BY- TANYA SHARMA

Indeed! It’s very true that it is the high time to create awareness for sexual & reproductive health in adolescents as it has resulted in unsafe sexual practices, violence, and substance abuse in recent years. But first of all, a question arises that what actually “adolescents” mean? As per the definition provided by the World Health Organization (WHO), “adolescent” is any person who falls under the age of range of 10 to 19 years. Adolescence is referred as a developmental bridge between childhood and adulthood and is a period of rapid growth along with physical and emotional changes. Age is a convenient way to define adolescence; however, it is the only one characteristic that delineates this period of development. It is a stage of life in which an individual attains sexual maturity, and inspite of this; it has been observed that adolescents lack basic information about their body, sexuality, and contraception. This age group consists of 20% of the total population of the world and about 85% of the adolescents live in developing countries. According to UNICEF , only 34.5 male adolescents and 18.6 female adolescents have knowledge about the risks associated with unprotected sex.

Talking about India, then it has the largest national population of adolescents, i.e. 243 million followed by China. The main problem in our country is that sex is considered as a taboo and is looked upon by the society in terms of education because public discussion about sexual practices is considered wrong which ultimately acts as a barrier to provide adequate and affective sexual education to Indian adolescents. As per our Indian culture, sex is confined only with the institution of marriage for the purpose of procreation and not for joy of intimacy, pleasure, and fun. However, a very popular Hindu text, known as “Kama Sutra”, is depicted as a classic work on human sexual behavior which clearly highlighted scriptures and pornographic depictions, as a medium for sexual education, and was never regarded as a taboo in ancient India and was always a part of Indian culture. Also other most ancient texts and the Vedas discloses the moral perspectives on sexuality, marriage, and fertility prayers but in comparison with recent scenario, “talking about sex” or “imparting sex education” is looked upon as “destroying our Indian cultures and values”. Due to this typical mindset of our society sex education is banned in Maharashtra, Gujarat, Rajasthan, Madhya Pradesh, Chhattisgarh, and Karnataka.
Key Issues related to Sexual & Reproductive Health (SRH) are as follows:
• Puberty- Adolescents is the pertinent period to build healthy habits and lifestyle related to SRH, as it is the transformation from childhood to adulthood and is related with physical and psychological changes. Also adolescents are exposed to human rights abuses in the areas of sexuality, marriage, and childbearing. Thus, health services should be made adolescent friendly.
• Pregnancy and Unsafe abortion- Girls and women do not have access to quality services and information due to which they are at high risk of unintended pregnancy and because of it almost half of all pregnancies are unintended and approximately half of unwanted pregnancies end in abortion. Abortion should be done safely otherwise it can put women’s and girl’s lives and well-being at risk. Unsafe abortion can be prevented through comprehensive sexuality education, access to affordable contraception, and safe abortion care.
• Access to modern contraception- Contraceptives prevent unintended pregnancies, therefore, women and young girls must have information and access to services that can help them to avoid unwanted pregnancies. Contraceptives also reduce the number of abortions and lower the incidence of death and disability related to complications of pregnancy and childbirth.
• Sexually Transmitted Infections (STIs) and HIV/AIDS- HIV/AIDS and STIs have a grave impact on individual’s and couple’s sexual and reproductive health and well-being, therefore, it is imperative for people to have access to sexual and reproductive information, education, and communication to prevent HIV/AIDS and STIs.
• Gender-based violence- Violence, which is already a violation of person’s rights, puts females and other vulnerable populations into unintended pregnancy, HIV infection and other health issues.
• Alcohol, tobacco, and drugs abuse- Alcohol, tobacco, and other intoxicating products cause a high prevalence of risky sexual behavior due to impair decision-making.
• Poor mental/emotional health- Poor mental and emotional health issues are related with the rising rates of unsafe sex, sexually transmitted diseases and early sexual experiences.
• Influence of Information and Communication Technologies (ICTs) on sexual behavior- Influence of Information and Communication Technologies (ICTs) namely, information relating to sexual activity, cyber-bullying, and sexting has resulted in a new high-risk behavior among youth.

Parents, who are considered as the first educator of their children, feel uncomfortable to talk about sex with their children, especially adolescents. They feel like their child is too young to understand the concept of sex and its consequences and will slowly and gradually know about it at his/her maturity age but this is not at all true. In this era of technology, where everyone has the access to internet, we cannot say that a 15 year sweet kid hasn’t seen online pornography. Also teachers at school end up talking about sex by teaching reproductive organs and finishing the topic here and there and feel shy to talk openly about sex with their students.
Even in 2005, Central Board of Secondary Education (CBSE) issued a circular named “Adolescence Reproductive and Sexual Health Education (ARSH) project ” which unfortunately still remains on paper and is yet to be implemented in reality. This project aims at facilitating adolescents to understand the outlook of physical, biological, and emotional changes in order to administer their emotions effectively to restrict themselves from sex exploitation and gender based violences to understand the risk of HIV/AIDS etc. But none of this happened and because of this illiteracy people are unaware of the consequences of unprotected sex and the ways to protect themselves from HIV/AIDS.
Therefore, every year on February 12, “Sexual and Reproductive Health Awareness Day” is organized in order to raise awareness about sexual and reproductive health. The day is celebrated with the main objective that people must be informed and empowered to protect themselves from sexually transmitted infectives, HIV/AIDS, unintended pregnancies and unsafe abortions, and especially women to have access to services when they decide to have children and to help them with a healthy pregnancy, safe delivery and a healthy baby.
Lastly, the Government of India through the Ministry of Health & Family Welfare has launched several programmes under the guardianship of “Reproductive, Maternal, Newborn, Child and Adolescent Health ” (RMNCH+A) in order to provide health services for sexual and reproductive health. RMNCH+A strategy was launched to prioritize high-impact interventions for various lifecycle stages to increase effectiveness of investments by prioritizing geographical areas based on evidence, integrate monitoring and accountability through good governance, use of available data sets, community involvement, and steps to address grievances, etc.
Programmes under RMNCH+A are:
• Jansankhya Sthirata Kosh (JSK), an autonomous society of the Ministry, has a toll free helpline 1800-11-6555 for replying queries on reproductive health, family planning and infant health. It is also known as National Population Stabilisation Kosh.
• Rashtriya Kishor Swasthya Karyakram (RKSK) was launched in collaboration with United Nations Population Fund (UNFPA) to provide adolescents with preventive, promotive, curative, and counseling services with routine check-ups at primary, secondary and tertiary level.
As a part of this programme, SAATHIYA resource kit and SAATHIYA SALAH app has been introduced which aims to train around 1.64 million adolescents to share accurate information about sexual health with their peers, besides, adolescents could also learn and clear their doubts with the help of the app. SAATHIYA resource kit comprises of Activity Book, Bhranti-Kranti Game, Question-Answer Book, and Peer Educator Diary.

Thus, it is the need of the hour to spread awareness among adolescents about sexual and reproductive health. We all need to take initiatives on our part may it be playing the role of a parent, a teacher, a friend or a brother/sister to explain the concept of sex and its consequences to adolescents instead of making sex as a taboo. Proper sex education should be given to adolescents so that they might not face any of the harsh consequences of it.
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