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Training of Roma Health Mediators in Reproductive Health

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Expla<strong>in</strong> that the movement <strong>of</strong> the r<strong>in</strong>g could be a little difficult at the beg<strong>in</strong>n<strong>in</strong>g, but <strong>in</strong><br />

time this will be easier.<br />

Distribute participants the Cue-card Standard Days Method (Cycle Beads). Check if they<br />

have any questions and expla<strong>in</strong> that this job-aid will help them to conduct discussion with<br />

clients <strong>in</strong> their communities, us<strong>in</strong>g the draw<strong>in</strong>gs to expla<strong>in</strong> the method.<br />

Summarize:<br />

• CycleBeads are based on a natural family plann<strong>in</strong>g method called the Standard<br />

Days Method (SDM). This method is more than 95% effective when used<br />

correctly.<br />

• A woman can use this method if her cycles last between 26 and 32 days. To use it<br />

effectively, the couple needs to avoid unprotected <strong>in</strong>tercourse on days when the<br />

woman can get pregnant.<br />

II.<br />

EVALUTION OF CLIENTS FOR SDM USING (20 m<strong>in</strong>utes)<br />

Ask participants:<br />

‣ Who can use this method?<br />

Note their answers on the flipchart<br />

Possible answers:<br />

• Women who have the cycles between 26 and 32 days<br />

• Couples who jo<strong>in</strong>tly decided to avoid a pregnancy<br />

• Couples able to avoid <strong>in</strong>tercourse for 12 days (dur<strong>in</strong>g the fertile perioad)<br />

• Couples at no risck for sexually transmited <strong>in</strong>fections<br />

If the list provided with participants’ <strong>in</strong>puts is not <strong>in</strong>clud<strong>in</strong>g all the above criteria, add<br />

them on the list and expla<strong>in</strong> their importance. Emphasize that the method addresses to a<br />

couple and is very important to ask woman questions which will help her to th<strong>in</strong>k about<br />

method appropriateness for her and her partner.<br />

Underl<strong>in</strong>e “cycles between 26 and 32 days” on the list. Rem<strong>in</strong>d participants what<br />

menstrual cycles means.<br />

Demonstrate how one can determ<strong>in</strong>e if the client’s menstrual cycle length is 26 to 32<br />

days, us<strong>in</strong>g a list <strong>of</strong> questions and a calendar:<br />

[Note to the tra<strong>in</strong>er: prepare <strong>in</strong> advance a flipchart with one month calendar with big<br />

figures, visible to all participants]<br />

Ask the follow<strong>in</strong>g questions:<br />

• Do your periods usually come when you expect them?<br />

• When was the first day <strong>of</strong> your most recent period? (note the day <strong>in</strong> the calendar<br />

on the flipchart)<br />

84<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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