ADOLESCENTS ON SEXUAL & REPRODUCTIVE AGENDA

Adolescence is the period of transition between childhood and adulthood when you people experience biological maturation and cognitive growth. Today one-fourth of the world population is adolescence & 4 out of 5 live in a developing world. Such groups are emotionally vulnerable with many problems. It is a period of emerging independence to explore one’s identity, accept personal and social responsibility, exercise judgment & practice the skills necessary to become a productive member of society. Most adolescent health issues are related with poverty, illiteracy and unhealthy social cultural practices coupled with low health seeking behavior, which indicates the need of multi-sectorial policy to address the adolescent health and developmental issues.

 Adolescence Health has for many years received a little attention. The low priority for preventative interventions in countries with low health budgets has made their health in many developing countries come at the bottom of list. School based sex education programmes have been globally recognized as an important means of influencing young people’s health practice.

The brutal truth is that Health Indicators in our country showed by National Statistics points that Nepal is one amidst the worst in South East Asian Region. Exploitation in the form of economic child labor, sexual harassment, girl trafficking, commercial sexual exploitation & domestic violence known to occur in most of the South Asia. Cultural Violence in the form of multicating operation of external genital in young adolescents leading to physical & psychological trauma still occur in some countries. With high incidence of teenage pregnancy, more and more girls seek abortion to terminate unwanted pregnancy thus increases morbidity & mortality. A sexual assault on girls at an alarming rate represents a significant public health problem. Adolescents frequently become victims of sexual assault often by a previously known assailant.

The women are made to suffer in our country in different phases of life-form from the time of conception till her death, from a girl child to an adult woman, and from childbearing to menopause. In the name of honor-killing (e.g. Hari-kari), thousands of women are murdered in Pakistan. Violence, burning of women, & murdered of women are still acceptable in their culture & tradition in the name of preaching rites & rituals. Nepal is also more or less into such impunity whilst it comes to of Chaupadi Pratha no matter girls are forced out of their home even the temperature has abruptly fallen to minus degree centigrade. Badis are the community in our nation who are classified as commercial sex workers. I urge strong condemn on such sexual & reproductive aggression to women. In most of the rural areas i.e Achham, Rukum, Dhading … Women are forced to give birth a child a dozen of times and are even isolated; not given sumptuous nutritious diet, hygienic environment during those odd hours. Giving birth by Trained Birth Attendants (TBA) and immunization of their infants is a far more cry. Time & again, uterovaginal prolapse has been proposed as an etiological factor of primary vaginal carcinoma. Reports such as a case of primary squamous cell carcinoma, vagina inducing, IVU showing bilateral hydronephrosis & hydrouretor, case involving on external telecobalt therapy are observed. Having seen all this and that, it emphasizes the importance of treating uterovaginal prolapse in time so as to prevent them from developing into primary carcinoma of vagina. Emergency Management of incomplete abortion by dilation & evacuation (D&E) or by Manual Vacuum Aspiration (MVA) is only available to women in urban areas and attempts at having such surgical treatment available at health centre led have largely been fruitless.

Is there any nation where denizens are deprived of fundamental rights to Fooding, lodging & accommodation? The nation has its duty to screen, monitor & evaluate about their generations by means of health surveys & surveillances so that the indicators on Rate-Ratio-Proportion; Incidence-Prevalence can be exact known. Make sure that the data provided are essential to planning Health Service, Public Policy, & implementing programmes on Public Health. Let the research project fills lacunae in Health Knowledge, Attitude, & Practices (KAP) by which study of natural history and prognosis of disease does not come further complications.

Thanking you,

Kind Regards,

Amrit Bhandari

24carat.amreet@gmail.com

http://amreetadministration.blogspot.com/

http://amritbhandari23.wordpress.com/

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