong>of</strong> Sexually<br />

Transmitted Infections.<br />

Close this part <strong>of</strong> the session with the follow<strong>in</strong>g po<strong>in</strong>ts:<br />

• All STIs can be prevented<br />

o We have the right and responsibility to keep ourselves healthy and to reduce<br />

the risk <strong>of</strong> STIs. Sometimes people:<br />

• Do not know that they are at risk <strong>of</strong> gett<strong>in</strong>g a sexually transmitted<br />

<strong>in</strong>fection.<br />

• F<strong>in</strong>d it hard to advocate for themselves or follow the practices that can<br />

keep them healthy.<br />

• Avoid tell<strong>in</strong>g their partners, even if they know they have a sexually<br />

transmitted <strong>in</strong>fection.<br />

o As we become more comfortable talk<strong>in</strong>g about STI risks with our partners and<br />

discuss<strong>in</strong>g how to keep each other healthy, it becomes easier to engage <strong>in</strong><br />

behaviors that significantly reduce the risk <strong>of</strong> <strong>in</strong>fection.<br />

• Most STIs can be treated. Early detection and treatment can significantly<br />

decrease serious complications, <strong>in</strong>clud<strong>in</strong>g <strong>in</strong>fertility <strong>in</strong> both men and women.<br />

• <strong>Mediators</strong> can <strong>of</strong>fer opportunities for community members to th<strong>in</strong>k about, discuss,<br />

and practice the communication skills they need to better advocate for their own<br />

reproductive health and reduce the risk <strong>of</strong> <strong>in</strong>fection. For example, they can help<br />

people to:<br />

o Improve their prevention practices<br />

o Monitor their health and behavior on a regular basis<br />

o Educate others about prevention <strong>of</strong> STIs, and about the importance <strong>of</strong> early<br />

detection and treatment for prevent<strong>in</strong>g serious complications<br />

o Request services if symptoms <strong>of</strong> STIs are noticed or if there is a chance <strong>of</strong><br />

<strong>in</strong>fection<br />

Inform people that they can choose an appropriate family plann<strong>in</strong>g method depend<strong>in</strong>g<br />

upon whether they are at risk or are suffer<strong>in</strong>g from STIs or not (for example, IUD should<br />

not be <strong>in</strong>serted <strong>in</strong> a women with and STI or PID; condoms may be used <strong>in</strong> association<br />

with other contraceptive method if any risk <strong>of</strong> STIs is suspected).<br />

III.<br />

HIV/AIDS (40 m<strong>in</strong>utes)<br />

Briefly expla<strong>in</strong> what HIV/AIDS is:<br />

• AIDS (Acquired Immune Deficiency Syndrome) is a fatal and dangerous disease. It is<br />

spread<strong>in</strong>g at an alarm<strong>in</strong>g rate all over the world. Besides sexual <strong>in</strong>tercourse, it can be<br />

spread by shar<strong>in</strong>g needles or sharp tools with an <strong>in</strong>fected person, blood transfusion or<br />

organ donation from an HIV positive person, and from mother–to-child dur<strong>in</strong>g<br />

pregnancy, birth or breastfeed<strong>in</strong>g.<br />

• A virus known as Human Immunodeficiency Virus (HIV) causes the disease. Once<br />

HIV enters the body <strong>of</strong> a healthy person (by any one <strong>of</strong> its modes <strong>of</strong> transmission), it<br />

multiplies and slowly destroys the immune system <strong>of</strong> the body by enter<strong>in</strong>g the blood<br />

168<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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