Training of Roma Health Mediators in Reproductive Health

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Trainer document REPRODUCTIVE HEALTH / FAMILY PLANNING SERVICES • Family Planning ‣ Information regarding contraceptive methods ‣ Contraceptive supplies ‣ Counseling for using family planning methods ‣ Monitoring the use of contraceptive methods • Mother and Child Care ‣ Prenatal care ‣ Assisted delivery ‣ Post-natal care ‣ Newborn care • Counseling in case of abortion • Prevention and early detection of cervical and breast cancer • Prevention and treatment of sexually transmitted infections • Diagnosis (and treatment) of infertility • Counseling in the case of domestic violence and sexual abuse • Education for sexual and reproductive health 21 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 2: Basic Principles of RH & FP
Trainer document THE RIGHTS OF THE WOMAN IN A FAMILY PLANNING SERVICE 1. Right to information The community has the right to information about the benefits of family planning, for themselves and for their families. They also have the right to know where and how to obtain additional information about services to help them plan the number of children they wish to have. Thus, providers of family planning services should ensure that such information is available at least within their clinics. 2. Right to access to services Everyone of the age to procreate has the right to benefit from family planning services regardless of their social and/or economic situation, religion, political convictions, ethnicity, civil status, place of residence or all other characteristics which may stereotype them in a particular group. 3. Right to choose Individuals and couples have the right to decide freely to use, or not to use, family planning. Those who decide to adopt a modern family planning method have the right to choose their contraceptive method as long as there are no absolute contraindications to their choice. Providers of family planning services must assist clients to make an informed choice by giving them adequate information and by offering them an appropriate range of contraceptive methods. 4. Right to security Family planning clients have the right to be protected from all possible complications associated with the use of a contraceptive method which has a negative effect on their physical or psychological health. Clients also have the right to be protected against risks of infection linked to the use of unsterilized instruments. 5. Right to privacy Family planning clients have the right to privacy in their discussions with providers of family planning services concerning their needs and preoccupations. All medical examinations must take place in conditions which respect the physical privacy of the client. The client has the right to be informed of the role of all persons present during discussions with a family planning service provider and during medical examinations. The client has the right to be informed of the type of examinations to be done, to refuse an examination or to be examined by a person of her choice. 22 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 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: Trainer document FAMILY PLANNING De
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
Page 71 and 72: 9. Explain the importance of withdr
Page 73 and 74: Trainer document COMBINED ORAL CONT
Page 75 and 76: Trainer document PROGESTAGEN-ONLY P
Page 77 and 78: Trainer document INTRA-UTERINE DEVI
Page 79 and 80: 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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