Overview

The United Nations define adolescents as persons aged between 10-19 years for statistical purposes. Between puberty and maturity, adolescence is a phase of transition and development. There is approximately 1198.7 million adolescent worldwide (the United Nations' World Population Prospects: The 2012 Revision, June 2013) and as per census 2011, ―India comprises 253.2 million adolescents constituting 20.9% of the total population of the country which estimates that every fifth person in India is an adolescent‖. The number of Adolescents living in rural areas was 180.7 million as per census 2011 accounting for 72% of the total adolescent population of the nation. While ―Uttar Pradesh ranks first with the maximum number of adolescents comprising 24.8% of the total population of the state‖, Uttarakhand, the carved state of Uttar Pradesh (since 2000) on the other hand comprises a total of 23% of adolescents In rural areas of its total population (Census. 2011). Adolescents learn from their peers' social behaviour and the environment in which they live during this time. (Ramadass. et.al., 2017). It is also a span of their growth extending from the immaturity of childhood to the physical and psychological maturity of adulthood. (WHO,1989). Around the age of 10-13, girls begin to experience physical growth spurts. They usually begin breast development in their tenth year, genital growth in their eleventh year, and menstruation in their twelfth year. For the next three years, the growing process continues, and all secondary sexual traits emerge (Petterson & Hale, 1985). Sexual development often occurs in three stages-pre-pubescence, pubescence and post-pubescence. Prepubescence is characterised by increased bodily growth, particularly of the reproductive organs, as well as the emergence of secondary sex traits, including menstruation. Menstruation is a natural physical process that occurs as a by-product of a biological event. It is the visible manifestation of periodic uterine bleeding sloughed from the endometrium. In other words, It is the monthly bleeding of non-pregnant women of childbearing age (Chawla, 1992). Although menstrual bleeding is a re

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