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Training of Roma Health Mediators in Reproductive Health

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3) poses open questions <strong>in</strong> order to help the person reflect on his/her problem and<br />

alternatives, and to f<strong>in</strong>d a solution to his/her own problem. Active listen<strong>in</strong>g<br />

communicates acceptance <strong>of</strong> the person <strong>in</strong> that the “helper” does not communicate<br />

judgments nor solutions. It facilitates decision-mak<strong>in</strong>g by the <strong>in</strong>dividual.<br />

‣ In what way is active listen<strong>in</strong>g important to <strong>in</strong>terpersonal communication <strong>in</strong><br />

reproductive health?<br />

Women may have questions, concerns and problems that <strong>in</strong>fluence their ability to adopt<br />

certa<strong>in</strong> practices that would benefit their health and the health <strong>of</strong> their young children. They<br />

may pose <strong>in</strong>formational questions which <strong>in</strong> fact represent rumors, beliefs, anxieties or<br />

disagreement with a partner. Active listen<strong>in</strong>g is useful to help br<strong>in</strong>g out what may be beh<strong>in</strong>d<br />

a woman’s <strong>in</strong>itial statements, questions or responses, <strong>in</strong> order to be able to better respond to<br />

these concerns and to anyth<strong>in</strong>g that may prevent her from mak<strong>in</strong>g a positive change <strong>in</strong><br />

behavior.<br />

Steps <strong>in</strong> learn<strong>in</strong>g active listen<strong>in</strong>g<br />

Expla<strong>in</strong> that active listen<strong>in</strong>g is made up <strong>of</strong> three techniques:<br />

• Passive listen<strong>in</strong>g<br />

• Paraphrase<br />

• Open questions<br />

Add that:<br />

• You will demonstrate each step<br />

• At the end <strong>of</strong> the session, all participants will have an opportunity to practice Active<br />

Listen<strong>in</strong>g when they participate <strong>in</strong> role plays <strong>of</strong> <strong>in</strong>terpersonal communication.<br />

• This is only an <strong>in</strong>troduction. Mastery <strong>of</strong> the techniques requires cont<strong>in</strong>ued practice.<br />

Refer to the first component <strong>of</strong> active listen<strong>in</strong>g; passive listen<strong>in</strong>g. Ask the group:<br />

‣ What do you do when you listen to someone passively? Why?<br />

Listen without speak<strong>in</strong>g <strong>in</strong> order to hear and understand what the other person is say<strong>in</strong>g<br />

Invite participants to observe a demonstration <strong>of</strong> passive listen<strong>in</strong>g (done by 2 tra<strong>in</strong>ers or a<br />

tra<strong>in</strong>er and a participant). One <strong>in</strong>dividual (a tra<strong>in</strong>er or a participant) takes the role <strong>of</strong> a<br />

woman <strong>in</strong> the community and expla<strong>in</strong>s a problem, need or concern. The other <strong>in</strong>dividual (a<br />

tra<strong>in</strong>er) takes the role <strong>of</strong> the mediator, respond<strong>in</strong>g with non-verbal and one-word responses<br />

(“Yes”, “I see”, “Mm-mm”, “Right”, “OK”, “Uh-huh”, nodd<strong>in</strong>g etc, and ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g eye<br />

contact) to encourage the woman to cont<strong>in</strong>ue to expla<strong>in</strong> her concern. (1 m<strong>in</strong>ute)<br />

Ask the group:<br />

‣ What did the mediator do?<br />

‣ What jests did she use?<br />

210<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 14: Interpersonal Communication

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