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III. Practice
[Provide opportunity for participants to practice what they’ve
learned in a safe and reinforcing environment.]
· Reproductive/Sexual
Health Olympics is composed of 4 games described in detail below. It includes
Reproductive Health Jeopardy, Steps of Condom Use, Condom Races, and Condom
Balloons.
Sexual Health Jeopardy
Sexual
Health Jeopardy is a trivia game with topics including: HIV, STDs, Condoms,
True/False, Gender, Pregnancy, Lubrication, etc. Each topic has 5 questions
(100 being the easiest, and 500 being the hardest). Youth should have some
basic background knowledge (that you can review prior to starting the game)
on each of the topics. You can add a question or two that you have not
discussed to spark some thinking and debate. Possible questions for each
topic may include:
HIV:
What does
HIV stand for? Human Immunodeficiency
Virus
What is the
HIV life cycle? When HIV enters the
body, it looks for a CD4 (immune system cell). In order to survive and
reproduce, the HIV virus attaches to the CD4 and transfers RNA. It changes
RNA to DNA and inserts into the CD4 cell, then reverse transcribes into RNA
and leaves the CD4 cell, leaving the CD4 with HIV DNA. CD4 can no longer
defend the body and HIV continues to reproduce. Over time, this will cause
the immune system to decrease, and HIV to take over.
Name 4 ways
HIV can be transmitted. Unprotected
Sex (vaginal, anal and oral), Mother
to Child, Breast-Feeding, Blood-to-blood contact.
What are
the 5 fluids HIV can be transmitted through? Vaginal Fluids, Semen, Pre-ejaculatory fluids, Blood, Breastmilk
Can HIV be
cured? How can you treat HIV? It can
not be cured, only treated with ARTs
STDs:
What does
STD stand for? Sexually Transmitted
Disease; can also be STI (sexually transmitted infection)
How can you
get an STD? From unprotected sexual
contact (Vaginal, anal, oral)
What are 3
symptoms of STDs in women? Itching,
Burning, Abdominal pain, discharge (green/yellow/white
color), odor, etc.
What can
happen if an STD goes untreated? Can
enter late stages of disease and cause serious side effects like rash,
blindness, cancer, or even death.
How do you
get tested for an STD? Provide swab
sample from pap exam or urine sample.
Condoms:
When should
you use condoms? Every time you have
sex (Vaginal, anal, oral)
What are
condoms made of? Most commonly made of
Latex
Can you be
allergic to latex condoms? If so, what else can you use? Yes, you can be allergic, in which case you can use polyurethane
condoms or lambskin
Where can
you get condoms? Drug Store/Pharmacy or
the local Health Office
What are
the steps to using a condom? (see
below)
What can
happen to a condom if it is left in very hot or very cold temperatures? The latex material can become weak and
break during use if left in extreme temperatures.
True/False:
AIDS is the
disease caused by HIV. TRUE
If you put
the condom on the wrong way, you can flip it around and use it. FALSE
The most
common way to get HIV is through sharp objects. FALSE (the most common way is through unprotected sex)
It is best
to wait 3-6 months after a risky sexual encounter to be tested for HIV. TRUE (after the window period)
You can get
HIV from eating dorowot (if the chicken ate a condom). FALSE
Gender:
Which
region has the highest early marriage rate? Amhara
What % of
Ethiopia girls get married before 18? 50%
What is the
best investment for girls to decrease early marriage and HIV rate? Further Education
How many
cases of HIV could be prevented each year if all girls were able to go to
school? 700,000
Pregnancy:
Explain the
menstrual cycle.
What days
are you most fertile? Days 8-20
After what
age is it the safest to have children? It
is best to start having children after age 18
How long
should you wait in between pregnancies? 2
years
Why is it
important to be tested for STDs when you are pregnant/giving birth? STDs can affect the baby and can be passed
during pregnancy or childbirth, causing severe side effects in some cases
Lubrication:
What is the
purpose of lubrication? To create a
smoother surface, to reduce friction and increase sensation
Can you use
a small amount of lubrication on the inside of the condom? Yes (to prevent condom from breaking and
increase sensation for men)
What can
sometimes happen if you use flavored lubrication for vaginal sex? Sometimes flavored lube has high amounts
of sugar and can cause yeast infections in women
Students
should be divided into teams of 5 or 6 people. When students answer a
question correctly, throw them a condom with the points they received written
on the packaging. At the end of the game, have them count up their points on
the condoms and tell you how much they each have. Call up the 1st,
2nd, and 3rd place teams to the front. Give them condom
medals (condoms with shiny colored aluminum foil around them, with ribbon
colored for each medal—bronze, silver, gold) for a reward for receiving the
most points.
Steps to Condom Use:
Ahead of
time, write down the steps to using a condom on a flip chart (you can write
them in the shape of a condom so that it is easier for the students to get
the order correct). Cut out each step individually.
Place the
cut outs upside down (out of order) on the table in front of each team. Have
them race each other to put the steps in the correct order.
Whoever is
the first team to get the correct order, have one team member come to the
front with you, and another read out the steps. As they read the steps out to
you in the correct order, physically show them the steps with a penis model
(have the team member at the front hold the model for you as you show them
how to use the condom).
Steps
include:
Check Expiration Date (if expired, you must throw away
and use another)
Check for bubble/air in center (if no air pocket in condom, it may
have a hole in the packaging, in which case you must throw away and use
another)
Push condom to one side and tear
down perforated side
(make sure they do NOT tear open with teeth)
Remove condom from packaging and
find outside tip of condom
(if they do not find correct side, they could put the condom on the wrong
way. If the condom is put on the wrong way, it must be removed, thrown away
and another must be used [because bacteria/virus/STD/pre-ejaculatory fluid
could be on the penis, and flipping the condom around will only allow that
substance to enter—defeating the purpose of using a condom])
Pinch the tip of the condom and
place on the tip of the erect penis
While still pinching the tip of the
condom, roll the condom all the way down to the base of the penis
Hold the base of the condom while
inserting
Have safe, consensual sex (stress that the desire to have sex
should be consensual, between both people)
Hold base of condom while removing
condom (to prevent
from slipping)
Roll base of condom off and slide
off the tip of the penis
Tie condom in a knot and throw away (to prevent fluids from leaking out
of condom)
Condom Races
Materials
needed: one penis model for each team, 2 condoms for each team member, and a
blindfold.
Round 1:
Have teams race each other to put on and take of condom properly. One member
of each team goes at a time until all members have finished. Once each team
has finished, you can reward with candy to keep them motivated.
Round 2:
Have the teams race again, but with blindfolds on. This is supposed to
represent times where it may be dark or difficult to see when you are putting
condoms on and will allow them to practice by feeling what they need to do
without sight.
Condom Balloons:
Allow for
students to play with condoms—take them out of the packaging and blow them
up. This will allow for them to see just how large and strong condoms are,
plus it will break them out of their shells and get them more open to use
condoms.
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