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

Have capability of reproducingFreedom to decide when and how

(men & women)Safe, effective, affordable methods of

regulating fertilityRight 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.

Factors affecting Reproductive Health

EducationEmployment and economic

circumstancesFamily environmentTraditional & cultural structures Women status

Who is most affected

Women at mostFailure to conceptionUnwanted pregnancyComplications of child birthComplications of unsafe abortionEasy pray to RTI esp. STD’sBurden of contraception

Indicators of reproductive health

Maternal mortality Trained attendant conducted

deliveriesTT immunization and contraceptive

prevalence rateDeliveries culminating into Low birth

weight babies

Incidence & prevalence of STD’sQuality of family planning servicesAccess & quality of MCH servicesPrevalence of female genital

mutilation & prevalence & nature of obstetric & gynecological morbidities.

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

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

Adolescent Reproductive Health Programmes -INDIA

ObjectiveTo 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 girlsEncourage young couples to delay 1st

birth & to space subsequent birthsTo increase use of spacing methods

of contraception

Prevent STI’sLower rates of unsafe abortions

Focus

Adolescent boys and girlsYoung 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

Other Programmes

Kishori Shakti YojanaBalika Samridhi YojanaMahila Samakhya ProgrammeSchool AIDS Education ProgrammeTraining of Rural Youth & Self

Employment Programme

Recommended Dietary Allowances

group particulars Net energy kcal/d

Protein (gm)

Fat

g/d

Calcium mg/d

Iron mg/d

Boys 10-12 2190 54 22 600 34

Girls 10-12 1970 57 22 600 19

Boys 13-15 2450 70 22 600 41

Girls 13-15 2060 65 22 600 28

Boys 16-18 2640 78 22 500 50

Girls 16-18 2060 63 22 500 30

Benefits of physical activity to adolescents

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