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Health
Presented by:
Dr. Richard O. Muga (MBS)
National Co-ordinating Agency for
Population and Development,
Nairobi-Kenya
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Adolescent Reproductive Health
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CURRENT SITUATION OF ADOLESCENTS
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Outline of the presentation
Adolescent sexual experience
STIs and HIV/AIDS
Contraceptive use
Female genital cutting
Pregnancy and child bearing
Unsafe Abortions
What can we do?
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Introduction
Adolescents are those aged 10-19 years
Globally, those aged 10-19 years are
estimated at 1.2 billion
Most men and women become sexually
active during adolescence
Adolescents reproductive health decisions
outcomes are highly devastating
Adolescents face several barriers such as
social norms and cultural taboos about young
people’s sexuality
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Sexual Behavior among Youth
Women: almost half of young women have sex
by the time they turn 18. And more than one in
ten (13%) have sex by the time they are 15.
Men: Young men start having sex at an earlier
age. Sixty percent had sex by age 18, and a
quarter had sex by age 15.
Sub-Saharan Africa: 30% of unmarried women
(15-19 years) have had sex
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Outcomes of sexual behaviour
70% of adolescents in Kenya engage in
high risk unprotected sex
STI’s, HIV/AIDS
Increased risks of unwanted pregnancies
Unsafe abortions resulting into severe
illness
Complications during abortions causing
infertility and deaths
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Premarital Sex and Condom Use
Women 15-19 (never married)
Men 15-19 (never married)
41
29
25
18
Percent
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Teen Pregnancy and
Motherhood
Central
15% Kenya: 23%
Nyanza
21%
World wide it is estimated
Coast
29% that 15 million women aged
Nairobi 15-19 give birth every year
20%
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Risks of Early Child bearing
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Unsafe Abortions
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Contraceptive Use
Contraceptive use among the
adolescents is very low
Sub-Saharan Africa 35% of
unmarried sexually active women
use modern contraception
Kenya: only 5% of sexually active
adolescents use modern
contraceptive methods
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Current Use of Family Planning
25
22
20
17
15
Percent women Any method
method 5
0
15-19 20-24
Age
Sub-Saharan Africa: 35% of unmarried sexually active women
(15-19 years) use modern contraception 14
Female Genital Cutting
Between 100 million and 180 million
women world wide have undergone
FGC practice
Every day some 600 girls world wide
are at risk of undergoing FGC
Kenya, 20% of women aged 15-19
years have undergone FGC
The practice of FGC is currently
outlawed in Kenya under the children’s
Act of 2001
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Female Genital Cutting
Female Genital Cutting have serious
consequences on women:
Infections, pain and bleeding which can
lead to shock and possibly death
Prolonged and obstructed labour
Fistula
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What can be done?
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What Can Be Done?
Establish adolescent-friendly services
Ensure adolescent-friendly services
have high quality information
necessary for informed consent
Increase opportunities for women’s
education and employment
Encourage alternative rites of
passage
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Global Appeal
Adolescents today are increasingly
facing more reproductive health
challenges than ever before
More efforts is needed by all actors
to address adolescents reproductive
health issues
Invest in the young people today to
assure tomorrow
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Who we Are
NCAPD is a SAGA established through
legal notice no. 120 of 29th October 2004
Provide leadership in Population and
development matters
Assess multi-sectoral population issues
and support stakeholders
Advocate for Political and other support to
address population issues
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Who we are
Vision: Mission:
To be an To provide
institution of leadership in
excellence in Formulating,
Population Coordinating and
Policy implementing
formulation and Population Policies
Management and Programmes
for Sustainable
Development
Contact:
Chancery Building, 4th Floor, Valley Fax: +254-20-2716508
Road
P.O BOX 48994-00100 E-mail: info@ncapd-
ke.org
Nairobi, Kenya. Website: www.ncapd-
Tel:+254-20-2711600/1 ke.org
+254-20-2711711
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