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Training of Roma Health Mediators in Reproductive Health

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Possible <strong>in</strong>terventions at each stage <strong>of</strong> behavior change (or resistance to behavior change)<br />

Stage 1: There is no problem.<br />

Provide an example <strong>of</strong> a similar reproductive health problem <strong>in</strong> this or a nearby community.<br />

Engage the woman <strong>in</strong> discussion <strong>in</strong> order to help her to become more aware <strong>of</strong> the problem.<br />

Possible discussion questions:<br />

1. What problem does this person have?<br />

2. Do you know anyone this has happened to/who has had this problem?<br />

3. Has it ever been a problem for you? In what way? What did you, or could you, do<br />

about it?<br />

Stage 2: There may be a problem but it is not my responsibility. (It is the responsibility <strong>of</strong> God, <strong>of</strong><br />

government, <strong>of</strong> someone else.)<br />

Use proverbs and analogies to help people identify why the situation is a problem.<br />

Possible discussion questions:<br />

1. Why is this (the situation presented) a problem?<br />

2. What do you know about this problem?<br />

Stages 3 & 4: There is a problem but:<br />

a. I am not conv<strong>in</strong>ced <strong>of</strong> the proposed solutions.<br />

b. I am afraid <strong>of</strong> chang<strong>in</strong>g because <strong>of</strong> fear <strong>of</strong> possible negative consequences.<br />

Bra<strong>in</strong>storm with the woman/women to identify all possible solutions & pros & cons <strong>of</strong> each.<br />

Possible discussion questions:<br />

1. What are the different alternatives for cop<strong>in</strong>g with/overcom<strong>in</strong>g this problem?<br />

2. Which alternatives seem most realistic, the most feasible for you?<br />

3. What more would you like to know about "x" alternative?<br />

Stages 5 & 6: I see the problem and would like to learn more about it; I am ready to try to change.<br />

Discuss family plann<strong>in</strong>g methods and services <strong>in</strong> order to provide the necessary <strong>in</strong>formation<br />

so that <strong>in</strong>dividual can act.<br />

Possible discussion questions:<br />

1. What do you know about the different methods <strong>of</strong> contraception? "x" method?<br />

2. What do you th<strong>in</strong>k about the different methods <strong>of</strong> contraception? "x" method?<br />

Ask these 2 questions <strong>in</strong> relation to each method <strong>in</strong> order to assess the level <strong>of</strong> knowledge,<br />

attitudes, preferences and rumors.<br />

Stage 7: I am will<strong>in</strong>g to demonstrate or propose the solution to others.<br />

Ensure follow-up. Support the <strong>in</strong>dividual <strong>in</strong> her family plann<strong>in</strong>g decisions.<br />

Possible discussion questions:<br />

1. How has your experience been with "x" family plann<strong>in</strong>g method? Have you had any<br />

problems?<br />

2. What can we do to help others to benefit from family plann<strong>in</strong>g ?<br />

202<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 13: BCC

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