Adolescents and youth experience several negative sexual and
reproductive health outcomes.
Such as early and closely spaced pregnancy,
unsafe abortions, STI, HIV/AIDS, and sexual violence at alarming scale.
One in every five woman aged 15–19
years experience child bearing before 17 years of age that are often
closely spaced.
Risk of maternal mortality among adolescent mothers was twice
as high as compared to mothers aged 25–39 years.
Importantly, adolescents and youth
comprise 31 percent of AIDS burden in India.
Furthermore, multiple socioeconomic
deprivations further increase the magnitude of health problems for
adolescents.
This limits their opportunity to learn and access
the appropriate health care services.
The National AIDS Control Orginasation,
India website says, “Most young people become sexually active during
adolescence.
In the absence of right guidance and information at this
stage they are more likely to have multi-partner unprotected sex with high
risk behavior groups… “.
With increasing exposure to
television and internet sex education does not imply teaching kids
about sex.
That knowledge they will pick up anyway.
But for many
proponents of sex education it definitely means teaching them about what
safe, healthy and acceptable sexual behavior is.
If we were to go by the data
published by WHO, sex education
should be imparted to children who are 12 years and above.
It has also
been seen that it is the age group of 12 to 19 years that counts for some 34%
of the HIV infected persons in the world.
Recent literature on adolescents
have documented that irrespective of being relatively healthy period
of life, adolescents often engage in the range of risky and adventurous
behaviors.
That might influence their quality of health and probability of
survival in both short and long term over the life course.
These includes early pregnancy,
unsafe abortions, sexually transmitted infections (STIs) including HIV,
and sexual abuse and violence.
Pregnancy
related problems comprise a leading cause of death among adolescents aged
15–19 years, mainly due to unsafe abortions and pregnancy complications.
However, the sexual and
reproductive health needs of adolescents and youth are poorly understood and
grossly under appreciated.
Owing to limitation of scientific
evidence compounded with the unpreparedness of public health system, which
may jeopardize the initiatives to advance the health and well-being
of adolescents.
The WHO report (2003) on family
life, reproductive health and population education documented
that promotion of family life/sex education has resulted in delayed age of
entering into sexual relationship, reduced number of partners, increased
use of safer sex and contraception, and other positive behaviour.
It was further noted that sex
education in schools did not encourage young people to have sex at earlier
age.
Rather it delays the start of sexual activity and encourages young people
to have safer sex.
However, both the critiques and
proponents of introducing family life/sex education in Indian schools
propagate the analogous ideology of ‘sexual restraint’.
Delaying the
initiation of sexual activity among adolescents before marriage, which may
also help to curtail the menace of
HIV/AIDS,
SEXUALLY transmitted diseases
and
Restrict the pace of Population Growth.
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