Regmi P, Simkhada P, Van Teijlingen E R
Department of Public Health, University of Aberdeen, United Kingdom.
Kathmandu Univ Med J (KUMJ). 2008 Apr-Jun;6(2):248-56.
This article attempts to summarise the situation of sexual and reproductive health among young people in Nepal. Modernisation and social transformation are occurring rapidly in Nepalese society. Growing expansion of communication and transportation networks, urbanisation and in-migration of population to urban areas is creating a different socio-cultural environment, which is conducive to more social interactions between young girls and boys in Nepal. Rising age at marriage has now opened a window of opportunity for pre-marital and unsafe sexual activity among young people in Nepal which creates risks of unwanted pregnancy, STIs/HIV and AIDS. Several socio-economic, demographic and cultural factors have been identified as encouraging factors for risk taking behaviours among young people. Improving access to youth friendly services, implementing peer education programmes for school and out of school going adolescents, developing effective Information, Communication and Education (IEC) materials and curricula have been highly suggested to improve the existing young people's sexual and reproductive health status.
本文试图总结尼泊尔年轻人的性与生殖健康状况。尼泊尔社会正在迅速经历现代化和社会转型。通信和交通网络的不断扩展、城市化以及人口向城市地区的迁入,正在营造一种不同的社会文化环境,这有利于尼泊尔年轻男女之间更多的社会交往。结婚年龄的上升,如今为尼泊尔年轻人的婚前不安全性行为打开了一扇机会之窗,这带来了意外怀孕、性传播感染/艾滋病毒和艾滋病的风险。已确定若干社会经济、人口和文化因素是年轻人冒险行为的促成因素。强烈建议改善获得青年友好型服务的机会,为在校和失学青少年实施同伴教育方案,开发有效的信息、通信和教育(IEC)材料及课程,以改善现有的年轻人性与生殖健康状况。