Health Education


Adolescent Girls Health Program
Training Programme for Master Trainers (TOT) on Personal and Menstrual Hygiene for Adolescent Girls
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State level training for Master Trainers (TOT) on Personal and Menstrual Hygiene Practices for Adolescent girls.
”The adolescent girl still remains a young plant that neither gets light nor water. She remains
the flower that could have blossomed but didn’t…..”
Kamla Bhasin from “Our Daughters”
Background
Adolescent refers more broadly to the phase of human development encompassing the transition from childhood to adulthood. In terms of age, it is the period of life that is extended from 10-19 years, which includes pubertal development also. This period is very crucial since these are the formative years in t life of an individual when major physical, psychological and behavioral changes take place
Girls up to the age of 19 comprise about one-quarter of India’s population. For young girls in India, poor nutrition, and early childbearing and reproductive health complications compound the difficulties of adolescent physical development.
On average, most adolescent girls in India have little knowledge of menstruation, sexuality and reproduction. Large numbers of rural and urban populations believe that menstruation contaminates the body and makes it unholy. As a consequence, the girl often sees herself as impure, unclean and dirty. According to the Nutrition Foundation of India, the average age of menarche is 13.4; yet 50% of girls aged 12-15 do not know about menstruation. This is true for rural as well as the urban poor. The lack of information can be attributed to a veil of secrecy that surrounds menarche.
Anemia is one of the primary contributors to maternal mortality (20-25%) and is associated with compromised pubertal growth spurt and cognitive development among girls aged 10-19. Nutritional deprivation, increased iron demand for adolescent growth, excessive menstrual losses of iron and early/frequent pregnancies aggravate and exacerbate pre-existing anemia and its effects. Most girls are not adequately aware of their increased nutritional needs for growth (especially increasing their food intake to meet calorie demands of pubertal growth), resulting in girls that are underweight and of short stature. The poor nutritional status of these adolescent mothers heightens obstetric risk during pregnancy and childbirth, contributes to maternal mortality, and puts their infants at risk. Neonatal and infant mortality rates among adolescent mothers are 60% higher than among infants born to mothers in the 20-29 age groups.
Fifteen percent of ever-married adolescent girls are stunted; 40% have a body mass index below 18.5, and 20% have moderate or severe anemia.                (CEDPA Report., 2011)



 
 

Skills India-Profile
Skills India is a developmental and not for profit organization working towards ensuring meaningful education and better livelihood opportunity  to disadvantaged and marginalized section of the society.
Our Women empowerment programs focus on integrating the economic, social and political well being of women and strive to make them aware, empowered, capable and self reliant.
State level training for master trainers (TOT) on personal and menstrual hygiene practices for Adolescent girls.
In India, school systems are ambivalent about imparting sex education. Even in some schools where sexual and reproductive health education exists in the curriculum, teachers are often too embarrassed and uncomfortable to effectively instruct. This results in the lack of knowledge about the process of reproduction and menstruation and leads to a greater health problem in our country. The solution to this problem lies in imparting the knowledge of menstrual management and reproductive hygiene to adolescent girls.
In this context Skills India organized workshop cum training programme for master trainers on menstrual hygiene management. Training was imparted to NGO workers, teachers, health activists and other volunteers from diverse backgrounds.

        
The Session Inauguration
The workshop imparted them with knowledge and confidence to educate the in school and out of school adolescent girls in their neighborhood on menstrual hygiene and management. Representatives from twenty two districts of Tamil Nadu including Coimbatore, Erode, SSalem, Ariyalur, Kanchepuram, Perambalur, Sivaganga, Ramanathapuram, Dindukal, MaduraiCuddalore, Vilupuram, Vellore, Nilgris and Namakkal participated in the training programme. The training programme discussed the such as Physical and physiological changes during adolescence, the prevailing myths regarding menstruation  the menstrual hygiene, the relation between good menstrual practices and healthy living and methods of using and disposing sanitary napkins and good food habits. Through this network of NGOs and trained volunteers Skills India aims impart the menstrual management training and improve the livelihood, sanitation and health indices of twenty five thousand adolescent girls by the end of the year 2012.

   
The session in progress: Experts from diverse fields trained the participants
  
Participants in discussion: Group activity is an integral component of the training Programme 

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