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Why focus on Very Young
      Adolescents



               V. Chandra-Mouli
Department of Reproductive Health and Research
          World Health Organization
Why focus on Very Young Adolescents



      1. A special time between late childhood
      & full blown adolescence when
      enormous physical, psychological and
      social changes are beginning or are well
      underway




2 |
Why focus on Very Young Adolescents




      2. A time when monumental changes
      occur in the lives of very young
      adolescents – e.g. school leaving &
      marriage




3 |
Why focus on Very Young Adolescents




      3. A time when they experience
      important public health problems –
      early child bearing, early initiation of
      sexual activity & interpersonal
      violence




4 |
Why focus on Very Young Adolescents




      4. A time when attitudes & values that
      have enormous implications on their
      lives and the lives of those around
      them in the years ahead, are formed




5 |
Why focus on Very Young Adolescents



      5. Programmes and projects in many
      places deliberately leave out young
      adolescents; even where they do not,
      young adolescents are often not
      reached




6 |
Nigeria – Implementing comprehensive sexuality education on a large scale




                                       Only junior and senior
                                      secondary school students
                                      addressed




7 |
Percentage of adolescents using youth centres and
     contacted by peer educators in the past year

                                     All  All   Boys              Boys        Girls       Girls
                                     boys girls 10-14             15-19       10-14       15-19

              Youth centre           20.3      7.2     10.5       27.2        3.9         9.0

              Peer                   26.5      15.1 18.3          32.3        12.7        16.5
              education

      A. Erulkar, T Mekbib, N Simie, T Gulema. Differential use of adolescent reproductive health programs
                    in Addis Ababa, Ethiopia. Journal of Adolescent Health. 2006, 38, 253-260.




8 |

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Overlooked But Definitely Not to Be Forgotten_Chandra-Mouli_Igras_5.1.12

  • 1. Why focus on Very Young Adolescents V. Chandra-Mouli Department of Reproductive Health and Research World Health Organization
  • 2. Why focus on Very Young Adolescents 1. A special time between late childhood & full blown adolescence when enormous physical, psychological and social changes are beginning or are well underway 2 |
  • 3. Why focus on Very Young Adolescents 2. A time when monumental changes occur in the lives of very young adolescents – e.g. school leaving & marriage 3 |
  • 4. Why focus on Very Young Adolescents 3. A time when they experience important public health problems – early child bearing, early initiation of sexual activity & interpersonal violence 4 |
  • 5. Why focus on Very Young Adolescents 4. A time when attitudes & values that have enormous implications on their lives and the lives of those around them in the years ahead, are formed 5 |
  • 6. Why focus on Very Young Adolescents 5. Programmes and projects in many places deliberately leave out young adolescents; even where they do not, young adolescents are often not reached 6 |
  • 7. Nigeria – Implementing comprehensive sexuality education on a large scale Only junior and senior secondary school students addressed 7 |
  • 8. Percentage of adolescents using youth centres and contacted by peer educators in the past year All All Boys Boys Girls Girls boys girls 10-14 15-19 10-14 15-19 Youth centre 20.3 7.2 10.5 27.2 3.9 9.0 Peer 26.5 15.1 18.3 32.3 12.7 16.5 education A. Erulkar, T Mekbib, N Simie, T Gulema. Differential use of adolescent reproductive health programs in Addis Ababa, Ethiopia. Journal of Adolescent Health. 2006, 38, 253-260. 8 |

Editor's Notes

  1. Studies suggest that only a very small number of adolescents are being reached, or are reaching points of service delivery, even where they exist. For example, a population based survey, involving over 1000 adolescents aged 10-19 years, that was carried out in slum areas of Addis Ababa showed that: There were 8 peer education programmes and 6 youth centres operating there. Only small proportions of the boys, and especially the girls utilized/were reached by these initiatives. Source: A. Erulkar, T Mekbib, N Simie, T Gulema. Differential use of adolescent reproductive health programs in Addis Ababa, Ethiopia. Journal of Adolescent Health. 2006, 38, 253-260.