Adolescent Reproductive Health (ARH) Teacher’s Training

CONSUELO
ZOBEL ALGER FOUNDATION
MAY 2-4, 2018

TRAINING OBJECTIVE:
At the end of the three-day training workshop, the participants
would be able to:
 Undergo a pre-test to assess each individual’s level of
knowledge of adolescent reproductive health (ARH).
 Discuss the content of the ‘RH AND HIV-AIDS curriculum’
developed by the foundation for adolescent development and
Consuelo foundation.
 Participate in an experiential run of select lesson contained in
the three (3) units of THE ‘RH AND HIV-AIDS curriculum’
 Work in teams to facilitate select lessons in the ‘RH AND HIV-
ADIS curriculum’ through return demonstration.
 Plan the immediate application of the lessons contained in the
‘RH AND HIV-AIDS curriculum’

HOUSE RULES:
COME ON TIME
RESPECT OTHER PEOPLE’S IDEAS AND VALUES.
SHARE ONLY WHAT YOU ARE WILLING OR COMFORTABLE TO
DISCLOSE TO OTHERS
BE SENSITIVE AND GENTLE. AVOID MAKING JUDGEMENTAL
COMMENTS.
SHARE THE RESPONSIBILITY
L.E.A.R.N TEAMS
 LEAD IN THE MORNING PRAYER AND CLOSING ACTIVITY
 ENERGIZER AND INVIGORATE THE GROUP
 ASSIST THE FACILITATORS & PARTICIPANTS
 NURTURE GROUP PARTICIPATION AND HARMONY

May 2, 2018
First day

6-00 am - Breakfast

8:30 am –Registration at Big shift Venue/Pre-Test

9:00 am

The Adolescent Reproductive Health (ARH) Teacher’s Training

started with a prayer and introduce what Consuelo Foundation is?
Mr. Nic Torre explain the work of the foundation and when it started
the operation and he welcome all the participants of the training.
Mr. Nic Torre-Program Director of Consuelo Foundation gave us the
latest statistic.

− In every 1 out of 10 young women had their first child.

− 4 out of 20-24 young women are mothers and some of them

they have only 5,000 pesos monthly income.

Education Attainment Some of Young People

50%
0.44
45%

40%

35%

30%

25% 21%
20%

15%

10%

5%

0% Series 1 Series 3
Elementary Collage

- 15% are live in partners

- 19% girls have started a sexual activity wala pang 24 years

old.

BACKGROUND/RATIONALE
 LSSP goals of enhancing the lives disadvantage youth, and
prevention of CANE ( child abuse, neglect and exploitation)
 Youth’s lack of awareness about reproductive health, including
HIV/AIDS
 Role of FAD (Foundation of Adolescent)
 ARH work by YATTA
STAGE IN THE CURRICULUM DEVELOPMENT

 Consultative Meeting
 Focus Group Discussion
 Training Instructor
 Draft Curriculum
 Pilot testing
 Feedback Workshop
 Focus Group Discussion with Student

Overview of the RH & HIV/AIDS Curriculum

 TOPIC
UNIT 1 UNDERSTANDING REPRODUCTIVE HEALTH
UNIT 2 FOCUSING ON ADOLESCENT REPRODUCTIVE HEALTH
UNIT 3 HIV/AIDS AND OTHER SEXUAL RISK IN REPRODUCTIVE
HEALTH
UNIT 4 PLANNING THE ADOLESCENT’S FUTURE
TOPIC
UNIT 1 UNDERSTANDING REPRODUCTIVE HEALTH 7
UNIT 2 FOCUSING ON ADOLESCENT REPRODUCTIVE 9
HEALTH
UNIT 3 HIV/AIDS AND OTHER SEXUAL RISK IN 10
REPRODUCTIVE HEALTH
UNIT 4 PLANNING THE ADOLESCENT’S FUTURE 5

TOPIC LESSON
UNIT 1 UNDERSTANDING REPRODUCTIVE LESSON 2: HEALTH
HEALTH IS WEALTH
LESSON 3: FUN
WITH ANATOMY
UNIT 2 FOCUSING ON ADOLESCENT LESSON 1:
REPRODUCTIVE HEALTH CHANGES
UNIT 3 HIV/AIDS AND OTHER SEXUAL RISK LESSON 8: THE
IN REPRODUCTIVE HEALTH INVISIBLE THREAT
LESSON 9: ABC OF
PREVENTION
UNIT 4 PLANNING THE ADOLESCENT’S LESSON 1:
FUTURE UNWELCOME

UNIT 1
LESSON 2:

HEALTH IS WEALTH

WHAT IS HEALTH?

OBJECTIVES:

 Define reproductive health

 Explain what comprises reproductive health
 Understand the importance of addressing one’s reproductive
health issues.
 What is Reproductive Health?

Reproductive health is the state of complete physical, mental and

social well-being, and not merely the absence of disease or
relating to the reproductive system, its function and processes.

RH is not only just having a healthy and functioning set of

reproductive organs but it also refers to the following:

 Not having any field of infection, disease, or abnormality, in

the reproductive system
 Being able to control one’s sexual urge.
 Being comfortable with one’s sexual ability
 Having relationship with other people that do not
endanger. One’s health or other people’s health, and do
not violate one’s own or other people’s value

STATI
Among 19,178 respondents showed 1 out of 3 Filipino youth had

STIC
premarital sex (early sexual encounter), most of them young adults
aged 20-24(54%)

(2013 young adult fertility and sexuality study, commission on

population)

In 2002, the number of female teenagers, who reported being

pregnant had more than double from 6.3% to 13.6% in 2013.

(2013 young adults fertility and sexuality study, commission on

population)

One in four Filipino youth already have children, 38% were unaware
of the risk of unsafe sex, and 14% have contemplated suicide.
(Latest national youth assessment study, NYAS2015)

In 2010, 168 Filipina mothers under the age of 20 died giving birth,
four of them under the age of 15

8.3% of the total number of infant deaths were born to mothers

aged below 20 years old. (Commission on population)

19.2 million young people in the Philippines, the survey translated to

1.4 million youth who had engaged in casual sex, 600,000 who had
experienced having FUBU, and 1 million young men who had sex
with other men. (Family Health Survey of the National Statistic
office, 2011)
Contraceptive prevalence (% of women ages 15-49) in Philippines
was reported at 55.1% in 2013

Contraceptive prevalence rate is the percentage of women who are

practicing or whose sexual partners are practicing, any form of
contraception. It usually measured for married women ages 15-49
only. (Word Bank Research Indicate)

10 element of Reproductive Health:

1. Education on sexuality
2. Prevention and treatment of infertility and sexual disorders
3. Breast and reproductive tract cancers and other gynecological
conditions
4. Prevention of abortion
5. Maternal and child health
6. Family planning
7. Violence against women
8. Men’s reproductive health
9. Prevention & control of sexually committed infection )
sexuality control
10. Adolescent reproductive health

Key messages

Reproductive health is part of one’s overall health.

Reproductive health is the state of complete physical, mental, and
social well-being, and not just the absence of any disease, in all
matters relating to reproductive system, its function and processes.
Anything that you do to your reproductive health today will have an
impact on your future, whether you get married or remain single.

Energizer:

What is your favorite part of your body?

Write your nickname using your favorite part of your body.

Sing: Paa at Tuhod…

Unit 1
Lesson 3: fun with anatomy
Objection:
At the end of session, the participants will be able to
 Identify the parts of the male and female reproductive
system and functions.
 Demonstrate ease in using words to describe the
reproductive parts of male and female anatomy
 Start enabling process leading to a positive attitude
towards their reproductive anatomy.

Activity:

Identify the reproductive parts of male and female.

Male reproductive parts:

 Bladder  Anus
 Prostate  Vas Deferens
 Penis  Testis
 Urethra  Tunica Vaginalis
 Rectum  scrotum
 Seminal Vesicle

Female Reproductive Parts:

Labia Majora Urethra

Labia Minora Vagina
Clitoris Anus

Female Internal Reproductive System

 Fallopian Tube  Endometrium

 Uterus  Cervix
 Uterine Cavity  Ovary
 Vagina

Key Messages:
Each part of the reproductive system has a special purpose
and function in the human body. One needs to be comfortable
talking about the parts of the reproductive system in order to
begin having better perspective of reproductive health.
Each part of the reproductive system has a special purpose
and function in the human body, one needs to be comfortable
talking about the parts of reproductive system in order to
begin having better perspective of reproductive health.
Regular self-examination of and care for one’s reproductive
system should be taken to avoid reproductive health problems
like sexual transmitted infections.

Each part of the reproductive system has a special purpose

and function in the human body. One needs to be comfortable
talking about the parts of the reproductive system in order to
begin having a better perspective of reproductive health.
Regular self-examination of and care for one’s reproductive
system should be taken to avoid reproductive health problems
like sexually transmitted infections.

Unit 2
Lesson 1: changes
Activity 1: identify the changes in a boy and girl

Physical changes
Female changes

Breast budding (1st change)

[Completed between ages 13-18 years old]
Growth of bony pelvis (2nd Change)
[Broad hips for child-bearing]
Growth spurt (3rd change)-average spurt ends at 14 years old
Pubic hair (4th change)-kinky pubic hair signals max of growth
spurt; signal 1st menstruation is approximately 6-months – 1
year away.
First menstrual period (5th change)
Underarm hair and coarser body hair (6th change)
Oil and sweat producing glands (7th change)
Completion of the growth of uterus and vagina (8th change)

Male changes

Growth of testes and scrotum (1st change)

Marks the start of adolescent in boys
Reddening and wrinkling of scrotal skin occurs.
Testes continues to produce sperm and male hormones.
Growth of straight pubic hair (2nd change)
Darker, coarser, and curlier
First ejaculation (3rd changes)
About one year after testicular growth, which comes in the
form of wet dreams.
Growth spurt-arms, legs, penis, 14 years old-average increase.
(4th change)
Voice change – deepening of voice due to enlargement of
larynx (5th change)
Growth of underarm and coarser body hair (6th change)
Activation of oil and sweat glands – increase production of
androgen hormones (7th change)
Facial hair – beard – badge of manhood (8th change)

EMOTIONAL CHANGES

Key messages
Adolescent is a time of physical changes. It is natural for
teenagers to become conscious of these bodily changes.

Adolescent is also period of emotional changes.

The physical and emotional changes that takes place during

their adolescent years are a natural part of their development
as a person.

A positive attitudes toward this stage and its accompanying

changes is important in helping an adolescent manage his or
her transition to adulthood.

Day 2
May 03, 2018

6:30 am: breakfast

8:00 am: Warming Up Brains
9:00 am: activity time
10:00 am: lecture
12:00 pm: lunch
1:00 pm; lecture
2:00 pm meeting and preparation for return demonstration
per group for day 3
3:00 pm break time
4:00 pm wrap up and reminders
5:00 pm rest

LEFT AND RIGHT BRAIN FUNCTION

Left brain functions

Analytic thought Right- brain function
Logic Holistic thought
Language Intuition
Science and math Creativity
Art and music
 Brain Gym: basic Elements
 Water
 Brain Buttons
 Cross Crawl
 Hook Ups

Unit 3
1. Point of return: sexual Intimacies and their possible
Consequences
2. Refusal: Strategies in saying no to sexual intimacies
3. Too early: impact of unplanned pregnancy among pregnancy
4. Child or choice? Knowing the truth about abortion-seeking
behavior
5. Making a Stand: An overview on violence against women
6. Looks can be deceiving: Fact the truth about sexually
transmitted infection
7. Controlling the itch; Management and prevention of sexually
transmitted infections
8. The invisible threat: understanding the myths and facts on
HIV/AIDS
9. ABC of prevention: HIV/AIDs management and prevention
10. Taking charge; Responsible sexual behavior in
action among teenagers

UNIT 3
LESSON 8 AND 9

 THE INVISIBLE THREAT

 ABC OF PREVENTION

At the end of the session, the participants will be able to:

 Define HIV and AIDS

 Identify bodily fluids that contains the highest concentration of
HIV.
 Enumerate the different models of transmission of HIV
 Explain how HIV destroy the immune system.
 Differentiate facts from myths on HIV/AIDs
 Recognize the different strategies in the management and
prevention of HIV infection. (Lesson 9)

Facts or Myths
Mosquitoes can spread HIV

Answer: Myth

Kissing does not transmit the virus

Answer: Fact

Aids can only be acquired by having sex with a prostitute

(commercial sex worker) or with homosexual

HIV
The human immunodeficiency virus (HIV) infects cells of immune
system, destroying or impairing their function. Infection with the
virus result in progressive deterioration of the immune system,
leading to “immune deficiency” the immune system is considered
deficient when it can no longer fulfill its role of fighting infection and
disease. Infections associated with severe immune deficiency are
known as “opportunistic infections”, because they take advantage
of a weekend immune system.

AIDS
 A serious disease caused by a virus that destroy the body’s
natural natural protection
 The most severe phase of HIV infection. People with AIDS have
such badly damaged immune systems that they get an
increasing number of severe illnesses, called opportunistic
infections.

Body Fluids that can transmit HIV:

1. Blood
2. Semen
3. Vaginal or Cervical
4. Breast Milk

YOU CAN GET HIV VIA…..

Sex without condom

Passed from mother to baby

Sharing injecting equipment

Contaminated blood transfusion & organ transplant

HIV CAN ONLY INFECT HUMAN BEING

How HIV invades the body:

 a) A sufficient amount of virus enters the body through an
opening into the bloodstream, such as open wound.
b) Once inside, the virus fuses with the body cells, specifically
the CD4 cells.
c) When inside the cell, the virus becomes one with cell

HIV ATTACKS YOUR T-CELLS AND USES THEM TO MAKE COPIES OF

ITSELF.

How HIV invades the body:

 This infected cell will reproduced or multiply, thus increasing

the number of infected cells. It must be noted that the body
does not recognize these abnormal cells, thus continuously
multiply,. As a result, these infected/abnormal CD4 cells can
no longer function normally, thus in the absence of CD4 cells,
the immune system is paralyzed.

STATISTIC
 UNAIDS ranked the Philippines with the highest increase of
new HIV incidence in the past six years. According to the
report, while the annual number of new HIV infection in Asia
and the pacific has declined 13% from 2010 to 2016, there
was a 141% increase in the Philippines over the same period. (
National Youth Commission-Philippines)
 At the end of 2016, there were 10,500 Filipinos infected with
human immunodeficiency virus (HIV) up from 4,300 in 2010
 May 2017 alone saw 1,098 new cases of HIV infections in the
Philippines, the highest recorded number of cases since 1984
when infections were first reported. (UNAIDS)
 Two out of three new HIV infections were among 15 to 24
year-old men, who have insufficient awareness of HIV, its
symptoms and treatment.(UNAIDS)

Activity: ABCDE Dance

A -bstinence

B-e mutually faithful

C-orrect & consistent use of condoms

D-on’t use unsafe injectable drugs

E-ducate yourself

a. Ensure that blood is screened for blood related infections,

which includes HIV, Prior to transmission.
b. Encourage Voluntary Blood Donation
c. Use disposable needles and syringes only once and discard
them properly
 d. Sterilize non-disposable needles and syringes after every use
e. Sterilize instruments used for circumcision , ear, and body
piercing, tattooing, acupuncture, as well as those used for
minor surgical or dental procedure
f. Pregnant women infected with HIV/Aids should be informed
that there is 20 to 40 percent chance they can pass on the
infection to the infant during pregnancy or delivery
g. They should be informed that breast feeding the baby can
also transmit the infection
h. Should they need information on the different methods to
avoid pregnancy, family planning services should be made
available in addition to condom use

Key Messages
One cannot tell if someone has HIV/AIDS just by looking at him or
her.

HIV does not discriminate. Anyone can be infected if one

practices risky sexual behaviors such as engaging in casual sex
or having multiple sexual partner

Once HIV enters the body, it will stay there for life. There is no
vaccine or cure for HIV/AIDS

Abstinence from sex is the most guaranteed form of prevention

against the transmission of HIV among adolescents.

Mutual fidelity and correct and consistent use of condoms are

effective strategies in protecting sexually active youth against
HIV infection.

Voluntary testing for HIV infection is a responsible act of

managing and preventing the spread of HIV/AIDS.

Unit 4
Lesson 1
Unwelcome
Objective:
At the end of the session, the participants will be able to:
 Define sexual harassment
 Explain the different types and examples of sexual
harassment
 Understand the reason why sexual harassment occurs and
why victims do not report to proper authorities.
 Identify the effects of sexual harassment on its victims
 Recognized specific measures they can take when confronted
with sexual harassment and organizations they can approach
Activity
Make a Skit per sexual harassment
 Sexual Harassment
Comprises any unwelcome sexual advances, request for sexual
favors, and other verbal or physical conduct of a sexual nature,
which usually interfere with a person’s work or academic
performance by creating an intimidating, hostile, or offensive
working, learnings, or social environment.

Three Types of sexual harassment:

1. Physical: employs actions, gesture, moves and advances that
are sexually suggestive and coercive
2. Verbal: uses spoken words, comments or conversation that
are sexual in nature and content
3. Visual: displays words, statement and pictures or videos that
are pornographic or sexually malicious in nature and content

Causes of sexual harassment

 Traditional sex roles
 Machismo
 Proliferation of tabloids, magazine and video where woman
are objectified
 Demonstration of power
 Silence of victims
Effect of harassment:
 Reduced motivation and productivity at work or in class
 Abrupt resignation from work or dropping of subject
 Psychological trauma
 Withdrawal from people
 Depression