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Pre-service Education on FP and AYSRH

Learn about the importance of counseling in helping clients make informed choices in family planning and adolescent and youth sexual and reproductive health. Explore effective counseling skills, role-play practice, and case studies.

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Pre-service Education on FP and AYSRH

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  1. Pre-service Education on FP and AYSRH Session I Topic 2 Counseling

  2. Voluntary Informed Choice Meaning: • Informed choice is a voluntary, well-thought out decision that a person makes, based on information given, counseling received and understanding gained. Requirements for Success: • Accurate information, clearly given, ensuring client has understood. • A wide variety of contraceptive methods provided without pressure or provider bias to make a specific choice. • Need to feel confident about the information and that use of FP will be safe and beneficial to them, their children, spouse/partner and family. • When she can start the method and when it can start to be effective. On that day is always the best

  3. Helping Clients to make a Voluntary informed choice • Client should understand all the information accurate and complete • Misunderstanding must be cleared up • Client must see and touch the method • Information must be client focused • Use effective counseling skills • For a client who does not want a child for many years or does not want anymore children, start with long acting methods like IUD or implants or permanent methods

  4. Effective Counseling Skills • Establish good interpersonal relations and environment of respect and trust • Ask open ended questions • Ask appropriate closed ended questions • Active listening • Be encouraging • Paraphrasing • Observe and respond to non-verbal cues • Use visual aids, let her touch and feel methods • Respect her rights

  5. Role-Play Practice Counseling Skills Role Play Objectives: • Identify Counseling skills • Practice using counseling skills Instructions • Observe and take note to skills used by the provider • Use the checklist. • While you prepare for role –play ask participants to read the checklist • Each participant will be required to share their observation

  6. Balanced Counseling • Role Play 2 Objectives • Identify the stages of balanced counseling • Identify the content of each stage. • Identify the counseling skills and client’s rights used. Instructions • Listen to what provider says and record each stage and why? • Listen to the discussion between provider and client in each stage • Observe what she does about the family planning method that makes the counseling centered on Sara’s situation • Record and be ready to share in plenary. • Be ready to perform return demonstration role play and give each other feedback

  7. Stages Balanced/Client Centered Learning Stages 1: Pre-choice Getting to know client and her reproductive health needs, what she already knows and used and her situation – good experience, fears or problems with method, joint decision making, preferences. • Eliminate: what seems not to be suitable for her. Stage 2: Choice • Focusing and further elimination of contraceptive methods as relevant. • Helping voluntary choice

  8. Stages Balanced/Client Centered Counseling Stage 3: Post Choice • Giving more information about the chosen method. • Reaffirming choice, ensures understanding. Stage 4: Providing Method • Screening • Method administration and post administration instructions • Scheduling return visits

  9. Case Study Topics • A 15 year old school girl • A couple • Commercial sex worker • Immediate Post - partum client who has come with baby for BCG, DPT and Polio Zero • Mother who has brought her baby for DPT and Poli0 1. • A woman who has come for HTC because her husband has multiple sexual partners • An HIV positive mother • A woman who says she cannot use FP methods for religious reasons • A woman who has come for treatment of an unsafe abortion, she says she fears FP methods. • A 20 year old student who has just been treated for a miscarriage, she is newly married. • A man who has three wives and says he is tired of his wives producing, he only ever planned to have 4 children, and now between the 3 wives he has 7 and one on the way. He wants family planning methods he can give them himself.

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