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  1. 1. RTIReproductive Tract Infections STISexually Transmitted infections
  2. 2. Reproductive Health Indicators• 28% used sanitary napkin• Uneducated and poor women less likely to use sanitary napkin• 16% have menstrual problems• More than half (55%) have never heard about RTI/STI• 27% have symptoms of RTI/STI• Only half of these sought treatment
  3. 3. Types of RTI• Endogenous infection• Iatrogenic Infection• Sexually transmitted infection
  4. 4. Increased RTI in adolescents• Vaginal and cervical epithelium in adolescents is immature.• Poor hygiene practices• Unsafe delivery and abortion• Lack of awareness of disease and prevention• Lack of access to services
  5. 5. Why it affects girls more• Asymptomatic infections are more common in girls as compared to boys• Diagnosis of infections is more difficult in girls than in boys• Spread of infection to the genital tract is greater in girls
  6. 6. symptoms of RTIs/STIs- Unusual vaginal discharge- Pain in lower abdomen- Pain during sexual intercourse
  7. 7. Factors that increase the risk of RTIs/STIs• Adolescent girl pregnant or recently delivered (more so if a home delivery)• History of recent abortion, spontaneous or induced, especially unsafe abortion• Adolescent girl using an IUCD
  8. 8. Consequences of RTIs and STIs for adolescents• Pelvic inflammatory disease (PID)• Urethral stricture• Infertility• Neonatal/Intrauterine infections
  9. 9. Prevention of RTIs• Genital hygiene• Menstrual hygiene- use of sanitary napkin and frequent changing• Avoid vaginal douching• Seeking help early• Ensuring complete treatment of self and sexual partner• Opting for institutional delivery or home delivery by a trained birth attendant• Availing safe abortion services• Awareness among adolescents and community