Tan Gi Ni 130542 Mohd Khir A. Shukor 133833 Marina Binti Hussin 131479 Hayatul Naimah Mohd Khairuddin 131859 Munirah Mohd AriI Kor
COORDINATOR : AP Dr. LatiIIah A. LatiII LECTURERS : Dr. Nor AIiah Mohd ZulkeIli Dr. Anisah Baharum
CONTENTS
1.0 INTRODUCTION 1.1 Agency background 1.2 Package 1.3 Background inIormation 1.4 Objectives 1.5 Target population and place 1.6 Risk Iactors oI teenage pregnancy 1.6.1 Teenagers 1.6.2 Family 1.6.3 Friends / peers 1.6.4 Environment
2.0 CONTENTS 2.1 DeIinition oI teenage pregnancy 2.2 How does pregnancy occur? 2.3 Prevention oI teenage pregnancy 2.3.1 Abstinence : no sexual intercourse 2.3.2 II the teenager decides to have sex, what should they do? 2.3.3 Victim oI teenage pregnancy : rape and incest 2.4 How do you know you are pregnant? 2.4.1 Early symptoms 2.4.2 Home pregnancy test 2.4.3 Visit doctor 2.5 What should you do iI you are pregnant? 2.6 Options in teenage pregnancy 2.7 Impact oI sexual intercourse 2.8 Impact oI teenage pregnancy 2.8.1 Teenagers 2.8.2 Child 2.8.3 Family 2.8.4 Society 2.9 Antenatal care oI pregnant teenage 2.9.1 Medical care 2.9.2 LiIestyle changes 2.9.3 Nutrition 2.9.4 Exercise 2.9.5 Stress management 2.9.6 Prenatal classes 2.9.7 Preparing Ior new responsibilities
3.0 HEALTH PROMOTION PROGRAMME 3.1 Place and time 3.2 Objectives 3.3 Program schedules : Activities 3.4 Budget 3.5 Sponsors
1.0 INTRODUCTION
1.1 BACKGROUND
Our agency consists oI a team oI second year medical students Irom the Faculty oI Medicine and Health Sciences, Universiti Putra Malaysia. We are here to present and propose our health promotion programme on Teenage Pregnancy.
1.2 PACKAGE : TEENAGE PREGNANCY
We have prepared a slide presentation along with our proposal Ior the programme mentioned above.
1.3 BACKGROUND INFORMATION: WHY WE CHOOSE TEENAGE PREGNANCY?
We chose to do a programme on this current social problem because it is a global incidence. The developed and developing countries have diIIerent rates oI incidence on teenage pregnancy. Commonly, in developed regions such as North America and Western Europe, teen parents tend to be unmarried and adolescent pregnancy is considered a social issue. But in developing countries, teen parents are oIten married and their pregnancy may be welcome by Iamily and society. The problem is very alarming as proven by a report by Save The Children which shows that 13 million children are born to women under the age oI 20 worldwide with 90 oI the cases occurred in developing countries. AIrica has the highest incidence oI teenage pregnancy worldwide with 143 per 1000 girls aged 15 to 19. As Ior Asia, premarital sex is uncommon but early marriages in certain cultures sometimes promote adolescent pregnancy. Incidence is commonly higher in rural regions than in urbanized areas. In South Korea and Singapore, marriage beIore age 20 has all but disappeared, and although the occurrence oI sexual intercourse beIore marriage has risen, rates oI adolescent childbearing are low at 4 to 8 per 1000. The rate oI early pregnancy has decreased sharply in Indonesia and Malaysia also. However, it remains high in comparison to the rest oI Asia.
1.4 OB1ECTIVES
Our aims Ior this programme are to promote sexual education among our target population, to decrease the Irequency oI teenage pregnancy, a serious social problem and also to provide support Ior teenage mothers with counselling.
1.5 TARGET POPULATION
Our target population is the high risks teenagers (which will be chosen by teachers) in secondary schools in Malaysia.
1.6 RISK FACTORS OF TEENAGE PREGNANCY
There are several Iactors that inIluence teen pregnancies. These Iactors include the teenagers themselves, Iamily, Iriends and environment (community and culture). 1.6.1 Teenagers Lack oI emotional maturity can be one oI the causes oI teenage pregnancy. Teenagers become sexually mature (and Iertile) approximately 4-5 years beIore they reach emotional maturity. They are also more likely to become pregnant iI they have low- selI esteem, pooI perIormance in school, drop out Irom school and engaging in high risk behaviour such as smoking, alcohol use and drug abuse. Some teenage girls become pregnant while involved in long-term dating relationships. The girl intends to spend her liIe with her partner. They become closer emotionally and physically. The girl Ieels compelled to invest her body to maintain the relationship and that is where the problems oI becoming pregnant begin. Inadequate education or awareness regarding reproductive health, responsible sexual behaviour, contraceptives and consequences oI sexual intercourse (including pregnancy, sexually transmitted disease and psychosocial eIIects) are most oIten the causes oI teenage pregnancy. Besides, they also may lack oI knowledge oI, or access to, conventional methods oI preventing pregnancy, perhaps because they are too embarrassed to seek it. In other cases, contraception is used, but proves to be inadequate. This is because inexperienced teenagers may used condom incorrectly or Iorget to take oral contraceptives. Other teenagers are knowledgeable but choose to take sexual risks. 1.6.2 Family Family is also a strong indicator oI the likelihood oI teenage pregnancy. Typically, teenagers who come Irom poor, less educated, single-parent Iamilies, Iamily situation with regular conIlicts between members are at a greater risk Ior pregnancy. Teenagers whose mother or sister gave birth as a teen are also more likely to become pregnant during their teenage years.
In Iact, the reason most teenage girls become pregnant is because they do not get enough love and attention. They are sometimes neglected all the time because their parents are out working to support the Iamily. Lack oI trust and communication between parents and teenagers is another important cause oI unwanted teenage pregnancy. Parental attitude towards their teenaged children and amongst themselves inIluence their children`s behaviour and thoughts. II parents are unable to communicate with their children regarding issues relating to sex, then the teenagers resort to acquiring inIormation regarding sex through other sources which may not be reliable. These other sources are generally magazines and Iriends who are extremely unreliable sources oI inIormation and can mislead the them into Iorming incorrect ideas about sex.
1.6.3 Friends / Peers Without a parent to direct the teenager and set limits, a teenager might be unable to distinguish right Irom wrong. This is where peer pressure takes hold. Teenagers who are part oI the wrong crowd oI people who smoke, drink alcohol, take drugs and have sex might be pressured by their peers to Iollow their routines. Consequently, this will lead to unintended pregnancy among teenagers.
1.6.4 Environment
There is a strong correlation between teenage pregnancy and the neighbourhood in which the teenagers live. Teenagers that live in neighbourhoods with high levels oI poverty, low levels oI education and high residential turnover are at higher risk Ior teen pregnancy. Lack oI community coordinated programs Ior youth and policies that deal with social support, and positive educational and recreational activities can also contribute to this problem. In some societies, early marriage and traditional gender roles are important Iactors in the incidence oI teenage pregnancy. In addition, teenagers today are growing up in a culture in which media such as television, movies, music and magazines oIten transmit either covert or overt messages that unmarried sexual relationships (speciIically those involving teenagers) are common, accepted and expected behaviours. As a result, this can lead to irresponsible sexual behaviour and thus, cause teenage pregnancy.
2.0 CONTENTS 2.1 DEFINITION OF TEENAGE PREGNANCY Teenage pregnancy is deIined as pregnancy occurring in girls aged 10-19.
2.2 HOW DOES PREGNANCY OCCUR? During ovulation, one oI the woman's ovaries releases a tiny egg that begins to travel down the Iallopian tube. During sexual intercourse, a man ejaculates millions oI sperm that travel up the vagina, through the uterus and into the Iallopian tube where the egg meets the sperm. When the egg and sperm Iuse, it is called Iertilization. In a normal pregnancy, the Iertilized egg travels down the Iallopian tube. On about the third day oI travel, the Iertilized egg arrives in the woman's uterus. AIter 2 or 3 days in the uterus, the Iertilized egg begins to implant in the uterine lining. Upon implantation, pregnancy occurs. II the lining is rich enough with maternal blood, it will continue to grow there and will become an embryo, then a Ioetus. AIter approximately 38 weeks, the Ioetus is ready to be born.
2.3 PREVENTION OF TEENAGE PREGNANCY
2.3.1 Abstinence
The most eIIective method oI prevention is abstinence, which means no sexual intercourse. Abstinence is the only way that teenagers can be 100 sure they will not have to deal with pregnancy or sexual transmitted diseases.
Teenagers are responsible Ior their actions and liIe. ThereIore, they should not let anyone pressure them into having sex. There are a lot oI good reasons to say "No, not yet". Protecting their health and Ieelings is one oI the examples. Their partner who really loves and respects them will not ask Ior sex beIore marriage. Teenagers should avoid Irom taking alcohol or drugs that can impair their judgement about sex. Teenagers also need to choose the right Iriends because peer pressure can inIluence their behaviours and decision to have sexual intercourse. Teenagers should improve their knowledge about sexuality. They need to be made aware oI the consequences and impacts oI sexual activities on their lives, such as pregnancy and sexually transmitted disease.
2.3.2 Use contraception method
II the teenagers have decided to have sex, they must also take responsibility to protect themselves Irom unplanned pregnancy and sexually transmitted diseases because sex has consequences. For couples who do choose to have sex, there are many eIIective birth control methods to choose, Ior examples; condom and oral contraceptive pill (OCP) which will suppress the ovulation process by combined actions oI estrogens and progesterone. 2.3.3 Rape and incest However, even the teenagers not decide to have sex, they may be a victim oI teenage pregnancy, Ior examples; rape and incest. Rape means sexual assault on a Iemale by a male in which the penis oI the assailant is introduced into the vagina or anus oI a non consenting victim oI any age by threat or Iorce.
While, incest is sexual relations between persons who are so closely related that their marriage is illegal or Iorbidden by custom, Ior examples; between teenager and their parents, siblings, uncles, and grandparents etc. Incest is now recognized as a common type oI sexual abuse. It is potentially damaging to physical, mental and social well being.
To prevent the sexual abuse or sexual assault, teenage should choose their Iriends careIully, be modest in their behaviours and dressing, try to avoid peers who engage in risky behaviours and inappropriate social activities, always inIorm their parents about where they are going out to and with whom, do not take liIts Irom strangers, also do not take drinks or open canned drinks Irom strangers / new Iriends and do not take money or giIts given to you without a good reason. The teenage must avoid loitering at night and in a lonely, quiet area and must diIIerentiate between appropriate touch and inappropriate touch (Iondling breast, thigh or buttocks).
2.4 HOW DO YOU KNOW YOU ARE PREGNANT 2.4.1 Early symptoms Pregnancy symptoms most oIten do not occur until they have missed their period Ior about 2 weeks, but this varies Irom woman to woman. Symptoms can occur earlier Ior some women (sometimes a week aIter a missed period). N Delayed period (amenorrhoea): Menses are delayed more than 10 days beyond the due date, with previous periods being regular and have been sexually active N "Morning sickness" (nausea): Ieeling sick, or vomiting in the morning N Breast changes: Fullness, prickling sensations and heaviness in breasts. Breasts may Ieel painIul to touch. N Increased vaginal discharge. N Urination problems: Ieeling like urinating more oIten. N Tiredness (Iatigue): Ieeling unusually tired and lethargic. N Mood swings N Change in appetite
2.4.2 Home pregnancy test Pregnancy test kit can be done in the privacy at home. All home pregnancy testing devices use monoclonal antibodies to detect a hormone known as human chorionic gonadotropin (hCG). hCG is produced by the developing placenta beginning the day on which the embryo implants in the uterine wall. How to use home pregnancy test? Remove as many test cards Irom the pouches. Then, lay the test cards on a clean Ilat surIace. Add 6 drops oI urine to the test card using the dropper provided. Results are then read in 5 minutes.
2.4.3 Visit doctor A woman may Ieel certain changes in body (early symptoms oI pregnancy) and may have done a home test to Iind out whether they are pregnant or not. However, it is good to consult a doctor to be sure. There are various subtle changes in your body in pregnancy, which can be assessed beIore there are obvious physical changes. General Examination: N Pulse rate goes up by 10 15 beats / minute. N Blood pressure tends to go low. N Skin pigmentation increases. Darker colour "butterIly" distribution rash on the Iace (chloasma) may be appear. Breasts : N Darker pigmentation oI the areola (area around nipple) and oI the nipples. N Congestion oI breasts and dilated veins seen over the breast. Genital tract : N Increased vaginal discharge (leucorrhoea) is common. N Dark, bluish discoloration oI vagina and cervix due to congestion. N The cervix and uterus Ieel soIt. N The uterus gradually starts increasing in size as pregnancy advances. Confirmatory test AIter examining, doctor may Ieel that certain tests need to be done. In particular, Ior early pregnancy woman may be advised to do the Iollowing tests: N Urine hCG test N Serum beta hCG : to conIirm the pregnancy iI urine testing is not conclusive, or help to decide the Iurther treatment in case oI complications (such as presence oI bleeding / spotting in early pregnancy) N Abdominal sonography
2.5 ACTIONS TEENAGE SHOULD TAKE IF THEY ARE PREGNANT.
First, they should go to the nearest doctor or health clinic Ior antenatal care or check up. Early antenatal check up is important to monitor the well-being oI the mother and the baby. For an unmarried teenager, they can seek help or talk to their parents, school teacher, school counsellor, doctor and health care provider and social welIare oIIicer at the nearest District WelIare department. Deciding what to do about an unplanned pregnancy can be diIIicult. Options Irom adults and counsellors can help teenagers with this decision.
Teenage should not put themselves in a dangerous situation by keeping their pregnancy as a secret or going Ior an illegal abortion.
There are several support groups available in Malaysia.
i) Woman's Aid Organization, email: waopo.jaring.my ii) Women's Centre Ior Change, (WCC) Penang, email: wccwccpenang.org iii) All Women's Action Society (AWAM), email: awampo.jaring.my iv) Sisters in Islam, email: sistersinislampd.jaring.my
2.6 OPTIONS IN TEENAGE PREGNANCY
PREGNANCY MAINTAIN TAKE CARE BY YOURSELF LIVE WITH PARENTS FOSTER PARENT CARE ADOPTION CHILD ABANDONMENT TERMINATE ABORTION There are only two options Ior teenage pregnancy, either to maintain or terminate their pregnancy. II they decide to maintain their pregnancy, they have to take care oI the baby by themselves or live with their parents. Being a mother, having a baby will mean that the teenagers have to get used to a new way oI liIe. This decision will cause a big change in the teenager`s liIe. It needs hard work and costs a lot oI money. The teenagers should think about what they want to do in the next Iew years. They have to make another decision whether to Iinish school, get job or get an own place to live. It is also important Ior the teenage to get prenatal health care.
The teenagers also can maintain their pregnancy and then arrange their baby to Ioster parent care (Jabatan Kebajikan Masyarakat). In Ioster parent care, the baby is cared by another person while the mother gets ready to raise the baby permanently. In cases where teenagers cannot take care oI their baby, they can arrange their baby Ior a Iormal adoption to Jabatan Kebajikan Masyarakat.
Child abandonment is a Iorm oI child neglect. It is an oIIence and is punishable by the law. The Malaysian law states that abandoned children will be protected and cared Ior. In Malaysian Criminal laws, as in the Penal Code states, those who abandon babies shall be punished with imprisonment Ior 20 years.
II teenagers decide to terminate their pregnancy, it they have decided to undergo abortion. This decision oIten jeopardizes their saIety and health by selI-inducing abortion or seeking a dangerous illegal procedures. BeIore teenagers decide to abort, they should think careIully about why their baby needs the same opportunity oI liIe that they have. Abortions are illegal in Malaysia!
2.7 IMPACT OF SEXUAL INTERCOURSE IN TEENAGE PREGNANCY
Sexual intercourse in teenage pregnancy is best avoided and abstinence is encouraged due to several reasons. The main reason is that teenagers are at increased risk oI getting sexually transmitted diseases and can seriously jeopardize the mother and the baby signiIicantly. Pregnant teens are also more likely to have complications in pregnancy and thereIore, sexual intercourse is not encouraged. II they still wish to do so, their health care provider should be consulted Ior advice whether sex is saIe Ior them or not.
2.8 IMPACT OF TEENAGE PREGNANCY
2.8.1 ON TEENAGERS
Teenage pregnancy can have various impacts on adolescents and can have devastating eIIects in their liIe. Health or medical, education, socioeconomic and psychological impacts are impacts oI pregnancy and parenthood in teens. LiIe outcomes oI teenage mothers and their children vary with other Iactors such as poverty and social support which may be more important than the age oI the mother at birth.
2.8.1.1 Health / Medical
Among teens that are pregnant or parenting, maternal and prenatal health is very important. Pregnant teens are less likely to receive prenatal care, oIten seeking it to the third trimester iI they do. Many pregnant teens also can be prone to nutritional deIiciencies Irom poor eating habits common in adolescents, including attempts to lose weight through dieting, skipping meals, Iaddism, snacking, skipping meals and consumption Iast Iood. In developing countries, inadequate nutrition during pregnancy is an even more marked problem among teenagers.
Not only that, teenagers has a signiIicantly higher complication rate both during pregnancy and delivery. An estimation oI 70,000 teen girls in developing countries has complication in pregnancies which results in death each year. Girls 14 years or younger have greater risks oI medical complications, as an underdeveloped pelvis can lead to diIIiculties in childbirth. An obstructed labour can be dealt with by Caesarean section in developed nations. However, in less developed regions, these medical services might not be available. This can lead to eclampsia, obstetric Iistula, inIant mortality or maternal death.
2.8.1.2 Education
Being a young mother can eIIect one`s education. Teen mothers are more likely to drop out in high school. The Iailure to complete their education will reduce career opportunities Ior them greatly. They will most likely bring up their child in poverty.
2.8.1.3 Socioeconomic
Teenage parents are most likely to be single parents. With the low level oI education due to the Iailure to complete it, lack oI job skills will cause Iinancial problems and increases poverty. Their socioeconomic level will be low. However, it is diIIerent in cases where they receive support Irom Iamily members or so.
2.8.1.4 Psychological
The changing oI the role oI the teenager Irom a single young girl with their normal daily activities to a parent Iull with many responsibilities can aIIect the teenager psychologically. They have to understand that they can no longer do the things they used to do beIore and have to concentrate on the baby`s care. Furthermore, teenage mothers have 3 times more the rate oI post-natal depression compared to other older mothers. They might also experience alienation Irom their peers and Iamily and it will be though Ior them without support.
2.8.2 ON THE CHILD
2.8.2.1 Before and At Birth
Premature birth and low weight oI the baby is more common among adolescent mothers. This can contribute to childhood health problems (death, blindness, deaIness, mental retardation, chronic respiratory problems) and hospitalization. Furthermore, the inIant mortality rate Ior babies to teenage mothers is 60 per cent higher than Ior babies born to older mothers. Teenage mothers are also more likely to smoke during pregnancy which has negative consequences Ior the baby.
2.8.2.2 Later in Life
Young people can be competent parents. However, all evidence shows that children born to teenagers are more likely to experience a range oI negative outcomes later in liIe.
Children oI teenage parents are generally at increased risk oI poverty, low educational attainment, poor housing and health, and have low rates oI economic activity in adult liIe. Teenage mothers are also less likely to breastIeed which is also not good Ior the inIant.
Early motherhood can also aIIect the psychosocial development oI the inIant. The occurrence oI developmental stabilities and behavioral issues is increased in children born to teen mothers. This maybe because adolescent mothers are less likely to stimulate their inIant through aIIectionate behaviors such as touch, verbal communication and smiling or to be sensitive to the inIant`s needs.
Children oI teenage mothers are also more likely to have poor academic perIormance. Most importantly, children born to teenage parents are much more likely, in time, to become teenage parents themselves.
2.8.3 FAMILY
The news oI the adolescent being pregnant can be both shocking and disturbing news Ior their Iamily. This issue might be considered a taboo by the Iamily and they might deny and reject their child`s problem thereby leaving the pregnant teenager on her own. The Iamily might not be able to accept this issue and they might be reluctant to give any support to their child. On the other hand, some Iamilies might be able to accept it and will give their Iull support to the teenager. This will relieve the teenager`s burden and the teenager might be able to cope better with their problems. However, providing Iinancial support Ior the baby might increase the burden oI the Iamily and some might not be able to aIIord it.
2.8.4 SOCIETY
Teenage pregnancy is a serious social problem. Society may look at this problem as a taboo and people will discriminate these teenagers who are in need oI help and support.
2.9 ANTENATAL CARE OF TEENAGE PREGNANCY
2.9.1 Medical care
At Iirst prenatal visit, teenagers will probably be given a Iull physical exam including blood and urine tests and screen the teenage Ior sexually transmitted diseases. The health care provider also will discuss: N schedule oI prenatal visits N what she may be Ieeling physically and emotionally N what changes she can expect with her body N how to deal with some oI the uncomIortable side eIIects oI pregnancy such as nausea and vomiting Knowing what to expect can help alleviate some oI the Iears that teenagers may have about being pregnant. The health care provider will probably prescribe a daily prenatal vitamin to make sure the teenage mother gets enough Iolic acid, iron, and calcium. Folic acid is especially important during the early weeks oI pregnancy, when it plays a role in the healthy development oI the neural tube (the structure that develops into the brain and spinal cord). 2.9.2 Lifestyle changes The teenager`s health care provider will talk about the liIestyle changes she will have to make Ior the health oI the baby including: N No smoking (smoking while pregnant increases the risk oI miscarriage, stillbirth, low birth weight, and sudden inIant death syndrome) N No drinking (alcohol causes mental and physical birth deIects) N No using drugs (drugs are associated with pregnancy complications and Ietal death) N Avoiding excess caIIeine (too much caIIeine has been linked to an increased risk oI miscarriage) N Avoiding risky sexual behaviours (such as having unsaIe sex) N Getting enough rest II the teenagers smokes or uses alcohol or other drugs, the health care provider can oIIer ways to help her quit. 2.9.3 Nutrition The teenage mother should eat well which can greatly increase the teenager`s chances oI having healthy baby. Encourage the teenager to maintain well-balanced diets that include plenty oI Iruits, vegetables, and whole-grain breads. As a revision, the teen can use Food Guide Pyramid as a basic guide. The important nutrients that the teen should take are proteins, calcium, iron and Iolic acid. Drinking a lot oI water is essential too Ior the teenage mother and they are strictly advised not to go on a diet. When pregnant, some teens might be tempted to counter normal pregnancy weight gain by cutting calories or exercising excessively. Both oI these methods can seriously harm the babies. II it is believed that the teenager has an unhealthy preoccupation with her weight, talk to the health care provider. 2.9.4 Exercise II the teenager was physically Iit beIore getting pregnant and not experiencing any pregnancy complication, the health care provider will probably encourage the teenager to continue exercising. Do the low-impact exercises such as swimming and walking. Discuss the exercise plan with the health care provider early on. 2.9.5 Stress management Most teenagers enter parenthood unprepared Ior the stress a new baby brings, and many experience Irustration, resentment, and even anger toward their newborns. This can explain why teen parents are at higher risk Ior abusing and neglecting their babies. Have a talk with the teenager's doctor to discuss ways that can help the teen manage her stress levels so that she can better cope with changes in her liIe. She also may want to spend some time with other people who have babies to get a better sense oI what caring Ior a newborn involves. 2.9.6 Prenatal classes The teenager's health care provider will probably recommend that she take classes on pregnancy, giving birth, and parenting. These classes (some oI which are held just Ior teenagers) can help prepare her Ior the practical side oI parenthood by teaching skills such as Ieeding, diapering, child saIety, and other basic baby care techniques. 2.9.7 Preparing for new responsibilities Some teenagers raise their child alone, some have the involvement oI the baby's Iather, and some rely on their Iamilies Ior support. As a parent, they need to think about their own level oI involvement and commitment and discuss it with the teenager. How much support than can they provide? (such as Iinancial and place). II at all possible, it is best Ior teenagers that are pregnant to Iinish school so they can get better jobs and create a better liIe Ior themselves and their babies. This is no easy task. 60 to 70 oI all pregnant teens drop out oI school. Going back aIter quitting is especially hard. The teenager should be given support that she needs to stay in school, so both she and the baby will beneIit. Check Ior school and community programs that oIIer special services Ior teenager mothers such as child care, rides or tutoring. Teenagers also must understand that as rewarding as having a child is, it is not always Iun. Caring Ior a baby is a huge responsibility and a liIelong commitment. The teenager has to Iace the reality that she would not have as much time Ior the things she used to do. Her liIe will change and the baby will take priority.
3.0 HEALTH PROMOTIONAL PROGRAMME
3.1 THE PROGRAMME
We have planned a programme which consists oI many activities. The theme oI this programme is Have a Control over Your LiIe! Sex has Consequences. Prevent Teenage Pregnancy. This programme will be held at Awana Kijal Resort, Terengganu on the 1-3 December 2006.
3.2 OB1ECTIVES OF THE PROGRMME
The main objective oI this programme is to provide the teenager with sexual education which is consists oI: N Practice saIe sex N Reproductive health N Consequences oI sexual intercourse : pregnancy, sexual transmitted disease and on psychosocial N Responsible sexual behaviour : consequences oI unintended pregnancy
3.3 PROGRAMME SCHEDULE: ACTIVITIES
There will be several activities to be done during the programme. This includes :
1) Talk about : N Introduction to sexual education by Dr Tan Gi Ni N SaIe sex by Dr Munirah MohdAriI Kor N Prevention is better than abortion by Dr Marina binti Hussin 2) Video session on impact oI teenage pregnancy to teenagers themselves, child, Iamily and society. 3) Interactions in groups. 4) Personal counselling.