1. What do we mean by the term 'adolescents ' ?

2. The second decade: No longer children, not yet adults ! Adolescents 10 - 19 years Youth 15-24 years Young people 10-24 years Source: A picture of health? A review and annotated bibliography of the health of young people in developing countries (WHO, UNICEF, 1995).

3. What do we mean by the term 'health' ?

4. “Health is a state of complete physical, mental and social well- being and not merely the absence of disease or infirmity." Source: Constitution of the World Health Organization, 1948.

5. What do adolescents need to grow & develop in good health ?

6. What adolescents need & why? Information & skills (they are still developing) Safe & supportive environment (they live in an adult world) Health & counselling services (they need a safety net)

7. Who needs to contribute to meeting these needs? Politicians Journalists Bureaucrats Relatives Friends Family friends Teachers Sports coaches Healthcare providers Religious leaders Traditional leaders Parents Brothers/Sisters Adolescents Musicians Film stars Sports figures

8. What do we mean by the term 'health services' ?

9. Health services. The provision of a clinical service, which often includes the provision of information, advice & counselling aimed at preventing health problems, or detecting & treating them.

10. What is the place of health workers in contributing to adolescent health & development ?

11. Roles of health workers: # 1. Service provision. Helping well adolescents stay well. Helping ill adolescents get back to good health.

12. Roles of health workers: # 2. Change agent. Helping influential people in the community understand & respond to the needs of adolescents.

13. “...When health services are not made available & accessible to adolescents, the result is countless missed opportunities for preventing health problems, & promptly detecting & effectively treating them.” The adolescent view point: Implications for access & prevention. Journal of the American Medical Association, 1995.

14. What are the main health problems of adolescents ?

15. Adolescents: One fifth of the world's population. In 2005, there were 1.21 billion adolescents, the largest-ever number in the history of mankind. The population in this age group is estimated to continue to increase until 2040 to reach an estimated 1.23 billion. Source: World Population Prospects: The 2004 revision. New York. United Nations. 2005.

16. Many adolescents move from childhood through adolescence into adulthood in good health.

17. Key health problems in adolescence. Sexual & reproductive health -Too early pregnancy risks to mother risks to baby - Health problems during pregnancy & child birth (including unsafe abortion) -Sexually Transmitted Infections including HIV -Harmful traditional practices e.g. female genital mutilation -Sexual coercion Source: United Nations. World Youth Report 2005. Young people today, and in 2015. United Nations. 2005. ISBN 92-1-130244-7. Other issues - Injuries from accidents & intentional violence - Mental health problems - Substance use problems - Endemic diseases: malaria, schistosomiasis, tuberculosis - Under/over-nutrition

18. When adolescents face health problems, whom do they turn to for help ?

19. Help-seeking & health care-seeking behaviours: Whom would you turn to for help ? Source: G Barker G, A Olukoya, P Aggleton. Young people, social support and help-seeking. International Journal of Adolescent Medical Health. 2005, 17, 4, 315-336.

20. Help-seeking & health care-seeking behaviours: Strongly influenced by the 'environment'. Two key considerations: Could the act of health-care seeking get the adolescent into trouble ? Who decides when and where to seek health-care – the adolescent on his/her parent ? Source: G Barker G, A Olukoya, P Aggleton. Young people, social support and help-seeking. International Journal of Adolescent Medical Health. 2005, 17, 4, 315-336.

21. What are the factors that make it difficult for adolescents to obtain the health services they need ?

22. Are adolescents able to obtain the health services they need ? Not available.

23. Acceptable. Accessible. Equitable. Many barriers to the provision & utilization of health services by adolescents ! x x x

24. Barriers depend on: the nature of the problem, the circumstances of the person. Source: K L Dehle, G Riedner. STI among adolescents: The need for adequate health services. Reproductive Health Matters. 2001; 9, 17, 170-183.

25. What do adolescents perceive as " friendly" health services ?

26. Different groups of adolescents, from different parts of the world say: they want to be treated with respect. they want to be sure that their confidentiality will be maintained. Source: Global Consultation on Adolescent Friendly Health Services – A consensus statement. WHO. 2001.

27. What is being done to make health services adolescent "friendly" ?

28. Initiatives in many different settings. Hospitals Public, private and NGO clinics Pharmacies Youth centres Educational institutions Work places Shopping centres Refugee camps On the street

29. Working to make existing service- delivery points more "friendly" to adolescents. Setting up new service-delivery points exclusively intended for adolescents.

30. Initiatives in many different settings to make it provide adolescents with health services. Hospitals Public, private and NGO clinics Pharmacies Youth centres Educational institutions Work places Shopping centres Refugee camps On the street Uneven quality & patchy coverage.