Training of Roma Health Mediators in Reproductive Health

Emphasize that although insertion of an IUD is a minor procedure, it is performed only
by medical doctors (Ob-Gyn specialists) who are authorized and trained to insert an IUD.
Although the mediator is never directly involved in IUD insertion, she should know about
the process in order to educate women.
Discuss with mediators the myths and rumors they have heard about IUDs and respond to
any doubts participants may have.
e) VOLUNTARY SURGICAL CONTRACEPTION (20 minutes)
Explain that the other long-term methods are surgical contraceptive methods which are
available on a voluntary basis to men and/or women who do not want any more children.
Emphasize that these are permanent, irreversible methods and mediators should inform
people very clearly about this point. They are safe and relatively free of side effects.
Once the couple completes the size of their family, the man or woman may opt for
permanent contraception.
Explain that there are two types of VSC:
• Female Sterilization or Tubal Ligation for women
• Male Sterilization or Vasectomy for men
• Both are minor operations, generally performed by injecting local anesthesia at the
site of operation. Vasectomies are relatively simpler, safer, and less expensive than
tubal ligation.
Using the trainer document Voluntary Surgical Contraception, briefly present the main
aspects of the two methods, for women and for men.
Emphasize that:
• Before choosing this method, men and women must be informed about the
permanency of the method.
• Persons must decide to undergo the surgical procedure voluntarily (i.e. without any
force or coercion) after a complete understanding of the relevant facts of the
procedure. A consent form is used to document the individual’s agreement. Although
there is no requirement for a spouse’s consent, a joint decision usually will mean a
more satisfied client and fewer complaints to health providers following the
procedure. So both partners should be counseled about VSC.
• Attempts to reverse vasectomy or tubal ligation are rarely successful. Therefore,
couples who are considering VSC should be certain that they do not wish to have any
more children.
Ask participants which persons can undergo VSC. Listen to their answers and then
reinforce the correct answer.
Who can undergo VSC:
51
RFHI/JSI Romania Training of RHMs in Reproductive Health Session 4: FP Methods