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Training of Roma Health Mediators in Reproductive Health

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Expla<strong>in</strong> briefly the traditional methods listed by participants or add those if necessary,<br />

us<strong>in</strong>g the tra<strong>in</strong>er document Traditional Contraceptive Methods as a basis.<br />

Post the flipchart Family Plann<strong>in</strong>g Methods. Expla<strong>in</strong> that world wide, more and more<br />

couples are us<strong>in</strong>g modern methods <strong>of</strong> family plann<strong>in</strong>g.<br />

Emphasize that approximately half <strong>of</strong> the population is still us<strong>in</strong>g traditional methods or<br />

no method. This has resulted <strong>in</strong> a high number <strong>of</strong> un<strong>in</strong>tended/unplanned pregnancies,<br />

which has led to a high rate <strong>of</strong> abortion.<br />

Emphasize that the <strong>in</strong>creased use <strong>of</strong> contraception has led to an important decrease <strong>in</strong> the<br />

abortion rate, and thus <strong>in</strong> maternal mortality.<br />

Ask participants:<br />

‣ How many women have you heard <strong>of</strong> whose death was due to us<strong>in</strong>g a modern<br />

contraceptive method?<br />

Answers will vary. The number will likely be low.<br />

‣ Before 1989, how many women did you hear about who died dur<strong>in</strong>g or follow<strong>in</strong>g<br />

an abortion (which was commonly used because <strong>of</strong> the lack <strong>of</strong> contraception)?<br />

Answers will vary. The number will likely be higher.<br />

Expla<strong>in</strong> that:<br />

• Many more women have died because <strong>of</strong> abortion compared with women who<br />

have died due to us<strong>in</strong>g modern contraception.<br />

• Modern contraceptives are one <strong>of</strong> the most studied categories <strong>of</strong> medic<strong>in</strong>es<br />

produced by the pharmaceutical <strong>in</strong>dustry and because <strong>of</strong> this their side effects are<br />

very low, much less than the natural risks which may occur dur<strong>in</strong>g women’s<br />

pregnancies.<br />

Emphasize that the risks associated with the lack <strong>of</strong> contraception (unwanted<br />

pregnancies, <strong>of</strong>ten term<strong>in</strong>ated through abortion), are much more important than the risk<br />

<strong>of</strong> us<strong>in</strong>g modern methods <strong>of</strong> contraception.<br />

III-IV. AVAILABLE FAMILY PLANNING METHODS<br />

a) NATURAL FAMILY PLANNING METHODS (40 m<strong>in</strong>utes)<br />

Referr<strong>in</strong>g to the process <strong>of</strong> fertilization and conception discussed <strong>in</strong> previous session, ask<br />

participants:<br />

44<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 4: FP Methods

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