Though this policy has been endorsed the national data shows only 14.3 percentage of expected delivery are conducted by SBA at health facility.
(Annual report 2007/08).
Theongoing Safe Delivery Incentive Program (SDIP) is contributing in poverty reduction efforts by reducing delivery cost for household and impacts of maternal deaths and disabilities onhousehold economy. SDIP shows remarkable increase in institutional deliveries, ANC andPNC checkups. These services can also play an important role in identifying and, if possible,treating STIs and HIV. To ensure that girls have a healthy transition into motherhood, andthis requires the provision of accessible, appropriate, and targeted reproductive health careservices that have components tailored to young, first-time mothers.In Nepal, percentage of pregnancies among adolescent is 21.97 percent
This percent is almost double from world’s scenario. Even when pregnancy among young womenis planned, the health risks can be serious. The risk of maternal mortality is two to four timeshigher for pregnant adolescents than for pregnant women over 20. Infant mortality also isgreater among adolescent mothers typically 30 percent higher for infants born to women ages15 to 19 than for those born to women 20 or older. The use of contraceptive method isanother issue, which needs considerations for the use of each method by adolescents. Datafrom DHS 2006 shows that among currently married women, married adolescent use 16 percent of any contraceptive method, and among all women 10.1 percent adolescent aged 15-19 use any contraceptive method.Iron deficiency anemia is one of the common nutritional problems in Nepal, 39 percent of adolescent girls are anemic. Another concern is three in four pregnant women in Nepal werefound anemic. In order to address this issue Iron Supplementation Program was introduced inall 75 districts as a part of MOHP nutritional program.Worldwide, young women and men suffer a disproportionate share of unplanned pregnancies,sexually transmitted diseases, including HIV, and other serious reproductive health problems.About one half of all HIV infections worldwide occur among people age 25 and under (
World Health Organization
). In industrialized countries, two of every three STD infectionsoccur among people under 24 years of age, and the proportion of infected youth indeveloping countries is believed to be even higher. The national data shows 4.45% of totalHIV infected are adult aged between 10-19 yrs.
(NCASC HIV data 2066 Mansir).
This data iscomparatively very low, might be because of under reporting. Most of youth men from midand Far Western Region is migrant worker traveling to India cities for work, so HIV is major concern in these areas. 42% adults are estimated of HIV infection who is Seasonal Labor Migrant.
(DoHs, Annual Report 2007/08)
Changing risky behavior requires an individual's commitment it is more important thaneducation. A young adult must then acquire the skills necessary to make the change. Severalfamily planning programs have incorporated elements of behavior change into sex education programs for young people. Young people need to understand and accept the physicalchanges, to talk about relationships with adults, to learn decision-making and self-esteem andto develop a general vision of their own sexuality.There are several issues that influence youth reproductive health for this vulnerable agegroup:
Gender perspectives, which are largely defined by social and cultural conditions,shape the adolescents in gaining access to information and services.2