JCMS2015: Joint conference in medical sciences 2015
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Sex and pregnancy in teenager
1. SPEAKER
Sex and pregnancy in teenager:
who and how?
Pattarawalai Talungchit MD, PhD
Department of Obstetrics and Gynecology
Faculty of Medicine, Siriraj Hospital
Mahidol University
2. SPEAKER
Accelerating action for adolescent health:
framework for action: HELPS
(A 68/15 Adolescent Health WHA 68th)
H= Healthy Service: 犖犖萎犖犖犖犖巌犖迦牽犖犖伍犖犖迦 犖犖園犖犖犖迦牽犖犢 犖犖犖犖園犢犖ム鍵犖犖園犖犖迦犖朽
犢犖犢犖迦犖謹犢犖犢 犢犖ム鍵犖犖犖犖犖犖犖犖犖о顕犖÷犢犖犖犖犖迦牽犖犖園犖犖犖迦犖犢犖迦犖犢犖迦犖犖迦権犖犖巌犢犖犖犖犖犢犖∇顕犖о犖
犖犖迦権犢犖犢犖犖犖巌犖犖犖犖犖犖ム険犖犖犖犖萎犖園犖犖伍犖犖迦犖犢犖о犖犖犢犖
E= Eating: 犖犖迦牽犖犖巌犖犖迦見犖迦牽犖犖朽犖÷元犖犖伍犖犢犖迦犖迦 犢犖犖犖犖迦犖迦牽犖犖朽犢犖犖÷顕犖萎肩犖÷犖迦 犖犖犢犖迦
犢犖犖犖巌検犖犖伍犖犖迦犖犖朽犖犖 犢犖ム鍵犖犢 犖犖犖犖園犖犖園犖犖迦犖伍犢犖犖犖犖迦犖迦牽 犖犖犖 犖犢犖о 犢犖ム鍵犖犖迦硯犖萎犖朽
3. SPEAKER
Accelerating action for adolescent health:
framework for action: HELPS
L= Living, learning: 犖犖∇弦犢犢犖犖犖犖迦犢犖о犖ム犖犖÷犖朽犖犖項犖犖謹犖犖犖犖伍犖犢犖犢犖犖÷鹸犖犖 犖犖ム賢犖犖犖園権
犖犖園犖犖犢犖迦犖犢犖迦犖犖迦権犢犖ム鍵犖犖巌犢犖
P= Promoting physical activity, and preventing use of
tobacco, alcohol and other psychoactive substances: 犖÷元
犖犖む犖巌犖犖犖÷犖迦犖犖伍犖犖迦犖犖朽犢犖犖÷顕犖萎肩犖 犢犖÷犖÷元犖犖迦牽犢犖犢 犖犖伍見犖犖朽 犖犖迦牽犢犖犖犖犖巌 犖犖迦牽犖犖劇犖÷犖犖犖劇犖犖犖犖劇犖
犢犖犖ム犖犖犖犖ム 犖犖犖園犖犖犖伍犖犖迦牽犖÷元犖犖伍犖犖迦犖犖朽犖犢犖犖÷犖園犖犖む犖巌犖犖犖÷肩犖伍犖犖迦犖犖朽賢犖劇犖犢 犢犖犢犖犖犖迦牽犖÷元
犖犖巌犖犖犖犖÷犖迦犖犖迦権
S=Safe sexual debut, when ready and wanted: 犖犖迦牽犢犖犖巌犖÷検犖
犢犖犖犖犖園検犖犖園犖犢犖犖∇犖迦犖犖ム賢犖犖犖園権 犢犖÷厳犢犖犖犖犢犖犖÷犖ム鍵犖犢犖犖犖犖迦牽
4. SPEAKER
Who?
Common determinants
Personal
characteristics: age,
gender, knowledge and
skills
Peers
Parents
Providers: health
workers, teachers and
youth workers
Protective and
supportive
environments: families,
schools and
communities, the online
environment, and social
values and norms
Political decisions and
frameworks that affect
legislation, policies and
the allocation of
resources
5. SPEAKER
Personal characteristics
犢犖犢 犖迦見犖÷顕犖∇肩犖迦犖園 4 犖犖∇犖迦犖犖朽犖о険犖∇牽犖伍犖犖犢犖о犖犢犖犖犖о牽犖犖萎犖犖犖ム幻 犢犖犢犢犖犢
犖÷元犖犖о顕犖÷検犖伍犖犖÷険犢犖犢犖犢犖о犖犢犢犖犖犖迦牽犢犖犖朽権犖犖犖項 (Engagement with learning)
犖犖о顕犖÷牽犖項犖犖謹犖犖ム賢犖犖犖園権犖犖迦犖犢犖迦犖犢犖迦犖犖迦権犢犖ム鍵犖犖巌犢犖 (Emotional and
physical safety)
犖犖迦牽犢犖犢犖犖犖伍犖犢犖迦犖犖犖犖犢犖犖 (Positive sense of self/self-
efficacy)
犖犖園犖犖萎犖朽硯犖巌犢犖ム鍵犖犖迦牽犖犖園犖犖巌犢犖 (acquisition of life/decision-
making skills)
10. SPEAKER
Family, school and community
Protective and supportive environments
犖犖園絹犖犖犖犖 犖犖迦牽犢犖犢犖犖伍犖犢犖迦犖迦犖犖園犖犖
犖犖巌犖犖巌犖犖犖о険犖∇牽犖伍犖犢犖犖犖迦牽犖犖項犖ム犖犢犖犖
犖犖о顕犖÷検犖園犖犖犖犖犖犖犖犖犖犖犖犖犖園硯
犖犖о顕犖÷牽犖伍犢犖犖犢犖犖犢犖迦
犢犖犖犖犖犖迦犖萎犖迦犖犖園犖犖
犢犖犖犖犖∇犖迦犖犖朽犖犖
犖犖迦牽犖犖園犖犖項犢犖犢犖犖劇犖犖犢犖犖犖犖犖犖犢犖迦権犖犖迦権 犖犖項犖犖犖犖
11. SPEAKER
Political decisions, policies and the
allocation of resources
犖犖犖犖÷顕犖 犖犢犖∇犖迦権犖犖迦犖犖迦牽犢犖÷厳犖犖 犖犖迦牽犖犖園犖ム顕犖犖園犖犖о顕犖÷肩犖迦犖園犖犖犖犖犖園犖犖 犖犖迦牽犖犖園犖犖犖
犖犖犖犖犖萎検犖迦犢犖ム鍵犖犖犖園犖∇顕犖犖犢犖犖犖萎犖園犖犖犖萎犖犖 犖犢犖犖犖ム犖犖∇犖犖犖犢犖犖犖迦牽犢犖犖巌犢犖 犖犖園犖犖
犖犖犖犢犖∇顕犖о犖
犖犖犖萎牽犖迦犖犖園犖犖園犖巌犖迦牽犖犖謹犖犖迦犖犢犖犖犖迦犖
犖犖犖萎牽犖迦犖犖園犖犖園犖巌犖迦牽犖犢 犖犖犖犖園犢犖ム鍵犢犖犢犢犖犖犖園犖犖迦犖迦牽犖犖園犖犖犖犖犖犢犢犖犖о険犖∇牽犖伍犖
犢犖犖犖犖犖犖巌犖犖犖犖犖犖萎犖犖 犢犖ム鍵犖犖о顕犖÷検犖園犖犖犖犖犖迦犖犖迦牽犢犖犖巌
犖犖о顕犖÷犖犢犖迦犖犖朽権犖÷犖迦犖犖園犖犖÷犖園犖犢犖犢犖犖劇犖犖犢犖犖 犢犖犖劇犖犖犖迦犖 犖犖迦牽犖÷元犖犖犖迦犖萎犖犢犖犖犖項犖犖犖∇
犖犖ム賢犖犖犖犖犖巌犖犖巌犖犖犖迦牽犢犖犢犖迦犖謹犖犖迦牽犖犖犖巌犖迦牽犖犖迦犖犖迦牽犢犖犖犖∇犖犖犖犖о険犖∇牽犖伍犖