Teenage Healih inforn>aiion Service, Uganda
\\ l!ile
V/hL 0 the
Heclih !;:tormat!c.n Sc-: . ·~~~·C:
109.,J, its r,·,ain concern \\as
m,2d oiner sexual c.nd
real need it \'.'as dt;luge:d by clienis
Their mosi common concErn hcs
2
c!ioJts must be, llwll· 1CJ tmm~ tL;;t ~ill
,,f the foll::ming inll nenlions ~re a\ail;;blc lulll:l!litd. as \>.dl as lll!Jilarrird girls.
Support for physical we:fl-being
TLi·. i) primnil\
nnini:dn scxJH:JltJi.
b\
tllat buill girls and buys )cam
;Ji,ulll ~ex, rtpwduction ;md tlH: Il'btc,d
ric..Ls at an c1rlv "te. lnfunm!iun slwuld
'ignorance plus c·arly marri;:ge· as
tl1e child ~~~xual pruiection ~.tratcgy.
Fwpns;ils 11ut Jdokscents - 1mle and
nalf - s]Jould \10 giwn sex educz1tion
·:11!d Jme <Jccuss to n·prmluctive lil'<Jl!IJ
have often been greeted will1
Iesio(;IJlce. ln :1 nunJber of African and
Asi;m cultmes. there is rf'ticence about, or
e~!J actu;d t:1boo on, tile discus.~ion of sex.
TIJis L·c·d~ fc;IJ) tl:<Jt sex educiilion will
e:uly m:w1l rcbtions ;mel preg)l::ncy The wmL of Ul\:AlDS lm clemon:.1I<ilr·cl sue ll ledrs to be unfonmkd. :mcl
ll:;lt sex rclucotion does not ]c;Jd to
iliklHkd 10
dllcl lljllildUCti\l'
priJnli.ICIJity. All tl:e s:m:e, such miscon1;1 ke lime to onrcome.
Evidence sho\\s that silence about sex
cJc,es not inhibit lccn<Jge pregnancy in
COIJJI1ril·s \\'here old-style .sexual proteclililJ systerr:s <ill bre;JLing clown ancl HJV
rtow poses a serious ilJH'ilt to the lives of
1irls. More tlt<JJJ hztlf of new HJV infec,ions cum in 1S-24 year olcls, but girls
lwcome illfcctecl at twice the rate of
boys. 11 Mc,re co1mtrics <Jre now \\illing to
include sex ;md fomily life ecluc1lion in
tl:e sc]Jool cuJiicuhnn as a me:1ns of cumHJV, ancl this growing accept ~~nee
mcd' r•cilllorcin~. as do vonth-focuscd
UIJ t J lis i':suc
Jlm\'P\er, ronc~rn v.illJ tec·mge vulro l-!JV lJ<J<. centn·d on those
\' Jw ;!Je in school 01 lc·cding liws tlJ;:t
l'\]JU.<.~ tl!Uli to risLy SC'XIJJl actiYity. This
iJMJri;;bly exclwJr.s girls \Yho nre m;miecl.
Yet they. too, are \lllnnable. end JJccd to
lw ;cd1h· to ;Hlopt systE·ms of sclf-pwteclion whr·re tl:ry fr·ar their hmk1wls ;m·
inkrtccl or could lx· o:posed to HJV.
Unlih mmt of their llllrn::nit'd pcm.
JJJanied
an~ expusecl crmstantly TO
sex. ;mel may be mme l;rcJIW to ST!s."'
Jn these circlllllst;mces, there is an
urgvnt IICl'd to tr;:ILifCJllll <t11itucb and
to\\ mls <Jclul<Ycnt l:calth ca1 e
<llid prc,\·ide services 1l1<:t <Ill' acccssilJk tn
are ne,.,·cumers. Trained
Such a service may only
rmny of 'NhC•Ill are beyond its rt:,J.:h. Eui il
inioc-rna\ion and help as tht:y journey
SourcE.'
Proj~ct
visit,
1~,1::tggi-::,
il!u~iroics
their ss,:ual
Black, Scptc-mf.;cr 2000.
lllc!ITicd and 11IIlllnllicd youngsters of both
sews. Life sl:ills edl!cation for scxuallil·<Jlll:
and rwgotiation needs to be providvd in
the ( h1sruom. in youth rluLs and through
nev:s]r~tters <~nd radio progLilllll!es. The
FXJli'Jience oft he Nugmu Tcemge Hcnlth
lnform<liion Service in J\ampab,
~.]:ows the ;!):ptlile of young pcoplt fui
inform"1ion about sex-Teh!cd pwbkn:s. 111
In lllJll)' dr:vcloping cuuntri~s. L1d: of
n·snurces JIJ:Jhs conlrcceptir'n and rcpwdnciiw ach ice inncce.1sible. This silu<ition
may be ex.Jcr'rbated by religinus belids
that clbJppmH of artifici<Jl birth control
nwllwcls. The result is tl1at rn;m\ adolescents, both m;mied ;:md urmJanied. find it
difficult to locate, or even se~k. help :1bout
sexual metters. There may be few f;~cilities
offc·ring such support, particularly in
rr·Ir:ot e mr;Jl areas. The poorest ofttn bch
the resources to trawl to these LJCilities
and anv_.. fr,·cs char0ecl
for the ~U\'ices 011
0
offer v.ould pmh them E·vc·n fmlher out of
rr,aclt. In some ca_\l'o, tl:e antc-niilal clinic i:
tll(' oiily pbce wlwre a young \\'0111211 can
uLtain rrproductlie crhict, but pregnarn
is n pre-condition. ColltJZJcc']'tiot: JrJ<ry nut
bC' offr~red to HiiiJTied \\O!lll'il lilllil tl:c)
]J;wc bome a child. T!Jw• is an urgent nH·d
fur )'oullJ frit ndly' ]walt): sen ices. 2s arloJr•sn·nts ar~ unlikely to sceL help ahout
SI'XIJ<Jlm;Jitns from il sen ice t11"1 is l!ll'.\Tllp<illwtic to tl1r"ir needs and anm~tics.
Girls <1ged 15 to H• giw birth to 15
million h~:bics a \NL tvl<my of tlie:.'.
girls
birth v.itlwut attending ;m ;m\emt<Jl clinic or recl'iliTJg the lwlp of a profc\liomlrllidv:ife. H is csscJilial trJ df'vi.le
progr<mll!ll"S to reach girls in and mit of
n1aniagr v.ith rfprorluctivc achice and
senices - " p<1rticukir ch{llll'ng~ in the
Jl•Jilo1l~ n:r;J! [}Jeas wlicre must
n:;lrl iagcs an: to Le found.
Educa fion for empo!t,Hment
and intellectual developrm-nt
The ky to girls' progress is erlncation ;md
karnir1g. Pmltading
to Leep tl1f'i1
cl:wgl1t,·LI in ~clJCiol <1ml
th;1t tlwy
rcceiw· a ],ask educ~ttion, <ISh tllii1 1igl1t.
h
f,:;r a 11\il!ILru of jii'LIOJ1;!l ;l]lu
as v.-L'll as \\'hkr :_c.~~_t-d !il1d i<Ct-
Boll1 Sri Lmb :1ncl tlJr' st<11t: of
J\er;da iJ: neighbouring Jndia 11:1\e rcLrth ely l1igh ag~ of !iJst
They :ilso
lmr
else in cC•JJJiiJOll 1h<Jt hac
CCI]!llili\ill'd tC; tllb
lJuilJ
k1n· ginn Ligh pricllii)' tu l'clncation fu1
won1en ~s \\ell as nwn. This k1s clJ:!ngf'd
ihf· 1\<l)' IJlUl il!!d \\Ollkll jll'lCCive their
rob <Hid poi ential, nml h;11 led to grc~1ier
sup]HH1 for tlie rights of \Vomcn tll<~ll is
found in 1nany otl:er parts uf tllis
Wl:uc· girls l1ove lost out on funn:d
ubc!iion. nrJn-fonnill progJ<ililllll'S Ctll
help t]Jc n1 catcl1 up on tl1e intl'lkrtJI:il <!lid
rwr<.nnal puwth offered bv
Sncl: pwgr;mnms c;m k:w '' cliH·ct
<•ll r·::rl\
f10m tl1c~ 1~1DUs (]!liOng \he p2oplr~ c•f 111c
di,trict in Ecm·a kcltc1 :1 hll in
eailv lililll
and l!clprd 1\CJJiiliJ ;;siC!!
t}Jc·nj·;r·lvcs.
While" tl11re l10s
I z:l l'S
Th clPclmc of girl< enrolnwnt :1!ld <lilUJchwe aftu
JL-13 is Jl!IJ\t Jll:n):c·cl in
s;rb-Soh:JJall Africa. ln
fu1 e\:ilnph·. tmolm~.·nt oi girl\ awl buys is (·qual :11
1[-Jj but
t]i!,
uf JIJ-17
71 pr·J u'ri1 of
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