CAPTION: Shanti Toppo is married. She would like there to be a gap before she has her second child. Health worker Dr Kusum Kumari Bara suggests two options for her, firstly the Copper T, which allows the user to delay pregnancy for a longer period, and secondly the condom, which must be used by her husband. It is stressed that the condom is the only thing that also prevents spread of reproductive tract infections (RTIs) and sexually transmitted infections (STIs). The service provider then suggests that it is a good idea to come back along with her husband, so that he can also understand these things. LOCATION: Adolescent Reproductive and Sexual Health (ARSH) clinic, Ratu Community Health Centre (CHC), Ranchi (city), Jharkhand (state), India. INDIVIDUAL(S) PHOTOGRAPHED: Dr Kusum Kumari Bara (left) and Shanti Toppo (right).
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ANM ARSH ARSH clinic Adolescent Reproductive and Sexual Health clinic Asia Asian CHC Community Health Centre Engender Health EngenderHealth India Indian Jharkhand NGO Ranchi Ratu South Asia TARUNYA TARUNYA-ARSH TARUNYA-ARSH Project adolescent health auxiliary nurse midwife charity clinic condom condoms consultation contraception development education family planning female happiness happy health health worker learning married non-profit people person public health reproductive health safe sex sex sexual and reproductive health sexual health sexual intercourse smile smiling wife woman women
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