Training of Roma Health Mediators in Reproductive Health

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• Woman’s age over 35 years • Tubal blockage – the most common cause of infertility in women o Complication of sexually transmitted diseases, particularly Gonorrhea and Chlamydia o Infections of the reproductive organs following abortion • Abnormalities of the uterus 180 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 11: Infertility
SESSION 12: BREAST AND CERVICAL CANCER OBJECTIVES: By the end of the session, the participants should be able to: 1. Discuss ways to help women recognize what is normal in the appearance and feel of their breasts and identify when to seek health care services. 2. Name possible signs of, and the common test for, cervical cancer. TRAINING METHODS: Discussion, Presentation TIME: 45 minutes MATERIALS: Participant document • Breast Self-Exam INSTRUCTIONS: I. BREAST CANCER (30 minutes) Introduce the session by informing participants that: • Breast and cervical cancers are fairly common in women, and are always dangerous. • Successful treatment depends on spotting the first sign of possible cancer and getting medical care soon. Surgery is usually necessary. Ask participants: ‣ What are the signs of breast cancer? • The woman may notice a lump somewhere on the breast. The lump grows slowly. At first it usually does not hurt or get hot. Later it may hurt. • The breast may have an abnormal dent or dimple, or many tiny pits like the skin of an orange. • There may be large but painless lymph nodes in the armpit. Explain the importance of regular self-examination of the breasts performed by the woman, and of periodic check-ups performed by a trained health provider. [Note to Trainers: Beliefs and attitudes about privacy and about touching the body can influence a person’s desire and ability to conduct a breast self-exam. For these reasons it is important to explore with participants taboos, myths, and beliefs about looking at and touching the body that may be common in their communities.] 181 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 12: Breast and Cervical Cancer
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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
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Discuss with participants how they
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Flipchart FACTS ABOUT WOMEN’S LIV
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Trainer document NORMAL BODY CHANGE
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Trainer document/Participant docume
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Trainer document MYTHS AND FACTS RE
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Work and domestic activities Pregna
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Trainer document CASE STUDIES Elena
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II-IV. POSTPARTUM VISITS (45 minute
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Suggest that another important topi
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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 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: Trainer document CAUSES OF INFERTIL
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
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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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