PROTECTING YOUNG GIRLS An Educational Project by Adolescent Health Committee of FOGSI

…a word from the Chairperson Dear Friends, Engaging adolescents in programs that seek to enhance their spiritual and intellectual capacities and prepare them to participate effectively in the affairs of their communities is a most significant act of service. “Protecting young Girls” is devised to sensitize gynecologists as well as teachers and parents towards the special health needs of the young who we feel need a sympathetic understanding and patient counseling on various issues which they face (including health concerns) rather than an impersonal prescription or theoretical lectures from their mentors. We aim to “help young people form a strong moral identity in their early Adolescent years & empower them to contribute to the well-being of their communities....‘” Hope with this effort not only the adolescents but also their parents & teachers get benefited. With regards, Dr. Roza Olyai National Chairperson, Adolescent health Committee FOGSI

Dear Friends,

Engaging adolescents in programs that seek to enhance their spiritual and intellectual capacities and prepare them to participate effectively in the affairs of their communities is a most significant act of service. “Protecting young Girls” is devised to sensitize gynecologists as well as teachers and parents towards the special health needs of the young who we feel need a sympathetic understanding and patient counseling on various issues which they face (including health concerns) rather than an impersonal prescription or theoretical lectures from their mentors. We aim to “help young people form a strong moral identity in their early Adolescent years & empower them to contribute to the well-being of their communities....‘”

Hope with this effort not only the adolescents but also their parents & teachers get benefited.

With regards,

Dr. Roza Olyai

National Chairperson, Adolescent health Committee FOGSI

FOGSI at a glance Federation of Obstetrics & Gynaecological Societies of India Health Care, Academics Research, Health Education Social Service >26 Committees (Like AHC ) >23,000 Members >200 Societies in 200 cities National Body of Women Health Care Providers

Overview of this presentation Preventive Health Objectives of Committee Social Health Effects of HPV infection on health HPV Vaccine Spiritual Health Protecting Young Girls B E C D A

Preventive Health Objectives of the Committee Social Health Effects of HPV infection on health HPV Vaccine Spiritual Health Protecting Young Girls B E C D A

Committee Objectives To provide accurate, culturally-acceptable, gender-sensitive information for the promotion of adolescent health To provide life-skills training that is age-appropriate and culturally-acceptable Enabling adolescents to cope with their health and development including reproductive health To Facilitate Adolescent Friendly Health Services in India

To provide accurate, culturally-acceptable, gender-sensitive information for the promotion of adolescent health

To provide life-skills training that is age-appropriate and culturally-acceptable

Enabling adolescents to cope with their health and development including reproductive health

To Facilitate Adolescent Friendly Health Services in India

Defining Health Not only absence of disease. Physical, Social & Spiritual wellbeing is essential. HOW TO ACHIEVE HEALTHY STATUS ???

Not only absence of disease.

Physical, Social & Spiritual wellbeing is essential.

Preventive Health Objectives of Committee Social Health Effects of HPV infection on health HPV Vaccine Spiritual Health Social health Protecting Young Girls B E C D A

Rights Adolescents Right to life Right to equality, and to be free from all forms of discrimination Right to privacy Right to freedom of thought Right to information and education Right to choose whether or not to marry and to found and plan a family Right to health care and health protection Right to the benefit of scientific progress Social health IPPF Charter Facts on Sexual and Reproductive Rights, IPPF

Right to life

Right to equality, and to be free from all forms of discrimination

Right to privacy

Right to freedom of thought

Right to information and education

Right to choose whether or not to marry and to found and plan a family

Right to health care and health protection

Right to the benefit of scientific progress

Adolescent Girl’s Emotions Related to: Physical changes Psychological changes Sex & sexuality Relationship Career Sexual abuse (fear/fact) Social health

Related to:

Physical changes

Psychological changes

Sex & sexuality

Relationship

Career

Sexual abuse (fear/fact)

Teens want Social health Encourage & praise Recognition Talk to them Communication & Confidentiality Share their feelings Empathy Beware of comparison Acceptance See strong/weak points objectively Understanding To be loved Affection Feeling of being wanted Security

Let’s talk… about Every teenager has a query & confusion! Let’s know…What are they?! Social health

Mom’s reactions! Look at her… How she treats me after all, I have done so much for her. . . She was NEVER like this before. . . Social health

Daughter’s reactions! No one understands me well. . My parents scolds me every now & then, they don’t love me. . . Social health

Getting angry? Why? When? How to control? Guilty..? Be cool. . . . ! Social health

Why?

When?

How to control?

Guilty..?

Be cool. . . . !

Making friends Selection Relationship Honesty Loyalty Care & concern Sharing . . .friends forever Social health

Selection

Relationship

Honesty

Loyalty

Care & concern

Sharing

. . .friends forever

Getting Attracted?! It’s Natural Know your limits Be responsive and responsible Healthy, long lasting relationship makes life better Social health

It’s Natural

Know your limits

Be responsive and responsible

Healthy, long lasting relationship makes life better

Social health Depends on societal support (Family & Community) Influenced by availability of health care facility & its utility Affects mental health the most Everyone has to play role as it is interdependent Social health

Depends on societal support (Family & Community)

Influenced by availability of health care facility & its utility

Affects mental health the most

Everyone has to play role as it is interdependent

To whom you talk regarding health awareness? Friends Parents Sister/Brother Teachers ……… ..OR SURFING INTERNET?! We recommend Systematic approach for getting true and scientific information Seeking help from subject expert (Doctor, Counselor, Health Care Provider) Social health

Friends

Parents

Sister/Brother

Teachers

……… ..OR SURFING INTERNET?!

We recommend

Systematic approach for getting true and scientific information

Seeking help from subject expert (Doctor, Counselor, Health Care Provider)

We appreciate Parent’s & family involvement We request you to build bridge of communication with daughters….make them talk to You. Vaccinate them, Educate them regarding health issues Social health

Parent’s & family involvement

We request you to build bridge of communication with daughters….make them talk to You.

Vaccinate them, Educate them regarding health issues

Adolescent’s emotions ~ Global concern Multiple / overlapping Social health ???? Insecurity Drive for freedom Fear Anger Peer pressure Frustration

Fighting against disease Wellbeing is depending on state of mind too! Vaccines help you fighting against disease. HOW DO YOU FIGHT against ill effect in the society & world ??? Emotional & Spiritual Quotient help you being healthy & is as important as IQ. Social health

Wellbeing is depending on state of mind too!

Vaccines help you fighting against disease.

HOW DO YOU FIGHT against ill effect in the society & world ???

Emotional & Spiritual Quotient help you being healthy & is as important as IQ.

Preventive Health Objectives of Committee Social Health Effects of HPV infection on health HPV Vaccine Spiritual Health Protecting Young Girls B E C D A

Why Spirituality? Religion has two components, theology and spirituality. Even though theology is unique to every religion, the spiritual component spreads the value to be inculcated by human beings for promoting a good human life and welfare of the society, while pursuing the material life. - Dr Abdul Kalam (Former President of India) - "Learning from Missions“Dec.6th,2007

Religion has two components, theology and spirituality. Even though theology is unique to every religion, the spiritual component spreads the value to be inculcated by human beings for promoting a good human life and welfare of the society, while pursuing

the material life.

- Dr Abdul Kalam (Former President of India) - "Learning from Missions“Dec.6th,2007

What is Your Child Really Like? Human being (Two natures) Spiritual or higher nature (he approaches God) Material or lower nature (he lives for the world) The true self of the man is the human spirit ; the mind is its essential quality, which is inclined towards the ultimate reality, the unknowable essence of essences called God. In other words, the core of your child’s being is spiritual. Just as we nurture her body, specially during Adolescence we need to nurture this core of her being, her soul or spirituality. Spiritual health

Human being (Two natures)

Spiritual or higher nature (he approaches God)

Material or lower nature (he lives for the world)

The true self of the man is the human spirit ; the mind is its essential quality, which is inclined towards the ultimate reality, the unknowable essence of essences called God.

In other words, the core of your child’s being

is spiritual.

Just as we nurture her body, specially during Adolescence we need to nurture this core of her being, her soul or spirituality.

How Does Spirituality help during Adolescence? During these years child moves from dependency on parents to independence. She also begins to think for oneself, and becomes aware of contradictions that exist in society so she has her own denial/acceptance. “ Man should know his own self and recognize that which leadeth unto loftiness or lowliness, glory or abasement, wealth or poverty”. Dignity, success and achievement of life’s purpose depends on this ability to distinguish right from wrong, to perform one’s duty, and live a life of service. Spiritual health

During these years child moves from dependency on parents to independence.

She also begins to think for oneself, and becomes aware of contradictions that exist in society so she has her own denial/acceptance.

“ Man should know his own self and recognize that which leadeth unto loftiness or lowliness, glory or abasement, wealth or poverty”.

Dignity, success and achievement of life’s purpose depends on this ability to distinguish right from wrong, to perform one’s duty, and live a life of service.

Spiritual Empowerment of Youth To Combat Moral Decline Today’s intense materialism & influences of the media, advertising, literature and a growing consumer culture tend to promote selfishness and demands (not duty and sacrifice; immediate satisfaction of desires, not mature and responsible behaviors) Society has a responsibility both to help young people develop their capacity for moral decision-making and to protect them from the consequences of involvement in developmentally inappropriate sexual / other behaviors It is extremely difficult to teach the individual and refine his character once puberty is reached. Spiritual training must begin early Spiritual health

Today’s intense materialism & influences of the media, advertising, literature and a growing consumer culture tend to promote selfishness and demands (not duty and sacrifice; immediate satisfaction of desires, not mature and responsible behaviors)

Society has a responsibility both to help young people develop their capacity for moral decision-making and to protect them from the consequences of involvement in developmentally inappropriate sexual / other behaviors

It is extremely difficult to teach the individual and refine his character once puberty is reached. Spiritual training must begin early

Spiritual Identity is an important part of development for adolescents. It involves many developmental assets: Internal development Family relationships Connectedness Moral principles Empowerment Spiritual health

It involves many developmental assets:

Internal development

Family relationships

Connectedness

Moral principles

Empowerment

Remember As we grow and become independent, we need inner strength to make our own decisions, to resist unnecessary pressures from our peers and avoid those mistakes that will cripple us for life in one way or another. Spirituality means being whole, body, mind and soul in harmony. We are familiar with the laws of nature; we need to be constantly aware of our true inner self and nurture it. Spiritual health

As we grow and become independent, we need inner strength to make our own decisions, to resist unnecessary pressures from our peers and avoid those mistakes that will cripple us for life in one way or another.

Spirituality means being whole, body, mind and soul in harmony. We are familiar with the laws of nature; we need to be constantly aware of our true inner self and nurture it.

The next speaker will talk about Preventive Health Objectives of Committee Social Health Effects of HPV infection on health HPV Vaccine Spiritual Health Protecting Young Girls B E C D A

Preventive Health Objectives of Committee Social Health Effects of HPV infection on health HPV Vaccine Spiritual Health Protecting Young Girls B E C D A

Do you know? Your Blood Group? Your Hemoglobin level? Your Vaccination Record? Preventive health

Your Blood Group?

Your Hemoglobin level?

Your Vaccination Record?

Preventive health Depends on life style Influenced by environment Helps you avoid many diseases like Nutritional deficiency Stress & related issues Acquired infections Preventable diseases Preventive health

Depends on life style

Influenced by environment

Helps you avoid many diseases like

Nutritional deficiency

Stress & related issues

Acquired infections

Preventable diseases

Disease Prevention By habits & lifestyle Adolescents By vaccination (developing immunity) By having certain diseases (like measles) Preventive health

By vaccination (developing immunity)

By having certain diseases (like measles)

Do you eat well? You require…. Protein Carbohydrate Minerals Fat Micronutrients for proper growth Preventive health

You require….

Protein

Carbohydrate

Minerals

Fat

Micronutrients for proper growth

Healthy habits! Lots of green leafy vegetables Regular intake of milk. Regular meals, Good breakfast. Avoid more fats (oil, cheese, butter). NO CRASH DIET Preventive health

Lots of green leafy vegetables

Regular intake of milk.

Regular meals, Good breakfast.

Avoid more fats (oil, cheese, butter).

NO CRASH DIET

How About Exercise? “ Well to do, but don’t get time!” “ Don’t do regularly!” “ Doesn't help much!” Preventive health NO EXCUSE PLEASE, It really helps.

“ Well to do, but don’t get time!”

“ Don’t do regularly!”

“ Doesn't help much!”

Benefits of Exercise Improves strength & endurance Helps build healthy bone & muscles Helps control weight Reduces anxiety & stress Increases self esteem Preventive health

Improves strength & endurance

Helps build healthy bone & muscles

Helps control weight

Reduces anxiety & stress

Increases self esteem

Hygiene Very important aspect for Healthy living You know well about general Hygiene & food hygiene Frequent hand washing Regular bath Reproductive Hygiene Dry, cotton undergarments Clean sanitary pads Preventive health

Very important aspect for Healthy living

You know well about general Hygiene & food hygiene

Frequent hand washing

Regular bath

Reproductive Hygiene

Dry, cotton undergarments

Clean sanitary pads

Menstrual Hygiene Clean your private parts well frequently Change your pads frequently Wash your genitals every time you change pad or pass urine/stool, wash upwards to downwards Dispose the pad properly (wrapped into paper & put it into dustbin) Preventive health

Clean your private parts well frequently

Change your pads frequently

Wash your genitals every time you change pad or pass urine/stool, wash upwards to downwards

Dispose the pad properly (wrapped into paper & put it into dustbin)

Oops! Pain during periods? Having Pain during periods? It happens due to muscle activity of uterus (that sends the blood & endometrium out) Its squeezing action! Disturbs your routine? NOT To worry, it can be cured Preventive health

Having Pain during periods?

It happens due to muscle activity of uterus (that sends the blood & endometrium out)

Its squeezing action!

Disturbs your routine?

NOT To worry, it can be cured

Treatment for painful periods Lifestyle Modification: Low-fat vegetarian diet Decreased consumption of foods like caffeine, salt & sugar Exercise - walking, swimming, running, bicycling, aerobic dance Smoking cessation Hot fomentation Medical Treatment : Pain killers (NSAIDS) {They are not habit forming}, OC pills, vitamins/nutritional supplement as advised by your doctor. Preventive health

Lifestyle Modification:

Low-fat vegetarian diet

Decreased consumption of foods like caffeine, salt & sugar

Exercise - walking, swimming, running, bicycling, aerobic dance

Smoking cessation

Hot fomentation

Medical Treatment :

Pain killers (NSAIDS) {They are not habit forming}, OC pills, vitamins/nutritional supplement as advised by your doctor.

Acne / Pimples Obesity/Overweight 50% of women with PCOS are obese. Which develops at the time of puberty . Polycystic Ovarion Disease It’s natural, normal reaction due to hormone changes…. Preventive health Pimples on face…. I really don’t like it! Oh! NO!!!

Treatment Life style modification: (Self care) Healthy Diet Exercise regularly: Brisk walking Jogging for half an hour 3-4 times a week Take stairs, not elevators, increase your activity Boils & pimples: Wash face regularly. Avoid skin irritants Watch what touches the face. Don’t pick or squeeze pimples. Minimize use of cosmetics Excessive Hair: Waxing, Shaving, Laser Medical treatment : by your doctor after doing blood test Preventive health

Life style modification: (Self care)

Healthy Diet

Exercise regularly: Brisk walking

Jogging for half an hour 3-4 times a week

Take stairs, not elevators, increase your activity

Boils & pimples: Wash face regularly. Avoid skin irritants Watch what touches the face. Don’t pick or squeeze pimples. Minimize use of cosmetics

Excessive Hair: Waxing, Shaving, Laser

Medical treatment : by your doctor after doing blood test

BE aware Your Health is your asset, maintain it well. Avoid infections by any source. Never acquire preventable Diseases! Preventive health

Your Health is your asset, maintain it well.

Avoid infections by any source.

Never acquire preventable Diseases!

Steps towards Safety Vaccines help prevent few diseases/minimize the risk…. of having infection/disease like Tetanus Toxoid Hepatitis B Mumps, Measles, Diphtheria Rubella Typhoid Influenza Tuberculosis Cervical Cancer Preventive health ARE YOU VACCINATED? Talk to your Doctor

Vaccines help prevent few diseases/minimize the risk…. of having infection/disease like

Tetanus Toxoid

Hepatitis B

Mumps, Measles, Diphtheria

Rubella

Typhoid

Influenza

Tuberculosis

Cervical Cancer

Two Important vaccines for young girls Vaccine to prevent Rubella infection (thereby avoiding birth of a child with defect) Cervical Cancer (Cervix is the mouth of the organ-uterus. Its cancer prevalence is increasing & is the top most killer for women) CERVIX

Vaccine to prevent

Rubella infection (thereby avoiding birth of a child with defect)

Cervical Cancer (Cervix is the mouth of the organ-uterus. Its cancer prevalence is increasing & is the top most killer for women)

WHO SEARO estimates…. 10,00,000 birth per year..having congenital defect (INDIA) Blindness Heart defects Mental retardation Deafness 21% due to Rubella JBAJ June 1995 vol3 SEARO: South East Asia Regional Office (WHO) Preventive health

10,00,000 birth per year..having congenital defect (INDIA)

Blindness

Heart defects

Mental retardation

Deafness

21% due to Rubella

Vaccine against Rubella One dose protects for 18-20 years Must before planning pregnancy CAN NOT be taken during pregnancy Avoid pregnancy for 1 month after vaccination To be taken beneath the skin Very SAFE, Easily available Preventive health

One dose protects for 18-20 years

Must before planning pregnancy

CAN NOT be taken during pregnancy

Avoid pregnancy for 1 month after vaccination

To be taken beneath the skin

Very SAFE, Easily available

Preventive Health Objectives of Committee Social Health Effects of HPV infection on health HPV Vaccine Spiritual Health Protecting Young Girls B E C D A

Most common STDs Curable (mostly bacterial) Trichomoniasis, Chlamydia, Gonorrhoea, Syphillis Least Curable / Incurable (Viral) HIV / AIDS, HPV, Hepatitis B, Herpes HPV infection & Youth Common symptoms of STDs are redness, itching, ulcers, discharge over genitals / burning while passing urine

Curable (mostly bacterial)

Trichomoniasis, Chlamydia, Gonorrhoea, Syphillis

Least Curable / Incurable (Viral)

HIV / AIDS, HPV, Hepatitis B, Herpes

Common symptoms of STDs are redness, itching, ulcers, discharge over genitals / burning while passing urine

The Big Boss From Smile to Agony

India ~1,32,000 World ~ 4,93,000 India ~27% of new Cancer cervix cases in world India ~ 74,000 World ~ 2,73,000 India ~27% Rest of World - 73% India ~ 27% of deaths due to Cancer cervix in world Rest of World - 73% India - 27% Cancer Cervix– Disease Burden New Cancer Cervix Cases Deaths due to Cancer Cervix India ~27% Rest of World - 73% India: ~27% deaths worldwide due to Cancer cervix WHO/ICO Information Centre on HPV and Cervical Cancer (HPV Information Centre). Summary report on HPV and cervical cancer statistics in India. 2007. [Accessed on 18th March 2008. Available at www. who. int/ hpvcentre c WHO/ICO Information Centre on HPV and Cervical Cancer

*Ray K et al, Indian J Med Res 2006; 124: 559-568 18% 6% 11% 10.5% 0 2 4 6 8 10 12 14 16 18 20 1990-93 1994-97 1998-01 2002-04 Study Period Percentage Genital Warts – Disease Burden: India* Increasing trend of HPV induced Genital warts in India

Years of Life Lost to Cancer Cervix* *In women in the United States (2003) 1. Ries LAG, Harkins D, Krapcho M, et al. (eds). SEER Cancer Statistics Review, 1975–2003 , National Cancer Institute. Bethesda, MD; 2006. 26 19 18 26 Average years of life lost in women with Cancer cervix

HPV Infection Low Grade Cancerous Lesions High Grade Cancerous Lesions Invasive Cancer 0–1 Year 0–5 Years 1–20 Years Facts about HPV Infection Aim is to prevent High grade cancerous lesions Minimal symptoms Symptoms appear

Human Papillomavirus (HPV) HPV 16 HPV 18 HPV 6 HPV 11 Cancer causing Type 1,2,3 Non-cancer causing type 1,2 76.7% of cancer cervix cases in India 4 90% of anogenital wart cases worldwide 4 HPV 1.Schiffman M, Castle PE. Arch Pathol Lab Med . 2003;127:930–934. 2. Wiley DJ, Douglas J, Beutner K, et al. Clin Infect Dis . 2002;35(suppl 2):S210–S224. 3. Walboomers JM, Jacobs MV, Manos MM, et al. J Pathol. 1999;189:12–19. 4. X. Castellsagué, S. de Sanjose, T. Aguado, K. S. Louie, L. Bruni, J.Muñoz, M. Diaz, K. Irwin, M. Gacic, O. Beauvais, G. Albero, E. Ferrer, S. Byrne,F. X. Bosch. HPV and Cervical Cancer in the World. 2007 Report. WHO/ICO Information Centre on HPV and Cervical Cancer (HPV Information Centre). Available at: www.who.int/hpvcentre HPV causes 99.7% cases of cancer cervix 3

How HPV is transmitted Most infected individuals are unaware that they are infected and may unknowingly spread the virus. Mother to newborn (vertical transmission) 3 Fomites (eg, undergarments, surgical gloves, biopsy forceps) Sexual Contact Nonsexual routes Sexual Route

Most infected individuals are unaware that they are infected and may unknowingly spread the virus.

Mother to newborn (vertical transmission) 3

Fomites (eg, undergarments, surgical gloves, biopsy forceps)

Sexual Contact

HPV Vaccine is available to fight against it Two vaccines have been licensed globally for adolescent girls aged 9-26 yrs Quadrivalent (6, 11, 16,18) vaccine Bivalent vaccine (16,18) HPV infection & Youth Prevention of HPV 16, 18 related Cancer Cervix Prevention of: HPV 6, 11, 16, 18 related Cancer Cervix Vulvar & Vaginal cancers Ano -Genital warts Recurrent Respiratory Papilomatosi Bivalent vaccine Quadrivalent vaccine

Two vaccines have been licensed globally for adolescent girls aged 9-26 yrs

Quadrivalent (6, 11, 16,18) vaccine

Bivalent vaccine (16,18)

Prevention of HPV 16, 18 related

Cancer Cervix

Prevention of: HPV 6, 11, 16, 18 related

Cancer Cervix

Vulvar & Vaginal cancers

Ano -Genital warts

Recurrent Respiratory Papilomatosi

Genital Warts 2 Vulvar/ Vaginal Precancers (Grade 1- 3) 2 Cancer Cervix & Precancers (Grade 2/ 3) 1 100% 98% 100% HPV induced cancers Protection by QHPV 1. The Future II Study Group. Lancet 2007; 369: 1861–68 2. Garland SM et al. New Engl J Med . 2007;356:1928–1943. Efficacy of Quadrivalent HPV Vaccine Quadrivalent vaccine is safe & highly efficacious

FOGSI recommendation http://www.fogsi.org/hiv_vaccine.html Approved by Oncology Committee of FOGSI The vaccine should target females at the most convenient and optimal age (12-16 years old) for vaccination before their first sexual exposure. Routine HPV vaccination is recommended for females aged 10 to 12 years. HPV vaccination may be offered to all up to 26 years (bivalent upto 45 years), regardless of sexual activity, but offers less benefit if already sexually active. The decision is based on the informed discussion between the woman and her health care provider regarding risk of previous HPV exposure and potential benefit from vaccination.

Approved by Oncology Committee of FOGSI

The vaccine should target females at the most convenient and optimal age (12-16 years old) for vaccination before their first sexual exposure.

Routine HPV vaccination is recommended for females aged 10 to 12 years.

HPV vaccination may be offered to all up to 26 years (bivalent upto 45 years), regardless of sexual activity, but offers less benefit if already sexually active. The decision is based on the informed discussion between the woman and her health care provider regarding risk of previous HPV exposure and potential benefit from vaccination.

Summary HPV has been found in ~ 100% cases of cancer cervix. Approximately 27% of the world burden of Cancer cervix is seen in India. Average years of life lost in women with Cancer cervix is 26 years. HPV vaccine is an excellent measure for prevention of cancer of the cervix and other HPV related anogenital cancers.

HPV has been found in ~ 100% cases of cancer cervix.

Approximately 27% of the world burden of Cancer cervix is seen in India.

Average years of life lost in women with Cancer cervix is 26 years.

HPV vaccine is an excellent measure for prevention of cancer of the cervix and other HPV related anogenital cancers.

We Care Let’s PROTECT OUR Young girls Let’s join hands! Help yourself to bring out the beautiful woman hidden within you!

Let’s PROTECT

OUR Young girls

Let’s join hands!

We are with you……… Youth friendly services is our motto You may ASK us sending chit You may write your queries to us on email: teensmsd@ adolescenthealthindia.org Visit our Web Site: www.adolescenthealthindia.org Thank You

Youth friendly services is our motto

You may ASK us sending chit

You may write your queries to us on email: teensmsd@ adolescenthealthindia.org

Visit our Web Site:

www.adolescenthealthindia.org

Acknowledgements You have been very attentive audience Thank YOU ! Thanks to School Authorities For allowing us to be with YOU Dr. Roza Olyai & her team Who gave an opportunity to communicate here as FOGSIAN Dr. Darshna Thakker & Dr. Nayson Olyai For developing this presentation with conceptual theme & content Sarjan Communication For bringing out final output of Educational Program (CD, TOT Kit) All Doctor Speakers Who have voluntarily given their time towards this Educational Program MSD Team at all level has helped us persistently to take this project countrywide

You have been very attentive audience Thank YOU !

Thanks to School Authorities

For allowing us to be with YOU

Dr. Roza Olyai & her team

Who gave an opportunity to communicate here as FOGSIAN

Dr. Darshna Thakker & Dr. Nayson Olyai

For developing this presentation with conceptual theme & content

Sarjan Communication

For bringing out final output of Educational Program (CD, TOT Kit)

All Doctor Speakers

Who have voluntarily given their time towards this Educational Program

MSD Team at all level has helped us persistently

to take this project countrywide

Disclaimer Information given through this academic presentation is only an overview of adolescent health care & not the substitute to talking concerned specialist.

Information given through this academic presentation is only an overview of adolescent health care & not the substitute to talking concerned specialist.