Kotecha P V, Patel Sangita, Baxi R K, Mazumdar V S, Misra Shobha, Modi Ekta, Diwanji Mansi
Department of Preventive and Social Medicine, Government Medical College, Vadodara, Gujarat, India.
Indian J Sex Transm Dis AIDS. 2009 Jul;30(2):94-9. doi: 10.4103/0253-7184.62765.
To identify the reproductive health issues associated with adolescence and their readiness to avail services like Adolescent Friendly Clinic (AFC) among rural school going children.
A quantitative survey was carried out using a self-administered structured questionnaire among 768 (428 boys and 340 girls) students from 15 schools by systematic random sampling from schools (3 schools from 5 talukas). Focus group discussions, 5 each with adolescent boys and girls and teachers were held.
Only 31% of the boys and 33% of the girls mentioned that they had heard about contraception. More than half of the adolescent boys and girls knew correctly about various modes of transmission of HIV/AIDS. A large proportion of boys and girls have mentioned changes in the opposite sex such as increase in height, change in voice, breast development, and growth of facial hair, growth of hair in private parts, onset of menstruation in girls, etc. Nearly 70% of adolescents were ready to use AFC. Teachers perceived that adolescents become curious about the changes taking place in them, but they lack information and opportunities for open-discussions to get answers to their queries related to reproductive health. They are willing to take help from teachers but teachers are not equipped with knowledge nor are they comfortable discussing these issues with their students.
Information on the human reproductive system and related issues on reproductive health need special attention. Teachers' sensitization to "adolescent health care" is required.
确定与青春期相关的生殖健康问题,以及农村在校儿童利用青少年友好诊所(AFC)等服务的意愿。
采用自行填写的结构化问卷,通过系统随机抽样,对来自15所学校(5个 talukas 中的3所学校)的768名学生(428名男生和340名女生)进行了定量调查。分别与青少年男生、女生以及教师进行了5次焦点小组讨论。
只有31%的男生和33%的女生表示听说过避孕措施。超过一半的青少年男生和女生正确了解艾滋病毒/艾滋病的各种传播方式。很大一部分男生和女生提到了异性的变化,如身高增加、声音改变、乳房发育、面部毛发增长、私处毛发增长、女生月经初潮等。近70%的青少年愿意使用青少年友好诊所。教师们认为青少年对自身发生的变化感到好奇,但他们缺乏信息,也没有公开讨论的机会来解答与生殖健康相关的问题。他们愿意向教师求助,但教师缺乏相关知识,也不便于与学生讨论这些问题。
需要特别关注关于人类生殖系统及生殖健康相关问题的信息。需要提高教师对“青少年保健”的认识。