Lecture 9: Adolescents Flashcards

1
Q

UN’s definition of children

A

Persons under 14 years of age. To ensure greater protection, children are often defined as persons under 18

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2
Q

Adolescents, teenagers, youth and young adults

A

Adolescents: 10-19
Teenagers: 13-19
Youth: 15-24
Young adults: 20-24

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3
Q

UNICEF Health Strategy

A

Children health, mother health and adolescent health
Link between the health of all three
Tend to look at mother and child as a unit as a result of this

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4
Q

Causes of illness and death among Children Globally

A

Diarrhea
o Bacterial, viral parasitic organisms
o Most are spread by feces contaminated water
o Can leave children severely dehydrated

Pneumonia
o Bacteria, viral and fungi
o Caused by bacteria can be treated with antibiotics
o Acute respiratory infection of alveoli

Birth Asphyxia
o Happens when babies brain or other organs don’t get enough oxygen before, during or right after birth
o Often lead to developmental disorders

Sepsis
o Imbilicocord contamination

Pertussis
o Highly contagious bacterial disease of the respiratory tract
o First symptoms generally occur within the first 7 to 10 days
o Mild fever, runny nose and cough
o Mainly occurs within infants and children and easily transmitted

Tetanus
o A bacterial infection usually contracted through a puncture would with an unclean object

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5
Q

HIV and newborns

A

In 2013, there were 200 000 newborns infected by HIV, and 90% of them were in sub Saharan Africa

A newborn has about a 15-45% of being infected by an HIV positive women who is not receiving antiviral medication

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6
Q

UNICEF and WHO have framework for what conditions

A

Lots of attention given to pneumonia and diarrhea
• Due to the high death rate of these two

Protect, treat and prevent

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7
Q

Immunization protection

A

Routine immunization prevents between 2 and 3 million deaths and protects up to 100 million people against illness and disability, yearly

Vaccine preventable diseases remain a major cause of child mortality around the world
Immunization is the most successful and cost-effective health strategy

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8
Q

Decade of Vaccines

A

WHO anticipates that new vaccines against cholera, dengue, malaria, polio and typhoid will be introduced during the decade of vaccines which began in 2010

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9
Q

Requirements for national immunization programs

A

Trained and adequately compensated healthcare personnel

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10
Q

Key challenges in child health

A

Healthy well-nourished mother

Mother to child HIV transmission

Attendance at delivery by skilled birth attendant

Appropriate care of newborn

Kangaroo mother care: skin to skin

Early and exclusive breast feeding for 6 months

Hygienic introduction of diverse complementary foods

Immunization

Preventable care and management of NCD and CD

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11
Q

Child labor

A

Any economic activity undertaken by children under the minimum age for admission to employment as defined by the International Labour Organization

Children under the age of 18 working more than 1 hour per week in paid or unpaid work, on casual or regular basis, legal or illegal

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12
Q

Positive aspects of child work

A

Keeps them busy
Providing for the family
Future independence

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13
Q

International labor definition of child labor

A

Work that deprives children of their childhood, their potential and their dignity, and that is harmful to physical and mental development

Work that is mentally, physically, social or morally dangerous and harmful to children; and interferes with their schooling

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14
Q

Concentration of working children

A

Africa and Asia

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15
Q

Unconditional worst forms of child labor

A

Violation of already existing human rights standards

Example: child slavery, forced or bonded labor, child trafficking, prostitution, pornography, child soldiers

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16
Q

Unresolved worst forms of child labor

A

Harmful to the health, safety, physical, mental, spiritual, moral and social development of children

Often defined through the application of theories of child development

Example: work in dangerous environments, long work hours

Is a harder issue to address

Most of this work is being done in the agriculture district

17
Q

Child labor and education

A

Child labour is frequently associated with educational marginalization

Strong correlation between child labour and situations of conflict and disaster

18
Q

SES and child labor

A

Child labor is most prevalent in low-income countries but it is by no means only a low-income country problem
• Most child labour takes place within a family unit

19
Q

Age and Child labor

A

Children aged 5 to 11 years form the largest share of those in child labor and also form a substantial share of those in hazardous work

20
Q

Gender and child labor

A

Boys appear to face a greater risk of child labour than girls.

Girls are much more likely than boys to shoulder responsibilities for household chores

21
Q

Sectoral composition of child labor

A

Highest thing in agriculture (family farms)

Many of these children suffer from illness or injury

More things in the agriculture hunting or fishing

Industry
o	Construction
o	Manufacturing of products
o	Mining 
o	Public utilities 

Services
o Working in the retail trade
o Restaurants
o Hotels

22
Q

Health effects of child labor

A

Physical hazards:

Chemical hazards:

Cognitive hazards: memory, impacts school performance,

Psychosocial hazards: abuse, poor living conditions, violence, disrupted support

Behavioural/emotional hazards: mature quickly, sense of loss,

Community effects: contamination to home and water supply, smoking

23
Q

Factors to consider when studying health effects in child labor

A

Hard to determine long term effects due to hidden and illegal work

May be a selection bias as your already picking out healthy kids who are able to do work

May be a long latency period until health effects are actually noticed

Chronic conditions may not be well determined as opposed to acute illnesses

Under recognition and misdiagnosis of problems

24
Q

Africa’s youth population

A

By 2050, Africa’s youth population will rise to 35% of the worlds youth total

25
Q

What country has highest youth population

A

Ethiopia, accounting for 21.8%

26
Q

Global adolescent fertility rate

A

50 births per 1000 women
16 in developed countries
54 in less developed countries

27
Q

Youth Bulge

A

Progress has been made in children not dying, but women are still having a high fertility rate

Results in large share of the population is comprised of children and young adults, and today’s children are tomorrow’s young adults

Generally tend to turn the youth bulge into a demographic dividend (economic growth for country)
• Success at this is measured in youth employment rate

28
Q

Demographic Dividend

A

Occurs when the size of the working age population is high relative to the size of the dependent age population
• Resulting in potential for high level of economic productivity

29
Q

What is required for economic productivity

A

There are jobs to productively employ the working age population

We capitalize on the relatively small number of dependent children by increasing educational attainment

30
Q

Dependency ratio

A

Ratio of the non-working age population to the working age population

31
Q

Benefits of improving secondary education

A

Improve skills for productive employment
Reducing risky health and social behaviours
Developing positive health behaviours and habits

32
Q

Barriers to secondary school education

A

Excessive use of alcohol or drugs
Poor sanitation and hygiene
An estimated 1.2 million adolescents died in 2015

33
Q

Leading cause of death in adolescents

A

Road injuries
HIV/AIDS
Self-harm

34
Q

Leading cause of DALYs

A

Depression
road injuries
anemia
HIV

35
Q

Age of sexual debut

A

Age of first sexual intercourse

36
Q

Early sexual debut linked to…

A

Positively related to infertility, especially when there was more than one partner; a major cause of infertility is STIs
Higher likelihood of the use of coercion or force

37
Q

Sexual debut males vs females

A

Males tend to start earlier than females

38
Q

Adolescent Maternal conditions

A

16 million girls aged 15-19 give birth every year
3 million girls aged 15-19 undergo unsafe abortions every year
adolescent girls who give birth are at increased risk for birth complications, infant and maternal mortality

39
Q

Adolescents and family planning

A

married women (15-19) use contraceptive to space births
in Africa and Asia the number of women pregnant or wish to become pregnant is higher than the number using contraception
significant unmet need for contraception among young women