A Study on Assessment of Knowledge of Reproductive Health Education among the Students of Jammu Region, J&K State

21 This work is licensed under Creative Commons Attribution 4.0 International License.
ISSN: 2349-8889
Volume-6, Issue-4 (July 2019)
https://doi.org/10.31033/ijrasb.6.4.6
International Journal for Research in
Applied Sciences and Biotechnology
www.ijrasb.com
A Study on Assessment of Knowledge of Reproductive Health
Education among the Students of Jammu Region, J&K State
Farhana Shaheen1
, Shayesta Rahi2
, Syed Sabahat Ashraf3
, Shaziya Gull4
, Nusrat5
and Bilal Ahmad Bhat6
1
Research Scholar, Department of Zoology, University of Kashmir, Hazratbal Srinagar, J&K, INDIA
2
Department of Obstetrics and Gynaecology, Lalla Ded Hospital, GMC Srinagar, J&K, INDIA
3
Regional Research Institute of Unani Medicine, Naseem Bagh Campus, Hazratbal. Srinagar, Kashmir J&K, INDIA
4
Research Scholar, Department of Zoology, University of Kashmir, Hazratbal Srinagar, J&K, INDIA
5
IMFA, University of Kashmir, Hazratbal Srinagar-190006, J&K, INDIA
6
Division of Social Science, Faculty of Fisheries, SKUAST-Kashmir, J&K, INDIA
6
Corresponding Author: bhat_bilal@rediffmail.com
ABSTRACT
Adolescence is a life’s essential transition phase
starting around 10, 11 or 12 years and concludes between
the age of 18-21 years. Deficiency of reproductive health
information and sexual experimentations in this stage of
storm and stress expose adolescents to grave health
pressure. Adolescents must have access to logical
Reproductive Health information to increase healthy
attitude towards Reproductive Health issues. The aim of
writing this paper was to assess the the knowledge of
adolescent students studying in Jammu region of Jammu
and Kashmir state towards Reproductive Health Education
and to be familiar with reproductive health issues among
adolescents. The present study was carried out on 400
Adolescent Higher Secondary School students of Jammu
region using a well designed pre-tested questionnaire. The
results of our study showed that students had constructive
attitude towards Reproductive Health Education as
majority (boys = 86.0%, girls=84.5%) of respondents
recommended Reproductive Health Education in school
curriculum. Further, 40.0% boys and 35.5% girl
respondents were of the opinion that lecture by expert is a
preferred method of imparting Reproductive Health
Education, 32.0% boys and 28.5% girl students under study
favored to communicate with Doctors/Health Workers
followed by parents brothers/sisters (23.0%) in case of girls
and friends (23.5%) in case of boys concerning
Reproductive Health issues. Further, the study revealed
that girl students (51.5%) favored to get married under 24
years as they were of the belief that it is the prime of life,
and can give birth without much troubles whereas majority
of boys understudy (65.5%) told that they prefer to get
married above 24 years as they desire to complete education
first and find a appropriate job in order to feed family unit.
Majority of the respondents (58.5%) believed that youth
living in urban areas possesses more knowledge about
reproductive health than youth living in rural areas.
Further, majority of the students possesses good knowledge
about HIV/AIDS and STDs. It is concluded from our study
that there is a requirement of providing proper scientific
information to teenagers concerning reproductive health by
incorporating Reproductive Health Education in school
syllabus and lectures by experts in order to advance their
awareness and consequently reproductive health condition.
Keywords-- Adolescent, Attitude, Reproductive Health
Education, Jammu Region, Statistics
I. INTRODUCTION
Growth is an important process of living
organisms which occur in every phase of life beginning
from the zygote formation till older stages of life. Each
stage has specific characteristics that makes it inimitable.
Major life stages include pregnancy, babyhood, toddler
years, childhood, puberty, older adolescence, maturity
and older ages of life. The important growth phase of life
is Adolescence when a person becomes physically,
mentally, sexually and emotionally mature as it is the
transition phase existing between puberty stage and
adulthood. Sexual maturity and adolescence are different
aspects and cannot be mixed. Puberty is attained by
adolescent when sexual glands become functional and are
properly developed in both males and females. Although,
in later stages of adolescence stage person grows
physically, mentally and physiologically. WHO defines
adolescence as growth period from 10-19 years and this
changing phase of growth from infancy to adult is under
constant conversion and mayhem. This adolescence stage
is mainly divided in three main phase’s viz., early
adolescence which begins at 10-14 years, 15-16 years
middle adolescence and late adolescence from 17-
21years. It is the most noticeable phase which is
accompanied by body changes especially weight, height,
change of voice, body hair and development of sexual
characters; In this phase not only body characteristics
flourish but person becomes socially reliable to his/ her
peers, development of self-esteem, tries to live
independent and is not able to accept any sort of authority
either in personal and professional life like authority of
schools or family (Nughaishmi, 1994).In Census 2001, it
was revealed that around 20% of global population
comprise of adolescent boys whereas 1/5th
of entire
females present in world comprise of adolescent girls. It
is the age when the person is under continuous
physiological stress mostly at time of exam, pressure of

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parents to excel in school, problems related to health, sex
and genetics. The study has been carried by Mission
Australia who found that almost 40% of 15-19 years old
are highly concerned to overcome with stress. Teen age is
the most difficult time full of problems, difficulties,
struggles and mostly confusion like fighting with parents,
studies and peer pressure. Sometimes person feels that no
one is there to understand their problems or to confide
them. It is seen in various studies, adolescent’s sexual
health is a great issue like sexually transmitted diseases,
infection and unwanted pregnancies. Its occurrence is
more in Asia in women of 15-19 years compared to men
of same age (Uddin, 1999). In early ages parents felt it
uncomfortable and mostly excruciating to talk openly to
their kids about reproductive health education or sex
related instruction and found it most lethal way to corrupt
young adolescents which in turn was avoided to teach in
schools as well. Young people were deprived of common
information about the sex related health issues but then
global movement developed which ensured universal
access to CSE which scaled up the sex related
information and reproductive health. Further, high risk
behaviour change among adolescents was due to mass
media and it was made imperative not only to teach
reproductive health education but its teaching in the
schools was also made indispensable. UNESCO and
UNFPA, 1998 reported that young people especially
young women faces enormous challenges and it becomes
mandatory for them to teach about sex related problems
so as to make them experienced about the different
changes that will happen to them. Sex education increases
the capacity of adults to understand the biological,
physiological, sociocultural and reproductive dimensions.
Thus, getting education on the sex related issues and
reproductive health is the most effective solution to
address various issues that are related to young people
and is expected to increase in number to 281m by 2050.
As reported by Sharma, 2000 that each factor be it
biological, social, cultural and economic behaviour is
responsible for the development of reproductive health.
Further, study was carried out by Rosen, Murray and
Moreland, 2004 whose records added that sexual and
reproductive health education can help to prepare young
people for safe sexual activity, productive, increased
contraceptive use, least chances of HIV/AIDS, sexually
transmitted diseases, unintended pregnancies, gender
based violence and low child marriages. Adolescents
need to know the risk of reproductive health problems
mostly premarital sexual behaviour which results in HIV/
AIDS and drug abuse (Hindin et al., 2013). In teenage,
there is high risk of teenage pregnancies, unethical
activities like indulgence in smoking activities, alcohol
consumption etc. Never the less it’s imperious that each
adolescent should know the basic principles of life,
responsibilities towards their parents, marriage etc. They
should know more about reproductive health issues so as
to develop scientific attitude towards each upcoming
issues. In a recent study conducted by Syed Sabahat et al.,
(2019), it was reported that providing right scientific
information to adolescents concerning reproductive
health of teenagers by incorporating Reproductive Health
Education in school curriculum will improve their
awareness and consequently reproductive health status.
The present work is the attempt to access the attitude of
adolescent students towards the awareness of
reproductive health in Jammu region of Jammu and
Kashmir state so as to know various issues related to it.
II. METHODOLOGY
In this paper, we conduct a descriptive survey
study on Adolescent Students studying in various higher
secondary education institutions in Jammu region of
Jammu and Kashmir state. A well designed validated
questionnaire was utilized to collect the data from 400
adolescents students (200 boys and 200 girls from
Jammu region) using stratified random sampling method.
In the present study, students from 11th and 12th
standard from different fields (Arts, commerce and
science) were included for this study. The data collected
was analyzed using standard statistical tools with the help
of statistical software SPSS (Version 21). In present
study, p-value less than 0.05 and less than 0.01 was
considered as significant at 5% level of significance and
at 1% level of significance.
III. RESULTS AND DISCUSSION
It has been observed from our study that out of
400 students understudy, we chose 200 (50.0%) girls and
200 (50.0%) boys. Majority of the respondents (71.25%)
were in age group of 17 to 18 years and overall
respondents average age was 17.18 years. Table 1 reveals
that majority of the students (86.5 % boys and 83.5 %
girls) student preferred two children, followed by
preference of more than two children (11.0% boys and
14.5% girls) and only 2.5% boys student and 2.0% girls
understudy favored only one child. The respondents in
majority (79.5% boys 74.5% girls) were of the belief that
it is not any grave issue to have friendship with opposite
sex within the religious and cultural limits at this age of
life. The boys (46.5%) were of the view that men want
more sex than women folk whereas 34.5% girls differ
this. The majority of the respondents understudy (boys
53.0% and girls 48.0%) were of the belief that family
planning should not be made necessary. The results of our
study are in agreement with earlier studies (e.g., Srinivasa
et al., 1993; Durge and Varadpande; 1996; Mukherjee et
al., 2001) which reported that the majority of the
adolescents understudy were in favour of small family
size. The results on the statement to have more than two
children in the family our results slightly contradicts the
earlier study (Rajnish et al., 2015), the cause is conflict in
the Jammu and Kashmir state which results in daily
killings. Statistically, gender and opinion of students is
not associated (P>0.05) except in statement 3 i.e., In

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general men need more sex than women folk (p<0.01).
Table 1: Attitude of Adolescent students toward family size and family planning (n=400).
S.No. Statement Response Boys (%) Girls (%) Chisquare P-value
1. Perfect Family Size One Child 5(2.5) 4 (2.0) 1.178 >0.05
Two Child 173(86.5) 167 (83.5)
More than two Child 22 (11.0) 29 (14.5)
2. To have a friendship
with opposite sex at this
age of life within the
limits is no issue?
Yes 159 (79.5) 149 (74.5) 1.412 >0.05
No 41 (20.5) 51 (25.5)
3. In general men need more
sex than women folk
Yes 93 (46.5) 70 (35.0) 9.717 <0.01
No 71(35.5) 69 (34.5)
No Idea 36(18.0) 61 (30.5)
4. Do you agree that family
planning be made
compulsory?
Yes 71 (35.5) 77 (38.5) 1.058 >0.05
No 106 (53.0) 96 (48.0)
No Idea 23 (11.5) 27 (13.5)
The data presented in Table 2, shows that girl
respondents in majority think that the preferred method
of impacting reproductive health education is lecture by
expert (35.5%), followed by class teacher (22.5%),
followed by Radio/T.V./Print Media, followed by group
conversation (10.5%), followed by followed by internet
(9.5%) and followed by pamphlet distribution (18.0%),
followed by followed by internet (11.5%) and followed
by T.V./Radio/Print Media (7.0%). Further, majority of
the male respondents think that the desired method of
impacting reproductive health education is lecture by
expert (40.0%), followed by class teacher (27.5%),
followed by internet (12.5%), followed by group
discussion (8.5%), followed by T.V./Radio/Print Media
(7.5%), and followed by pamphlet distribution (4.0%).
The lecture by expert was first option as a preferred way
of impacting RHE for both boys and girls which suggests
that respondents favoured scientific method towards
Reproductive Health of adolescents. The results of our
study are in accord with the previous study (Bhasin and
Aggarwal, 1999). Statistically, gender and opinion of
students is not associated (P>0.05).
Table 2: Preferred method of impacting reproductive health education among adolescents
S.No. Preferred Method of Impact RHE Girls (%) Boys (%) Chisquare P-value
1. By Teacher 45 (22.5) 55(27.5) 6.628 >0.05
2. Lecture by expert 71 (35.5) 80 (40.0)
3. Radio/T.V./Print Media 26 (13.0) 15 (7.5)
4. Internet 23 (9.5) 25 (12.5)
5. Group discussion 21(10.5) 17 (8.5)
6. Pamphlet Distribution in class 14 (7.0) 8(4.0)
The data shown in Table 3, reveals that majority
of the respondents (84.5% girls and 86.0% boys) propose
Reproductive health education in syllabus whereas very
few (8.0% girls and 7.5% boys) respondents were against
it. The Matric level (girls 59.0%, boys 57.5%) was the
favored stage of schooling to launch RHE, higher
secondary stage of schooling by 31.0% girls and 30.0%
boys students, 4.5% girls and 6.0% boys preferred
middle class stage schooling. Statistically, gender and
belief of students is not associated (P>0.05).
Table 3: Attitude of Adolescent students toward reproductive health education (RHE)
S.No. Question asked Response Girls (%) Boys (%) Chisquare P-value
1. Do you propose RHE in
school curriculum?
Yes 169 (84.5) 172 (86.0) 0.202 >0.05
No 16 (8.0) 15 (7.5)
No Idea 15 (7.5) 13 (6.5)
2. At what stage of
schooling RHE should be
introduced in
curriculum?
Middle 9 (4.5) 12 (6.0) 1.105 >0.05
Matric 118(59.0) 115 (57.5)
Higher
Secondary
62 (31.0) 60 (30.0)
No Idea 11 (5.5) 15 (7.5)

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The data shown in Table 4, reveals that majority
of girl respondents 32.0% were of the opinion that
Doctors/Health Workers, followed by 23.0% who thought
that Brothers/Sisters, followed by followed by 15.5%
who believed that Parents, followed by 14.0% who said
that Friends, followed by 8.0% who believed that
Teachers and 7.5% who believed that Elders prove
helpful in dealing with reproductive health issues.
Further, it was observed that among boys students 28.5%
believed that Doctors/Health Workers, followed by
23.5% who said that Friends, followed by 18.0% who
believed that Brothers/Sisters, followed by 12.5% who
believed that Parents, followed by 10.0% who believed
that Elders, and followed by 7.5% who believed that
Teachers prove supportive in dealing with reproductive
health issues. The results of our study coincides with the
previous studies (e.g., Verma et al., 1994; Thakor and
Kumar, 1998; Aggarwal, Sharma and Chhabra, 2000)
who reported that majority of the respondents were of the
opinion that there is a need of RHE in school curriculum.
Statistically, gender and opinion of respondents is not
associated (P>0.05).
Table 4: Communication pattern concerning reproductive health issues among students
S.No. Communication on
Reproductive Health Issues with
Girls (%)
(n=200)
Boys (%)
(n=200)
Chisquare P-value
1. Parents 31 (15.5) 25 (12.5) 7.827 >0.05
2. Elders 15 (7.5) 20 (10.0)
3. Brothers/Sisters 46 (23.0) 36 (18.0)
4. Friends 28 (14.0) 47 (23.5)
5. Teachers 16 (8.0) 15 (7.5)
6. Doctors/Health Workers 64 (32.0) 57 (28.5)
The data presented in Figure 1, showed that
majority of the science stream students (38.5%) were
fully aware of physical change and majority of students
from arts stream (41.5%) were not aware of physical
changes during this period of life as they consider it a
natural process. Further, in this study a large number of
respondents were aware of the different means of spread
of HIV/AIDS among adolescents.
The data shown in Figure 2, reveals that
majority of the respondents (boys=56.5%, girls=48.0%)
knew that pregnancy is avoidable by using Condoms,
followed by respondents (boys=37.5%, girls=41.5%) who
think that pregnancy is barred using oral pills and only
small percentage (6.0% boys, 10.5% girls) respondents
were aware of emergency contraception’s.
Fully Aware (%) Partially Aware (%) Not Aware (%)
24
34.5
41.5
38.5
25.5
36
Figure 1: Awareness of Respondents streamwise on Physical change
Arts Stream
Science Stream

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The data shown in Figure 3, reveals that
majority of the respondents (boys=57.5% and
girls=61.0% students under study thought that profession
of parents and understanding of adolescents towards
reproductive health is associated, 24.0% boys and 19%
girls understudy were of the opinion that that profession
of parents and reproductive health are not linked and
10.5% boys and 20.0% girls understudy were reported
that they have no idea about the relationship between
profession of parents and reproductive health among
adolescents.
The data presented in Figure 4, shows that
majority of the girls (51.5%) understudy told that they
favored to get married below 24 years as they were of the
view that it is the prime of life, and can give birth without
much troubles. They told that at this age, girl is a matured
adult and will be able to manage home well. The study,
further showed that majority of boys (65.5%) reported
that they favored to get married above 24 years of age as
they want to completed education first and find a
appropriate job in order to nourish family. A small
percentage of students (7% boys and 17.5% girls) were of
the opinion that marriage should be below twenty years
of age.
Oral Pills (%) Condoms (%) Emergency
Contraceptives (%)
37.5
56.5
6
41.5
48
10.5
Figure 2: Awareness among students undestudy about prevention of pregnancy
Boys
Girls
Yes (%) No (%) No Idea (%)
57.5
24
18.5
61
19 20
Figure 3: Parents occupation and awareness of Adolescents towards Reproductive Health
Education are related
Boys
Girls

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The data shown in Figure 5, shows that majority
of the respondents reported that they have heard about
HIV/AIDS (boys=83.5% and girls=79.5%), the majority
of the respondents (boys=93.5% and girls=96.5%)
believed that HIV/AIDS is a communicable disease and
majority of the respondents (boys=72.5% and
girls=82.5%) respondent have knowledge about STDs.
The data presented in Figure 6, shows that
majority of the respondents (58.5%) believed that youth
living in urban areas possesses more knowledge about
reproductive health than youth living in rural areas. The
results are in agreement with the earlier study
(Malleshappa et al., 2011).
≤ 20 years upto 24 years >24 years
7
27.5
65.5
17.5
51.5
23
Figure 4: Desire for a marriage and children
Boys (%)
Girls (%)
Heard about HIV/AIDS
(%)
AIDS is a communicable
disease (%)
Knowledge about STDs
(%)
83.5
93.5
72.5
79.5
96.5
82.5
Figure 5: Knowledge and Attitude about HIV/AIDS
Boys
Girls

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IV. CONCLUSION
The results of our present study showed that
student’s understudy had good positive approach towards
reproductive health issues like perfect family size, family
planning. The media at present working as western media
appeals youth, promoting messages of liberation, self
improvement, marinating them from conventional ways
of life. These messages, unfortunately promote sexual
freedom without much influence on accountability for
sexual activities thus creating a lot of harms in life. Every
religion guides adolescent about reproductive health and
teaches plainly about menstruation, hygiene during
menstruation, carry out of circumcision on male for
hygiene and wellbeing. Usually, parents not have much
knowledge regarding reproductive health, feel disgrace
and taboo to explain them. The results of our study are in
partial agreement with the previous study (Syed Sabahat
et al., 2019). The results of our study showed that
majority of the respondents suggested to include
Reproductive Health Education in school curriculum and
lectures by experts as preferred method for imparting
RHE among adolescents. The students in majority had
good knowledge about HIV/AIDS, believed in majority
that youth from urban areas are more knowledgeable
than youth from rural areas regarding to reproductive
health and majority of the adolescent students under
study favored to communicate with Doctor / Health
Worker concerning Reproductive Health Issues. Science
stream students (38.5%) understudy were fully aware of
physical change and from arts stream students (41.5%)
understudy were not aware of physical changes in this
period of life and consider it a natural development. In
this study all the students under study (100%) professed
that sexual link was right only after marriage of
adolescents. The religious guidance, parents, teachers and
scholars can help adolescent to understand about
reproductive health system. It is concluded that it is
important to provide correct scientific information
concerning reproductive health to teenagers by
incorporating reproductive health education in school
curriculum and by developing proper communication
strategies viz., peer teaching and lectures by experts.
ACKNOWLEDGEMENTS
The authors are thankful to the students who
participated in present study.
Conflict of interest: None declared
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