Report of The Sexual and Reproductive Health and Rights Training
Report of The Sexual and Reproductive Health and Rights Training
Contents
Page
Introduction 4
1. Background of Akhaya Women 5
2. Aim and Objectives of Training 6
3. Venue and Participants 6
4. Methodology 7
5. Content and Proceedings 7
5.1. Session 1: Attitude and Sexuality
5.2. Teenage and Sexual and Reproductive Health and Rights
5.3. Control over our own body
5.4. Reproductive Health and Sexual Health
6. Session 1: History of sexuality and prejudices 10
6.1. a. Women power and menstrual blood
6.1. b. Religious – put all into religious
6.1. c. Misunderstanding, sayings, proverbs, misbelieves
6.2. Sexual Rights and Responses
6.3. International framework
7. Observations and Keys Findings on the Training 12
8. Action Plan by the participants 13
9. Pre and Post-Tests Analysis 13
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List of Acronyms
3MDG Three Millennium Development Goal Fund
AEI Accountability, Equity, Inclusion
AYO Ar Yone Oo
CAD Community Agency for Rural Development
Community Driven Development and Capacity
CDDCET
Enhancement Team
COM Charity Oriented Myanmar
MAM Medical Action Myanmar
MANA Myanmar Anti-Narcotics Association
MHAA Myanmar Health Assistant Association
MMA Myanmar Medical Association
ACF Action Contre La Faim
PTE Phan Tee Eain
SARA Substance Abuse Research Association
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Introduction
The 3MDG Fund was established in 2012 to provide joint donor support to address the basic health needs
of the most vulnerable people in Myanmar.
Across Myanmar, levels of maternal and child mortality are high, and most deaths are from preventable
causes. Among specific diseases, the leading causes of death and illness are tuberculosis (TB), malaria and
HIV/AIDS. There are significant inequalities in health status and in access to affordable, quality health
care, especially in rural and hard-to-reach areas and among the most vulnerable populations. Health
system challenges undermine the capacity of the public sector to deliver basic health care.
Beyond gains in terms of averted deaths, better health and improved well-being, global evidence shows
that making the right investments in health is critical for economic growth and development. Health
improvements accounted for about 11% of economic growth in low- and middle-income countries
between 2000 and 2011.1 Improving access to and quality of health services is critical to ensure that
citizens of Myanmar are healthy and enable them to become a more productive workforce for the
country’s growth and development.
In partnership with the Government of Myanmar and others, the 3MDG Fund aims to have a significant,
timely and nationwide impact, improving maternal, newborn and child health, and combating HIV and
AIDS, TB and malaria. It will also strengthen the structures and institutions that deliver sustainable,
efficient and responsive healthcare across Myanmar, extending access for poor and vulnerable
populations to quality health services.
By pooling the contributions of seven bilateral donors - Australia, Denmark, the European Union,
Sweden, Switzerland, the United Kingdom and the United States of America - 3MDG promotes the
efficient and effective use of development funds. It is managed by the United Nations Office for Project
Services (UNOPS).
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REPORT OF THE SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS TRAINING
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REPORT OF THE SEXUAL AND REPRODUCTIVE HEALTH AND RIGHTS TRAINING
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The Sexual and Reproductive Health and Rights Training 25 – 26 May 2016
Number of Total – Participants (Female-17 ), (Male-7)
Participants
Project Managers, Coordinators, M&E Officers, AEI Focal Points, Training and Project
Profile of Assistants
Participants
Save The Children, Burnett Institute,
Rainbow, Phan Htee Eain, Myanmar Medical
The Three Millennium Development Association, Triangle Women Support
Goal Fund (3MDG) Health for All Group, Community Agency for Rural
team, Marie Stopes International, Development, Myanmar Anti-Narcotics
International Office of Migration, Association, Ar Yone Oo, Substance Abuse
Population Service International Research Association, Medical Action
Myanmar, Myanmar Health Assistant
Association, Bright Future, CDDCET, COM
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4. Methodology
In the two-day training / 2 batches, facilitators used a participatory approach and facilitated two-way
discussions. Participatory games and sensitization exercises, Information, Education and Communication
materials were used as training tools. The trainings were conducted in Myanmar language.
5. Content and Proceedings
Welcome and Introduction
Agenda Introduction. (Annex 1)
Training pre-testing questionnaires were distributed to participants at the beginning of the
training to evaluate the effectiveness of the training. (Annex 2)
Firstly, 3MDG welcomed the participants, gave the welcome remarks and explained the
objectives of the Sexual and Reproductive Health and Rights (SRHR) Training. Then, 3MDG
explained why SRHR Training is important and it was arranged to develop technical capacity of
Implementing Partners.
After the 3MDG’s welcome remark, Akhaya Women explained about its organization and
expressed their gratitude to 3MDG and participants for taking part in this training.
After that, participants were asked to introduce themselves to each other and their expectations on the
training through a short game.
It was two-day training and 2 batches of training were provided. The results are combined and
presented as follows.
5.1 Session 1: Attitude and Sexuality
Aim:
To understand the broad meaning of sexuality
To understand sexuality is influenced by different attitudes
About 10 statement to be read out
Participants to stand in Agree or Disagree upon their perspectives
Attitude Game: about 10 statements to be read out and Participants to stand in Agree or Disagree upon
their perspectives
1. I would not allow my 5 yr old boy, girl naked in-front of her father
2. I will teach my younger siblings that sex organs are dirty
3. Women are responsible for the birth control.
4. It is good to have sexual intercourse before marriage.
5. It is acceptable to have sexual intercourse without love.
6. Men need sexual intercourse more than women.
7. Men are reluctant to marry Women who initiate sexual act
8. Only men can initiate sexual act.
9. I’ll get angry if someone of the same sex asks me to have sexual act.
10. I would feel comfortable if I found myself attracted to a member of my sex.
Note: It is a game and it was sort of ice breaking to make the participants comfortable to start.
Conclusion: For Attitude and sexuality, when we played the game agree or disagree, most of participants
were not open-minded but facilitator observed and designed to communicate more in the next
discussion sessions.
With the encouragement of facilitator, the following phrases came out from the participants.
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The groups’ participants were able to draw out the following key points
Brain is the most important organ relate to sexual harassment
Kids touching lips and sex organ, we see differently
Female have different erogenous zones – so female are not sex objects
Men sexuality is not uncontrollable and should take responsibilities
For Teenage and Sexual Rights and Health Rights attitude, the male participants discussed the practices
of teenage girls and the female participants’ side also discussed the behaviors of teenage boys. In that
section, all participants talked opening and correctly. They noticed the difference of practices and
thinking between boys and girls but they did not why.
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Buddhism itself sees nothing Christianity: that a simple Islam: ‘It is an impurity, so keep
especially impure about monthly period is “impure”—but away from women during it and
menstruation—nothing more they rarely go to the extreme of do not approach them until they
impure than all other bodily isolating a woman from the are cleansed; when they are
functions, which are generally general community as if she cleansed you may approach
deemed to be evidence of filthy were a leper. The most anti- them as God has ordained….
rotten leaking impurities on the menses strains of Christianity are
physical plane found among the Eastern
Orthodox Church
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Participants’ response: But most Participants’ response: where Participants’ response: During
of Buddhism’s prohibitions women are forbidden from her period a woman is
against menstruation—such as receiving communion while on considered unclean, but the only
forbidding women from entering their period. restrictions are that she not have
temples during their period—are sex, touch a Quran, or enter a
thought to be vestigial customs mosque for a full week. She must
inherited from Hinduism undergo a ritual bath before
being deemed “clean” again
၁။ ..။
၂။ ..။
၃။ ..။
၄။ ..။
၅။ ..။
၆။ ..။
6.2 Sexual Rights and Responses
To understand women and men reproductive organs and its functions
To understand sexual organs and its functions
To understand men and women sexual reproductive health rights
The facilitator shared the knowledge about the Sexual Response Cycle
1. Desire
2. Excitement
3. Plateau
4. Orgasm
5. Resolution
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The above 5 steps was explained by the facilitator and in Myanmar Language. (Annex 3)
The participants discussed in pairs; however, it was not noted down as the participants wanted to keep it
to themselves. This was a very sensitive topic. They mentioned that they have understood to a great
extent about the women and men sexual respond in regards to the sexual response cycle.
6.3 International framework
To understand GBV services in Myanmar
Toward International framework Toward International framework
Participants discussed the places where are facing the harassment on women. Women are facing
harassment by men in the bus, at the home, at the office and in the wards. Some offices have the
harassment policies but they don’t know what behaviors leads to harassment. And they don’t understand
how to complain step by step.
The participants are aware to have the harassment policies in some offices and will discuss to set the
harassment policies with the senior management team in the organizations. It will discuss to show laws
and information relates the harassment on the notice board at the offices.
After understanding about the sexual and reproductive health rights, women and mothers discussed
about the main of controlling to give birth a child and losing their own decision. Women who live in
Myanmar are losing their women rights because of their traditional, cultures and it should have the laws
for the rights.
The participants discussed about the domestic violence, adult rape and child rape cases that come out
from keeping things secret relate the sexuality reproductive health and rights currently in Myanmar. And
then they discussed about the violence against women services.
Participants discussed what must be done to get sexuality reproductive health and rights in Myanmar and
they found out that their discussions got the main points of and linked to international frame work. It
showed that they are clearly aware about Sexuality Reproductive Health and Rights.
Conclusion: Based on the participants’ feedback, it is essential to raise more awareness on Sexuality,
Reproductive Health and Rights in Myanmar. Moreover, it is needed to understand that what other
neighboring countries are working on the SRHRs and the laws that can protect women and children on
violence and abuse.
7. Observations and Keys Findings on the Training
Observations and Key findings from the training are:
Menstrual Blood is not dirty; it is the blood from the artery and 75% of oxygenated blood include
in that blood.
The sexuality with partner before marriage and after marriage should be discussed openly.
Brain takes main part in controlling the sexual desire.
Everyone girls and women should be aware about sexual arousal drugs and its risks.
Clearly understood and wiling to raise women’s sexual rights.
Gender role is very important in a family.
Discrimination on women is the responsibility of men.
Gender discrimination in Myanmar is due to wrong concept of culture, religion and customs that
absolved in community for the long time.
Heard about child rape cases, didn’t know the number of cases is that much high.
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Everyone should be taught sexuality and reproductive health since childhood from their mothers,
sisters and teachers.
Sexual pleasure is one of the important factors in a marriage.
Became aware about the women rights, sexual pleasure, sexual harassment and reproductive
health. Aware exactly about sexual rights.
Skin is the main thing that gives sexual pleasure and women do masturbation like the men.
Virginity cannot decide the value of women; it is very important to women only because of the
shaping of the society.
Realized that sexual desire of men doesn’t depend on women’s wearing style. And we can’t make
judgment on the value of women at their appearance. Then women should be more respected
and valued by men.
Clearly understood the importance of sexual harassment policy and I will encourage my
colleagues how to handle sexuality reproductive health and rights issue.
Ability to value myself more than before.
Sexual harassment policy and procedures in organization is the most effective topic for me.
Realized it is important to change behaviour.
After the training, realized that it is wrong that I thought women are inferior.
Conclusion: It can be clearly noticed that after the training all the participants were fully aware of the
importance of the need of how to handle sexuality reproductive health and rights issue and that women
are not inferior. More awareness raising is required and it is needed to advocate for policy changes in
order to provide more protection to women.
8. Action Plan by the participants
The action plan by the participants’ is as follows:-
They would like to carry out the following topics to their respective staffs and at community level.
1. Awareness raising for staff on Attitude and Sexuality and Reproductive Health
2. Sexual Abuse and Exploitation Refresher Course for Human Resource Personnel
3. Sexual Harassment
The pre and post-tests on the training for the 23rd to 24th session were shown below. It is clearly seen that
the incorrect responses of some questions decrease 100% and some remains a little. These responses
were clarified after the post test in general to all participants.
1. I know specifically about the menstrual cycle.
2. Men need sexual intercourse more than women
3. Female sex organ needs to be washed after urinating.
4. Virginity for girls can be known by condition of the hymen.
5. Sex education should be taught in primary schools.
6. Men can control their sexual desire.
7. Sexual intercourse shouldn’t be conducted during pregnancy
8. Men lose their power when they enter the labor /delivery room during child birth
9. Homosexual is acceptable.
10. For contraception, women have full responsibilities
11. Some girls get raped because of the way they dress.
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q6
q7
q8
q9
q10
q11
q12
q13
q14
q15
q16
q17
q18
q19
q20
100%
80%
60%
40% Correct
20% Incorrect
0%
q1 q2 q3 q4 q5 q6 q7 q8 q9 q10q11q12q13q14q15q16q17q18q19q20
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The pre and post - test on the training for the 25thto 26th session is seen as below. It is clearly seen that
the incorrect responses of some questions decrease 100% and some remains a little. These responses
were clarified after the post test in general to all participants.
q7
q8
q9
q15
q10
q11
q12
q13
q14
q16
q17
q18
q19
q20
Post Test 25th to 26th May 2016
120%
100%
80%
60% Correct%=1
In Correct%=0
40%
20%
0%
q6
q1
q2
q3
q4
q5
q7
q8
q9
q15
q10
q11
q12
q13
q14
q16
q17
q18
q19
q20
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The following charts show the comparison of the two-day trainings pre-test and post-test responses. It
can be clearly seen the pattern of the responses of both the two sessions are similar. For example, the
Question No 8, men lose their power when they enter the labor/delivery room during child birth: -
correct response for pre- test is high in both sessions and in post-test it decrease.
q8
q9
q10
q11
q12
q13
q14
q15
q16
q17
q18
q19
q20
120% Comparison of pre and post test of the
100%
25th and 26th May 2016 Session
80%
Correct%=1 Pre
60% Correct%=1 post
In Correct%=0 Pre
40%
In Correct%=0 post
20%
0%
q4
q5
q6
q7
q1
q2
q3
q8
q9
q10
q11
q12
q13
q14
q15
q16
q17
q18
q19
q20
Akhaya conducted two-day Training for one group of Community Peer Educators, arranged through
Innthar Heritage Training Center.
The participants’ average ages were between 23 and 65 years old, with the majority having received
graduated from university. There was a 24.3 % increase in knowledge, with 88.30% of participants
answering correctly after training. Incorrect answers decrease by 10.15%. ‘Don’t know’ answers also
decreased by 13.55%. Considering the age of participants and their education background, this training is
considered successful.
Pre Test Post Test Significance
Correct 64% 88.30% Up 24.3%
Incorrect 20.7% 10.55% Down10.15 %
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Overall experience by the participants – The participants mentioned that it was an exciting and a
good learning experience. They were able to share their knowledge and feelings on one to one
basis. The use of attitude games at the start of the training also helped as an ice breaker between
and among the participants.
Organization of the event – The participants commented that the training was organized and the
contents were related to the topic. Time management was also good covering all the topics in the
agenda in time and the length of each session and the use of energizers were also appropriate.
Participants were satisfied with the facilitation during the training. They mentioned that the
facilitator was a good listener, who was patient and sensitive towards the participants.
Body mapping exercise was mentioned as a very effective method to have better understanding
of sexual and reproductive health by both male and female participants. Other training methods
and hand-outs such as sexual response cycle and proverbs were rated as good.
The training venue, facilities and food arrangements were rated as satisfied.
In conclusion, Akhaya Women feels that the trainings were success based on the feedback from the
participants. Women and men in the development sector at different levels were able to engage in
discussions related to Sexual and Reproductive Health Rights further advancing their knowledge and
scope of women’s rights in Myanmar.
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Sexual and Reproductive Health and Rights Training Agenda Day 1 Session
Time Topic Topic Details/ Content of Methodo Purpose of each section Resources
Topic logy
9:00_9:15 am Introductio Introduction each
n other
Participant’s
expectation
Training flow
9:15_9:30 Am Pre Test paper
9:30_10:15 am Attitude About 10 statement Attitude To understand the broad Flip chart,
and to be read out Game meaning of sexuality Blue & Red
sexuality Participants to stand To understand sexuality is Marker,
in Agree or Disagree influenced by different tape
upon their attitudes
perspectives
10:15- 10:30 am Tea Break
10:15_12:00 am Teenage & Teenage Practices & Small To understand gender
SRHR culture Group discrimination and practices
attitude discussio in Myanmar
n
12:00-1:00 pm Lunch
1:00-2:15 pm Control Female and Male Body To understand Functions of
over our sexual organs mapping Sexual organs
own body Erogenous Zones & Exercise
Myths &
Small
Group
2:15- 2:30 pm Tea Break
2:30_4:00 pm Reproductiv Sexual & reproductive RH To understand women and Organ
e Health organs Labelling men reproductive organs picture
each and its functions
&
organ & To understand sexual organs
Sexual and its functions
Group
Health To understand men and
discussio
women sexual reproductive
n
health rights
4:00_4:30 pm Recap One to
One
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Day 2: Session
Time Topic Topic Details/ Content Methodlo Purpose of each section Resources
of Topic gy
9:00_9:15 am Review first day
lesson
9:15_10:15 am History of SRHR Women power Vs Brainstor To understand about the role
Prejudices , menstrual blood m of women in old days and
how prejudges in Myanmar
Facts & Culture Fear of women Group
is based on menstrual blood Flip chart,
power in relation to discussio
and delivery Blue & Red
delivery n
Marker,
To understand about what
Religious – put all paper tape
practices are influence in
into religious
Myanmar culture
Misunderstanding
To understand human firstly
about blood, sex,
home
female and male
sexuality, sayings,
proverbs,
misbelieves,
Talk about the facts
for blood
10:15- 10:30 am Tea Break
10:30_12:00 noon Sexual Health Pairs To understand women and
Rights & reading men sexual respond step by
Responses step and sexual rights
Small
group
question
exercise
12:00-1:00 pm Lunch
2:15- 2:30 pm Tea Break
2:30_4:00 pm International Services Group To understand GBV services
framework discussio in Myanmar
n
Toward International
framework
4:00_4:30 pm Post Test & paper
Evaluation test
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Annex 3
Desire ---
Excitement ---
Plateau ---
(Plateau)
Orgasm ---
(Plateau)
(tension)
Resolution ---