Good knowledge of the subject and understanding of its various aspects and
dimensions; and
Skills to make the session participatory and handle the session with ease based on
the activities provided in the module
About the session:
This part of the Module is being designed to sensitize the participants on issues related to body
and sexuality with respect to:
Their concerns regarding these issues with their adolescent children; and
Though the second part of this module on Body and Sexuality focuses on specific skill building
activities, this sensitization session itself equips parents to initiate discussions with their children
by helping them drop their inhibitions by becoming aware of them; providing complete and
correct knowledge and information; and dispelling their myths and misconceptions.
Hence this session can be conducted as a stand alone session with parents.
B. Child Sexual Abuse
About the session:
The session on Child Sexual Abuse (CSA) includes sensitization on various aspects and
dimensions of CSA as well as aims to prepare parents for discussing the same with their children.
It intends to equip them with some basic information on what to do if the child has suffered
sexual abuse of any form including disclosure and facilitating referrals.
1
This can be conducted as a stand alone session. Though not mandatory, it may be beneficial to
do this session after the sensitization session on Body and Sexuality included in this Manual.
Alternatively, the session on Body and Sexuality can be conducted after this session on CSA.
The session on Body and Sexuality equips parents to talk about issues of body, sex and sexuality
by dropping their inhibitions and discomfort around the issue. Hence, it would make them
discuss the issues of CSA with greater ease with their children.
Overall Duration of this Session: 3 - 3.5 hours
About the Session:
This part of the Module is being designed for skill building of the participants for raising and
discussing body and sexuality with children and adolescents. The activities in this session would
help the participants to become conscious of and drop their inhibitions with body and language
of sexuality and thereby would enable them to talk openly with their children and adolescents
about these issues. This would enable them to put the learning from Part 1 of this session (on
Sensitization) to practice.
As mentioned in the part 1 of the session, this first part on sensitization session itself equips
parents to initiate discussions with their children by helping them drop their inhibitions by
becoming aware of them as well as providing complete and correct knowledge and information;
and dispelling their myths and misconceptions. However, this second part of this module on
Body and Sexuality enhances their skills by specifically focussing on specific skill building
activities.
Hence this Part 2 of the Module on Skill building cannot be done without
conducting this Part A of the Module on Sensitization.
To enable the participants share their expectations as well as specific concerns, confusions
and fears regarding their adolescents and concerns regarding body and sexuality.
Key Take-Aways:
The participants would get a platform to vent their concerns and fears and at the same
time would realize that most of the parents of adolescent children have similar fears and
apprehensions. It can be quite reassuring to know that, we are not alone.
This activity would enhance to empathize with their adolescent child as they would begin
to realize that they were not very different from their own child when they were going
through the same period of adolescence.
Imagery is the language that mind use to communicate with the body and feelings. When
we recall events from our past as from childhood we think of pictures, images, sounds,
pain, our own fears and dilemmas, queries etc. And the parents begin to realize that their
behaviour, concerns, dilemmas etc. as teenagers or adolescents were quite similar to
what their adolescent children are going through.
They see their confusions with no one around to answer them and the way they went on
looking for different sources - reliable or unreliable - seeking information. This places
greater responsibility on them to become reliable sources of information for their
children.
This realization by itself encourages and to some level equips them to take on the role of
education and sensitizing their children on issues of body, sex and sexuality.
To enable the participants share their expectations as well as specific concerns, confusions
and fears regarding their adolescents and concerns regarding body and sexuality.
What is the right age to address and impart knowledge about sex and sexuality?
4. Discuss the common fears, concerns and questions emerging from each group.
5. Do not answer the questions at this point; just ensure that all the questions and concerns have
been listed.
Tips for the Facilitator:
Tell the participants that in this session all these concerns would be addressed. At the same
time, also clarify if any unrealistic expectations are raised in case they are out of the purview
of this session on body and sexuality and/or fall under the context of any other session listed
in this Parenting Module.
At this stage you do not have to answer any of the questions. However, some of such
Frequently Asked Questions with responses are provided in the Information Handbook.
Frequently Asked Questions (FAQ) would be addressed at the end of session: - Body
Mapping.
Review:
1. Were the parents able to break through their inhibitions and share their concerns?
2. Were you able to understand the needs and expectations of the parents?
5
7. Wind up the session by reiterating some points from the key take-aways.
Tips for the Facilitator:
1. This activity can be done either before the body mapping activity as they would be better
prepared to assimilate and implement what they learn. Alternatively, it can be at the end of
the session so that they go back with greater awareness of themselves and higher level of
empathy and sensitivity towards their adolescents children.
2. During the Guided Imagery exercise in the workshop, participants are taken back into the
memory lane to get in touch with their childhood and adolescent years. Through the
meditative experience they visit their home where they had spent their adolescent years,
identify their family members present, their favourite place, their room and clothes, the
happy moments, the fears and confusions as well as the people around them whom they
trusted and could shared their concerns. While it has a potential to invoke happy feelings,
empathy and sensitivity, it can also bring up any negative and/or sad feelings and experiences
of that age. Hence, make sure the following when you conduct a guided imagery:
Practice mock sessions with known people around you so that you master the art of conducting a
guided imagery. DO NOT apply this with the participants unless you have practiced enough as
well as experienced the same yourself to be able to understand various feelings and experiences
this activity may bring up.
Ensure participants share their feelings as well as experiences after the guided imagery.
Be aware of each participant and how they are feelings throughout - while and after - the guided
imagery is conducted. Watch for anybody who may feel sad, scared or upset after going through
the imagery. In this case, if the participant does not feel comfortable sharing their feelings in
presence of other participants, ensure that there is a co-facilitator who can take the participant out
of the group for personal sharing.
Do not do this activity in case there is no adequate time or if the group of participants is bigger
than 15-20.
7
3. Though this is a powerful activity and can be considered one of the integral parts of this
session, however if the facilitator(s) does not feel comfortable conducting this activity, it is
better to skip this and move to the next activity rather than doing it incorrectly or with any
discomfort.
Review:
1. Were the participants able to get in touch with their own adolescent years?
2. Were they able to identify their own dilemmas and conflicts during these years?
Training Aid
Session 1: Activity II
Script for Guided Imagery
Close your eyes. Sit in the most comfortable position and take deep breaths.
Slowly breathe in and breathe out. Feel the breath going down your chest to the centre of your
stomach...
Take deep...slow.. gradual breathes - slowly inhale and exhale.... With each breath you are feeling
relaxed and at peace....
Think of your breath like a river flowing from one part of your body to the other....
Feel the river flowing through you chest... down to stomach to thighs, knees, feet, and fingers of
your feet....
With the breath flowing from one part of the body to the other you feel relaxed, calmer, relaxed
and peaceful....
Feel the cool fresh waves of river like breath flowing through your shoulders down to your
arms, elbow, wrists, hand and fingers of your hand.....
Similarly become aware of your breath flowing through your shoulders to the back of your
body...and through your neck flowing up your face....feeling the breath flowing through each part
of your face - chin, lips, cheeks, nose, eyes, ears, forehead, your head....
You are feeling rested and peaceful with the breath flowing through your entire body from head
to toe....
You are feeling calm and peaceful, and as light as a feather... so light that you see yourself
floating upwards towards the ceiling and flying out, leaving this room and flying out.
Like a bird with beautiful feathers, you are flying high up in the sky.....
As you fly beneath you see mountains, beautiful mountain peaks, feel the beauty of nature
around you.
Keep moving deeper into deeper into the sky, Feel light, free as you are flying from one
destination to the other. As you are flying away you see a house. It looks familiar to you as you
know that house and start moving towards that house. Get close- closer to the house. Excited to
go and see the house. This is your house, where you have spent your childhood.....
Open the gate and start walking inside...feel the gate, the door and see yourself moving inside
the house.. Go inside the house, look around, Who all do you see?"
See yourself moving into the room where you lived as child and adolescent...go sit on the bed
where you used to sleep when you were a teenager...look at the bed..the walls of the room...the
closet..your clothes...what did you like to wear when you were a teenager...
Think of your favourite place you liked to go with your family......,
favourite place where you liked to spend your time as a teenage....
9
Think of all the things you used to do when you were growing up....everything that made you
smile... made you excited and happy....
Think of all the changes that you were experiencing at the time your were growing up...what
were the changes taking place in your body...and how did you feel about them...what else was
changing...your thoughts, feelings, behaviour, emotions......become aware of all the changes that
you can when you were growing up......
Were there any sexual changes with changes in body at the time of your adolescence...what were
these....? become aware of various changes you experienced and how did these changes made
you feel.....
Did these changes and experiences during teenage disturb you in any way?...think of all the
fears, confusions, questions you had when you were growing up....was there anything you
wished you could run away from....
Was there anyone around with whom you could share these experiences and fears if any...was
there anyone with whom you could seek answers to your queries and confusions?....Anyone,
with whom you could ask those questions, Was there someone to find answers to the questions?
Who did you wish you could talk to?...
Who did you talk to about different questions? what about that person helped you to talk about
your personal fears and confusions....?and did you get all your answers...
Think of one beautiful happy memory from your adolescent period...that made you feel happy
and cheerful....
Sitting in your childhood room, you are now totally aware of your adolescence period - changes
that took place; your feelings about the changes; your fears, confusions, dilemmas and questions;
and how did you seek answers to your confusions....put all your thoughts together...and slowly
see yourself getting up from the bed...look around one last time and see yourself slowly walking
out of the room...slowly moving out of the house...out of the door....and gate...
Look at the house one last time, feeling happy abut the cheerful memory you thought of...and see
yourself flying back into the sky....
You are flying back to this room with better awareness of our own self and with deeper wisdom,
flying deep into the sky......become ware of the nature around you...mountain peaks..birds etc...
Slowly see yourself flying back into this workshop room where you left from...now you are back
into the room, become aware of this workshop room, become aware of yourself as an adult..(as a
parent)..attending this workshop...become aware of your fellow participants... Bring your
attention back to your breath...Take a deep breath. slowly breath in..breath out..take a few
slow, deep breaths and open your eyes when you feel ready.
10
Session I
Factsheet
Sexuality
Sexuality is a complex phenomenon that is difficult to define but perhaps easy to understand. It is
our entire being - including sex (biological), gender, attitudes and perceptions, sense of self,
relationships, sexual practices, fantasies, concepts of love, romance and pleasure. Sexuality also
is about fears, vulnerability and confusions. It is a fine combination of the physical, emotional,
intellectual and social aspects of each individuals personality. Sexuality is seen and expressed in
our daily activities work, expression of affection, responsible (or irresponsible) behavior,
parenthood, talking, walking etc.
Sexuality is often understood in relation with the word sex and the word sex also has a very
limited connotation, it is only perceived in terms of a sexual act or penetration. However,
Sexuality is not just:
sexual acts;
sexual intercourse;
sexual behaviours; and
sexual orientations.
Norms related to gender and gender stereotypes also influence our notions of sexuality and are
reflected in the differences between male and female sexuality. For example, males can express
and explore their sexual behaviors/desires freely in most societies, whereas females experience
restrictions and impositions for the same behavior.
Through this section we hope that participants will be able to talk about and find answers to their
doubts, confusions and discomfort. The first step toward feeling whole and healthy is to be
informed. Sometimes, just accurate information can calm our fears.
Market plays a very important role in influencing and determining behavior, particularly for rural
migrants. The market and the exposure to a different set of social norms through the media exert
pressure on an individual to change his or her behavior. The relative anonymity and security of a
new place, the need to identify with a different social crowd, the opportunities for interaction
with the opposite sex and the relative freedom from social control can encourage risk-taking
behavior.
Gender Disparity/Stereotypes and Implications on Sexuality
Norms related to gender and gender stereotypes also influence our notions of sexuality and are
reflected in the differences between male and female sexuality. For example, males can express
and explore their sexual behaviors/desires freely in most societies, whereas females experience
restrictions and impositions for the same behavior. Consequently, females cannot be sexually
assertive and cannot differ from the concept of mutual fidelity as she has been socialized to
believe and accept her husband as supreme.
For example, a woman finds it extremely difficult to suggest condom use or other methods to
ensure safe sex, as the very indication of condom use carries with it notions of infidelity and
could threaten her personal security or destroy the relationship. In case she is able to use a
condom, she will find it very difficult to prove her fertility in the society as her status and well
being (after marriage) is dependent on bearing a son.
Furthermore, notions of shame ingrained in females form barriers and lead to denial of
expression of their sexuality. Thus, norms related to gender lead to disempowerment of females,
including sexual disempowerment, and this subordination encompasses all spheres of her life.
Notions of Pleasure
People more often than not engage in sexual activity for pleasure, and societies accepted notion
of pleasure is limited to penetrative sex. Non-penetrative sex, where the penis does not enter the
vagina or anus, is a way to have safer sex that greatly decreases your risk of getting infected with
HIV. Many people do not believe that non-penetrative sex can be as satisfying as penetrative sex.
But you can give and receive a great deal of stimulation and pleasure through non-penetrative
sex, such as mutual masturbation, massage, caressing, hugging and kissing. It may take patience,
practice, imagination and experimenting different ways with your partner, but when you become
skilled at non-penetrative sex, you will find, as others have found, that it can be an exciting and
12
sensual alternative. Furthermore, women generally find non-penetrative sex more satisfying.
More foreplay and after play enhance stimulations and lead to greater pleasure.
It has been observed that most males also feel sex is not as enjoyable if you use condoms. This is
a misconception as it is seen that when men use condoms the right way, and with confidence,
there is little or no loss of stimulation or pleasure, for some men, it may even last longer.
Condom use can be made interesting and a part of foreplay itself and can be used even while
masturbating. There are many condoms in the market that are especially designed to increase
pleasure for both partners, such as ribbed, dotted, flavored, extra thin.
Sexual Orientation
Sexuality is a lifelong process about learning to decide what is right for you and learning to
respect what others feel is right for them. This is why there is no right or wrong about the kind of
partner you might desire. All people, whether they are heterosexual (attraction towards people of
opposite sex), homosexual (attraction towards people belonging to the same sex), or bisexual
(attraction towards people of opposite and the same sex) have a right to live with dignity and in
accordance with their sexual preferences. There are many women in this country who are
attracted to and live with women, and there are many men who do the same with other men.
However these people cannot come out in open about their relationships because of the stigma,
judgment and rejection by the society, which includes their friends and parents, colleagues and
others.
Sexual Negotiation and Empowerment
Since domination of females encompasses all spheres of her life, the empowerment process
should challenge all the oppressive structures and systems in order to help females reclaim their
dignity, self worth, self-esteem and liberty. Only when this process is followedwhen females
achieve a sense of selfcan any effort at developing skills of sexual negotiation, including safe
sex be effective. The process of empowering females to negotiate sexual practices and safe sex
only begins when a female is made aware of her rights and her capacities, which also would lead
to confrontation and abandonment of gender norms and stereotypes that disempower them.
Females (and males) need to re-examine their lives so they can collectively emerge with a new
(and wider) discourse and perspective on gender, sex and sexuality that can gradually be
accepted by the larger society.
The strategy of empowerment and negotiations involves:
Some of the key points that may emerge for discussion are:
1. Lack of correct and healthy information. its impact and ways in which we try to fill the
gap
2. Wrong information and messages how they lead to misinterpretations, fears and dilemmas.
3. Sexual feelings and arousal are natural in adolescence and exploration, curiosity and finding
ways of gratification is also normal.
4. Initial realization and response to it is generally positive, as this is a natural process of
growing up. However the same event gets distorted and get loaded with guilt, fear, dilemmas
due to lack of information and messages of morality associated with it as well as negativity
towards our own self and sexuality emerges due to experiences of abuse and sexual
exploitation
5. Attraction to same or opposite sex is normal and natural exploration between people of
same sex is quite common and natural. However this also gets misrepresented as the society
and only importance is placed on heterosexual relationships after marriage, especially for
girls. Therefore people who continue in homosexual relationships or feel attracted to people
of opposite sex before marriage, they get slandered and judged by the society.
6. Masturbation: Masturbation is not considered appropriate by society. Boys mostly do
masturbate, as they have freedom to explore their sexual selves, however they also
experience feelings of shame, guilt, and fear after masturbating. Even the definition of
masturbation gets distorted. Most of the participants associated masturbation with touching
genitals only. It was clarified that touching other parts of the body to gain sexual pleasure and
gratification is also masturbation. Masturbation as one of the ways of safe sex was also
discussed.
7. Barriers to exploring ones sexual selves and ways of achieving gratification: The biggest
barrier is the messages by society on acceptable and not acceptable sexual behavior and
issues of morality associated with the same. Any kind of sexual exploration and attraction
before marriage is considered a sin. As a result, people learn to suppress their desires (mostly
true for women) and it becomes a pattern even in socially acceptable relationships like
marriage. They become passive partners and do not demand or explore ways of getting
pleasure and gratification. Those who attempt to explore or achieve gratification by different
ways feel guilt and/or acquire a negative perception of self like pervert.
8. Wind up the Activity by reinforcing that we as interveners/care givers, should be aware of
our own feeling and growing up stages in our lives, only then we will be able to relate to
adolescents and their concerns without judgment and moral issues.
14
To enable participants to talk about body and understand the inhibitions and taboos
associated with the issues of sexuality.
To help participants recognize and overcome the level of discomfort about sexual parts of the
body.
To increase the comfort with verbalization of different parts of the body especially those
related to sex and sexual parts and provide correct and complete information related to
puberty in adolescence.
To enable participants in learning a technique for teaching children about their body parts.
Key Take-aways:
1. This activity helps in building perspective of the parents on the need to break away from
ones own inhibitions and develop a comfort level to become an approachable parent.
2. Body mapping exercise enables participants to realize that as parents they did not facilitate
development of adequate vocabulary of their children to discuss issues related to body and
sexuality openly. In the process, children tend to internalize the secrecy and taboos associated
with sexuality in the society. This they understand that major stumbling block for their
children to communicate with them their genuine fears, anxieties, abuse (if any) and negative
or positive experiences around body, sex and sexuality.
3. This activity would equip them with complete knowledge and information about the puberty,
sex and sexuality that they require including addressing their myths and misconception.
15
To enable participants to talk about body and understand the inhibitions and taboos
associated with the issues of sexuality.
To help participants recognize and overcome the level of discomfort about sexual parts of the
body.
To increase the comfort with verbalization of different parts of the body especially those
related to sex and sexual parts and provide correct and complete information related to
puberty in adolescence.
To enable participants in learning a technique for teaching children about their body parts.
Mark and list the physical, emotional, behavioural and sexual changes in boys and girls
respectively that start taking place at this age (puberty) with names of the body parts
including sexual and reproductive parts and changes.
List any myths and misconceptions about these pubertal changes that they may have
heard about boys and girls respectively
Give a chart paper to each group to draw their sketches and mark the body parts.
Make sure all the body parts are marked including sexual and reproductive organs and
posterior parts of the body such as the hips and rectum or anal opening (this part is
generally left out by the participants and is important to be covered especially in context
of issues of child sexual abuse as boys can be sexually abused through the rectum).
Provide correct information on the sexual and reproductive organs and system for both
men and women (referring to information in the Information Handbook on page
number .... provided - the numbering of the parts in the handbook would have to correlate
with the numbers here)
Focus on the degree of inhibitions and discuss the same asking the participants to share
whatever thoughts, feelings or any association they had while drawing nude sketches or
naming body parts and fluids such as vagina, penis, breasts, semen etc.
Discuss the taboos in the society on these issues and how we internalize them from
childhood (as mentioned in the facilitators notes below)
Have a discussion on major changes in adolescent girls and boys during puberty
(referring to from information in the Information Handbook provided on page no... - the
numbering of the parts in the handbook would have to correlate with the numbers here)
Tell the participants that this exercise has proved to be very effective with children in
helping them connect to their bodies; facilitate self-disclosure and especially reflect on
their feelings towards their body parts (with the help of this exercise clubbed with the
next activity).
When done with children, primarily this activity will help children in learning more about
their bodies, body parts, overcoming inhibitions regarding their bodies; becoming
comfortable and accepting towards the physical (biological and sexual) changes in the
body, thereby facilitating the process of opening up and acceptance of their body.
7. At the end of this part of the session, a film Growing up can be screened for the participants
(can you include copies of the film or here include as a footnote or something the address
from where this copy of the film can be purchased from)
Tips for the Facilitator:
In this Activity, observe very carefully the reactions of the participants when you give
instructions to draw nude figures; notice their inhibitions while drawing the sketches. Do not
force any participant if they do not want to draw.
During and at the end of the session, reiterate that the first level of inhibition and shame starts
with the Body itself as from childhood onwards shame and silence gets associated with the
body and children are not even taught the proper names of genitals and other so called
private body parts. Similarly, the Body gets controlled and violated by others when one
experiences sexual abuse and exploitation. Also, often children cannot disclose what has
happened to them because they do not know how to take the names of body parts due to
inhibitions or lack of knowledge. Hence, talking and learning to name various body parts
17
helps in breaking this first level of inhibition and also provides space to participants (as well
as child survivors when this activity is done with them) to share their experiences and
feelings about their own bodies.
Review:
1. Were the participants able to overcome their level of discomfort about labeling sexual parts
of the body?
2. Were they able to understand that facilitating the process of overcoming inhibitions about
their bodies will open way towards open communication?
18
Ask Group 1 to confer the statement and come up with the answer. If the team gives a correct
answer, they will be given 10 points. If the answer is incomplete, give 5 points and 0 for a
wrong answer. Provide correct information or complete information in case of any incorrect
or incomplete responses given by any of the group in order to fill in the gaps in information
(for correct responses refer to the Fact Sheet)
4. Similarly, read the second statement and ask Group 2 to respond. Give them 10, 5 or 0 points
for correct, incomplete or wrong response respectively. Provide correct information or
complete information in case of any incorrect or incomplete responses given by any of the
group in order to fill in the gaps in information (refer to the facts provided in the Information
handbook provided on page no....the numbering of the parts in the handbook would have to
correlate with the numbers here)
5. Follow the process with each statement till all the statements are covered.
6. In the end, collate the scores and announce the winning team. Also emphasize that the
purpose of this activity was to explore our own gaps in information as well as
misconceptions we have around the issues of puberty and body including our reproductive
system. Similarly, the children have similar lack in information and misconceptions, which
we as care givers need to clarify.
7. Ask the participants what messages and key learnings they could gather from the sessions
and how the session will help them in dealing body and sexuality concerns with their
children.
8. Conclude by answering queries if any raised
Tips for the Facilitators:
positions if they had changed their response to a particular situation. If they do not wish to
change the positions, do not force them to do so. However ask them to think about various
alternate explanations provided by the participants and facilitator. We cannot expect the
participants to change their beliefs after one exercise/session or workshop but definitely we,
as facilitator can initiate a new thought process.
It will be a general feedback session and (if required) to address any unaddressed queries, use
Frequently asked questions with answers provided in the Information Handbook.
At the end, tell them that an additional 2-3 hours session can be conducted emphasizing
specifically on skill building (which is session 4 & 5 of this Module). You can conduct the
session 4 & 5 for skill building if time permits or call the same group of the participants back
for another half-day session.
Review:
1. Were the participants able to relate to the myths and get clarity about the facts related to
pubertal changes and sexuality?
Important Note: Remember that Session 1 of the module on Sensitization towards Adolescence
Sexuality can be done as a Stand-Alone session of 3.5 hours. However Session 2 of the Module
entitled Developing Understanding towards Adolescent Sexuality on Skill building cannot be
done without conducting this Session 1 of the Module.
Training Aid
Session 2: Activity 2
Exploring Myths and Facts related to Puberty, Body Changes and Sex
Statements on Puberty
1. It is unhealthy for a girl to swim or bathe during her periods.
2. The female determine the sex of the baby
3. Once a girl has her first period, she can become pregnant.
4. Abstinence is the only method of birth control that is 100% effective
5. A girl can get pregnant if she has sex during her periods.
6. Menstruation begins for both males and females.
7. Body hair increases for males only.
8. The main sex hormone that causes puberty in males is called testosterone.
9. Changes in moods are less common.
10. Families may experience more conflict due to an adolescent wanting more freedom.
11. Females are capable of producing breast milk once puberty begins.
20
Factsheet
girls, it may start at the age of 9 or 10 and in boys it may begin around 12 or 13 years,
although there is variation in the age from one person to the other.
Puberty is often considered to be a period of storm and stress as the child develops sex drive,
experiences mood swings, develops relationship with people of same gender or opposite
gender, and faces different kinds of pressure at home and at school. As most adolescents do
not get adequate information about the changes they are going through, they get worried,
sacred and insecure. However there is nothing to be scared or worried as feelings like this
are normal during puberty. It is important to understand names and functions of different
body parts and the biological and psychological changes in the body during this stage. This
understanding will make adolescents realize that that they are not alone in this journey and
will help them sail through adolescence. The changes in boys and girls have been described
separately as there is a difference in male and female anatomy.
2. Sexual and Reproductive organs: Names and Functions
Diagram Source: Training Manual for Facilitators on Sexuality & Gender & Young People;
MAMTA, Health Institute for Mother & Child, New Delhi
A. Female Body Mapping:
i.
Female Genitalia
Vagina - The vagina is a fibromuscular tubular tract leading from the uterus to the
exterior of the body in female mammals. The vagina is the place where semen
from the male is deposited into the female's body at the climax of sexual
intercourse, commonly known as ejaculation.
Labia Consist of outer folds of the skin on either side of the vagina.
Clitoris Clitoris is a small, highly sensitive area for women and has no purpose
other than sexual pleasure.
Cervix The cervix is the lower, narrow portion of the uterus where it joins with the
Uterus The uterus or womb is the major female reproductive organ of humans.
One end, the cervix, opens into the vagina; the other is connected on both sides to the
fallopian tubes. It is where the baby develops in pregnancy.
Oviducts/Fallopian tubes The Fallopian tubes or oviducts are two very fine
tubes leading from the ovaries of female mammals into the uterus. It is the passage
through which the mature egg travels to the uterus.
Ovaries The ovaries are the place inside the female body where ova or eggs are
Hymen A membrane that stretches across the opening of vagina is called Hymen.
Hymen varies in thickness and extent and is even absent in some girls. There is a
circular opening in the center of the hymen in order to allow the menstrual flow. In
rare cases, this circular opening is absent blocking the menstrual flow and medical
supervision should be sought in such a case. The hymen tears or gets ruptured during
first intercourse/sex and is accompanied with little bleeding and pain. It can also get
ruptured during strenuous exercise and activities like swimming, riding or cycling.
The female reproductive system contains two main parts: the uterus which act as
the receptacle for the male sperm, and the ovaries, which produce the female's egg
cells. These parts are internal; the vagina meets the external organs at the vulva,
which includes the labia, clitoris and urethra. The vagina is attached to the uterus
through the cervix, while the uterus is attached to the ovaries via the Fallopian
tubes. At certain intervals, the ovaries release an ovum, which passes through the
Fallopian tube into the uterus.
The ova are larger than sperm and are generally all created by birth. Approximately
every month, a process of oogenesis matures one ovum to be sent down the
Fallopian tube attached to its ovary in anticipation of fertilization. If not fertilized,
this egg is flushed out of the system through menstruation.
ii.
Menstruation or Periods:
Girls start menstruating or start periods between the age of 10 16 years, however, the
age and time varies from one person to the other some may start earlier and others late
depending on the hormonal changes in the body. As mentioned above, the egg released
from the ovaries (whether fertilized or not), travels through the fallopian tube to the
uterus. If the egg meets the sperm in the fallopian tube, the egg can be fertilized and if
the fertilized egg moves to the uterus, a baby can be formed.
23
To feed the baby, the uterus grows a sponge-like layer of tissue and blood cells, called
endometrium, which provides safety, warmth and nourishment to the baby for nine
months as the baby stays in the womb for nine months before it is born. Since most of
the time the egg is not fertilized, the sponge like lining breaks down and flows out
through your vaginal opening in the form of bleeding. At times you may also notice clots
of blood flowing out. Over the entire period, your body throws out a half a cup of fluid
and the body quickly replaces the amount of blood lost. The unfertilized egg also leaves
your body along with the menstrual flow. This takes place for about 5 days every month,
however number of days may again vary from one girl to the other. The average is about
3-5days. The average period comes every 28 days. But some menstrual cycles can take
as little as 21 days, or as much as 35 days.
You can use a period calendar to understand your menstrual cycle. Mark the days of your
periods every month and count the number of days in between. Then you will know how
your cycle varies. It will also help you in tracking the number of days your periods last.
You may have irregular periods during the first few years. Do not worry, as it is normal,
however if the irregularity persists, consult a doctor.
Protection during periods:
To protect yourself during periods, you can use sanitary napkins/pads that are belted or
belt-less or tampons. Belted napkins are to be tied around the waist and the belt-less
napkins can be stuck firmly to the panty. Tampons are cylindrical in shape and expand to
soak up moisture. The tampon is inserted inside the vagina, about a finger length deep. A
tampon or sanitary napkin should be changed every 4-5 hours, otherwise it could lead to
infections and diseases. If the flow is very heavy, you may need to change very 2 hours.
It is always a good idea to carry two napkins or tampons with you always, especially
around the time you are expecting your periods. To dispose off a used pad, fold it over
and wrap it in toilet paper or newspaper or tissue and place it in a wastebasket. Never
flush the pad as it can block up the plumbing and never throw the used pad unwrapped in
the wastebasket as it can cause infections and bad odour.
Cramps:
Some girls experience discomfort and pain during periods, called period pains or
menstrual cramps. The most common complain is cramping in the lower abdomen and
back. Sometimes that pain is like a constant dull ache, or a feeling of heaviness. You
may also feel pain in your lower back and thighs. Cramps are caused by contractions in
the uterus and these may start up to a day before the periods, and usually stop after the
first day of your periods, however it may continue even after the first day for some girls.
To get relief from the cramps, you may find the following helpful:
Pain Killer: If the cramps are unbearable, you can take a painkiller. however,
prescription from the medical doctor is advised.
Hot water bottle: Place a hot-water bottle on your abdomen or lower back as this may
relax the muscles that are having the cramps.
24
Exercise: Take a long walk or go swimming. Deep breathing exercises are good also
very helpful, especially if you deep breathe or take your breath down to your genital
area or the area that is paining lower back or abdomen.
Warm Bath: Take a warm bath as it will ease and relax your body.
However if you find the cramps really unbearable and if the cramps bring nausea or
blackouts, make sure you check with an adult like your mother, elder sister, teacher,
counsellor or a doctor before you take any kind of medication.
Myths around periods
Some girls do not bathe or wash their hair during periods and some people believe that
you should not go to the temple or tough pickle and curd while menstruating because
they feel that girls are not pure during these 5 days. People also feel that the blood that
flows out of body is the impure blood of the body. Now you know that it is not true as
menstruation is a biological process and is essential for reproduction. If a woman does
not menstruate, she will not be able to bear children and child bearing and rearing is
considered sacred in our society. How can something that enables a sacred process be
impure at the same time?
It is very important to bathe and wash your hair regularly because you perspire more
around that time and even the body odour get stronger.
B. Males
i.
Male Genitalia
Scrotum - Is a soft bag like structure which hangs between the two legs.
Testicles - Are two rounded glands which produce and store semen.
Vas Deferens- Is a tube through which the sperm passes to reach the penis.
Erection - Is the stiffening and enlargement of the penis during sexual stimulation.
The male reproductive system consists of those structures in the male body designed to
create life. The reproductive system includes the two testes, a network of ducts, the
seminal vesicles, the prostate gland, and the penis.
As sperm travel through the duct system, they combine with fluids from the seminal
vesicles, the prostate gland, and the urethra to form semen. The two seminal vesicles,
which lie near the underside of the urinary bladder, discharge a thick, sticky fluid. The
prostate gland is a small, doughnut-shaped organ that completely surrounds the urethra.
25
The prostate gland secretes an alkaline substance that makes up the major portion of
seminal fluid. The sperms are protected from acid (present both in the male urethra and in
the vagina) by the alkalinity of the prostatic secretions. Sperms are also capable of the
greatest mobility when in a slightly alkaline medium. Proper prostate secretion is thus
essential to effective sperm action.
C. Major Changes Observed in Boys and Girls during Adolescence
Major
Changes
Observed in
Boys and
Girls during
Adolescence
Changes in
Females
Changes in Males
Facilitators Main
Message
Skin
Becomes
oily,
sometimes with
pimples or acne.
Hair
Hair increases on
legs, under arms,
and in pubic area.
Hair increases on
legs, chest, face,
under arms, and in
pubic area.
Breasts
Breasts
grow,
swell, and hurt
just a bit.
Body Size
Hips
broaden,
breasts enlarge,
weight
and
height increase.
Perspiration
Perspiration
increases
and
body odour may
appear.
Perspiration
increases and body
odour may appear.
26
Voice
Female
Organs
Sex
Male
Organs
Sex
Voice
deepens
slightly
Period
or
menstruation
begins, and there
is more wetness
in the vaginal
area
They may experience mood swings. One day they may feel elated (on top of the world)
and the next day they might feel that the entire world has collapsed before them.
They may feel sudden anger, rejection, ridiculed, depression, anxiety or mixed emotions
of joy and sadness, success and failure.
They may develop complexes and insecurities because of the changes that are occurring in
their body and the way they look.
They tend to feel that the parents do not understand them and may feel pressured from the
school and at home.
They may feel conflicts in relationship with their parents, siblings and peers. They may
feel all of a sudden that no one understands them.
27
They start feeling attracted to people of the opposite sex or same sex and do not generally
understand your own feeling.
They have lot of questions around self, body and sexuality that are unanswered and their
curiosity builds up.
These confusions and insecurities are normal during this period. However they get
aggravated by the messages that adolescents receive from their families, society and adults
around us, with no authentic and reliable source to turn to for information or to share their
dilemmas and anxieties. Restrictions are imposed on them and they are exposed to myths
without appropriate reasoning that they find difficult to comprehend. And as a result
adolescence becomes a period of stress and storm but always remember it is important to
make them realize that they are not alone in this struggle.
Hence as Parents and Adults, in this situation, it is important:
Help children and adolescents in building self-confidence and decision making abilities
based on information and informed choices.
It is important to make children feel comfortable with themselves and their body. As
parents and adults, we can only do this if we at the first place feel comfortable with
discussing these issues with adolescents. Hence being aware of ones own discomfort and
inhibitions is important.
Remember they will receive different messages from people and peers around them.
Become their support in order to help them to think, analyze and decide what is best for
them.
Do not get into comparisons he or she is better than you, and what kind of a child are
you . And help adolescents not to get in such comparisons with others as well. They
would tend to do this, not only with regard to their competencies and abilities, but also
with regard to their looks and bodies, which can be detrimental to their sense of self and
confidence. Make them realize that each individual is unique and we all need to learn to
respect individual differences.
Help them develop a positive and optimistic outlook to life and develop the selfconfidence in them to do whatever they want to do. At the same time, help them take
responsibility for their actions and their consequences. Hence being able to make informed
choices is of significance for which information, education and awareness are the key
tools.
Try to develop a healthy relationship with your adolescent children. You may feel that they
do not understand you. But ask yourself have I tried enough. Parents also feel inhibited
talking to their children about issues of sex and sexuality. At the same time, adolescents find
28
difficult to approach their parents sensing their discomfort. Everyone wants to wait for the
first move. Try and take the first step and you may find that your adolescent children are also
thinking about the same thing. Be assertive rather than aggressive.
3. Frequently Asked Questions
i.
It is real embarrassing to talk about sex to our children, how should we communicate about
sexuality to our kids?
There can be many reasons for you that you hesitate to talk about sexuality. Discover why
talking about sexuality may be difficult. You may:
Feel you do not have adequate knowledge or the appropriate language to talk about
sexuality issues.
Not have thought through or talked about family values and beliefs.
Keeping all these apprehensions in mind, consider what might happen if you do not talk
with your child. If a child doesn't learn about sexuality issues from a parent, the child will
learn elsewhere-from friends, magazines, television and other sources. This information
can be incorrect, confusing, and may not agree with your beliefs. Research shows that
uninformed children are at greater risk for early sexual activity, sexually transmitted
diseases or infections (including AIDS), pregnancy, sexual exploitation, and abuse.
Focus on your goals. Even if you are uncomfortable talking about sexuality, the purpose
of these conversations with your child is usually to answer questions, eliminate fears,
share your values, and build the child's self-confidence and self-competence.
ii.
iii.
The best way to help them is to a watchful guardian, who young boys & girls find
approachable. Know their friends and their activities. And if you feel they are into sexual
experimentation it is best to bring it out & talk about it in a non intimidating manner
about the possible negative consequences of such experimentation. Also Foster healthy
heterosexual relationships while abstaining from needless sexual experimentation.
iv.
How should I start talking about sexuality with my child? What preparation should I do
and also what precautions should I take while discussing it with my child?
Plan how to respond to questions. Parents who are uncomfortable talking about sexuality
may find it helpful to plan what they will say and how they might answer their child's
questions. When your child asks a question or does something that triggers a teachable
moment, you may find this three-step response format useful:
Make sure you know what the child is asking. (Ask your child, "Do you mean...?" or
"Do you want to know about...?")
Do not shun such questions or make the child feel guilty of asking such questions.
Respond immediately to your child's need to know. Even if your child asks a question at a
difficult time, it is better to answer right away, if only briefly. You can always resume the
discussion later when you have collected your thoughts or when you have more privacy.
Be sensitive to your expressions and gestures. The way you answer a question is
important in sexuality education too. Don't forget to smile, and remember that a good
sense of humor can help communication. Take the initiative, if necessary. The earlier you
begin communicating with your child, the easier it will be. Get and give support. Talk
with other parents and see how they're doing. If you have any concerns about your child's
development, talk with your doctor, knowledgeable family members, or other parents.
Reach out to others for information, understanding, and ideas on how to maintain open
communication with your child. Support from others can help you and your child through
the awkwardness and uncertainty of dealing with sexuality education. You can even
access the websites, we have mentioned in the handouts provided to you.
It is important to acknowledge the validity of their concerns and praise their willingness
to question you. In an effort to most effectively answer their questions, give as much
information as possible and try and use the right vocabulary and nomenclature
4. How much information should I give to my child related to sexuality?
30
The type of information given would be provided according to the age of the child. Thus
a preschooler who has a question on how babies are made, the mother may like to
share that they are made in mothers stomach and come out from the vagina (good
opportunity to give nomenclature to a private part). When an adolescent asks such a
question obviously the answer will be different. It may lead to discussion on heterosexual
relationships. However what is non negotiable is that parent should not shun such
questions nor react in a manner that child feels uncomfortable to talk openly on such
issues in future.
5. Adolescence is an age of attraction, how should we handle that?
Adolescence is definitely an age of attraction, boys and girls get attracted to the opposite
sex, and this is normal. What is important is that parents give a conducive environment to
their children where they can ask questions and queries and the same helps them in
handling the issue. It is important for parents to instill the right kind of behaviour in kids,
so that understand what they are doing.
6. My child is too obsessed with the latest fashion trends. What to do?
It is passing phase. At this age children are self absorbed, preoccupied with looks &
appearance it is very important to them to look good & create routine impression for
which they may resort of fashion or fashion accessories.
But there could be a rational approach in dealing with this without taking any extreme
stand. So parents can discuss with affluent children the limits of adopting fashion trends
so that it does not involve too much influence. One could encourage them to be
fashionable yet not inappropriately dressed for their age e.g. clothes excessive makeup,
buying expansive clothes and bizarre trends which may not be acceptable in the
community. The parent should try to emphasize the value of and assets, talents and other
strengths so that the focus is on developing inner beauty & strength.
Training Aid
Session 2: Activity 2
Exploring Myths and Facts related to Puberty, Body Changes and Sex
Ans.: False. There is no reason that women should not partake any of the specific activities
because of her periods.
2. The female determine the sex of the baby
Ans.: False. The male genetic chromosomes XY determines the sex of the baby through
either the X (girl) or Y (boy) chromosome. Female genetic chromosome is only XX.)
3. Once a girl has her first period, she can become pregnant.
Ans.: True. When a girl starts having her first period, it means that her reproductive organs
have become fertile and she can become pregnant
4. Abstinence is the only method of birth control that is 100% effective
Ans.: True. The only way to be absolutely sure of avoiding pregnancy is not to have sex
5. A girl can get pregnant if she has sex during her periods.
Ans.: True. It is possible for a girl to get pregnant during her periods.
6. Menstruation begins for both males and females.
Ans.: False. Menstruation only happens in case of girls
7. Body hair increases for males only.
Ans.: False. Body hair including pubic hair growth happens in both girls and boys
8. The main sex hormone that causes puberty in males is called testosterone.
Ans.: True. The female sex hormone is Progestrone.
9. Changes in moods are less common.
Ans.: False. Frequent Mood swings are seen in adolescence.
10. Families may experience more conflict due to an adolescent wanting more freedom.
Ans.: True. Families need to be sensitive and tactful in dealing with their adolescent child
11. Females are capable of producing breast milk once puberty begins.
Ans.: True. In terms of the bodily change, yes, female bodies are ready for such a change;
however breast milk is only secreted after child birth.
12. Males may begin to have ejaculations during puberty.
Ans.: True. For boys, ejaculation may occur both during intercourse and during the night.
True. The ejaculations at night are called Night Falls or Nocturnal Emissions.
13. Before having her first period, it can be normal to have some clear or whitish vaginal
secretions
32
Ans.: True. This is normal, however in case of excessive discharge and if it is yellowish in
colours and/or smelly, a medical opinion should be sought.
14. For boys ejaculation may occur both during intercourse and during the night
Ans.: True. For boys, ejaculation may occur both during intercourse and during the night.
True. The ejaculations at night are called Night Falls or Nocturnal Emissions
15. Night falls are unhealthy and happens to boys who have explicit and excessive sexual
thoughts and arousal
Ans.: Night falls are natural process of growing up. It is a way of secreting the excess
semen collected in the body.
16. PMS/PMT (Pre-Menstrual Syndrome/Pre-Menstrual Tension) is a combination of
symptoms (e.g., headache and stomach ache) felt by a female just before menstruating
Ans.: True. Due to this some females become over sensitive and sentimental during this
time. Hence, the care givers should be sensitive and calm in dealing with girls at this
time.
17. A tampon cannot be used by a virgin
Ans.: False. All women at any age can use tampons; however they should be aware of the
correct and hygienic way of using the same.
18. Hymen is a sign of virginity for girls
Ans.: False. Hymen can break anytime during the girl is growing up, like while walking,
running, swimming and any other such physical activity. Also virginity is a concept
and norm imposed by the patriarchs of the society on girls to control their sexuality,
which is related to numerous gender barriers and binders imposed on them.
19. Males and females find themselves more interested in the opposite sex
Ans.: True. This is the age when physical and sexual attraction begins
20. Sex education encourages early sexual activity
Ans.: False. Multicultural, multi-country studies show that adolescents who receive sex
education are more likely to postpone initiation of sexual activityand even when
they initiate sex, they are better able to negotiate protective sexual activities than
those who do not receive sexual education. Young people explore their sexuality as a
natural process of achieving sexual maturity, however with correct and complete
information, we can help them in making safe, responsible and informed choices.
Research indicates that the sexual curiosity and experimentation goes down in
adolescents once they are provided correct and complete information from the right
sources.
21. Anal sex is uncommon
33
Ans.: False. Anal sex is a practice between two men and also between men and women and
is not a rare phenomenon. Due to social pressures of labelling, most people do not
talk openly about it. This is important for parents to know as boys may be anally
penetrated as a form of child sexual abuse
22. Homosexuality is a sin. It is abnormal and unnatural
Ans.: False. Some religions do prohibit homosexuality and consider it a sin. However,
sexual preference is a very personal issue and nobody can dictate the type of sexual
orientation a person is allowed to have. Homosexuality is not defined just on the
basis of sexual activity, but on ones identification, erotic desire and emotional
bonding. All people, whether they are heterosexual, homosexual or bisexual, have a
right to live with dignity and in accordance with their sexual preferences. We all can
have personal preferences not controlled by anyone but ourselves. There are many
women in this country who are attracted to and live with women, and there are many
men who do the same with other men. However, with reference to adolescents, one
should not conclude or label them as Homosexuals in case they demonstrate
attraction towards the same sex. Sometime, this may be part of curiosity and
exploration. The patterns and preferences would become clearer as they grow older.
23. Masturbation is harmful and causes weakness
Ans.: False. Masturbation is a natural and safe method of deriving sexual pleasure. It is a
myth that masturbation leads to sexual inadequacy or weakness. There is no
scientific basis for this.
34
A brain storming activity that would help parent reflects upon their knowledge and
feelings regarding sexual abuse of children.
Quiz Time on Values and Beliefs that would enable parents explore myths and
misconceptions held by them regarding the issue of CSA. These beliefs, which are largely
myths, affect the way we perceive the existence of the issue as well as the vulnerability of
children to sexual abuse.
Objectives:
Key Take-Aways:
1. Lower denial and increased acceptance of the issue.
2. Increased factual knowledge about the issue and vulnerability of children, both boys and girls,
to CSA.
3. Participants would be able to reflect upon their beliefs and myths regarding the issues of CSA.
4. The level of denial about the existence of CSA would be diminished and greater acceptance of
vulnerability of all children, boys and girls and from different strata of society.
35
Does sexual abuse happen with children? And who can be sexually abused - girls or
boys? Why? What makes children Vulnerable?
How did they feel when they heard about Nidhis case?
4. Spend about 10-15 minutes on this discussion. And write broad responses coming from the
participants on a flip chart.
5. At the end, give correct information to the participants on forms and various dimensions of
CSA from Fact Sheet provided. If time permits and participants are interested, share with
them the statistics on CSA from around the country to highlight the magnitude of the
problem in India. This information is also available in the Fact Sheet. Alternatively, the
information regarding the magnitude can be provided after the next activity on Values and
Beliefs.
Tips for the Facilitator:
Ensure that a good rapport with the participants has been formed before conducting the
session. Beginning the workshop with this activity will only be easier if the
parents/participants have been through other sessions from this Manual before this one on
CSA.
The first part of the activity is to brainstorm various aspects of CSA with them. This helps in
understanding how much are they aware of the issue. It would also bring up their feelings and
reactions such as fear, denial (for example, this does not happen here or it is very rare or
this happens in lower classes of the society etc.) and discomfort with the subject. Be aware
and watchful of these reactions and address the same while making your presentation on CSA.
Review:
Were the parents able to accept that CSA is a real issue in our society?
37
Do not spend too much time on each statement. Get quick answers with explanations to the
statements from respective teams.
Look out for their feelings and reactions while discussing each statement such as fear, denial,
aggression, discomfort etc. and address the same at the end of the activity.
If time permits and if this has not been done after the first activity, you can make a power
point on the magnitude and statistics of CSA (from the Information Booklet) and present the
same to the participants to inform the group about existence of CSA in India.
38
Review:
1. Could the participants understand that our myths and mindsets increase vulnerability of
children.
39
Training Aid
Session 3: Activity 2
Quiz Time: Values and Beliefs
1. Children are rarely abused in India, as the Indian socio-cultural system inherently does not
allow for its children to be sexually abused.
2. Child sexual abuse occurs mostly in poor, illiterate families.
3. Sexual abuse generally occurs in surroundings unfamiliar to the child.
4. Only girls are the victims of child sexual abuse. A boy cannot be sexually abused or raped
but a girl can be.
5. Children with disability (differently able children) cannot be sexually abused as the abusers
either find them sexually unattractive, or feel sorry for them.
6. Children lie and make up stories about sexual abuse.
7. Often precocious children provoke sexual abuse by their "seductive" behaviour.
8. Children are usually abused by strangers.
9. People who sexually abuse are mentally ill or "sick".
10. Women do not sexually abuse children.
11. Child sexual abuse is usually accompanied by physical violence.
12. Somebody in the family usually knows the child is being sexually abused.
13. A child should be encouraged to forget about the abuse, as there are no harmful effects of
child sexual abuse.
14. Reporting of child sexual abuse can cause more harm than good.
15. Abuse is usually a single isolated incident.
16. Only adolescent children get abused.
Note: Facts to the above statements are provided in the Fact Sheet.
40
Factsheet
Session 3: Sensitization on Child Sexual Abuse
1. Child Sexual Abuse: Dimensions, Forms and Complexities
The instinctive response to Child Sexual Abuse is: THIS CAN'T HAPPEN TO ME OR TO
ANYONE I LOVE.
In fact, Child Sexual Abuse (CSA) can happen to anyone, anywhere. Often by adults
known to the child. It is a common phenomenon.
BECAUSE:
We teach them to obey adults but we do not teach them to establish boundaries.
Children trust older people, especially family, who in turn can exploit them.
We do not give children the knowledge or language of their body but instead a language
of shame and silence. Adults exploit this silence.
Adult sexuality in our world is far from healthy and responsible, and CSA is the result.
What is CSA?
Child Sexual Abuse is the physical or mental violation of a child with sexual intent, usually
by an older person. It is a crime.
Child Sexual Abuse includes
Touching a child's genitals (penis, testicles, vulva, breasts, or anus) for sexual pleasure or
other unnecessary reason.
Making a child touch someone else's genitals, or playing sexual ("pants-down") games.
Putting objects or body parts (like fingers, tongue or a penis) inside the vagina, in the
mouth, or in the anus of a child for sexual pleasure or other unnecessary reason.
Watching a child undress or use the bathroom, often without the child's knowledge
(known as voyeurism or being a "Peeping Tom").
41
Simple cuddle, kissing, hugging can also be abuse when done with a sexual intent and
feeling. A person sitting beside and reading newspaper, and trying to touch you is also
abuse.
Child sexual abuse is evidenced by this activity between a child and an adult or another child
who by age or development is in a relationship of responsibility, trust or power, the activity
being intended to gratify or satisfy the needs of the other person. However, when sexual
activity involves another child or an adolescent, it is not always so clear. Some kinds of
sexual behavior among children might be innocent explorations rather than abuse.
2. Child Sexual Abuse in India: Magnitude based on Studies in India by Government and
NGOs
One child below 16 years is raped every 155th minute, a child below 10 every 13th hour,
and one in every 10 children is sexually abused at any point in time (HAQ 2005).
100% of mentally challenged girls rescued from the street had been violently abused (IIndia, Jaipur)
At least one out of six boys and two out of four girls in India are sexually abused (A
study by the Family Planning Association of India).
One out of three girls and one out of 10 boys had been sexually abused as a child and
50% of child sexual abuse happens at home (A Tata Institute of Social Sciences study,
1985)
In 1994, 83% of 348 girls in a study by Samvada (a Bangalore based NGO) experienced
some form of CSA.
In 1998, of 600 Women interviewed by RAHI (NGO working with adult survivors of
Incest in Delhi), 76% were sexually abused in childhood, 40% of those by a family
member.
Countless stories of boys and girls who were sexually violated by members of their
families have been narrated in a book, Bitter Chocolate Child Sexual Abuse in India
(Penguin, 2000) by Pinky Virani.
Most of the earlier studies and work on child sexual abuse highlighted the greater
vulnerability of girls, however over the years it is becoming evident boys are equally, if
not more vulnerable to sexual abuse as girls.
42
In 2007, the Ministry of Women and Child Development published the "Study on Child
Abuse: India 2007. It sampled 12447 children, 2324 young adults and 2449 stakeholders
across 13 states. It looked at different forms of child abuse: Physical Abuse, Sexual
Abuse and Emotional Abuse and Girl Child Neglect in five evidence groups, namely,
children in a family environment, children in school, children at work, children on the
street and children in institutions. According to the study, 53.22% of children reported
having faced sexual abuse. Among them 52.94% were boys and 47.06% girls. Andhra
Pradesh, Assam, Bihar and Delhi reported the highest percentage of sexual abuse among
both boys and girls, as well as the highest incidence of sexual assaults. 21.90% of child
respondents faced severe forms of sexual abuse, 5.69% had been sexually assaulted and
50.76% reported other forms of sexual abuse. Children on the street, at work and in
institutional care reported the highest incidence of sexual assault. The study also reported
that 50% of abusers are known to the child or are in a position of trust and responsibility
and most children had not reported the matter to anyone. This National study found that
the abuse gained momentum at the age of 10 and peaked between the age of 12 and15
years.
Hence the study indicates that one out of every two children in schools have faced sexual
abuse. And overall, more boys than girls in this study faced various forms of sexual abuse
ranging from inappropriate touch, exposure to pornography or violent sexual assault.
Similarly, Elaan (an NGO in Kolkata), in their study on child abuse found that 4 out of 10
boys faced sexual harassment in school. The abuse ranged from an accidental brush of
the private parts to something that was done on purpose.
Tulir Centre for the Prevention and Treatment of Sexual Abuse conducted a study on
Class XI students of schools in Chennai and found that one out of two boys had been
abused as compared to two out of five girls (though not necessarily in school).
Hence, it has been proved that boys are equally, if not more vulnerable to sexual abuse as
girls
3. Child Sexual Abuse: Myths and Facts
i.
Myth: Children are rarely abused in India, as the Indian socio-cultural system inherently
does not allow for its children to be sexually abused.
Fact: Statistical data from available research and reported incidents (from children and
adult survivors) clearly indicates that child sexual abuse is a widespread problem
affecting an extremely large number of children in the country.
ii.
iii.
Fact: Most children are sexually abused inside their own homes. In a predominant
number of cases, abusers have the trust of children and their families and access to their
homes.
iv.
v.
Children with disability (differently able children) cannot be sexually abused as the abusers
either find them sexually unattractive, or feel sorry for them.
Fact: All children are vulnerable to sexual abuse. Research has proven that differently
able children are in fact more likely to be abused because of their increased
vulnerabilities.
vi.
vii.
Myth: Often precocious children provoke sexual abuse by their "seductive" behaviour.
Fact: Children can never initiate sexual abuse. Terming a child's behavior "seductive" is
an adult justification, projection and misinterpretation.
viii.
ix.
x.
xi.
xii.
Myth: Somebody in the family usually knows the child is being sexually abused.
Fact: Usually nobody is aware that the child is being sexually abused.
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xiii.
xiv.
Myth: A child should be encouraged to forget about the abuse, as there are no harmful
effects of child sexual abuse.
Fact: Child sexual abuse usually has harmful effects and can lead to behavioral,
emotional, physical and interpersonal problems.
Myth: Reporting of child sexual abuse can cause more harm than good.
Fact: If child sexual abuse is not reported then the same abuser may harm other children
or may target the same child again.
xv.
xvi.
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Good Touch Bad Touch, when done with children, may also help children in disclosure in
case they have already suffered sexual abuse of any kind.
What Am I Going to Do? The purpose of this activity is to make parents understand the
impact of sexual abuse on children and their role if the child is affected by sexual abuse
trauma.
Objectives:
To equip participants to sensitize and protect their children from sexual abuse.
To help them make their children recognize what is a bad touch or unwanted sexual
touching and what children can do to protect themselves.
Key Take-Aways:
1. Participants will learn the ways to help children recognize bad touch from good touch.
Further, it would also help them to discuss who can and cannot touch children in any way good and bad.
2. How to protect their children from possibility of a sexual abuse.
3. Bad touch means any sexual touch or advance that the child does not want.
4. Some of the children may have experienced sexual abuse, so this activity can help children in
disclosing this to parents or concerned adults who are able to provide this space in a
comforting manner to them.
5. Increased parental awareness about the psychological support needed by child impacted by
sexual abuse trauma.
6. Acquiring ways to provide support and protection to heal the child.
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To equip participants to sensitize and protect their children from sexual abuse.
To help them make their children recognize what is a bad touch or unwanted sexual
touching and what children can do to protect themselves.
Body maps on large sheets of paper (a child - size outline of a body, front
and back without clothes), colored pens and crayons (Green and Red) or
Green and Red Bindi packets, information on Good and Bad touch to be
given (from the Factsheet) - you can put this on a PowerPoint
Presentation.
Duration: 60 minutes
Instructions:
1. Make small groups of four or five participants each and give each group a copy of the body
maps and a colored pen or bindi - both green and red.
2. First ask the participants to take the green pen or bindi. Ask each person in the group, one by
one, to mark on the body map if there are some places on the body that they particularly like
to be touched or they can put the bindi in that place i.e. any touch they find good, loving,
caring or compassionate. Give about 5-10 minutes for the group to mark these areas on the
Body Map.
3. Now ask them why have they marked those areas i.e. what is about that touch they found
good and why? And in each case, who was the person touching you that made this touch feel
good?
4. After this discussion, now ask the participants to take the red pen or bindi. Ask them now to
mark on the same body map if there are some places on the body that they particularly do not
like to be touched or they can put the bindi in that place i.e. Parts of the body where they do
not like to be touched as well as Parts of the body where they have been touched, which have
made them uncomfortable, upset, angry and/or confused.
5. After each member of the group has marked their response, now ask them why have they
marked those areas i.e. what is about that touch they found uncomfortable, bad or confusing?
and why? And in each case, who was the person touching you that made this touch feel this
way?
6. Participants can share their body maps with the other groups.
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teacher in School with students, confidentiality must be maintained. At the same time,
protecting the child from further abuse must be addressed.
If at any time a participant (or a child in case when this activity is being done by then with
children) wishes to withdraw from the activity or be silent, s/he must be allowed to do so and
helped with any emotions they are finding difficult to handle. The facilitator should never
force or coax anybody to disclose what may have happened, especially when he or she is not
ready to do so. However this can be taken up with the individual on one-on-one basis later as
such individuals children may require individual counseling later.
Review:
49
What are the differences between the treatment of Parent 1 and 2? And who seems to be
more effective and sensitive?
In what manner can the less effective treatment harm a child`s personality?
What are the various essentials to be kept in mind to help the child heal from the sexual
abuse trauma?
5. Take quick responses of the participants to the above questions and list their responses on a
flip chart.
6. Add to their responses to provide any missing information on tips for parents to help children
in recovery and healing from sexual abuse trauma (refer to the information provided in the
Factsheet, which can be presented in a form of a Power Point Presentation).
Tips for the Facilitator:
The Facilitator has to be well prepared for the session with information on base to support and
protect child who is sexually abused.
Review:
51
Training Aid
Session 4: Activity 2 (What Am I Going to Do?)
A. Real Life Incident
An 8 year old boy, Akshay was taken for his medical examination in a neighborhood hospital.
The boy was touched in the wrong manner when taken in the small room. The boy was very
scared and silent after he came out from the room. The parents consoled the child and comforted
the child. On probing, Akshay shared the incident with his parents when he reached home. The
family immediately filed a complaint in the police station. The AIIMS administration has
suspended the doctor and an inquiry has been ordered in the matter
Parents go back home with their child. Then what happened. ? Do you know....
B. Reactions of two sets of Parents
PARENT-1
PARENT-2
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Factsheet
Session 4: Skills to Protect Children from Sexual Abuse
1. What Should We (As Parents/Adults) Do to Protect Our Children from Sexual Abuse?
Talking about CSA is difficult. Learn to go beyond the fear, secrecy, and shame. Take a step
towards Prevention in order to protect your children from Sexual abuse
Prevention and Protection of Children from Sexual Abuse
i.
How to make my child aware, so that he / she can protect themselves from abuse?
What needs to be done?
Break the Silence: The subject of child sexual abuse is still a taboo in India. There is
a conspiracy of silence around the subject. When sexuality is shrouded with silence
and children cannot openly talk about abuse, they internalize abusive situations.
Break out of Denial: A very large percentage of people feel that this is a largely
western problem and that child sexual abuse does not happen in India. Part of the
reason of course lies in a traditional conservative family and community structure that
does not talk about sex and sexuality at all.
Speak to children about Body, Sexuality and Abuse issues: Learn to feel
comfortable with the topic of human sexuality and make sure that you first know the
information yourself before talking with your child. Parents do not speak to children
about sexuality as well as physical and emotional changes that take place during their
growing years. As a result of this, all forms of sexual abuse that a child faces do not
get reported to anyone. The girl, whose mother has not spoken to her even about a
basic issue like menstruation, is unable to tell her mother about the uncle or neighbor
who has made sexual advances towards her. This silence encourages the abuser so that
he is emboldened to continue the abuse and to press his advantage to subject the child
to more severe forms of sexual abuse. Very often children do not even realize that they
are being abused.
Educate and make your children aware: Equip them with information and skills to
build self-protective behaviour. Also give child a working language or nomenclature
of body language.
Capitalize on child curiosity: Make use of the moments when your child is naturally
being inquisitive. Don't avoid questions like - where do babies come from, or what is
53
sex. Dignify children by answering their questions. They might look to other ways,
often inappropriate, to satisfy their curiosity (Refer to the session on Body and
Sexuality in the Manual).
ii.
Boost Self Esteem of children: The most important factor for your children's
protection is a strong self-esteem. Let them know how important they are to you. And
always believe what your child tells you, no matter how unbelievable or difficult to
believe it is. Affirm children's feelings and let them know they have a right to their
feelings. Children can say "NO" without being disrespectful.
Leaning Through Play: Use games and activities to educate your children about these
sensitive issues. Some possible activities and methods are shared in this Information
Booklet.
iii.
It is NOT OK for someone to touch his or her own private body parts in front of you.
It is NOT OK for someone to ask you to touch his or her private body parts.
It is NOT OK for someone to take photos or videos of you with your clothes off.
It is NOT OK for someone to show you photos or videos of people without their
clothes on.
It is NOT OK for someone to touch you in a way you do not like. Teach them the
difference between a Good Touch and a Bad Touch. And Empower them to Say NO to
a Bad Touch.
It is NOT OK to keep silent about any form of abuse that happens to you. Encourage
them to talk to you.
Our bodies are our own - very personal. NO BODY HAS THE RIGHT TO TOUCH
YOUR BODY WITHOUT YOUR WILL.
Games and Activities that you can conduct with children to make them aware of
CSA
a) Good Touch - Bad Touch
TALK TO CHILDREN ABOUT DIFFERENT KINDS OF TOUCHING. TEACH
THEM THAT THERE ARE THREE KINDS OF TOUCHES.
54
SAFE TOUCH or GOOD Touch: are those touches that are experienced by the
receiver (child) as warm, caring, nurturing, and supportive. They do not diminish
the receiver and do not take from the receiver. All persons need to receive this kind
of touch.
UNSAFE TOUCH or BAD Touch: are those that hurt the receiver, that make the
receiver feel bad, that inflict pain or that seem to disregard the receivers (child's)
feelings. It is usually very clear that the child does not want this kind of touch,
which is experienced by the child as manipulative, coercive, abusive and
frightening.
CONFUSING TOUCH: are those which make the receiver feel uncomfortable,
uneasy, confused, or unsure. The receiver experiences confusion and conflicting
feelings about the touch and/or about the person who does the touching. The intent
of the adult may be unclear, the touch may be unfamiliar. There are times when this
kind of attention "feels good" but is also frightening, such as a touch that is sexually
stimulating, being asked keep the experience a secret or being given undue intimate
attention in front of others. Thus, the attention or touch that "feels good" is not
always good or safe.
Make a list of people you would allow your child to be alone with anywhere (listen
to your child's response to the names you suggest).
55
The personal safety touching rules (as discussed in Good-Touch Bad Touch
activity).
Children, like all of us, have a right to personal space and can declare who is and is
not allowed to enter it. Set rules for children about privacy, and teach them how to
assert their rights if their personal space is violated.
Evidence of physical trauma, to the oral, genital or anal areas, manifested as bleeding,
discharge, soreness and/or itching
56
Bruising and other injury to breasts, buttocks and thighs and other parts of the body
Unexplained pregnancy
HIV/AIDS
BEHAVIOURAL INDICATORS
Behavioral indicators in and of themselves do not constitute abuse. Together with other
indicators they may warrant a referral:
Depression
Social withdrawal (such as poor or deteriorating relationships with adults and peers)
Developing fears, phobias and anxieties (A fear of a specific place related to abuse, a
particular adult, refusing to change into sports/swimming clothes)
PSYCHOLOGICAL/EMOTIONAL INDICATORS
ii.
Anger.
Eating disorders
Guidelines for Parents if the Child has suffered from Sexual Abuse
Children communicate through words, signs and behavior. We adults need to listen when
they speak, and understand what their signs and behaviors tell us. When children don't
talk to us about their problems, it may be because we don't listen to them well, or we are
not available for them. How you respond to disclosure is important for your child's as
well as your well being.
Always Remember and Follow:
Remain calm
Seek assistance for the Child: Though your support is extremely crucial and integral
to the healing process for the child, it is important to seek professional assistance when
58
a child has been abused (from medical doctors, counselors, NGOs, psychologists
and/or psychiatrist as required).
Seek assistance for yourself: It is not uncommon for a parent to feel shock, disbelief,
denial, self-blame, anger, confusion and/or doubt, if a child tells you s/he was abused.
Hence, it is important to seek professional assistance to uncover and understand your
own feelings, pain and sadness.
Ensure teachers, volunteers and anyone else with access to children is properly screened
and trained.
Implement and enforce a policy for reporting child sexual abuse and handling disclosures
from children
Establish protocols and screening for school computer use. Provide training to students
and teachers on acceptable use of computers
Make certain campus security is in place so that all visitors are screened through the
office and the unusual incidents/visitors are handled.
Assess your environmental structure and take every possible step to make it safer for
children
Provide programmes and roles for parents to make them a part of their children's safety
and security at school and while going to and from school.
Organize awareness workshops for parents, teachers, counsellors, helpers and other
faculties/stakeholders associated with the school to ensure safety of children.
Tulir (CENTRE FOR THE PREVENTION & HEALING OF CHILD SEXUAL ABUSE)
:
Website:
www.tulircphcsa.org
and
Blog:
www.childsexualabuseinindia.blogspot.com
Ministry of Women and Child Development (MWCD), 2007, The Study on Child Abuse:
India
Bitter Chocolate: Child Sexual Abuse, Pinki Virani, 2007, Penguin Books
60
Facilitating Communication which when done with parents enable them to understand
how personal opinions and biases affects our communication ass also it provides a check
to internalization of facts and information about sexuality (vs. Myths and
misconceptions).
Am I comfortable with the Language? This activity would help the participants get more
comfortable with specific words and language related to body, sex and sexuality.
Objectives:
To build the skills of participants to address issues related to body and sexuality with their
children and adolescents.
To understand how sexuality affects different peoples lives differently and how our personal
views/opinions/inhibitions and biases affects our communication.
To evaluate and reinforce the learning from the Module 1 of the session on Body and
Sexuality.
To understand how language affects our notions of sexuality and sense of self.
Key Take-Aways:
1. Parents would be able to practice for themselves through role plays how to address the issues
and concerns of children.
2. Participants would be able to evaluate their own beliefs, value system, myths and
misconceptions as well as inhibitions. And that how these can become obstacles for their
open discussion with their children on body and sexuality issues.
3. This activity will prepare them to handle these aspects related to body and sexuality in a
better way with children.
4. Participants would be able to practice some key words that we would need to use with
children while discussing these issues with them.
5. It would facilitate better communication on body and sexuality issues.
61
To build the skills of participants to address issues related to body and sexuality with their
children and adolescents.
To understand how sexuality affects different peoples lives differently and how our personal
views/opinions/inhibitions and biases affects our communication.
Information/knowledge: was the information given correct or were there any gaps?
Was there any judgment, myths, misconceptions, confusions noted? If so, what and what
do they think was the reason for it?
Lastly, could the situation have been handled differently? What else could have been
done? Ask for alternate suggestions and solutions from the participants.
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Conclude the session by reiterating that it is important to be aware of these issues and to
shed ones own discomfort, inhibitions, misconceptions and judgments, especially related
to morality before handling these issues with children and adolescents. They need to
provide information with rationale and reasoning to children so that they (parents/adults)
can help them (children) make informed choices based on knowledge of pros and cons of
each situation the children are faced with in their lives.
Depending on the time available as well as the need and questions of the group, the facilitator
may use all of the cases provided in Handout 1 or a few. Alternatively, the facilitator can
include new case scenarios as well on which you want the participants to reflect upon.
Focus on the content and the style of communication of the participants and the ease with
which they do it when they have to talk about sexuality. Inform the participants that if there
are inhibited talking about any issue related to body, sex and sexuality and/or if they do not
have the accurate information, they should only attempt to answer the aspect they are
comfortable with or are aware of. For other unanswered/unaddressed aspects, they could get
back to the person or child later with an answer or guide them to someone else (another adult
or professional) for correct answers.
Fill in any gaps in information of you as a facilitator see any wrong/incorrect or incomplete
messages been given.
The last two case scenarios highlight the issue of sexual abuse, with case 5 specifically
focusing on child Sexual Abuse. Though seeing a child masturbating or touching ones
genitals may not be conclusive of any possible sexual abuse, but there is a likelihood that the
child may be getting or have experiences some form of sexual abuse. Hence this kind of
behaviour calls for attention to this issue and probing the child gently to ensure disclosure.
Refer to the Module on Child Sexual Abuse to handle and address these last two cases.
Tell them that this exercise is to help them become aware of their level of comfort or
inhibition related to the issues. The more comfortable they are with the subject and
themselves, the better they will be able to address the queries, concerns as well as traumas
related to sexuality and sexual abuse of children.
Review:
63
Training Aid
Session Six: Activity 1
Facilitating Communication
1. Your 14-year-old daughter has come to you asking what exactly happens on the first night of
a marriage. You start explaining it to her.
2. Needing some change, you look into your 17 year old sons wallet a condom pack inside.
What's your first thought? What are you going to do?
3. Rama and Roni fall in love with each other. Roni wants to be sexual but Rama is
uncomfortable. She withdraws whenever Roni tries to touch her and her responses are
upsetting him. What will happen to their relationship? Rama fears that he will leave her.
What should she do?
4. One day your child comes back from school and asks you want is sex? How would you
address it?
5. In your school, you as a teacher see a 10 year old girl who is seen masturbating/touching her
genitals/sexual organs openly publicly while playing.
6. Soni is going to get married to her boyfriend and both of them are very happy. Just a few
days before the marriage she gets raped. How can Soni handle the situation? What would
you advise her?
64
To understand how language affects our notions of sexuality and sense of self.
Ask one participant to read out the word aloud. If the participant is not comfortable or
seems to be shy, do not pressurize. Ask any other participant to volunteer to read who
feels comfortable.
Then ask the group to think of any local, colloquial word or any slang words they use or
have seen being used referring to the respective word being discussed. Write the alternate
names or slangs being shared by the participants on a flip chart.
Remind them that this is to ensure that they can learn to talk about different parts of their
body and sexual acts with children and adolescents.
4. Repeat the same process with each word. Ensure that you keep making a list of additional
words/slangs that the participants share on a flip chart.
5. After all the words have been completed, discuss the following questions with the
participants with respect to the words that have come up:
Which words in the list are most acceptable for public use?
65
Which words have negative meanings for girls? and for boys?
A single sex group may be necessary and if possible a facilitator of same sex as the group for
this activity. This depends on the comfort level of the facilitator in handling issues of sex and
sexuality.
Review:
66
Factsheet
Session 5: Building Communication Skills on Sexuality
67
Website: http://jagori.org
Email: jagori@jagori.org
JAGORI Helpline: + 91 11 2669 2700
2. KRITI: a development research, praxis & communication team
S-35 Tara Apartments, Alaknanda, New Delhi 110 019
Tel.: 011-26027845/ 26033088
Email: space.kriti@gmail.com
Website: http://krititeam.blogspot.com
C. Websites
Taarshi
www.tarshi.org
IFSHA
www.ifsha.org
UNAIDS
www.unaids.org
NACO
www.naco.nic.in
Jagori
www.jagori.org
Humsafar Trust
www.humsafar.org
D. FILMS:
1. When four friends meet by Mr. Sanjoy roy ( an interactive film on boys and
masculinity in Hindi)
2. Email: sanjoyroy@yahoo.com
3. Growing Up (both in Hindi and English)
N.Ramakrishnan
Director of Projects
Ideosync Media Combine
177, Ashoka Enclave III
Sector 35, Faridabad - 121003
Haryana - India
Tel: +91-0129-4131883/6510156/2254395/2254396 (Prefix 95129- from Delhi)
Telfax: +91-0129-2254395 (Prefix 95129- from Delhi)
Mobile: +91-9810273883
Email: nram@ideosyncmedia.org
69