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Situation Analysis
In Bangladesh, adolescents constitute about 23% of the total population. Many adolescents exposed to sex before marriage and thus are vulnerable to unwanted pregnancy. Adolescents are practically vulnerable to STI/HIV/AIDS, as most of them know little about STI/HIV/AIDS. Child sexual abuse and exploitation are becoming everyday affair in Bangladesh. A vast majority of adolescents lack in adequate knowledge about sexuality and reproductive health needs, limited access to health and family planning services. Literacy rate is 48% where as female adolescent rate is only 42%. Female adolescent literacy rate in rural areas are deplorable. Involvement of adolescents/youths in policy management, adolescent friendly clinical services and supply of BCC materials are negligible to meet their needs and requirements.
Problem Analysis
• In Bangladesh 60% of the girls are married before 18 years of age. Median age of first marriage for women 17.5 years and men 25 years. Child birth among the adolescents is (15-19) 177 per 1000. Median age at first birth is between 17 and 19 years, adolescent fertility is one of the highest in the world. And, pre-marital sex is substantially high amongst the male adolescents.
• Vast majority of Bangladeshi adolescents never heard of HIV/AIDS, only 17% of adolescent married women had heard of HIV/AIDS and knowledge of STI is lower compared to knowledge of HIV/AIDS and adolescents perceived of limited access to reproductive health services.
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