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Why We Should be discuss
about Adolescents
Dr. Sharda Jain
Secretary General, DGF
2
Delhi & NCR Group on
Adolescent Health (2000)
3 life
lesson
3
mantras
Burden of Teen’s Problems
SPECTRUM OF PROBLEMS
4
• Obsessed with image
• Rampant anemia, malnutrition
• Eating disorders
• Unsafe sex
• Unsafe abortion
•  STD/RTI ( 1/3)
• 50% of all new HIV cases.
• Stress disorders
• Alcohol /Smokingl and drug abuse
• Sexual violence
• Menstrual problems
• Acne, Hirsutism,
• Breast Disorders
5
AIM (2003)
• Anaemia Free Adolescents
• STOP HIV/AIDS & STD epidemic
•  Teenage Pregnancy
• Address sexual abuse and trafficking for C.S.W
• India – Free FEMALE FOETICIDE
6
AIM (2022 )
• Teach what to EAT / exercise
• Anaemia Free Girls ( 6 in 10 )
• STOP HIV/AIDS  decreased
& STD epidemic  on increase
•  Teenage Pregnancy  number increased
,but births have Emergency Cont / Med.
Abortion.
• Address use of Alcohol /Smoking / Drugs /
sexual abuse and Violence
7
ADOLESCENTS : 22 %
GIRLS :51 %
INDIA : FREE OF FEMALE FETICIDE
2022
India is the youngest country in the world
Adolescent population :
22%
World :- 1.3 billion INDIA :- 253 million
Adolescence is a time for
opportunity and risk
OUR ECONOMIC FORCE.
Adolescent health need to be rightfully addressed
Habits and behaviors initiated in
adolescence have life long impact
Important to have a Healthy , Energetic
and Enthusiastic & Patriotic
Adolescent Population
The society reaps what it
sows in its adolescents…..
We can not ignore adolescents !!
they need help
“Adolescent are resources to be developed ..
They are not the problems to be fixed !
Is it normal to be
attracted to boys ?
What is
Growing Up
All About?
TO BE ABLE TO CHOOSE
THE RIGHT PATH….
Reassurance
Support
Guidance
Wish to stand out !!
Awareness
Awareness
Awareness
Counseling
& life skill
Workshops
Parents
Teachers
Teen Clinic’s
75 year Anaemia is causing
Red alert in India!!
ANAEMIA IN GIRLS
90
(2000)
60
(2022)
6 out of 10 Adolescent girls in Delhi
are Anaemic 2022
75% of Delhi university girls who volunteared for
blood donation are rejected – Hb of < 12.5 gm%
Makes them lazy
24
Anaemia drains all our energy
&
makes us “Lazy Race”
EFFECT A ADOLESCENT GIRL
-  Second growth spurt
-  School performance
-  capacity to do manual work
Work performance
Child development
School performace
Child mortality
Maternal mortality
Perinatal mortality
Other factors
A new conceptual model (WHO) of iron deficiency
anemia and its effects.
Tissue Iron
Deficiency
Moderate
Severe
Anemia
27
CHINA Role Model
Once they brought “one child
norm”  Diet / sports /Studies
• their children have become much healthier
• Their heights have increased
• Their I. Q. levels are much higher
If they can do it in china
We surely can do it in india
Rainbow
Diet
+
SOYABIN
EXERCISES / PRANAYAM / MEDITATION
WARM WATER
Remember 5 A’s
• Ask what is your Hb
• Ask when was it done last
• Ask what is the normal Hb
• Ask to get it done right away
• Advise : Diet
: Tablet
: Deworming
Lets Pledge to make
Anaemia Free India
Anamia Free School
Anaemia Free Family
Anaemia Free GIRLS
I LOVE MY INDIA
33
ANEMIA / HIDDEN HUNGER
ARE 2 SIDES OF THE SAME COIN
• Malnutrition 45-22 %
• Stunted (4022%)
WHAT ARE MY LIMITS ??
UNPROTECTED SEX
35
36
ADOLECENT GIRLS
SEX  2 GIFTS of
Unprotected SEX
PREGNANCY + STD
Sexual Abuse/ Violence in
Teenage is on 
1 in 5 Teenagers is
sexually abused.( WHO)
Road Romeos
Home Romeos
Sugar Daddies
50
%
UNWANTED
PREGNANCY 38
CHILD IS BECOMING MOTHER
TEENAGE PREGNANCY BIRTHS
 DECREASED 20-10%
URBAN V/S RURAL 5 / 10%
HIV IN INDIA + STD
2
0
1
0
43
A study of awareness on HIV/AIDS among adolescents:
A Longitudinal Study on UDAYA data |
I KNOW
I KNOW SYNDROME
44
FACTS about INDIA
THE FACTS (India )

30 percent of abortion seekers were below 20
yrs, while 25 per cent of STD victims are
in the 16-20 yrs age group.
45
India Today 2022
• Nearly 1/3rd Urban
teens have alcohol
• 5 % drugs
• 30% smoke .
46
5 % of 12-17 year and
13% of 18-23 years
Drug users
(Source: working group on adolescents : Planning
commission)
Drug Trafficking - Minors
Birth day manane ka tarika DESTINATION / CSW
48
EPIDEMIC OF MENTAL DISORDERS
GOI  Admits
49
50
Suicide is the most dreaded
consequence of stress.
51
20/10
%
Role in PCOD
5-10% wt.
Reduction
effective in
restoring normal
menses
ALCOHOL
SMOKING
DRUGS
sex
What is Body Image?
STUDIES
ARE NOT LOST !!
GROWING UP
Image is NOT Everything
TIGER SHROFF
NORA
56
Image is NOT Everything
LOVE YOURSEL
APPRECIATE
YORSELF
RESPECT
YOURSELF
• GIVE OTHERS TOO 3
THINGS
• ATTENTION
• AFFECTION
• APPRECIATION
HAPPINESS
GRATITUDE
57
Role of we Doctors
• Movement Against Anaemia/MN
• Movement of menstrual hygiene
• Sex Education/ Life Skill Workshop
• Counseling Centers
• Self Defence Courses.
• Personality Development Courses.
Address their
menstrual concerns
very patiently and
with care
When should I see a doctor?
• Must see a doctor if
– Has not started periods by the age of 15 years
– Has started before the age of 10 years
– Are delayed or early
– Are heavy (with clots) or scanty
– Are very painful
– If she is unable to attend school
61
LET’S JOIN HANDS TO START
TEEN’S CLINICS to address ADH
62
Each Participant Doctor should
answer two questions:
• What do I, as a doctor, need to know and do
differently if the person who walks into my
health centre is aged 10-19 years
• How can I do? In the health centre? Away
from the health centre?
Are there other influential people in my
community who can understand and respond
better to the needs and problems of
adolescents?
63
Service providers are SENSITIVE to
the needs of adolescents and are
MOTIVATED to work with them
64
Adolescents FEEL AT EASE
with the surroundings and the
ambience of the service
delivery points
65
Adolescent Health
Workshops for Girls:
A Special Mission of IMA,FOGSI,DGF
Life skills Education
Life skills MUST
-Communication
-Assertiveness
-Negotiation
-Critical thinking
-Coping skills
-Empathy etc.
FAULTS BATAT HAI  BEST FRIEND
NOBODY IS PERFECT ( FLAWS X
MARKS
Adolescent health
workshop
My wonderful moments ….
Role of Parents
Encourage children –
Positive Self Esteem
• Tell them – “We love them”
• Treat them with kindness & Respect
• Must Discipline - but be gentle
• Listen and then teach decision making
• Praise v/s criticism
• Responsibility and trust
• “Thanks” - ‘Count the blessing’
71
Ringmaster approach will not do
72
Why don’t you listen to me ??
BE A FRIEND TO YOUR
TEENAGER
• Turn your life clock back to your teens
• Keenly observe his/her activities,
Interests, protests
• Don’t be too strict
• Involve a reliable mediator for
communication
74
75
I LOVE MY INDIA
76
Let us make some
serious commitment
Today!!
“What is doable by me”
77
78

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Why We Should Discuss Adolescent Health

  • 1. Why We Should be discuss about Adolescents Dr. Sharda Jain Secretary General, DGF
  • 2. 2 Delhi & NCR Group on Adolescent Health (2000) 3 life lesson 3 mantras
  • 4. SPECTRUM OF PROBLEMS 4 • Obsessed with image • Rampant anemia, malnutrition • Eating disorders • Unsafe sex • Unsafe abortion •  STD/RTI ( 1/3) • 50% of all new HIV cases. • Stress disorders • Alcohol /Smokingl and drug abuse • Sexual violence • Menstrual problems • Acne, Hirsutism, • Breast Disorders
  • 5. 5 AIM (2003) • Anaemia Free Adolescents • STOP HIV/AIDS & STD epidemic •  Teenage Pregnancy • Address sexual abuse and trafficking for C.S.W • India – Free FEMALE FOETICIDE
  • 6. 6 AIM (2022 ) • Teach what to EAT / exercise • Anaemia Free Girls ( 6 in 10 ) • STOP HIV/AIDS  decreased & STD epidemic  on increase •  Teenage Pregnancy  number increased ,but births have Emergency Cont / Med. Abortion. • Address use of Alcohol /Smoking / Drugs / sexual abuse and Violence
  • 7. 7 ADOLESCENTS : 22 % GIRLS :51 % INDIA : FREE OF FEMALE FETICIDE 2022
  • 8. India is the youngest country in the world Adolescent population : 22% World :- 1.3 billion INDIA :- 253 million
  • 9. Adolescence is a time for opportunity and risk OUR ECONOMIC FORCE. Adolescent health need to be rightfully addressed
  • 10. Habits and behaviors initiated in adolescence have life long impact Important to have a Healthy , Energetic and Enthusiastic & Patriotic Adolescent Population The society reaps what it sows in its adolescents…..
  • 11. We can not ignore adolescents !! they need help
  • 12. “Adolescent are resources to be developed .. They are not the problems to be fixed !
  • 13.
  • 14. Is it normal to be attracted to boys ? What is Growing Up All About?
  • 15. TO BE ABLE TO CHOOSE THE RIGHT PATH…. Reassurance Support Guidance
  • 16.
  • 17.
  • 18. Wish to stand out !!
  • 20. 75 year Anaemia is causing Red alert in India!!
  • 22. 6 out of 10 Adolescent girls in Delhi are Anaemic 2022 75% of Delhi university girls who volunteared for blood donation are rejected – Hb of < 12.5 gm% Makes them lazy
  • 23.
  • 24. 24 Anaemia drains all our energy & makes us “Lazy Race”
  • 25. EFFECT A ADOLESCENT GIRL -  Second growth spurt -  School performance -  capacity to do manual work
  • 26. Work performance Child development School performace Child mortality Maternal mortality Perinatal mortality Other factors A new conceptual model (WHO) of iron deficiency anemia and its effects. Tissue Iron Deficiency Moderate Severe Anemia
  • 27. 27 CHINA Role Model Once they brought “one child norm”  Diet / sports /Studies • their children have become much healthier • Their heights have increased • Their I. Q. levels are much higher If they can do it in china We surely can do it in india
  • 29. EXERCISES / PRANAYAM / MEDITATION
  • 31. Remember 5 A’s • Ask what is your Hb • Ask when was it done last • Ask what is the normal Hb • Ask to get it done right away • Advise : Diet : Tablet : Deworming
  • 32. Lets Pledge to make Anaemia Free India Anamia Free School Anaemia Free Family Anaemia Free GIRLS I LOVE MY INDIA
  • 33. 33 ANEMIA / HIDDEN HUNGER ARE 2 SIDES OF THE SAME COIN • Malnutrition 45-22 % • Stunted (4022%)
  • 34. WHAT ARE MY LIMITS ??
  • 36. 36 ADOLECENT GIRLS SEX  2 GIFTS of Unprotected SEX PREGNANCY + STD
  • 37. Sexual Abuse/ Violence in Teenage is on  1 in 5 Teenagers is sexually abused.( WHO) Road Romeos Home Romeos Sugar Daddies 50 %
  • 40. TEENAGE PREGNANCY BIRTHS  DECREASED 20-10% URBAN V/S RURAL 5 / 10%
  • 41. HIV IN INDIA + STD
  • 43. 43 A study of awareness on HIV/AIDS among adolescents: A Longitudinal Study on UDAYA data | I KNOW I KNOW SYNDROME
  • 44. 44 FACTS about INDIA THE FACTS (India )  30 percent of abortion seekers were below 20 yrs, while 25 per cent of STD victims are in the 16-20 yrs age group.
  • 45. 45 India Today 2022 • Nearly 1/3rd Urban teens have alcohol • 5 % drugs • 30% smoke .
  • 46. 46 5 % of 12-17 year and 13% of 18-23 years Drug users (Source: working group on adolescents : Planning commission) Drug Trafficking - Minors
  • 47. Birth day manane ka tarika DESTINATION / CSW
  • 48. 48 EPIDEMIC OF MENTAL DISORDERS GOI  Admits
  • 49. 49
  • 50. 50 Suicide is the most dreaded consequence of stress.
  • 52. Role in PCOD 5-10% wt. Reduction effective in restoring normal menses
  • 54. What is Body Image? STUDIES ARE NOT LOST !! GROWING UP
  • 55. Image is NOT Everything TIGER SHROFF NORA
  • 56. 56 Image is NOT Everything LOVE YOURSEL APPRECIATE YORSELF RESPECT YOURSELF • GIVE OTHERS TOO 3 THINGS • ATTENTION • AFFECTION • APPRECIATION HAPPINESS GRATITUDE
  • 57. 57 Role of we Doctors • Movement Against Anaemia/MN • Movement of menstrual hygiene • Sex Education/ Life Skill Workshop • Counseling Centers • Self Defence Courses. • Personality Development Courses.
  • 58. Address their menstrual concerns very patiently and with care
  • 59. When should I see a doctor? • Must see a doctor if – Has not started periods by the age of 15 years – Has started before the age of 10 years – Are delayed or early – Are heavy (with clots) or scanty – Are very painful – If she is unable to attend school
  • 60.
  • 61. 61 LET’S JOIN HANDS TO START TEEN’S CLINICS to address ADH
  • 62. 62 Each Participant Doctor should answer two questions: • What do I, as a doctor, need to know and do differently if the person who walks into my health centre is aged 10-19 years • How can I do? In the health centre? Away from the health centre? Are there other influential people in my community who can understand and respond better to the needs and problems of adolescents?
  • 63. 63 Service providers are SENSITIVE to the needs of adolescents and are MOTIVATED to work with them
  • 64. 64 Adolescents FEEL AT EASE with the surroundings and the ambience of the service delivery points
  • 65. 65 Adolescent Health Workshops for Girls: A Special Mission of IMA,FOGSI,DGF
  • 66. Life skills Education Life skills MUST -Communication -Assertiveness -Negotiation -Critical thinking -Coping skills -Empathy etc. FAULTS BATAT HAI  BEST FRIEND NOBODY IS PERFECT ( FLAWS X MARKS Adolescent health workshop
  • 67.
  • 68.
  • 69. My wonderful moments …. Role of Parents
  • 70. Encourage children – Positive Self Esteem • Tell them – “We love them” • Treat them with kindness & Respect • Must Discipline - but be gentle • Listen and then teach decision making • Praise v/s criticism • Responsibility and trust • “Thanks” - ‘Count the blessing’
  • 72. 72 Why don’t you listen to me ??
  • 73. BE A FRIEND TO YOUR TEENAGER • Turn your life clock back to your teens • Keenly observe his/her activities, Interests, protests • Don’t be too strict • Involve a reliable mediator for communication
  • 74. 74
  • 75. 75 I LOVE MY INDIA
  • 76. 76 Let us make some serious commitment Today!! “What is doable by me”
  • 77. 77
  • 78. 78