Promoting Adolescent Health in Central Asia Through Sports Implemented by ZdravPlus Quality Primary Health Care Project (Abt Associates) Mary E. Skarie,

Promoting Adolescent Health in Central Asia

Through Sports

Implemented by ZdravPlus Quality Primary Health Care Project

(Abt Associates)

Mary E. Skarie, USAID/CAR

European NetworkIPPF European NetworkKAPB Survey 2001

Map of Central Asia

European NetworkIPPF European NetworkKAPB Survey 2001

Age of First Sexual Experience

15-1631%

17-1942%

20 or older11% no data

3%

Under 1513%

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Awareness About Different Methods of Contraception

Calendar - 1%

Lactation Amenorrea - 1%Cervical cap - 12%

Oral contraceptives - 23%

Female sterilization - 1%

No method - 6%

Abstinence - 1%

IUD - 16%Female condom -1%

Spermicides - 0%

Injectables - 0%

Condom - 37%

European NetworkIPPF European NetworkKAPB Survey 2001

Tobacco use

Country Males % Females % 15-18 age group % 19-21 age group %

Kazakhstan 54.9 49.4 50.4 57.1

Kyrgyzstan 75.8 39.5 52.7 57.6

Tajikistan 32.7 19.4 19.7 36

Turkmenistan 59.4 28.5 39.5 42.7

Uzbekistan 42.4 55.9 40.3 54.5

European NetworkIPPF European NetworkKAPB Survey 2001

Drug use

Country Males % Females % 15-18 age group % 19-21 age group %

Kazakhstan 18.2 2.9 8.2 16.1

Kyrgyzstan 28.1 15.8 23.8 18.9

Tajikistan 5.0 1.6 1.8 5.2

Turkmenistan 0 2.4 2.7 0

Uzbekistan 11.5 22.0 10.7 18.6

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Condom Social Marketing

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School Health

European NetworkIPPF European NetworkKAPB Survey 2001

Sports and Health Education

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Prevent and mitigate conflict

Roots of problem are multicausational authoritarian governments and repression unresolved conflicts in border regions poverty unemployment youth with few opportunities at risk for

involvement in drug trade, prostitution and participation in violence

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Solutions Increase people's participation in social,

political and economic life Increase positive contacts across borders Increase emphasis on youth and public

education

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Project DescriptionGame days across borders focus on healthy recreation and positive competition

Poor isolated schools in border regions the priority

Ages 9-16 Football (soccer) for boys Volleyball for girls Select 16-year-olds trained as referees Teams get new uniforms Prizes are books about the opposing teams'

countries

European NetworkIPPF European NetworkKAPB Survey 2001

European NetworkIPPF European NetworkKAPB Survey 2001

Community Participation Planning and organization of event Preparation of playing field Entertainment at breaks Distribution of health education materials

European NetworkIPPF European NetworkKAPB Survey 2001

European NetworkIPPF European NetworkKAPB Survey 2001

Results 5 games played across borders with

Uzbekistan, Kyrgyzstan and Kazakhstan Ministers of Health, Ambassadors, and Mission

Directors have attended events Orphanage schools participated Schools benefit by increased government and

community assistance Young people forming friendships across

borders

European NetworkIPPF European NetworkKAPB Survey 2001

European NetworkIPPF European NetworkKAPB Survey 2001

Future activities Expansion of Game Days to Tajikistan Development of health education component,

especially on risky behaviors Development of vocational education

component, including computer procurement

European NetworkIPPF European NetworkKAPB Survey 2001