PARENTHOOD: Straight Talk

P

Emma Alesna-Llanto,MD
Society of Adolescent Medicine of the Phil, Inc July 27, 2012
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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A new baby is like the beginning of all thingswonder, hope, a dream of possibilities. Eda J. Le Shan

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Parenthood has the power to redefine every aspect of life - marriage, work, relationships with family and friends.
Hillary Rodham Clinton, It Takes a Village

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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OUTLINE
• • • • What’s parenthood? What are the responsibilities? How will it change your life? Is NOW the best time?

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Parenthood: “the state of being a parent and the responsibilities involved “

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Parents have the glorious opportunity
…of being the

most powerful influence,
above and beyond any other, on the new lives that bless their homes.
~ L. Tom Perry

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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The Family Code Of the Philippines 2
EXECUTIVE ORDER NO. 209 Articles 1 – 162 | Articles 163 – 257

Chapter 3. Effect of Parental Authority Upon the Persons of the Children Art. 220. The parents and those exercising parental authority shall have with the respect to their unemancipated children on wards the following rights and duties: (1) To keep them in their company, to support, educate and instruct them by right precept and good example, and to provide for their upbringing in keeping with their means;
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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The Family Code Of the Philippines 2
EXECUTIVE ORDER NO. 209 Articles 1 – 162 | Articles 163 – 257

Chapter 3. Effect of Parental Authority Upon the Persons of the Children (2) To give them love and affection, advice and counsel, companionship and understanding; (3) To provide them with moral and spiritual guidance, inculcate in them honesty, integrity, self-discipline, selfreliance, industry and thrift, stimulate their interest in civic affairs, and inspire in them compliance with the duties of citizenship;
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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The Family Code Of the Philippines 2
EXECUTIVE ORDER NO. 209 Articles 1 – 162 | Articles 163 – 257

Chapter 3. Effect of Parental Authority Upon the Persons of the Children (4) To furnish them with good and wholesome educational materials, supervise their activities, recreation and association with others, protect them from bad company, and prevent them from acquiring habits detrimental to their health, studies and morals;

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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The Family Code Of the Philippines 2
EXECUTIVE ORDER NO. 209 Articles 1 – 162 | Articles 163 – 257

Chapter 3. Effect of Parental Authority Upon the Persons of the Children ((5) To represent them in all matters affecting their interests; (6) To demand from them respect and obedience; (7) To impose discipline on them as may be required under the circumstances; and (8) To perform such other duties as are imposed by law upon parents and guardians. (316a)
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Let’s break it down

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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http://www.xpatulator.com/cost-of-livingreview/Philippines-Manila_159.cfm
• • • • • • • • • Clothing Communication Education Furniture & Appliance Grocery Healthcare Household Accommodation Miscellaneous Personal Care
'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'
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8/28/2012 - Foundation for Adolescent Development, Inc.

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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How will it change your everyday life?

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Breastfeed every 2-3 hours round the clock
( 10 to 12 times/ day)

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Change diapers At least 6 times a day

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Is NOW the best time for parenthood?

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Teen PARENTHOOD ? ‘Di Muna!
P

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Why teen pregnancy should be avoided
It’s complicated!

Agree!

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Fertility Rates: Number of Babies born per 1000 girls aged 15-19 years
Fertility rates: 54 births/1000 Urban: 42 Rural: 71
-2008 NDHS
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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DANGER!
In the Philippines:

1 out of 5 mothers aged 15 to 24 die during pregnancy or childbirth
Save the Children (2007)
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Why are girls more vulnerable than older women?
• • • • Immature reproductive tract Malnutrition Anemia Serious complications
– Bleeding – Hypertension ( high BP) and Eclampsia (convulsions)
'Dare to Ask: School Symposium on Teen 8/28/2012 - Foundation for http://www.advocatesforyouth.org/publications/publications-a-z/436-adolescent-maternal-mortality-an-overlooked-crisis Issues on Health, Sexuality, Population and Adolescent Development, Inc. Development'
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Complications for Young Mothers
• 20% -35% of those who deliver at 15-17 years will be pregnant again in two years
Lichter, D., Marriage as public policy. 2001, Progressive Policy Institute: Washington, DC.
'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

8/28/2012 - Foundation for Adolescent Development, Inc.

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Marital instability
(twice as likely to fail)

Lichter, D., Marriage as public policy. 2001, Progressive Policy Institute: Washington, DC.
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Complications for Young Mothers ( and Young Fathers)
• Dropping out of school • Unemployment and Poverty

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Children of Teen Moms are at risk Death rates among infants:

3x higher ( smaller, premature)

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Children of Teen Moms are at risk
• suffer higher rates of abuse and neglect (2x)
• Developmental delay • School problems • Drug abuse
Hoffman, S.D., By the Numbers: The Public Costs of Adolescent Childbearing.2006, The National Campaign to Prevent Teen Pregnancy Washington, DC.
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Sons of Teen Mothers …
…are two times more likely to end up in prison than the sons of mothers aged 20-21

Hoffman, S.D., By the Numbers: The Public Costs of Adolescent Childbearing.2006, The National Campaign to Prevent Teen Pregnancy Washington, DC.
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Daughters of Teen Mothers …
…are three times more likely to become teen mothers themselves

Hoffman, S.D., By the Numbers: The Public Costs of Adolescent Childbearing.2006, The National Campaign to Prevent Teen Pregnancy Washington, DC.
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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http://www.showbiznest.com/20 11/06/andi-eigenmann-ispregnant-confirms.html Thursday, June 30, 2011 , Posted by JED at 1:29:00 AM

"I just want to tell everyone that, yes, it's true. My daughter is pregnant. Hindi madali pero kailangan kong tanggapin." a tearful Jaclyn Jose admits.

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Sex is serious and can have P serious consequences – both physical and emotional.

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Having a child as a teen can have negative Pimplications for your education, financial security, and goals for the future.

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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If NOW is NOT the best time… How can we avoid pregnancy?

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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If it’s not…how can you avoid pregnancy?
• FACTS about adolescent sexuality • HOW can teen pregnancy be avoided

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Teen sexuality

Young Adult Fertility and Sexuality Survey 3 Among Filipino youth (15-24 years)
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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TAMA o MALI
Young people are very knowledgeable about STD and HIV/AIDS
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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MALI
% knowledge on STD/AIDS

70 60 50 40 30 20 10 0

63 60

57 38 39 26 22

58

know STD

heard AIDS

AIDS curable

no chance 2 get AIDS
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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

male

female

HIV/ AIDS in the Phil.
Total no. of cases as of Apr 2012: 9396 cases 5-fold increase between 2007 to 2011 2349 new cases in 2011
Philippine HIV/AIDS Registry (April 2012)

7 new HIV cases per day
- UNAIDS Report (2010)
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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TAMA o MALI
Teens get most information about sexuality from media and the internet

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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TAMA
Most teens say they want to get information about sex from their parents. In reality however, teens say they get most of information from media

Media is NOT the best source of accurate information
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Sex in Television
“ Sexual messages : explicit; contain unrealistic, inaccurate, and misleading information that young people accept as fact”
AMERICAN ACADEMY OF PEDIATRICS: Sexuality, Contraception, and the Media Committee on Public Education http://aappolicy.aappublications.org/cgi/conten t/full/pediatrics;107/1/191
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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TAMA o MALI

Most young people are doing “IT”.

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Percentage of sexually active adolescents aged 15-24 18% (1994) vs 23% (2002)
% sexually active aged 15-24: 1994 & 2002

35 30 25 20 15 10 5 0
10

31 26

15

F1994 M

F

2002

M
59

8/28/2012 - Foundation for Adolescent

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality,

TAMA o MALI

MAJORITY of FIRST SEX IS EITHER UNPLANNED OR UNWANTED

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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TAMA
57% of first sex experiences were unwanted or unplanned
-YAFS 3, 2002

(sex is SERIOUS, THINK before you act!)
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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PRESSURE TO HAVE SEX • Among girls: pressure from partner • Among guys: pressure from peers

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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If you’re drunk, you can’t decide right

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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TAMA o MALI

AGE DOES NOT MATTER IN RELATIONSHIPS
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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MALI • Age MATTERS! • Teens who are in a relationship with someone three years or older are more likely to have unwanted sex
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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MALI • Among those who started sex younger than 15 years: 14.7% had sex against their will

Philippines National Demographic and Health Survey 2008. Republic of the Philippines and Calverton, Maryland:
National Statistics Office and ICF Macro, 2009

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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TAMA O MALI

Sex among youth is usually unprotected
'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

8/28/2012 - Foundation for Adolescent Development, Inc.

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TAMA
% used contraceptive during 1st & last sex: 1994 & 2002

Y A F S 3

25 20 15 10 5 0 1st sex 1994 2002 12.3 7.8

22.2 21.3

Last sex

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Sex is serious. Make a plan to protect yourself and your partner

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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TAMA o MALI

You can’t get pregnant the first time you have sex

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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MALI

One ejaculate contains 200 to 400 million sperms

It takes just ONE
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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TAMA o MALI
The only foolproof (100%) way of not getting pregnant is NOT TO HAVE SEX

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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TAMA
ABSTINENCE IS THE ONLY METHOD THAT WILL PREVENT PREGNANCY AND STD 100% OF THE TIME

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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TAMA O MALI
Providing sexuality education will make young people have sex earlier and with more partners

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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MALI
There is NO evidence that sex education increases level of adolescent sexual activity
Benson. Obst. Gyne 1995;85:279. Mauldon. Fam Plann Perspect 1996;28:19. Marsiglio. Fam Plann Perspect 1986;8:151 Stout. Pediatrics 1989;83:375. Juszcak. Adol Med: State of the Art Review 1996;7:163. Stout. Pediatric Annals 1993;22:20. Kirby. Public Health Rep 1994;109:339.
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Sex is serious and can have serious consequences – P both physical and emotional.

://www.thenationalcampaign.org/tooyoung/too_young_discussion_guide.pdf
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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teen pregnancy
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Empower yourself with
accurate information

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Be informed so you can make the right decisions
• Talk to parents, trusted adults, health providers • Use reliable websites

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Pornography is dehumanizing

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Respectful relationships
8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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Do NOT pressure your partner
GET OUT of unhealthy relationships!

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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RESIST Pressure
Don’t let anyone RESIST dictate your life

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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be

SAFE

from pregnancy and STI

protect yourself and your partner

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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EDUCATION:
Finish School

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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E.R.A.S.E. teen pregnancy
• EMPOWER yourself with information
• have RESPECTFUL RELATIONSHIPS

• ABSTAIN from sex (resist pressure)

SAFE from pregnancy and STI • Finish your EDUCATION
• Be
'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

8/28/2012 - Foundation for Adolescent Development, Inc.

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Having a baby is one of the most wonderful things in your life, as well as the hardest thing in your life.
Nuno Bettencourt

8/28/2012 - Foundation for Adolescent Development, Inc.

'Dare to Ask: School Symposium on Teen Issues on Health, Sexuality, Population and Development'

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teen parenthood?
P

NO WAY !

8/28/2012 - Foundation for Adolescent Development, Inc.

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8/28/2012 - Foundation for Adolescent Development, Inc.

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Adolescence is the summer of your life !
8/28/2012 - Foundation for Adolescent Development, Inc.

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