Pre-service Education on FP and AYSRH

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.