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Training of Roma Health Mediators in Reproductive Health

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Us<strong>in</strong>g the tra<strong>in</strong>er’s document Standard Days Method, make a short presentation <strong>of</strong> the<br />

method.<br />

[Note: keep the presentation as simple as possible, without too many details that could<br />

overloaded participants]<br />

‣ How many beads do you have?<br />

32 beads<br />

‣ What this might mean?<br />

Women hav<strong>in</strong>g menstrual cycles longer than 32 days cannot use the SDM/Cycle Beads.<br />

Invite participants to observe that a dark brown bead is on each cycle and ask them to<br />

count the number <strong>of</strong> beads between the first day (menstruation) and this bead. Ask:<br />

‣ How many beads there are before the dark brown bead?<br />

26 beads<br />

‣ What this might mean?<br />

Women hav<strong>in</strong>g menstrual cycles shorter than 26 days cannot use the SDM/Cycle Beads.<br />

Expla<strong>in</strong> how the beads are used:<br />

• On the first day <strong>of</strong> your period, move the r<strong>in</strong>g to the red bead. Also mark that day<br />

on your calendar.<br />

• Every morn<strong>in</strong>g move the r<strong>in</strong>g to the next bead. Always move the r<strong>in</strong>g <strong>in</strong> the<br />

direction <strong>of</strong> the arrow, from narrow to wide end. Move the r<strong>in</strong>g even on days<br />

when you have your period.<br />

• If you forget whether you moved the r<strong>in</strong>g, check <strong>in</strong> your calendar when your<br />

period began. Count the days s<strong>in</strong>ce your period began and move the r<strong>in</strong>g the same<br />

number <strong>of</strong> beads start<strong>in</strong>g with the RED bead.<br />

• When the r<strong>in</strong>g is on a BROWN bead you can have sexual <strong>in</strong>tercourse. These are<br />

days when pregnancy is very unlikely.<br />

• When the r<strong>in</strong>g is on a WHITE bead day, avoid unprotected sex. These are days<br />

when you can get pregnant if you have unprotected sex.<br />

• The day your next period starts, move the r<strong>in</strong>g to the RED bead aga<strong>in</strong>. Skip over<br />

any rema<strong>in</strong><strong>in</strong>g beads. Your period signals that a new cycle has started.<br />

• Contact your provider if you start your period before you put the r<strong>in</strong>g on the<br />

DARK BROWN bead. Also contact your provider if you have not started your<br />

period by the day after you put the r<strong>in</strong>g on the last BROWN bead. In these<br />

situations it is possible that this method may not be appropriate for you.<br />

[Note: demonstrate CycleBeads us<strong>in</strong>g while you expla<strong>in</strong> these, and <strong>in</strong>vite participants to<br />

do the same]<br />

83<br />

RFHI <strong>Tra<strong>in</strong><strong>in</strong>g</strong> <strong>of</strong> RHMs <strong>in</strong> <strong>Reproductive</strong> <strong>Health</strong> Session 5: SDM

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