Training of Roma Health Mediators in Reproductive Health

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Trainer document STATEMENTS : OBSTACLES TO COMMUNICATION 1. A woman who has 8 children. She nearly died from hemorrhage during her last delivery. It is doubtful she would be able to survive another pregnancy. You ask her if she is interested in family planning. She responds: "I don't believe in family planning. Those things make you sick. I don't need it." 2. A woman with 2 children (ages 2 years, and 5 months) has been using contraceptive pills for the past 4 months. Her husband has just found her pills and thus learned that she is on contraception. He is completely opposed to contraception and has forbid her to continue taking the pills. She tells you: "I don't want more children right now. I don't agree with the position of my husband but I cannot continue if he doesn't want it." 3. A woman 21 years old with one child. She wants to know where she can get a tubal ligation because she doesn't want any more children. When you try to discuss other family planning methods with her, she responds: "I don't want to hear about other methods. I told you that I don't want any more children. And for that reason, I want to be sterilized." 4. A single girl, 17 years old, who has been having sex for the last 2 years. She is now in the second month of pregnancy. She has already had one induced abortion and she intends to abort this pregnancy as well. When you try to discuss family planning with her, she responds: "I will not need it. I'm not going to have sex any more before I get married." 224 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 14: Interpersonal Communication
Flip chart OBSTACLES TO COMMUNICATION 1. Ordering Telling the woman to do something, without explanation or alternatives. 2. Threatening, warning Telling the woman the negative consequences that will happen if she acts a certain way 3. Advising, giving solutions, moralizing Telling the woman how to solve her problem. 4. Judging, criticizing, disagreeing, blaming Making a negative judgment or evaluation of the woman. 5. Labeling, stereotyping Putting the woman into a category to shame her. 6. Interpreting, analyzing, diagnosing Telling the woman what her motives are, analyzing what she is doing or saying. 7. Sympathizing Trying to make the woman feel better, talking her out of her feelings; trying to make her feelings go away. 8. Distracting, humoring, diverting Drawing the woman away from her problem (possibly because mediator doesn't know how to deal with it): changing the subject etc. 225 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 14: Interpersonal Communication
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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
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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
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 and 188: Trainer document CAUSES OF INFERTIL
Page 189 and 190: SESSION 12: BREAST AND CERVICAL CAN
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: Ask participants to change roles wi
Page 235 and 236: "You're acting like a child." "You
Page 237 and 238: Participant document ACTIVE LISTENI
Page 239 and 240: Participant document EXAMPLES OF QU
Page 241 and 242: Flip chart / Participant document R
Page 243 and 244: SESSION 15: GROUP EDUCATION SESSION
Page 245 and 246: • How long people have held these
Page 247 and 248: o Involve simulations, role play an
Page 249 and 250: ‣ How many people see: a young l
Page 251 and 252: o Introduce the subject o Invite th
Page 253 and 254: ‣ What did the mediator do to put
Page 255 and 256: Participant document CONTINUUM IN T
Page 257 and 258: Flip chart CONTINUUM IN THE EFFECTI
Page 259 and 260: Common teaching/animation methods:
Page 261 and 262: Trainer document DESCRIPTION OF ANT
Page 263 and 264: 255 RFHI/JSI Romania Training of RH
Page 265 and 266: Participant document FACILITATING G
Page 267 and 268: Participant document CHECKLIST FOR
Page 269 and 270: Possible questions for facilitating
Page 271 and 272: Note: It is important that all part
Page 273 and 274: SESSION 18: EVALUATION OF THE TRAIN
Page 275 and 276: Participant document HEALTH MEDIATO
Page 277 and 278: Matching questions Below are two li
Page 279 and 280: II. Other aspects of the training B
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Training of Roma Health Mediators in Reproductive Health

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