Wednesday, January 1, 2014

Reproductive Health Olympics


GLOW Club Lesson Plan

Title: Reproductive Health Olympics
Time: 1 hour 30 minutes
Materials: Flip charts, markers, scissors, poster board, tape, condoms, penis models, condom medals, blindfolds
Competency:
Learning Objective(s):
   Students will better understand reproductive and sexual health through a series of interactive games
Time & Materials
                     Instructional Sequence:
Time: 10-15 minutes

Materials: flipchart, marker
I. Motivation
[Present the topic in a way that prepares participants and sparks interest.]
·   Define the reproductive health and what it takes to obtain it (for both sexes)
·    Identify why learning about reproductive and sexual health will help benefit them
Time: 10 minutes


Materials: flip chart, marker
II. Information
[Present the information that is required to be able to accomplish the objectives.]
·   Students participating should have some prior education about reproductive health, including topics like HIV/STDs, family planning/pregnancy, condoms, etc. Use this time to provide basic background information such as: HIV life cycle/transmission diagrams, STD transmission, info on menstrual cycle/pregnancy, etc. The information you present here should coincide with question asked later during the session in Reproductive Health Jeopardy.

Time: 60+ minutes



Materials: poster boards (with jeopardy questions), markers, tape, flip charts, condoms, penis models, condom medals
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.

Time: 5 minutes



Materials:
IV. Application
[Allow each participant to demonstrate his/her ability to perform each objective.]
·    Ask students to share something new they learned from the activities
·    Encourage students to share information with friends/family and be proactive in their own reproductive and sexual health





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