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Adolescent & Adolescent RH
Definitions
• Who are children, adolescents, teen ages, youth, young people, and young
adults?
• The definition is basical...
Characteristics of adolescence:
• Major physical, psychological and social changes occur
• It is a period when their decis...
Why Focus on the adolescent RH?
• Demographic : share large proportion
– More than 1 of every 4 persons worldwide is betwe...
Factors Affecting the RH Health Needs of
adolescents
– Age, Marital status, School status
– Gender norms
– Sexual activity...
Gender & adolescent RH
• Expectations of sexual activity of boys and girls are different
• Views regarding responsibility ...
Adolescent and contraceptive use
• Few married adolescents use contraceptives before first birth
• After becoming sexually...
RH services for adolescents
1. Prenatal Care:
– To educate young women on proper pregnancy care and assess risk for
compli...
RH services for adolescents
5. Prevention and control of STIs/HIV/AIDS:
• Adolescents need information, skills, and access...
RH services for adolescents
8. Family Involvement
• Many youth want to talk to family members about
sexuality
• Programs n...
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Lecture 8 adolescent & adolescent rh

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Transcript of "Lecture 8 adolescent & adolescent rh"

  1. 1. Adolescent & Adolescent RH
  2. 2. Definitions • Who are children, adolescents, teen ages, youth, young people, and young adults? • The definition is basically demographic, based on age, sometimes overlaps, and may vary from country to country and organization to organization. • Children: 0-17 years (child right convention) • Adolescence: 10-19 years (WHO) – Early 10-13 years – Middle 14-16 years – Late 17 -19 years • Teen age: 13-19yrs (American expression) • Youth: 15-24 yrs (WHO/ UNICEF) • 15-29yrs (Ethiopia) • Young people: 10-24 years (WHO) • Yong adults: 15-30 years (Variable) • Adolescence is a critical period in every person’s life • Transition from childhood to adulthood can be difficult and, in some aspects dangerous.
  3. 3. Characteristics of adolescence: • Major physical, psychological and social changes occur • It is a period when their decisions, behaviors & r/ships that determine their health and development • Marked by its transitional profound developmental changes • Composite effect of physical maturation and social and emotional changes • The key features include – Biological developmental changes – Psycho-social developments – Pubertal changes • Development of sexual & reproductive organs maturity triggered by hormonal effect
  4. 4. Why Focus on the adolescent RH? • Demographic : share large proportion – More than 1 of every 4 persons worldwide is between 10-24 years – In Ethiopia 1/3 is b/n ages 10-24 • Transition period – It needs special care physiological, psychological, cognitive, social and economic changes • Youth Are Assets: – Youth are a great potential resources – Nation’s feature depends on today's young generation – Working on adolescent health is an investment • Huge RH Risks and Consequences Risks: – Unintended and too-early pregnancy – STIs, including HIV/AIDS – Unsafe abortion – Sexual violence & unwanted sexual activity • Consequences: Medical, Social, Psychological, Economic – It is issue of human right (ICPD)
  5. 5. Factors Affecting the RH Health Needs of adolescents – Age, Marital status, School status – Gender norms – Sexual activity – Childbearing status – Economic/social status – Peer pressure – Political/cultural
  6. 6. Gender & adolescent RH • Expectations of sexual activity of boys and girls are different • Views regarding responsibility for contraception • Social consequences of pregnancy • Degree of risk for HIV/AIDS infection • Client-provider interactions • Males have more ability to use a condom than females, for cultural reasons • Culture accepts harmful behaviors and practices against females
  7. 7. Adolescent and contraceptive use • Few married adolescents use contraceptives before first birth • After becoming sexually active, unmarried adolescents delay use of contraceptives • Common reasons for non-use (unmarried) – Did not expect to have sex – Lack of information – Lack of access to contraceptives – Clinics not adolescent friendly – Providers reluctant – Policy may prohibit to unmarried – Tend not to plan ahead – Think they are not at risk – Social / cultural expectations – Lack transportation/money to clinic – Fear judgment or discovery – Be concerned about having pelvic exam
  8. 8. RH services for adolescents 1. Prenatal Care: – To educate young women on proper pregnancy care and assess risk for complications 2. Delivery: – To monitor for possible complications 3. Postpartum: – To provide information on contraception, breastfeeding, child-care skills and child health 4. Abortion services • Adolescents may not get safe abortion and appropriate PAC b/c of • Inaccessibility or costs of safe services • Self-induced methods • Unskilled or non-medical providers • Delay in seeking procedure before first 3 months of pregnancy • Accessible and adolescent friendly care as well as Family planning service
  9. 9. RH services for adolescents 5. Prevention and control of STIs/HIV/AIDS: • Adolescents need information, skills, and access to STIs prevention and control services • Open Discussions on sexuality • Involving adolescents in the program 6. Gender Awareness for adolescents – Communication and shared responsibility between boys and girls 7. Youth-Adult Partnerships • Organizational commitment & capacity • Attitude shifts among adults and youth • Selection, recruitment & retention of youth • Substantive levels of youth participation
  10. 10. RH services for adolescents 8. Family Involvement • Many youth want to talk to family members about sexuality • Programs needed to help parents learn necessary skills and information • Family members can support youth in seeking services and information 8 Adolescent friendly RH services/clinics • Separate units for youth • Outreach clinics with trained staff • Mobile clinics, Special hours • Convenient and safe locations • Youth-to-youth promotion • Low or no-cost services
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