Table 1 CHARM2 Intervention Program Outline for Rural Young Couples
SESSION 1 | |
For Men (20–40 min); Delivered by Male Health Provider  • Assess client’s FP knowledge and fertility goals; provide an overview of FP types/effectiveness/availability, encouraging discourse around methods that suit his needs.  • Provide info on maternal and child health benefits of FP, as well as delayed first childbirth  • Assess sex risk of man: extramarital sex; provide basic HIV/STI prevention information  • Briefly assess if a man has discussed FP with his wife; assess & encourage joint FP decision-making  • Highlight the importance of male involvement in FP  • GE issues- son preference  • Review again client’s FP goals; encourage consideration of contraception. For Women (20–40 min); Delivered by ANM  • Assess client’s FP knowledge and fertility goals; provide an overview of FP types/effectiveness/availability, encouraging discourse around methods that suit her needs.  • Provide info on maternal and child health benefits of FP, as well as delayed first childbirth  • Assess sex risk of woman: extramarital sex; provide basic HIV/STI prevention information  • Briefly assess if a woman has discussed FP with her husband; assess & encourage joint FP decision-making  • Highlight the importance of male involvement in FP  • GE issues- son preference, sexual/reproductive control/coercion  • Review again client’s FP goals; encourage consideration of contraception. | |
SESSION 2 | |
For Men (20 min); Delivered by Male Health Provider  • Assess client’s FP goals; review FP types/effectiveness to support these goals, encouraging discourse around methods that suit his needs.  • Review previously identified barriers to FP uptake- such as the desire for sons or pressure from in-laws  • Assess if a man has discussed FP with his wife; practice how to communicate about FP  • Assess marital violence and sexual communication; reinforce non-use of violence and respectful communication; encourage joint FP decision making with wife  • Highlight the importance of male involvement in FP, affection in a sexual relationship  • GE issues- son preference, sexual/reproductive control/coercion  • Review again client’s FP goals; encourage consideration of contraception. For Women (20 min); Delivered by ANM  • Assess client’s FP goals; review FP types/effectiveness to support these goals, encouraging discourse around methods that suit her needs.  • Review previously identified barriers to FP uptake- the desire for sons or pressure from in-laws  • Assess if the woman has discussed FP her husband; practice how to communicate about FP with husband  • Discuss marital violence and sexual communication; reinforce non-use of violence and respectful communication; encourage joint FP decision making with husband  • Highlight the importance of male involvement in FP  • GE issues- son preference, sexual/reproductive control/coercion  • Review again client’s FP goals; encourage consideration of contraception | |
SESSION 3- For Couples Together (20–40 min); Delivered by ANM or Male Provider  • Provide an overview of health benefits and types/effectiveness of FP, including LARC methods; Assess FP goals; Counsel on fertility and FP joint decision-making; Validate Contraceptive Choicesa  • GE issues- son preference  • Discuss marital communication, sexual communication- FP and MSV  • Provide support to obtain methods; follow-up with women regarding satisfaction with contraception every 2 months until satisfaction and safety are confirmed |