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MEANING OF ADOLESCENCE
AND ITS IMPLICATIONS FOR
     PUBLIC HEALTH
WHAT I REMEMBER ABOUT MY
           ADOLESCENCE
Aims of the session

• To share key experiences on adolescence
• To discuss positive and negative experiences
  of adolescence
• To compare experiences of adolescents today
  and those of 10 – 20 years ago
Write down one key experience of
   your own adolescence that
 remains alive in your memory
1. Are the experiences of
adolescents today different from
those 10 – 20 years ago?

2. Please give reasons to support
your answer
THE NATURE AND SEQUENCE OF
CHANGES AND EVENTS
TAKING PLACE DURING ADOLESENCE

Aim of the session:

• To help participants understand the nature
  and sequence of changes that occurs during
  adolescence.
Definitions
According to the World Health Organisation (WHO)

• Adolescence covers ages 10 to 19 years
 (It is the transitional period from childhood to
   adulthood)
• Youth covers ages 15 to 24
• Young people covers ages 10 to 24 years

The national youth policy defines young people as ages
  10 to 24 years regardless of marital status.
Nature and sequence of changes and events during adolescence


Events / changes   Early            Middle            Late
that occur         adolescence      adolescence       adolescence
                   (10 – 13)        (14 -16)          (17 – 19)
Physical


Psychological:
Cognitive
Emotive
Social
NEEDS OF YOUNG PEOPLE


Aim of the session

• To discuss the needs of young people and how
  those needs could be met
The needs of young people should be
       considered in terms of

• Offering opportunities
• Enhancing capabilities
• Offering second chances
P o lic ie s a f f e c t in g h u m a n
c a p it a l f o r m a t io n d u r in g
y o u t h t r a n s it io n s
                                                                   L o w li
                                                                                te                    In e x p e
                                                                k n o w le ra c y a n d                            ri
E c o n o m y w id e p o lic ie s a n d                                      dg                      d as de ence             C o n seq
                                                             s k ills d e o f b a s ic                           c
in s t it u t io n s : m a c r o s t a b ilit y ,                         es
                                                           p r im a r p ite h ig h e r
                                                                                                   m a k e rs is io n                      uences
                                                                        y co                      S till fo                       of poo
in v e s t m e n t c lim a t e ,                           In s u ffi m p le tio n                            rm               o u tc o m r
g o v e r n a n c e , la b o u r m a r k e t
                                                                        c ie n
                                                           to s e c o t a c c e s s              id e n tity in g          lo n g e r e s             Y o u th
r e g u la t io n s
                                                                         nd
                                                         te rtia r y a ry a n d                p re fere an d                          l
                                                                                                                        th a n f o a s tin g        f r ie n d ly
                                                                                                            n
    E d u c a t io n
                                                                        educat
                                                                 F e w jo
                                                                                   io n       la c k o f c e s                       ra
                                                                                                                         R e m e d d u lts          p o lic ie s
                                                          o p p o rt b                      re so u r                                ia ti
    T r a in in g                                                     u                                  ce               c o s tly o n
    H e a lt h s e r v ic e s
                                                      N o p la n itie s
                                                                   tf                      M yopi s                                   fo r
                                                    c iv ic e o rm f o r                               a
    W e lf a r e a n d f a m ily                               ngagem                     ris k ta k a n d                  a d u lts
                                                                           t
                                                                               en                      in g
    s e r v ic e s
    I n f ra s tr u c tu r e


                                                        O p p o r t u n it ie s           C a p a b ilit ie s           S econd chances
•   What are the health concerns of young
    people?
•   What do they think and feel about issues
    concerning their health?
•   How do they communicate this to adults
•   What do the adolescent participants think
    and feel about these perspectives?
•   What do the adult Participants think and feel
    about
COMMON HEALTH PROBLEMS THAT
     AFFECT YOUNG PEOPLE.

Aim of the session

• To familiarize the service providers with the
  health problems affecting young people.
Group work
• What are the health problems affecting young
  people in your district or community?
• Is the health problem or problem behaviour a
  priority for you district or community?
• Who considers it a priority and why?
Classification of diseases and health related behaviours of young people in developing
countries
Diseases which are        Diseases and unhealthy    Diseases which            Diseases and unhealthy     •Diseases:
particular to young       behaviours which          manifest themselves       behaviours of young
people                    affect young people       primarily in young        people whose major
                          disproportionately        people but originate in   implications are on the
                                                    childhood                 young persons future
                                                                              health
Diseases:                 Diseases:                 Diseases:                 Diseases:                  Diseases:
Disorders of secondary    Maternal morbidity        Rheumatic heart           STIs (including HIV)       Malnutrition
sexual development        and mortality             disease                   Dental disease             Malaria
Difficulties with         STIs (including HIV)                                                           Gastroenteritis
psychosocial              Tuberculosis                                                                   Acute respiratory
development               Schistosomiasis                                                                infections
                                                                              Behaviours:
Suboptimal adolescent     Intestinal helminthes                               Tobacco use
growth spurt
                          Mental disorders                                    Alcohol and drug use
                                                                              Poor diet
                          Behaviours:                                         Lack of exercise
                          Alcohol use                                         Unsafe sexual practices
                          Other substance abuse
                          Injuries


NB Young people will contribute a substantial number of cases because they form a large proportion of the population in most
developing countries.
Priority health problems affecting
            young people
• Intentional and unintentional injuries
• Sexual and reproductive health problems,
  including HIV/AIDS
• Substance use and abuse (tobacco, alcohol
  and other substances
• Mental health problems
• Nutritional problems
• Endemic and chronic diseases
WHY INVEST IN YOUNG PEOPLE’S
           HEALTH AND
          DEVELOPMENT

Aim of the session

• To present important reasons for investing in
  young people’s health and development
Is it essential that national and local
health leaders, planners and managers
   pay particular attention to young
            people’s health?
Three main reasons for investing in
        adolescent health
• Health benefits for the individual adolescent – in
  terms of his or her current and future health, and in
  terms of the intergenerational effects
• Economic benefits: improved productivity, return on
  investments, avert future health costs
• As a human right: adolescents (like other age groups)
  have a right to achieve the highest attainable health
Guiding concepts for planning for
 adolescent health and development
• Adolescence is a time of risk and opportunity
• Not all adolescents are equally vulnerable
• Adolescent development underlies prevention of
  health problems
• Problems have common roots and are interrelated
• The social environment influences adolescent
  behavior
• Gender considerations are fundamental

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Understanding Adolescence and Its Implications for Public Health

  • 1. MEANING OF ADOLESCENCE AND ITS IMPLICATIONS FOR PUBLIC HEALTH
  • 2. WHAT I REMEMBER ABOUT MY ADOLESCENCE Aims of the session • To share key experiences on adolescence • To discuss positive and negative experiences of adolescence • To compare experiences of adolescents today and those of 10 – 20 years ago
  • 3. Write down one key experience of your own adolescence that remains alive in your memory
  • 4. 1. Are the experiences of adolescents today different from those 10 – 20 years ago? 2. Please give reasons to support your answer
  • 5. THE NATURE AND SEQUENCE OF CHANGES AND EVENTS TAKING PLACE DURING ADOLESENCE Aim of the session: • To help participants understand the nature and sequence of changes that occurs during adolescence.
  • 6. Definitions According to the World Health Organisation (WHO) • Adolescence covers ages 10 to 19 years (It is the transitional period from childhood to adulthood) • Youth covers ages 15 to 24 • Young people covers ages 10 to 24 years The national youth policy defines young people as ages 10 to 24 years regardless of marital status.
  • 7. Nature and sequence of changes and events during adolescence Events / changes Early Middle Late that occur adolescence adolescence adolescence (10 – 13) (14 -16) (17 – 19) Physical Psychological: Cognitive Emotive Social
  • 8. NEEDS OF YOUNG PEOPLE Aim of the session • To discuss the needs of young people and how those needs could be met
  • 9. The needs of young people should be considered in terms of • Offering opportunities • Enhancing capabilities • Offering second chances
  • 10. P o lic ie s a f f e c t in g h u m a n c a p it a l f o r m a t io n d u r in g y o u t h t r a n s it io n s L o w li te In e x p e k n o w le ra c y a n d ri E c o n o m y w id e p o lic ie s a n d dg d as de ence C o n seq s k ills d e o f b a s ic c in s t it u t io n s : m a c r o s t a b ilit y , es p r im a r p ite h ig h e r m a k e rs is io n uences y co S till fo of poo in v e s t m e n t c lim a t e , In s u ffi m p le tio n rm o u tc o m r g o v e r n a n c e , la b o u r m a r k e t c ie n to s e c o t a c c e s s id e n tity in g lo n g e r e s Y o u th r e g u la t io n s nd te rtia r y a ry a n d p re fere an d l th a n f o a s tin g f r ie n d ly n E d u c a t io n educat F e w jo io n la c k o f c e s ra R e m e d d u lts p o lic ie s o p p o rt b re so u r ia ti T r a in in g u ce c o s tly o n H e a lt h s e r v ic e s N o p la n itie s tf M yopi s fo r c iv ic e o rm f o r a W e lf a r e a n d f a m ily ngagem ris k ta k a n d a d u lts t en in g s e r v ic e s I n f ra s tr u c tu r e O p p o r t u n it ie s C a p a b ilit ie s S econd chances
  • 11. What are the health concerns of young people? • What do they think and feel about issues concerning their health? • How do they communicate this to adults
  • 12. What do the adolescent participants think and feel about these perspectives? • What do the adult Participants think and feel about
  • 13. COMMON HEALTH PROBLEMS THAT AFFECT YOUNG PEOPLE. Aim of the session • To familiarize the service providers with the health problems affecting young people.
  • 14. Group work • What are the health problems affecting young people in your district or community? • Is the health problem or problem behaviour a priority for you district or community? • Who considers it a priority and why?
  • 15. Classification of diseases and health related behaviours of young people in developing countries Diseases which are Diseases and unhealthy Diseases which Diseases and unhealthy •Diseases: particular to young behaviours which manifest themselves behaviours of young people affect young people primarily in young people whose major disproportionately people but originate in implications are on the childhood young persons future health Diseases: Diseases: Diseases: Diseases: Diseases: Disorders of secondary Maternal morbidity Rheumatic heart STIs (including HIV) Malnutrition sexual development and mortality disease Dental disease Malaria Difficulties with STIs (including HIV) Gastroenteritis psychosocial Tuberculosis Acute respiratory development Schistosomiasis infections Behaviours: Suboptimal adolescent Intestinal helminthes Tobacco use growth spurt Mental disorders Alcohol and drug use Poor diet Behaviours: Lack of exercise Alcohol use Unsafe sexual practices Other substance abuse Injuries NB Young people will contribute a substantial number of cases because they form a large proportion of the population in most developing countries.
  • 16. Priority health problems affecting young people • Intentional and unintentional injuries • Sexual and reproductive health problems, including HIV/AIDS • Substance use and abuse (tobacco, alcohol and other substances • Mental health problems • Nutritional problems • Endemic and chronic diseases
  • 17. WHY INVEST IN YOUNG PEOPLE’S HEALTH AND DEVELOPMENT Aim of the session • To present important reasons for investing in young people’s health and development
  • 18. Is it essential that national and local health leaders, planners and managers pay particular attention to young people’s health?
  • 19. Three main reasons for investing in adolescent health • Health benefits for the individual adolescent – in terms of his or her current and future health, and in terms of the intergenerational effects • Economic benefits: improved productivity, return on investments, avert future health costs • As a human right: adolescents (like other age groups) have a right to achieve the highest attainable health
  • 20. Guiding concepts for planning for adolescent health and development • Adolescence is a time of risk and opportunity • Not all adolescents are equally vulnerable • Adolescent development underlies prevention of health problems • Problems have common roots and are interrelated • The social environment influences adolescent behavior • Gender considerations are fundamental