Opinion
Reproductive And Sexual Health Of Adolescents
Published
4 years agoon
By
Grace Ego Omoni
Many challenges are being experienced by people especially the younger generation globally. Each minute people are faced with problems of violence, ethnicity, education, politics, poor governance, crimes, insurgency, belief system, finance and matters of relationships. Some of these have been discussed in my previous articles. One serious issue that attention needs to be paid is skewed towards health. Health, an adage says is next to godliness.
A nation with healthy people often experiences growth and development. An adolescent who has a positive health orientation stands the chance of being alive, free from diseases and poor health habits. The topic “Reproductive and Sexual Health of Adolescents” is very appropriate in this dispensation. News is flying about on issues pertaining to poor sexual orientation and behaviour resulting in criminal acts, health challenges, teenage pregnancies, abortions, , drug addiction, mental health issues, poor response to our value system and legal issues such as rape, incest and homosexuality.
This article will discuss the following:
(1) Definition and explanation of concepts
(a) Adolescents (b)Reproductive Health (c) Sexual Health, (d) Sexual Behaviour
2) Consequences of lack of exposure to reproductive and sexual health education;
3)Strategies for coping with the reproductive and sexual health of adolescents.
The adolescents: These are individuals or young people between ages 10 and 24. Thus, the adolescence stage is the transition period of physical, psychological and social maturity from childhood to adulthood. Whenever, or wherever health status or behaviour is talked about, youths are included among adolescents leading to them being addressed as young people.
According to demographic facts available, adolescents and youths constitute about 42% of the population of Nigeria today. They could be put into four categories: those in school, those out of school and are unemployed, those gainfully employed and those learning one trade or another.
Characteristics of the adolescents: They are very active, easily influenced by peers, economically dependent( although recently, the Yahoo syndrome has changed that order for some young people) but want to be independent of adult control, sexually active and often they want to experiment.
Since their peers have a strong influence on them, the adolescents are likely to engage in drug use including tobacco and alcohol, especially the males although a few girls also smoke and drink. As asserted above adolescents are by nature are sexually active and so might engage in sexual intercourse for pleasure, peer pressure, and affection. Others engage in commercial sex to make two ends meet. Again, both males and females can be identified as operating in this game or trade.
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Reproductive Health: This is a state of physical, mental and social well being of the individual in matters related to the reproductive system and its functions and processes. It has to do with the way the male and female reproductive systems are structured and the functions of the parts and body image. It relates to issues pertaining to their knowledge of being able to have a safe sex life, the capability to reproduce and the freedom to decide if, when and how often to do so. It is crucial for males and females to have access to health care for safe, effective and affordable methods or their choice for the regulation of their fertility.
Adolescents of both sexes may feel powerful emotional surges, anxieties about their physical and emotional changes. The concerns may be about attitudes and feelings towards himself or herself, adults or peer group which may result in conflicts. Years back, I was called by a principal to handle a case between a student and a counsellor in training. The student had gone to the trainee-counsellor to share her concern about her boobs which were larger than those of her age mates. The counsellor made the blunder of asking her whether she was pregnant and she felt embarrassed and reported the case to the parents.
It took me time to pacify the parents who were ready to sue the school. If the counsellor had had a pre-knowledge of what reproductive health entails, she would have spared the young girl the agony of thinking that she was pregnant and therefore wayward. Adolescents need to know their reproductive right and their legal status.
For instance in Nigeria, the constitution states that an individual between ages 10 and 17 is a minor and has no legal status. In Nigeria, the age of consent to sexual intercourse for girls is 16years. Public display of obscene materials as well as sexual acts in order to cause excitement is a punishable offence.
Today these are exhibited without remorse in our social media indiscriminately. Law enforcement agencies do not at all enforce these laws nor combat violations of sexual harassment or abuse including gender-based violence and child prostitution.
Sexual Health: The World Health Organisation defines sexual health as a state of physical, emotional, mental and social well-being of the individual in relation to sexuality. It requires a positive and respectful approach to sexuality and sexual relationships as well as the possibility of having pleasurable and safe sexual experiences free of coercion, discrimination and violence.
In other words, sexual health aims at the enhancement of life and personal relations.
The trend of sexual risk behaviours that can lead to diseases, HIV/AIDS, teenage pregnancies, gender-based violence can be minimised through acquiring knowledge to make informed choices on individual’s sexuality and relationships. This will help young people to form positive attitudes and beliefs in relation to matters pertaining to sexual relationships. Sexual health is important because it enables individuals to take charge of their reproductive health and their emotional well being surrounding their intimate relationships.
This topic has become necessary because sexual violence has become very rampant in our society and people lack knowledge on sexual health issues. Hypocrisy and culture of silence around issues of sexuality, desire to be trendy, fashionable and belonging to the Jones’s which eventually leads to illicit sexual relationships. These are some of the reasons why reproductive health problems prevail in our society.
There was a case somewhere in the Niger Delta region where a young girl was reported missing for about five years only for somebody to divulge to her mother that the father harboured in city. The trap was set and it was discovered that all the man’s stories on going on work tours were his visits to her daughter who had had three children for him before the discovery; yet the law enforcement agency treated the issue with levity because said the daughter was his property and he could do whatever pleased him with her.
Other factors contributing to poor adolescent sexual and reproductive health include pressure from peers, coercion, low self-worth, overcrowding in housing arrangement, lack of money to purchase basic needs for the adolescents and the sugar daddy/ sugar mummy syndrome where young boys and girls engage in illicit sex with older women and men for money.
Sexual behaviour inherent among young people include masturbation, premarital sex, homosexuality, exhibitionism, transvestitism ( the practice of adopting the clothes or the manner or the sex role of the opposite sex), shared sexual behaviour, voyeurism (practise of gaining sexual pleasure when watching others naked or engaged in sexual activity), sexual harassment, rape and incest. Young people need to know the negative consequences of these sexual behaviours and adopt strategies to manage them for the sake of their physical and emotional well-being.
These behaviours are at variance with the value system in our society. However, today, many of these have become so rampant that many have come to accept these practices as part of life. Take, for instance, the issue of homosexuality. Adults, the young, celebrities, students and even the married engage in lesbianism and gay syndrome without shame. They flaunt their partners on social media without shame as if it is a normal sexual behaviour. People like Bobrisky are being copied by youths of today by changing their gender and putting on the opposite sex dresses and accessories.
Exhibitionism is another sexual behaviour now on the increase. Both males and females exhibit their nakedness without shame, especially in social media. Actresses in Nigeria are so guilty of this and one wonders what is left in them to make them worthy of becoming good or eligible wife materials in the nearest future. Today we see female minors of between 9-12 years getting pregnant. When you exhibit your nakedness, you stand the risk of being raped at any given time. Unsafe abortion often occurs as a result of premarital sex. Many adolescents go into premarital sex without understanding anything about reproductive health.
Most of the time, the consequence is unwanted pregnancy leading to abortion for fear of parental rejection, or to avoid ridicule from peers as well as the desire to complete their educational enterprise. This unsafe abortion may equally lead to death or diseases such as HIV/AIDS, sexually transmitted infections and perforation of the fallopian tubes and wombs which might result in childlessness in future.
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The high rate of sexual immorality in the society has made it necessary for this issue of reproductive and sexual health to be the focus of this article. The society is fast decaying morally. There is a need for young people to understand the risks involved in their sexuality. The knowledge of reproductive and sexual health will help them acquire skills needed to make healthy decisions about their sexual health behaviour.
Strategies for meeting the reproductive and sexual health needs of the adolescents. From the facts and threats of the sexual behaviour so far enumerated, there is the need to expose to the young people counselling strategies to enable them to cope with issues about their sexuality.
The culture of silence by adults, parents, teachers, the government and other significant others no longer holds. The reason is not far fetched. Adolescents are ready to copy anything. The influence of their peers and the social media is very, very strong. Thus, when stakeholders fail to direct the young people, they learn from their peers, books and the social media and most of the time, the negative is the obvious. Gone are the days when parents and adults hide issues about reproductive and sexual health from their children and wards.
For about 18 years now the World Health Organisation ( WHO)with the support of the United Nations Population Fund ( UNFPA) has been advocating for making counselling skills for adolescent sexuality and reproductive health available. This is meant to address the issues of reproductive and sexual health issues in Nigeria and other countries of Sub-Saharan Africa.
Strategies for counsellors, health care givers and young people:
1) Offer age-appropriate comprehensive sexuality education in the schools.
2) Provide an enabling environment for our children.
3) Keep our adolescents in school and reduce the out-of-school dropout rate.
4) Initiate and implement programmes for out-of-school adolescents.
5) Provide adolescent-friendly services.
6) Build youth-friendly centres for our adolescents where there is a variety of activities to occupy them.
6) Initiate gender transformative approach programmes to ensure that girls receive fertility awareness training.
7) Use the mass media to give information on reproductive and sexual health.
8) Accessibility to youth-friendly health services for broad information and dissemination on health care and good nutrition.
9)Provide services and education on the cultural norms related to sexual relationships and attitudes.
10) Make use of peer educators.
11) Hold seminars, drama and give humorous but short messages on reproductive and sexual health.
12)Provide HIV counselling and testing services.
13) Provide legal protection and reduce gender unequitable norms and violence. Law enforcement agents must not take cases in relation to reproductive and sexual health such as rape, incest and illegal abortions reported with levity.
14) Adolescents should abstain from sex and those who cannot discipline themselves should visit health care providers for appropriate counselling .
15) Inappropriate sexual behaviours such as masturbation, exhibitionism, rape, incest, drug intake and alcoholism, homosexuality( gay and lesbian) and transgender practices are not part of our culture and should not be imbibed by our adolescent.
In conclusion, the government and the schools should ensure that sexuality and reproductive health education are built into the school curriculum from the primary school to tertiary institutions. With the rise in terrorism, kidnapping and insurgency, the government again is called upon to give protection to our young girls especially those in refugee camps and internally displaced centres. These young people should be taught skills on how to say “no to sex” without being rude
They should also be given orientation on reproductive and sexual health education and provide them with youth-friendly health care and services.
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By Leo Igwe
The Advocacy for Alleged Witches (AfAW) is concerned over the reported arrest of two men accused of being ‘witchdoctors’ in Zambia. The arrest underscores the potency of witchcraft fears and the connection between occult anxieties and the country’s politics. These individuals were accused of trying to bewitch the Zambian president, Hakainde Hichilema. The police claimed that they had charms. They planned to use the charms to harm the president. The report says the two persons have been charged under Zambia’s Witchcraft Act. The Act criminalizes “possession of charms”, “professing knowledge of witchcraft”, and “cruelty to wild animals”. The police found the two with assorted charms, including a live chameleon.
This development is utterly embarrassing and shows that the Zambian government is slowly losing its focus and bearing.The country has many socio-economic challenges. Suspicion of bewitchment or possession of charms should be the least of its worries at this time. There should be no place for witchcraft and possession of charms in modern politics because there is no evidence for these beliefs and practices. Zambian authorities should not weaponize the Witchcraft Act or use it to justify this incident. Zambian law does not recognize witchcraft. Zambia’s Witchcraft Act criminalizes naming or imputing witchcraft. It prohibits accusing or threatening to accuse any person of being a witch or a wizard. In this case, it is the police who are breaking the law.
Otherwise, how did they know the two individuals were ‘witchdoctors’? Did these persons identify as witch doctors? If not, the police are liable because they named and imputed witchcraft and have to prove that these individuals have witch-doctoring powers. The police claimed to have charged these individuals for possessing “assorted charms”, including a chameleon. Really?
The police in Zambia have questions to answer: What are charms? How did they know that what was in their possession were charms, not pets? Is a chameleon a form of charm? What makes possession of a chameleon possession of a charm? When and how does a chameleon become a charm? The police need to answer these questions and more before one takes them seriously.
Again, did the individuals describe what was in possession as ‘charms’? If they did, does confessing or designating something as a charm make it a charm? And if they did not, the police are liable because they need to prove how those possessions translated into charms.
In addition, the police claimed that the duo wanted to bewitch the president. What does that mean? How did they know? Are the police not contravening a provision under the Witchcraft Act by professing knowledge of witchcraft? Can one harm another person using a chameleon? They claimed that the two persons wanted to use the charms in their possession, including the chameleon to harm the president. How did they know that? What is the evidence for that?
The Advocacy for Alleged Witches calls for an end to this state-sponsored witch hunt. There is no evidence of harm through witchcraft or charms. The Zambian government should desist from witchcraft- related infractions and violations including arbitrary arrest, and detention of innocent citizens. These allegations are baseless and absurd. The arrest was politically motivated. This development demonstrates that Zambian authorities are out of sync with their duty and obligation to uphold the rule of law and protect accused persons.
Zambian authorities need to act in compliance with the 2021 UN resolution, which urged states to take measures to combat abuses linked to witchcraft beliefs and ritual attacks. End witchcraft allegations in Zambia. End witch hunts in Africa now!
Dr Igwe directs the Advocacy for Alleged Witches.
By Tony Afejuku
The other burning issue, apart from Farotimi and Babalola’s, which I wish to take a look at – and which I am taking a look at now – relates to what is happening in our capital territory. What is this burning issue – which our human rightists and civil society organisations and personages are surprisingly and un-satisfactorily not inclined to focus attention on and examine as they should? I may be wrong, but it surely seems to me that this issue, this burning issue, which is of more importance than Farotimi and Babalola’s – which has been given undue adulation – is deliberately being neglected and depreciated by proclaimers and heroes and heroines of human rights, justice, equity and equality of rights in your country my country our country. Why, why, why and why, why, why? Anyone who has any iota of patriotic sensibility, feeling and judgment well watered and buttressed by a very great influence upon his or her critical judgment will keep on asking the question I am asking.
Mr. Nyesom Wike, as almost everybody who can read and write a little knows, is the current minister of your, my and our Federal Capital Territory. His post or office is akin to that of a governor of a state. As the immediate past governor of Rivers State who was drafted, after his two terms there expired, to continue in the FCT as its new minister-governor or governor-minister under the auspices of a party he is not a true member of, Mr. Wike cannot but be seen as a lucky man. He is in every possible and impossible way. Minister-Governor Wike is a lucky man and a very fortunate one indeed. No former governor of Rivers State (or of any Nigerian state), as far as I know, has achieved what the famed political rouser of rabbles has achieved in one short gubernatorial life-time, and at a relatively young and fertile age. His dual achievement with and in two different political parties at this delicate point of Nigerian politics indicates to our politicians and us all that there is always time for a reminder that there are ready-made high rewards for arch-angels of betrayals. And Mr. Wike may go down in Rivers and Nigerian history as both an arch-angel and an emperor of betrayal of us all if we attempt to indicate what I have defined here as his dual achievement.
We can roughly divide, briefly, Wike’s political development into two periods. During the first, excluding his lower political positions before he became the governor of Rivers State, he quickly adapted his style to that of an emperor who became a rabble-rouser of rabble-rousers whose gubernatorial efficiency moved from stiffness to stiffness. He did not at any time feel that he needed suppleness to govern Rivers State. “Let the heavens fall if they must fall!” We are not there yet in this attempted analysis of the stiff-hearted and stiff-minded one. True? But he is already demonstrating this characteristic in Abuja. False? Judge and give the answer yourself.
Even after he left Rivers State a short while ago as governor, he is still trying to control happenings there to the political discomfiture of his hand-picked successor, his erstwhile “boy” and “son” – with whom he has fallen out. As the minister-governor or governor-minister of the FCT, Wike is occupied with the other taste of the emperor-juggernaut formulator – doing the work of two key political masters in one room and desk of political jugglery. Since his appearance in the FCT, minister-governor or governor-minister Wike has allegedly attempted to recover or transform for Abuja what is not traditionally or socially Abuja’s, for example, the city’s social idiom and landscape and terrain as well as its environs. In doing this he sometimes over-steps his bounds and mark of human/inhuman decency/indecency and psychological understanding of human nature, if you follow well what I am saying; he has so far become at best not really better than a typical pedestrian Nigerian lawyer and officer of political power: in his explorations so far in the Federal Capital Territory we have come to the realization, as T. S. Eliot would say, that “it is so often true that only by going too far can we find out how far we can go.” But one has to be a very negatively obstinate and self-serving emperor and a thorough-bred arch-angel of betrayal of the people and masses to justify such perilous and perfidious expeditions and adventures.
Last week, I saw on Arise Television “The Morning Show” Chief Rita Lori-Ogbebor, the dutiful widow of the late Nigerian supreme patriot and soldier, Colonel Ogbebor (of Benin stock) battling, so to say, to wrest the legacy of her late husband from the tight grip of the adventurous FCT minister-governor who has registered his name and signature in the hearts and consciousness of the people as the depriver of their possessions. The three anchors of “The Morning Show” were in their respective ways splendid in their structures of remarks and questions to Chief (Mrs.) Rita Lori-Ogbebor whom I have had occasions in times past to call patriotically Rita A-K 47 on account of her natural right to fire her beautiful tongue at any person, usually an enemy, of just actions. When she made the case she made to protect the estate of Paulosa Nigeria Limited, her late husband’s aforesaid legacy in the FCT, she was in her natural territory, habitat and element where even at age eighty-four, she never ever loses her stability – although she unusually restrained herself in the Arise Television appearance. Dr. Reuben Abati, Rufai Oseni, and Ayo Mairo-Ese clearly explored seriously but delightfully the mind of the mother-hen of Warri – my other coinage and appellation I gave her in my poetry. Her “The Morning Show” appearance enabled me to see the poignant cry de profundis of the FCT inhabitants whose property and residences in different guises have been demolished. She did not say anything that was out of joint. She spoke and came out as a mother, protector and symbol of the people who have suffered – and are suffering – from the state of affliction and anguish Wike’s demolitions have placed – and are placing – the people.
Ojy Okpe in her delicious and delectable “What is Trending” slot on the same show, showed without exaggeration but with further elaboration what people in and outside Abuja/FCT think of the mighty Wike’s demolitions, a burning issue that the Senate has asked “Let Heaven Fall” minister-governor Wike to halt as the committee the Senate set up on the issue starts its work. Of course, we cannot but assume that Chief Rita Lori-Ogbebor, Mrs. Natasha Akpoti-Uduaghan as well as Mrs. Ireti Kingigbe, the senator representing the FCT in the Senate and other patriotic senators diligently did what they did on the floor of the Senate when the burning issue was tabled for debate with the gracious understanding and authorization of the Senate President.
I need to state further that the “The Morning Show” anchors did well and extremely so by giving the minister-governor the opportunity to air his anti-Paulosa story. His senior special assistant on public communication and social media, Mr. Olalere Olayinka, stood in for him. After he gave the reasons for the clamp-down, his responses to the questions the anchors put to him followed the usual pattern of denials by artificial men in power – denials that they always use to intimidate and betray the people. In fact, Mr. Olayinka’s ploy to ride easily over our dear Rufai Oseni, a wholesome representative of the deprived, that the chap (or is it guy?) and his boss always employ their colloquial speeches and remarks to dishonor, failed. Yes, the ploy failed woefully. In stanza after stanza of the exchanges between Mr. Olayinka and the Arise anchors, he deteriorated – and his deterioration was hall-marked when he unwittingly revealed that the Paulosa land had been acquired by his minister-governor’s close cohort, an act that was nothing short of gross abuse of power and authority.
Because the Senate is already using its authority, power and privilege to resolve the burning issue, hopefully, in a way that the late Colonel Ogbebor’s legacy and family will not be subjected to any kind of degradation, I will utter no more words for now. I trust, however, that the liberties the Senate is taking – or has taken – are for the sake of order to favour the down-trodden.
As for the minister-governor, the PDP emperor at large, here is an immortal quote from Marcus Aurelius, the magnificent and authentic Roman Emperor and philosopher (A.D. 121-180): “If it is not right, do not do it; if it is not true, do not say it.” You lose nothing by giving us a slice of your humanity by your right acts and correct words. Everything changes and passes. Be humane as a human being.
Afejuku can be reached via 08055213059.
By Leo Igwe
Recently, I facilitated a critical thinking workshop at the Bay Wreath Schools in Lagos. The theme was critical thinking and teacher development. As the theme stated, the workshop was on teaching, about teaching, and for teachers. It highlighted the pedagogical value of critical and reflective inquiry. The workshop exposed teachers to critical mental habits and skills. It emphasized how critical thinking would enhance expertise in the learning and delivery of subjects in classrooms.
I used the opportunity to discuss questionstorm as a method of teaching and learning. Questionstorm is a way that I operationalized critical thinking for primary and elementary schools. Questionstorm is the ability to interrogate all objects and materials. It is a habit of questioning ideas and experiences in all areas of human endeavor. Simply put, questionstorm is a question-driven inquiry. Children are naturally curious. They thirst for knowledge and understanding. Unfortunately, the school system kills children’s curiosity and dampens their interrogative appetite. The school system places much emphasis on rote learning and memorization. It makes the generation of answers not questions or problems the test of knowledge, and the determinant of intelligence. Teaching is largely a drudgery, a monotonous exercise, and a process of depositing knowledge on passive recipients, the students. Teaching entails dumping information on learners whose duty is to cram and reproduce during tests or examinations.
This teaching praxis has been criticized and blamed for the poor performance of students post-school (college and university) and their inability to think independently, creatively, and innovatively. Other teaching methods have tried to address these gaps and limitations. There have been suggestions to make teaching and instruction more active, and more student/learner/child-centered. One such method is the Montessori method. The Montessori method discourages grades and tests as ways of measuring achievement or determining intelligence and excellence. It emphasizes hands-on learning and the development of real-world skills. While the Montessori method stresses the practical approach to learning it says very little about the authoritarian teacher-to-student approach that is the mainstay of teaching and learning in classrooms. Teaching follows a pattern that leaves students and learners in the margins and unable to question and contribute to the learning process. Teachers present what is to be learned such as a text, and then generate questions that students respond or address to demonstrate knowledge of what has been taught. The student’s or learner’s main job is to answer questions, to look for or find answers or solutions. The teacher’s work is to get students to look for, and provide answers, and reproduce what they have been taught or told. But students are answer-depots. Students are not memory banks or reserves. They are active minds and thinking agents.
With questionstorm as a teaching method, the mode of instruction would change. Teaching becomes a cooperative endeavor that actively involves teachers and students. What is taught in the classroom is a collaborative note, not the teacher’s note, not a handout to students. Teachers present or generate texts or objects for learning, in response to intense questioning of the object or material by students, teachers provide information as required for that subject, topic, level, and time frame. No two instances of teaching – of the same topic or subject- are or should be the same because the input of students and teachers is not predetermined.
This is because of an overlooked principle in teaching and learning, that I call the “uncertainty principle”.
The uncertainty principle underlies questionstorm because knowledge is not fixed. Learning is a fluid process. All that is to be learned is uncertain, it is unknown and never determined. No teacher can say beforehand what is to be taught or learned because no one knows exactly the questions and answers or replies that would arise when a topic is presented or taught in a particular class. A topic or learning material elicits unique responses and exchanges that both teachers and students cannot exactly know or predict a priori, before the fact.
Teaching is a shared task and responsibility. Class notes are fluid materials. They are not texts cast on educational stones and delivered by teachers to students to copy, cut, and paste as is often the case. Class notes are not written or produced by teachers for students but by teachers with students. Teachers’ notes are incomplete and insufficient. They account only for a part, not a whole of the learning process and material. Students’ input completes and complements the teaching material and learning process. Thus every class note is unique because it is a product of a specific collaborative endeavor, a product of particular teaching and learning agents and circumstances that cannot be repeated or replicated.
Thus, as a teaching method, questionstorm is set to facilitate teacher development and improve the quality of instruction in schools. Questionstorm will help realize a paradigm shift in education and learning. I hope educators, teachers, and school managers will embrace this method of teaching and learning.
Dr Igwe directs the Critical Thinking Social Empowerment Foundation.
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