Content | Tutors’ comments |
---|---|
Day 1: Fundamentals of contraception | |
| This led to discussion about recent deaths from septic abortion and missed opportunities to discuss contraception. Lively flipchart session to draw out prior knowledge and discuss the advantages, disadvantages and efficacy of methods. Participants struggled to remember physiology and explain rhythm method. Moon beads were a useful visual aid. Group work drawing anatomy did build on prior knowledge. Hospital surgeon's talk on sterilisation was well received |
Day 2: Methods | |
| Intensive day with PowerPoint presentations about each method. Interspersing this with small group sessions using flipcharts, case discussion, MEC wheels, videos and practice with models helped maintain interest |
Day 3: Contraceptive counselling | |
| An HIV ‘expert patient’ demonstrated the promotion and use of male condoms. Few had seen female condoms before. Session based on WHO counselling tools. Substantial time was given to role play, allowing participants to consolidate their knowledge of methods and side effects |
Day 4: Sexual health/practical skills | |
| Session based on Uganda guidelines for vaginal discharge, pelvic pain, genital ulcers and urethral discharge in men. Participants recreated algorithms using pre-prepared post-it notes. Quiz and case discussion on teenage STIs. Parallel groups had case discussions, videos and observation of procedures with clinic patients who had consented to this. (This worked well, but no IUDs were fitted that day) |
Day 5: Reaching target groups | |
| Slide presentation and brainstorming on ways to make SRH services more accessible to teenagers. After an introduction by a health promotion worker, groups of three to four trainees spent 30 min preparing health promotion talks for the rest of the group who role played the target audiences |
MCQ, multiple choice question; MEC, medical eligibility criteria; SRH, sexual and reproductive health.