Training of Roma Health Mediators in Reproductive Health

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Trainer document TRADITIONAL CONTRACEPTIVE METHODS Coitus Interruptus or Withdrawal Method in which the man interrupts intercourse by pulling out or withdrawing his penis from his partner’s vagina before he ejaculates so that semen is not deposited inside her body. The effectiveness of this method depends on the man’s willingness and ability to withdraw before ejaculation. Vaginal (post coital) douching consists of placing water into the vagina (with a vaginal irrigator or douche) immediately after intercourse in order to eliminate the sperm from the vagina. Effectiveness of the method is very low because the sperm pass into the uterus (through the cervical opening) in a very short time (approximately 30-60 seconds). Using “sperm-killer” substances is an old method, used without any scientific basis. People used different common substances (like salt, lemon juice, vinegar) in order to kill the sperm and avoid pregnancy. Some of these substances work, destroying the sperm, but they also destroy the human tissues, especially the woman’s vaginal and cervical lining. Only modern, adapted products (spermicides) are recommended for this purpose. 54 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 4: FP Methods
Flipchart FAMILY PLANNING METHODS NATURAL FAMILY PLANNING METHODS • Lactational Amenorrhea Method • Fertility Awareness Methods o Rhythm (or Calendar) Method o Cervical Mucus Method (Billings Method) o Basal Body Temperature Method o Symptothermal method • Standard Days Method (Cycle Beads) BARRIER METHODS • Male Condom • Vaginal methods o Diaphragm with spermicide o Spermicides (only vaginal method widely available in Romania) o Cervical cap o Female Condom (femidome) HORMONAL METHODS • Combined hormonal contraceptives: o Combined Oral Contraceptives (pills) o Combined injectable contraceptives • Progestagen only contraceptives o Progestagen-Only Pills PNP/ POP o Progestagen-Only Injectable Contraceptives o Hormonal implants o Vaginal Ring INTRA-UTERINE DEVICE (IUD) • Copper IUD • Progestin IUD VOLUNTARY SURGICAL CONTRACEPTION • Male / Vasectomy • Female / Tubal Ligation EMERGENCY CONTRACEPTION • Pills • IUD 55 RFHI/JSI Romania Training of RHMs in Reproductive Health Session 4: FP Methods
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Romanian Family Health Initiative A
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2005 - JSI Research & Training Inst
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INTRODUCTION JSI Research and Train
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Acknowledgements This manual was de
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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
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: SUMMARY At the end of this session,
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
Page 99 and 100: Participant document The majority o
Page 101 and 102: Participant document HOW TO USE “
Page 103 and 104: 6. If she recently had a miscarriag
Page 105 and 106: Participant document FREQUENT ASKED
Page 107 and 108: Recommended question: - Are you and
Page 109 and 110: SESSION 6: SAFE MOTHERHOOD - PREGNA
Page 111 and 112: ‣ 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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