MODEL POSTABORTION CARE COURSE SCHEDULE
(Standard Course: 6 days, 12 session)

0830-1200

Opening

• Welcome
• Participant Introductions
• Participant Expectations

Overview of Course

• Goals and objectives
• Approach to training
• Review of course materials

Precourse Questionnaire

• Identify individual and group learning needs

Exercise: "How People Learn"

Lecture/Discussion:

• Elements of postabortion care
• Scope of the problem
• Rational for use of MVA

0830-1200

Warmup

Exercise: Review MVA procedure using learning guide

Tour of clinic facilities

Demonstration: Talking with patients

Demonstration: Standard MVA procedure method with patients

Clinic Practice: Divide into three groups (counselors and two groups of clinicians)

Counselors: Practice talking with patients using volunteers/patients

Clinician Groups 1 and 2: Groups alternate seeing patients.

Participants assess each other's performance using learning guides

0830-1200

Warmup

Lecture/Discussion: Pain management for the MVA procedure

Demonstration/Exercise: Paracervical block

Clinic Practice:

Provide postabortion care in the clinic including:

• Initial assessment
• Assessment and treatment of complications
• Pain management
• MVA procedure

Counselors/Clinicians: Practice talking with patients

Clinician Groups 1 and 2: Groups alternate seeing patients.

Participants assess each other's performance using learning guides

1300-1700

Precourse Assessment:

Assess each participant's skills:

• Counseling (role play)
• Pelvic exam (pelvic models)

Demonstration/Exercise: Assemble and prepare MVA equipment

Demonstration: Performing the MVA Procedure

• Photoset
• Pelvic model

Exercise: How to use the Learning Guides for Postabortion Care Clinical Skills and Family Planning Counseling Skills

Classroom Practice: Divide into groups to practice on pelvic model.

Clinicians: MVA procedure

Counselors: Talking with patients about the MVA procedure

Participants assess each other's performance using learning guides

Review of the day's activities

1300-1630

Classroom Practice:

• Initial assessment of MVA patients
• Differential diagnosis of vaginal bleeding
• Principles of emergency postabortion care

Role Play: Verbacaine

Classroom Practice: Divide into teams to practice verbacaine and MVA procedure on pelvic models.

Participants assess each other's performance using learning guides

Review of the day's activities

1300-1630

Clinical Conference

Exercise: Strengthening interpersonal skills

Discussion: PAC family planning counseling

Lecture/Discussion: Postabortion contraception

Role Play: Counseling for postabortion care procedure and family planning

Review of the day's activities

0830-1200

Warmup

Lecture/Discussion:

Assessment and treatment of complications

Clinic Practice: Provide postabortion care in the clinic

Counselors/Clinicians: Practice talking with patients and postabortion FP counseling

Clinician Groups 1 and 2: Groups alternate seeing patients.

Participants assess each other's performance using learning guides

0830-1200

Warmup

Lecture/Discussion: Management of problems and complications during MVA

Clinic Practice: Provide postabortion care in the clinic

Counselors/Clinicians: Practice talking with patients and postabortion FP counseling

Clinician Groups 1 and 2: Groups alternate seeing patients.

Participants assess each other's performance using learning guides.

Clinical Trainer reviews results of Midcourse Questionnaire with each participant.

Competency-based evaluation by clinical trainer using checklist (qualification)

0830-1200

Warmup

Clinic Practice: Provide postabortion care in the clinic

Counselors/Clinicians: Practice talking with patients and postabortion FP counseling

Clinician Groups 1 and 2: Groups alternate seeing patients.

Participants assess each other's performance using learning guides.

Competency-based evaluation by clinical trainer using checklist (qualification)

1300-1630

Clinical Conference

Exercise/Discussion: "Who Has AIDS?"

Discussion/ Videotape/Demonstration: Role of infection prevention (IP) practices in postabortion care services.

• Definitions
• Handwashing and use of gloves
• Processing instruments
• Waste disposal

Demonstration: In simulated clinical area, use the learning guide while demonstrating infection prevention practices for each step of postabortion care.

Midcourse Questionnaire

Review of the day's activities

1300-1630

Clinical Conference

Discussion:

• Establishing/organizing and managing postabortion care services
• Linkages to other reproductive health services
• Maximizing access to MVA services
• Policy issues
• Problems and constraints to postabortion care service delivery in participant's clinical setting

Review of the day's activities

1300-1630

Clinical Conference

Discussion: Assessing and improving quality of postabortion care services

Closing

• Review course accomplishments relative to objectives, training methods and materials
• Course evaluation by participants
• Certificate distribution