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Dr. Sharda Jain
Director :-
Chairman PCH OBST/ Gynae Dpt.
Anaemia in Adolescent
WHY WE ARE HERE ?
Challenges of AdolescenceChallenges of Adolescence
• Nutrition and Health
Nutritional problems
Malnutrition (Obesity/ underweight)
Anorexia nervosa
Anaemia
Use of steroids for body building/
Consumption of Slimming drugs
Anaemia is causing
Red alert in India!!
DLHS-RCH Survey (2002- 2003)
Anaemia among adolescent girls
(Age between 10 - 19 years), India
MILD MODERATE
SEVERE NO ANAEMIA
43 Percent
28 Percent24 Percent
5 Percent
America = Almost Nil
7-9 out of 10 Adolescent girls
in Delhi are Anaemia
Delhi Gynae Forum 2002-03
90 % girls who come for blood
donation
in Delhi University Colleges
are rejected – 12.5 gm%
Work performance
Child development
School performace
Child mortality
Maternal mortality
Perinatal mortality
Other factors
A new conceptual model of iron deficiency anemia and
its effects.
Tissue Iron
Deficiency
Moderate
Severe
Anemia
EFFECT A ADOLESCENT GIRL
(10-20 yrs)
-↓SECOND GROWTH SPURT
- ↓ SCHOOL PERFORMANCE
-↓ Capacity to do work
- Inadequate preparation for
motherhood
• Increased risks
during pregnancy
and delivery
• Poor infant feeding
practices
•Malnourished infant
Impact of Anaemia on
Pregnancy
THE ECONOMIC LOSS
DUE TO ANAEMIA
• Billions of dollars lost !! (Lost
productivity)
• India - ↑ 2Billion
Source : Horton. S. Food Policy 2003 (Feb
issue)
If learning and motor impairment in children
+
Lost productivity in adolescents and adult
= ↑↑ 4-5 % GDP
Junk Foods Lead to Obesity/ DiabetesJunk Foods Lead to Obesity/ Diabetes
Adolescents do not need just knowledge
only!
Adolescents are resources to beAdolescents are resources to be
developeddeveloped……..……..
………………not the problems to be fixed !not the problems to be fixed !
Why adolescence is specialWhy adolescence is special
• Friendship/Relationship
• Experimentation :
Drugs / Driving/ Sex
• Self identity :
Questioning of parental authority
Rebellion behaviour
• Generation Gap
Communication gap with parents
• Peer pressure
Peers are more importantPeers are more important
than parents for teenagers!than parents for teenagers!
Adolescent health indicatorsAdolescent health indicators
• Young marriages: 26-54% in females (15-18 yr)
70% by 20 yrs
• Pregnancy / motherhood : 36-64% of married
teenagers ( 13-19 yrs)
• MMR: is 3-5 times more in teenage pregnancies
• IMR: is 2-4 times more in teenage pregnancies
• Malnutrition : 45% in girls
• STDs and RTIs are increasing due to unsafe
sexual behaviour in teenagers (30-50%)
• 50% of all new cases of HIV / AIDS in 10-15 yrs
•
Misconception about AIDS- 70-80 %
• Awareness about how AIDS spreads- 45- 60%
• Awareness about STDs/ RTIs - 32%
• Source of knowledge comes 78% from peer
• Cause of STDs : Sex (3-18%)
Poor hygiene(20%)
• Condom use in sex : 17% (casual) 59% CSWs)
• Married teenagers( 15-18 yrs)
• Use of contraception : 4- 8%
Awareness in Reproductive HealthAwareness in Reproductive Health
Challenges of AdolescenceChallenges of Adolescence
in Girlsin Girls
• Relationships
Attraction towards opposite sex
Crush, infatuation, love
Peer pressure
Maladjustment and Rebellion
• Sex and Sexuality
Curiosity : Pornography/ Blue movies
Experimentation : Unsafe sex
Unwanted pregnancies
HIV/ AIDS
Dear diary,
One more day has passed ; and I still don’t have a boy friend !!
Sexual attraction is normal in teenage:Sexual attraction is normal in teenage:
Operation Majnoo will not help !!Operation Majnoo will not help !!
UNWANTED
TEENAGE
PEGNANCY
Sexual Abuse/ Violence in
Teenage is on ↑↑
• 1 in 5 Teenagers is
sexually abused.( WHO)
Road Romeos
Home Romeos
Sugar Daddies
HIV IN INDIA
Awareness of RTI/STI in India
YOUTH
65%
35%
YES NO
ADOLESCENT
32%
68%
YES NO
OTHERS
37%
63%
YES NO
Source: RHS-2003
What are my limits ??
Wheel of Life
We Request You to
Become
WOW India
Volunteer
Dr. Sharda Jain
Dr. Lakshmi Devi
Dr. Rashmi Jain
It is better to light
a candle than
to curse the
Darkness!
(A Chinese proverb)
GOAL SETTING
TIME MANAGEMENT
EXECELLENT RELATIONSHIP
COMMUNICATION SKILLS
ASSERTIVE BEHAVIOUR
POSITIVE ATTITUDE
ABUNDANT ENTHUSIASM
NET WORKING
MIND MANAGEMENT- 3 HOUR
‘10 SECRETS’
Thank You

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Anaemia in Adolescent

  • 1. Dr. Sharda Jain Director :- Chairman PCH OBST/ Gynae Dpt. Anaemia in Adolescent
  • 2. WHY WE ARE HERE ?
  • 3. Challenges of AdolescenceChallenges of Adolescence • Nutrition and Health Nutritional problems Malnutrition (Obesity/ underweight) Anorexia nervosa Anaemia Use of steroids for body building/ Consumption of Slimming drugs
  • 4. Anaemia is causing Red alert in India!!
  • 5. DLHS-RCH Survey (2002- 2003) Anaemia among adolescent girls (Age between 10 - 19 years), India MILD MODERATE SEVERE NO ANAEMIA 43 Percent 28 Percent24 Percent 5 Percent America = Almost Nil
  • 6. 7-9 out of 10 Adolescent girls in Delhi are Anaemia Delhi Gynae Forum 2002-03 90 % girls who come for blood donation in Delhi University Colleges are rejected – 12.5 gm%
  • 7. Work performance Child development School performace Child mortality Maternal mortality Perinatal mortality Other factors A new conceptual model of iron deficiency anemia and its effects. Tissue Iron Deficiency Moderate Severe Anemia
  • 8. EFFECT A ADOLESCENT GIRL (10-20 yrs) -↓SECOND GROWTH SPURT - ↓ SCHOOL PERFORMANCE -↓ Capacity to do work - Inadequate preparation for motherhood
  • 9. • Increased risks during pregnancy and delivery • Poor infant feeding practices •Malnourished infant Impact of Anaemia on Pregnancy
  • 10. THE ECONOMIC LOSS DUE TO ANAEMIA • Billions of dollars lost !! (Lost productivity) • India - ↑ 2Billion Source : Horton. S. Food Policy 2003 (Feb issue) If learning and motor impairment in children + Lost productivity in adolescents and adult = ↑↑ 4-5 % GDP
  • 11. Junk Foods Lead to Obesity/ DiabetesJunk Foods Lead to Obesity/ Diabetes
  • 12. Adolescents do not need just knowledge only!
  • 13. Adolescents are resources to beAdolescents are resources to be developeddeveloped……..…….. ………………not the problems to be fixed !not the problems to be fixed !
  • 14. Why adolescence is specialWhy adolescence is special • Friendship/Relationship • Experimentation : Drugs / Driving/ Sex • Self identity : Questioning of parental authority Rebellion behaviour • Generation Gap Communication gap with parents • Peer pressure
  • 15. Peers are more importantPeers are more important than parents for teenagers!than parents for teenagers!
  • 16. Adolescent health indicatorsAdolescent health indicators • Young marriages: 26-54% in females (15-18 yr) 70% by 20 yrs • Pregnancy / motherhood : 36-64% of married teenagers ( 13-19 yrs) • MMR: is 3-5 times more in teenage pregnancies • IMR: is 2-4 times more in teenage pregnancies • Malnutrition : 45% in girls • STDs and RTIs are increasing due to unsafe sexual behaviour in teenagers (30-50%) • 50% of all new cases of HIV / AIDS in 10-15 yrs
  • 17. • Misconception about AIDS- 70-80 % • Awareness about how AIDS spreads- 45- 60% • Awareness about STDs/ RTIs - 32% • Source of knowledge comes 78% from peer • Cause of STDs : Sex (3-18%) Poor hygiene(20%) • Condom use in sex : 17% (casual) 59% CSWs) • Married teenagers( 15-18 yrs) • Use of contraception : 4- 8% Awareness in Reproductive HealthAwareness in Reproductive Health
  • 18. Challenges of AdolescenceChallenges of Adolescence in Girlsin Girls • Relationships Attraction towards opposite sex Crush, infatuation, love Peer pressure Maladjustment and Rebellion • Sex and Sexuality Curiosity : Pornography/ Blue movies Experimentation : Unsafe sex Unwanted pregnancies HIV/ AIDS
  • 19. Dear diary, One more day has passed ; and I still don’t have a boy friend !!
  • 20. Sexual attraction is normal in teenage:Sexual attraction is normal in teenage: Operation Majnoo will not help !!Operation Majnoo will not help !!
  • 22. Sexual Abuse/ Violence in Teenage is on ↑↑ • 1 in 5 Teenagers is sexually abused.( WHO) Road Romeos Home Romeos Sugar Daddies
  • 24. Awareness of RTI/STI in India YOUTH 65% 35% YES NO ADOLESCENT 32% 68% YES NO OTHERS 37% 63% YES NO Source: RHS-2003
  • 25. What are my limits ??
  • 27.
  • 28. We Request You to Become WOW India Volunteer Dr. Sharda Jain Dr. Lakshmi Devi Dr. Rashmi Jain
  • 29. It is better to light a candle than to curse the Darkness! (A Chinese proverb)
  • 30. GOAL SETTING TIME MANAGEMENT EXECELLENT RELATIONSHIP COMMUNICATION SKILLS ASSERTIVE BEHAVIOUR POSITIVE ATTITUDE ABUNDANT ENTHUSIASM NET WORKING MIND MANAGEMENT- 3 HOUR ‘10 SECRETS’