Training of Roma Health Mediators in Reproductive Health

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TRAINING OF ROMA HEALTH MEDIATORS IN REPRODUCTIVE HEALTH MAY 2005
2005 - JSI Research & Training Institute Inc. This document has been elaborated by JSI Research & Training Institute Inc. - Romania Representative within the Romanian Family Health Initiative (RFHI). Parts of this curriculum, illustrations, handouts, may be reproduced and/or adapted with resource indication. Please send a copy of all adaptations from this manual to: JSI Research & Training Institute Inc. - Romania Representative G. Calinescu Street, No. 13, sector 1, Bucharest, 011691 Phone: 40 21 231 9687; 231 9688 Fax: 40 21 231 9689 E-mail: office@jsi.ro Funds for this material were provided by the United States Agency for International Development (USAID) under cooperative agreement 186-A-00-01-00103-00. The views expressed are those of the authors and do not necessarily reflect those of USAID. RFHI/JSI Romania Training of RHMs in Reproductive Health Introduction
Page 1: Romanian Family Health Initiative A
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 and 20: Multiple Choice Questions Each of t
Page 21 and 22: SESSION 2: BASIC CONCEPTS OF REPROD
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
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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
Page 161 and 162:
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
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
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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
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
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‣ How do you feel about asking wo
Page 201 and 202:
• I was told to come • I learne
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Distribute the participant document
Page 205 and 206:
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
Page 267 and 268:
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
Page 277 and 278:
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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