Training of Roma Health Mediators in Reproductive Health

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Matching questions Below are two lists: 1) contraceptive methods, and 2) characteristics of contraceptive methods. Read the characteristics “a” through “j”. For each item, identify the method of contraception to which it applies. Put the letter of the item (a, b, c, d, e, f, g, h, i, or j) in the space next to the contraceptive method to which it applies. Note that each item may only be used once. Please write clearly. Contraceptive methods __g___Combined Oral Contraceptives (pill) __c___ Condoms __f___ Sterilization __a___ Lactational Ammenorhea Method __e___ Progestagen-only Contraceptives (pill) __d___Spermicide __b___Natural Family Planning Methods __j___ IUDs __h___Injectable __i___ Emergency contraceptives Characteristics of contraceptive methods: a. Can only be used by breastfeeding mothers under certain conditions b. Effectiveness is low as the method is commonly used c. Provides protection against STIs & HIV/AIDS to both partners d. Destroys sperm so that they cannot reach the egg/ovum to fertilize it e. Often causes irregular menstrual periods or absence of periods f. The method involves blocking the fallopian tubes (in a woman) or the vas deferens (in a man) g. Often leads to lighter, regular periods with less cramping h. It usually takes 6-10 months to become pregnant after stopping the method i. The method should not be used on a regular basis j. Is a safe, effective, long lasting method (up to 10 years) 12 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 1 Introduction
SESSION 2: BASIC CONCEPTS OF REPRODUCTIVE HEALTH AND FAMILY PLANNING OBJECTIVES: By the end of the session, participants should be able to: 1. Define the concepts Reproductive Health and Family Planning 2. List reproductive health services available in their communities 3. Describe: • The rights of the clients receiving reproductive health services • Principles of family planning 4. Define the benefits of family planning for individuals, families, and the community 5. Identify barriers to practicing family planning 6. Explain the role of health mediators in helping community members access and use reproductive health and family planning services TRAINING METHODS: Discussion, Brainstorming, Presentation TIME: 2 hours MATERIALS: Trainer documents • Reproductive Health • Family Planning • RH/FP Services • The Rights of the Client in a Family Planning Service • Relationship Between Maternal and Child Mortality and High-risk Factors • Story: Barriers to Family Planning • Papers of different sizes with the word “motivation” Participant document: • Roma Health Mediator’s Manual INSTRUCTIONS: I-II. REPRODUCTIVE HEALTH AND FAMILY PLANNING: CONCEPTS AND SERVICES (20 minutes) Ask participants: ‣ What does the term “reproduction” mean? Reproduction means procreation, having offspring or babies. ‣ Within a couple, who is responsible for making reproduction happen? Both the man and the woman are responsible for reproduction. They each have 12 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 2: Basic Principles of RH & FP
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: Multiple Choice Questions Each of t
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
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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
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Participant document COUNSELING ON
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Explain why newborns need a lot of
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• Beside routine weekly visits of
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Trainer document ESSENTIAL NEWBORN
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Trainer document/Participant docume
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SESSION 9: BREASTFEEDING OBJECTIVES
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• Every child should be exclusive
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1. Demonstrate how to help a mother
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- for sick or disabled babies. 3. D
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Some women have very large areolas,
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• The baby suckles as often and f
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Flip chart BENEFITS OF BREASTFEEDIN
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Participant document PRINCIPLES OF
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Overhead BABY’S ATTACHMENT TO THE
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Participant document Sore or Cracke
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Trainer document ANSWERS TO FREQUEN
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Trainer document MYTHS ABOUT BREAST
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SESSION 10: SEXUALLY TRANSMITTED IN
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• The sexual act can be vaginal,
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sick and spread to others. ‣ How
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cells (which fight against infectio
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Participant document WAYS TO SIGNIF
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Trainer document HIV/AIDS: WHAT IS
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Participant document HOW IS HIV/AID
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o Sexually transmitted infections c
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Trainer document CAUSES OF INFERTIL
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SESSION 12: BREAST AND CERVICAL CAN
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• For health problems like cancer
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Participant document BREAST SELF-EX
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SESSION 13: BASIC CONCEPTS OF COMMU
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‣ What is the purpose of talking
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‣ How do you feel about asking wo
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• I was told to come • I learne
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Distribute the participant document
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Trainer document FACTORS INFLUENCIN
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• One's personal susceptibility t
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Participant document 7 stages BEHAV
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Participant document DECISION-MAKIN
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SESSION 14: INTERPERSONAL COMMUNICA
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o Note next to each of their respon
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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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