Training of Roma Health Mediators in Reproductive Health

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Participant document 39 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 3: Human Reproduction
Participant document MALE AND FEMALE FERTILITY • A man is fertile every day, from puberty through very old age. • A woman is fertile from puberty until menopause, but only during a few days each menstrual cycle. • Combined fertility means that a woman can become pregnant if the couple has sexual intercourse during the fertile days of her menstrual cycle. • A couple’s combined fertility can be compared to planting during different seasons. o Planting during a wet season, followed by sun, will result in growth. That is, pregnancy can occur during a woman’s “wet” or fertile days. o Planting during a dry season will not result in growth. That is, pregnancy does not result during a woman’s “dry” or infertile days. • To use fertility awareness information to prevent pregnancy, people need to see a trained provider. 40 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 3: Human Reproduction
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 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: Participant document 38 RFHI/JSI Ro
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
Page 81 and 82: Myths and Facts about Vasectomy Myt
Page 83 and 84: Male Condom Show the client the con
Page 85 and 86: Progestagen-Only Pills (POPs) Show
Page 87 and 88: Intrauterine Device (IUD) Show the
Page 89 and 90: Emergency Contraception Pills (ECPs
Page 91 and 92: Using the trainer’s document Stan
Page 93 and 94: • When do you expect your next pe
Page 95 and 96: Participant document CASE STUDIES (
Page 97 and 98: 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
Page 195 and 196:
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
Page 237 and 238:
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
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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