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A while ago, I gave a lecture on sexual and psychological health for more than 100 family planning cadres in Guangzhou. This lecture is aimed at family planning cadres 、 2 day with Part of the continuing education curriculum with the theme of "promoting service model of active and whole process management around families". Lecture content It focuses on the practical exploration of breaking the taboo of talking about sex on the basis of establishing good relations between family planning cadres and the public.
It sounds reasonable for family planning cadres to undertake sexual health promotion services on the first day of the junior high school, because their work is an important part of sexual health -- Reproductive health. Compared with the medical environment, family planning work has a broader grassroots basis and is closer to people's livelihood. However, when we think of the negative impression of some people on the role of family planning cadres, the conflict between the family planning duties performed and the childbearing needs of some people, the reality of the general lack of sex education in China, and the social taboo on talking about sex, we will find it difficult to promote this work.
The times are changing, the national conditions are changing, and some extreme events have also taken place, which have prompted people to reflect. The policy of birth control has also become more relaxed than in the past. It has also begun to emphasize "people first", requiring family planning cadres to change their role from the "birth police" role of "Shanghuan, ligation, and flow of people" to a family based, cross time dimension, similar to "whole process housekeeper" The service role of. Faced with this role change, family planning cadres not only continue to work to safeguard the national policy of fertility, but also have to "wipe the bottom" at the same time ---Amendment Reverse negative stereotypes. In the future, if sexual health promotion services are to be included in the work content, and the effective implementation of this service must be based on deep interpersonal trust, which is undoubtedly a greater challenge for family planning cadres.
According to my routine, a brief questionnaire is still issued before the lecture, which is mainly an open question, but this time the topic is designed for family planning cadres. In general, although most people think that family planning people are open-minded and have enough awareness of sexual health, I am still open to answers that may not meet this expectation.
The general analysis results of the returned answers: about 90% of people think that sex is very important for people's physical and mental health, and 80% of people mentioned "physiological, psychological and gender harmony" when answering "What do you think is sex?" and "What do you think sexual health mainly includes (factors)?"; As for "what difficulties do you think it might be to actively ask your clients about their sexual health in your current work", more than 90% of the answer options are: "worried about their negative views on themselves, especially when the clients are of the opposite sex" and "lack of sexual health knowledge and ability to provide help". And almost 100% of the answers to "What help do you want in promoting sexual health?" mentioned "getting professional knowledge training".
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From the above, to carry out sexual health promotion work, what is urgently needed at present is the training of family planning cadres' sexual health knowledge and work skills, including the change of people's concept of talking about sexual topics and seeking help on sexual health issues.
As for the "taboo of talking about sex" that family planning cadres worry about "(when asking sexual questions) the other party has a negative view of themselves", in my opinion, the taboo of talking about sex among people is also affected by the content and mode of interpersonal interaction, as is the case with other topics. As far as my personal experience is concerned, this phenomenon often exists in people's communication when they first engage in sexual topics: what one party is worried about about the other party's view of themselves is also what the other party is worried about, that is, before the other party's response is not clear, it is likely that both parties are worried about the same thing. When the relationship between the two parties is good, when one party hears the other party talking about sex easily and openly, he will often reciprocate and respond and talk in a similar manner; The more open and peaceful one side talks, the more dare the other side to speak; The more one side is secretive about sex topics and turns pale when talking about sex, the more subconsciously the other side avoids, and regards "talking about sex" between the two as a forbidden area. So, the first question to break the taboo of talking about sex is: who will start it first?
Put this interpersonal interaction phenomenon into the background of family planning work. In reality, it is very likely that the first person to bring up the topic of sex is random. Sometimes it is the needs of the service object at the time and the initiative of the family planning cadres. But if we want to carry out sexual health promotion work, the first question is: Who is more responsible for starting this? Who is more responsible for providing an environment in which sex can be freely discussed?
One of the audience of my lecture @ Life needs positive energy -51 In the microblog about my lecture, he said that "there is still a long way to go for grass-roots areas to implement this service". To paraphrase Tagore's words, "the furthest distance in the world is not between life and death, but when I stand in front of you, you don't know that I love you". Can you say that "the furthest distance in the world is not about sexual taboos, but when I stand in front of you, you don't know that I am willing to understand you and help you". When people take the first step with full mutual trust -- When we break the taboo of talking about sex, it may be a "wormhole" that appears in front of us!
