Present case studies of counseling sessions to stimulate discussion. Trainees may describe the barriers to good counseling that they face for example, lack of privacy and discuss possible solutions. Discuss critical incidents, situations that trainees might confront in the clinic and that call for decisions for example, a user of injectables returns with frequent bleeding. Trainees can discuss how they would respond. Arrange for trainees to observe actual counseling sessions or to counsel clients under supervision.
Address biases about injectables.
Courses in the Philippines allocate time at the beginning to allow trainees to voice their concerns. Visit trainees three to six months after the course. Trainers can observe trainees applying their counseling skills and give them further guidance. Set up periodic refresher training. Training programs must require trainees to demonstrate the skills needed to provide injectables for example, counseling and giving the injection.