usapang biba (batangina at batangama)
TRANSCRIPT
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USAPANGBIBA
(Batang InaatBatang Ama)
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AbsoluteRequirementsforUsapang BIBA
1. Minimumof6andmaximumof15participantspersession
2. Ateamof3facilitatorswithatleast2FP-CBTlevel1andAJA-trainedmidwifeornurseavailabletoprovideone-on-onecounselingandFPmethodattheactualsession
3. TemporaryFPcommoditiesavailableandreadyforactualuseordispensingattheUsapan sessionvenue
4. ReferralhospitalorpartnersitereadytoprovideAdolescent-friendlyservices.
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OrganizingUsapangBIBA
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1. Identifyclientswho:-are10-19yearsold;-havegivenbirthandcurrentlynotusinganFPmethod;-hadamiscarriageorabortionandcurrentlynotusinganFPmethod;or-areintheir3rd trimesterofpregnancy
throughRECORDSREVIEW- Masterlist ofadolescents- FP/ANC-EPIIntegration- TCL- BHWs’ListofClients
StepsinOrganizingUsapang BIBA
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2. Inviteparticipantsand(ifpossible)theirparentstoUsapan through/duringthefollowingactivities:
StepsinOrganizingUsapang BIBA
• FDS• MobilizationofBPVs/BHWs
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3. Selectandsetupyourvenue- PreferablyaRHUorBHS- Ensureauditoryprivacy- Designateawaitingareaforaccompanyingparents- Ensurethatthereareavailableserviceprovidersandreferralsystemisinplace
StepsinOrganizingUsapang BIBA
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4. Preparethesuppliesandmaterials- FPcommodities- Equipmentandinstruments(forIUDinsertion)- PosterofFPmethods(limitingORspacing)- Attendancesheet- Materialsforparticipatoryexercises- Form1- Consentform- Snacks(optional)
StepsinOrganizingUsapang BIBA
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5. Finalizearrangementswithserviceprovidersformethodsthatwouldbegivenatalaterdate- Makenecessaryarrangementswithreferralfacilities,privateproviders,anditinerantteams
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6. Prepareyourselfandyouco-facilitators
- Discussandagreeonrespectivetopicsandresponsibilities(counseling,serviceprovision,managingthesessions,etc.)
- AssignonewhowillconductFPtalkwithaccompanyingparents
- Requestassistanceofotherserviceproviders,ifnecessary
StepsinOrganizingUsapang BIBA
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FacilitatingUsapangBIBA
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1.Registration(5 minutes)Asktheparticipantstofillouttheattendancesheet.Checkif
allcellsarecompleted.
Reviewthecolumnonfertilityintention.Anyoneinneedoflimitingmaybedirectedtoindividualcounseling.Onlythose
inneedofspacingshouldremainforthesession.
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2.Introduction(5minutes)
Thanktheparticipantsforcomingtothesession.
Dividethemintopairs.Eachmemberwillintroducetheother(name,numberofchildren,andwhatIobserveabout
her/himtoday).Behumorous.
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3.Expectations(2minutes)Sainyong palagay,bakit kayoinimbitahan dito?Parasaan ba
ang sessionna ito?
Thankthemfortheirtimeandeffort.Emphasizethattheyareallgoingthroughimportantchangesintheirlives,and
congratulatethemforwantingtolearnmoreaboutwhattheycandoasyoungmothers/fathers.Invitethemtogive
everyonearoundofapplause.
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4.Mga pagbabago sa ating buhay (5minutes)Facilitatorrecallsthenumberofchildrenofeachparticipantbeforeaskingthe1st question.1. Anu-ano ang mga dati ninyong ginagawa na hindi na ninyo
nagagawa ngayon?2. Anu-ano ang mga ginagawa ninyo ngayon na hindi ninyo dati
ginagawa?3. Mabigat ba ang responsibilidad ngmayanak/asawa?4. Ano ang gustoninyo parasa inyong sarili?5. Ano ang gustoninyo parasa inyong mga anak?6. Paano ninyo matutupad ang mga plano ninyo sa anak atsa
sarili?
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5.“Plantingrice/corn”exercise (5minutes)
Giveaparticipantsomegrainsofpalay/corn.Askher/himtomake2rowsthatareperfectlyplantedwiththerightamountofspacebetweengrains.Giveanotherparticipantsomegrainsofpalay/corn.Askher/himtomake4rowsthatareplantedclosetogether.
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Paano ang pagtubo ng palay/mais sa dalawang magkaibangtaniman?Alin ang magiging masmasigla atmatatag?Alin angmagbubunga ng masmarami atmaganda?Ano ang mangyayari kungang palay/mais ayitinanim nangsala sa panahon?
RelatethediscussiontoFP,delayingbirth,andproperspacing,aswellasreducingrisksformothersandbabies.
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6.ReproductiveLifePlan(15minutes)
Paramatulungan tayong makapagplano ngpagbubuntis atpanganganak,maari tayong gumamit ngReproductiveLifePlan.
DistributecopiesoftheRLP.
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6.1Introducethetoolbyexplaining:
§ Whatitisallabout:plano sa pag-aanak sa buongpanahong maaaring magbuntis
§ Whattoconsider:isipin ang personalna kalusugan,kalusugan ngbata,mga prioridad atpangarap,atkatayuan sa buhay
§ Howtoplan:sagutan ang mga tanong,tingnan angkabuuan ngplano,isaalang-alang ang rekomendasyonngHSP,baguhin kungkinakailangan,pumili ngFPmethodkunggusto
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6.2Callattentiontothered(orshaded)parts
Givemessageaboutthehealthiestyearstobepregnant,andthedangersof“tooyoung”and“tooold”
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6.3Fillout“name”andencircle“age”
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6.4Answerquestion#1
X
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6.5Answerquestion#2.Verifyresponsebyaskingage/sofchildren
X
X
X
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6.6Answerquestion#3.Verifyresponsebyaskingage/sofchildren
X
X
X
X
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6.7Answerquestion#4.Markalsoifunsure.
X
X
X
X
?
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6.8Answerquestion#5.Allowmultipleanswers.
mag-aral
X
X
X
X
?
mag-abroad
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6.9ReflectandAsk
§ Howtheyfeelaboutthegraph:Ano ang masasabi ninyo sanaging takbo (dalas atagwat)nginyong pagbubuntis?
§ Howthesituationfitsintowhattheywant:Pinagplanuhanba ninyo ito?Naaayon ba ito sa inyong kagustuhan?
§ Howthesituationaffectsvariousaspectsoftheirlife:Mayepekto ba ito sa inyong kalusugan?Sakalusugan ngbata/mga bata?Sainyong mga prioridad atpangarap?
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§ Iftheyintendtohavemorechildrensoon:Makapaghihintay ba kayo?Addresstheirconcerns.
§ Unsureiftheywantmorechildren:Bakit dikayosigurado sa inyong kagustuhan?Addresstheirconcerns.
§ ExplainthebenefitsofHTSPandtherisksofnotusingHTSP(foradolescents,pregnant,post-partum,post-abortion,HP).Recallearlierdiscussion(“plantingrice”)
§ Maygustoba kayong baguhin sa inyong plano?
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6.10FPuse
§ AskaboutFPuse:Mayginagamit ba kayong FPmethod?Addresstheirconcerns.
§ Forpregnant,post-partum,andpost-abortion:discussreturntofertility andrisksofgettingpregnantagain
§ DiscussFPmethods.§ RelateHTSPwiththeiraspirations:Makakatulong ito paramasmagawa ninyo ang inyong mga prioridad atplano
§ Ask:Ano ang pagkakaintindi ninyo sa ipinaliwanag ko?
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7.MethodChoice(2minutes)
MayFPmethodba na gustoninyong gamitin?Markahan ninyo.
X
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8.Closethesession(3minutes)
§ Ask:Maymga katanungan papo ba kayo?Kungwala na,paki-pirmahan ang plano sa itaas atilagay ang petsangayon.
§ Callattentiontothelastpart:Ibahagi ang plano,kumonsulta sa HSPkungmaypagbabago,atpanatilihingmalusog ang pangangatawan.
§ CollecttheRLPs:Hihiramin lang po namin ang inyong mgaplano.
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§ UsingtheAttendanceSheet,updatethelastcolumns.Indicatespecificmethodofchoice.Indicateinthiscolumnifundecidedornotinterested.
§ Ifacceptingamethod,prepareconsentformandFPForm1§ GivebacktheRLPs.§ ThankparticipantsforattendingthesessionandaskthosewhochoseanFPmethodtostayonfortheone-on-onecounseling(withtheparents/guardians)andprovisionofservice.
§ Ifprovisionofserviceisonalaterdate,informthemofthedate,placeandtime,andwhattheyneedtoprepare.
§ Oneofthefacilitatorsshouldalsotalktothosewhodidnotchooseamethod.Explorethepossibilityoffollow-up.
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