Adolescence Reproductive health National reproductive health programme Nutrition among adolescence

REPRODUCTIVE HEALTH

Definition A state of complete physical, mental and social wellbeing and not merely the absence of disease of infirmity, in the matters related to reproductive system and its functions and processes . Satisfying and safe sex life

A state of complete physical, mental and social wellbeing and not merely the absence of disease of infirmity, in the matters related to reproductive system and its functions and processes .

Satisfying and safe sex life

Have capability of reproducing Freedom to decide when and how (men & women) Safe, effective, affordable methods of regulating fertility Right to access to appropriate health services

Have capability of reproducing

Freedom to decide when and how (men & women)

Safe, effective, affordable methods of regulating fertility

Right to access to appropriate health services

Importance of Reproductive Health Central feature of human development Only a healthy female can culminate into healthy child Good reproductive health can give a healthy & satisfying relationship.

Central feature of human development

Only a healthy female can culminate into healthy child

Good reproductive health can give a healthy & satisfying relationship.

Factors affecting Reproductive Health Education Employment and economic circumstances Family environment Traditional & cultural structures Women status

Education

Employment and economic circumstances

Family environment

Traditional & cultural structures

Women status

Who is most affected Women at most Failure to conception Unwanted pregnancy Complications of child birth Complications of unsafe abortion Easy pray to RTI esp. STD’s Burden of contraception

Women at most

Failure to conception

Unwanted pregnancy

Complications of child birth

Complications of unsafe abortion

Easy pray to RTI esp. STD’s

Burden of contraception

Indicators of reproductive health Maternal mortality Trained attendant conducted deliveries TT immunization and contraceptive prevalence rate Deliveries culminating into Low birth weight babies

Maternal mortality

Trained attendant conducted deliveries

TT immunization and contraceptive prevalence rate

Deliveries culminating into Low birth weight babies

Incidence & prevalence of STD’s Quality of family planning services Access & quality of MCH services Prevalence of female genital mutilation & prevalence & nature of obstetric & gynecological morbidities.

Incidence & prevalence of STD’s

Quality of family planning services

Access & quality of MCH services

Prevalence of female genital mutilation & prevalence & nature of obstetric & gynecological morbidities.

WORLD HEALTH ORGANISATION’S REPRODUCTIVE HEALTH PROGRAMME

WORLD HEALTH ORGANISATION’S

REPRODUCTIVE HEALTH PROGRAMME

Goals Experience healthy sexual development & maturation Have the capacity for equitable & responsible relationship & sexual fulfillment. Achieve their desired number of children safely & healthily

Experience healthy sexual development & maturation

Have the capacity for equitable & responsible relationship & sexual fulfillment.

Achieve their desired number of children safely & healthily

Avoid illness, disease, disability related to sexuality & reproduction Receive appropriate care when needed. Be free from violence & other harmful practices related to sexuality & reproduction.

Avoid illness, disease, disability related to sexuality & reproduction

Receive appropriate care when needed.

Be free from violence & other harmful practices related to sexuality & reproduction.

Different from FP & MCH programmes Reproductive health involves the behavioral, social, gender and cultural dimensions of decision making which affects both men and women It does not only include age of fertility but also after that

Reproductive health involves the behavioral, social, gender and cultural dimensions of decision making which affects both men and women

It does not only include age of fertility but also after that

Adolescent Reproductive Health Programmes -INDIA Objective To influence parents, families and teachers of adolescents as a way to improve the general environment in which adolescents enter into sexual activity and marriage.

Objective

To influence parents, families and teachers of adolescents as a way to improve the general environment in which adolescents enter into sexual activity and marriage.

Aims Help young people delay sexual debut Increase age at marriage for girls Encourage young couples to delay 1 st birth & to space subsequent births To increase use of spacing methods of contraception

Help young people delay sexual debut

Increase age at marriage for girls

Encourage young couples to delay 1 st birth & to space subsequent births

To increase use of spacing methods of contraception

Prevent STI’s Lower rates of unsafe abortions

Prevent STI’s

Lower rates of unsafe abortions

Focus Adolescent boys and girls Young married couples

Adolescent boys and girls

Young married couples

States Community based programmes are under way in three slum areas of Delhi one rural block in Tamil Nadu nine villages of Rajasthan Madhya Pradesh

Community based programmes are under way in

three slum areas of Delhi

one rural block in Tamil Nadu

nine villages of Rajasthan

Madhya Pradesh

Other Programmes Kishori Shakti Yojana Balika Samridhi Yojana Mahila Samakhya Programme School AIDS Education Programme Training of Rural Youth & Self Employment Programme

Kishori Shakti Yojana

Balika Samridhi Yojana

Mahila Samakhya Programme

School AIDS Education Programme

Training of Rural Youth & Self Employment Programme

Recommended Dietary Allowances 30 500 22 63 2060 16-18 Girls 50 500 22 78 2640 16-18 Boys 28 600 22 65 2060 13-15 Girls 41 600 22 70 2450 13-15 Boys 19 600 22 57 1970 10-12 Girls 34 600 22 54 2190 10-12 Boys Iron mg/d Calcium mg/d Fat g/d Protein (gm) Net energy kcal/d particulars group

Benefits of physical activity to adolescents Helps build and maintain healthy bones, muscles and joints Helps control weight, build lean muscle and reduce fat

Helps build and maintain healthy bones, muscles and joints

Helps control weight, build lean muscle and reduce fat

Prevents or delays the development of high blood pressure Moderate amount physical activity is recommended

Prevents or delays the development of high blood pressure

Moderate amount physical activity is recommended

Thank you