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Dr Rukman Mecca

Resident ,CM
KEM Seth GSMC

AIM
To create awareness in all adolescents, their

full potential by making informed and


responsible decisions related to their health
and well being
To assess services and support for achieving
so

For the first time government of India has

adopted a comprehensive programme to


address all aspects of adolescent health in the
country.
It is the first major step towards continuum
of care concept promoted by world health
organization.

The new adolescent health (AH) strategy

focuses on age groups 10-19 years with


universal coverage.

Objectives
Improve Nutrition
Improve Sexual and Reproductive
Health
Enhance Mental Health
Prevent Injuries and violence
Prevent substance misuse
Screen for non communicable
diseases

Strategy

MOHFW in collaboration with UNFPA

developed a National Adolescent Health Policy


for the implementation of this programme.
It realigns the current clinic-based curative
approach to a more holistic model, based on a
continuum of care for adolescent health and
developmental needs.

There were 147 Centrally Sponsored Schemes till


2013 budget for adolescents

Whats new about RKSK?


RKSK will bring in several new dimensions such as
mental health, nutrition, substance misuse, gender
based violence and non-communicable diseases
2. Programme introduces community based
interventions through peereducators, and is
underpinned by collaborations with otherMinistries
1.

3. At present the Governments strategic

approach in health sector is RMNCH+A


4. The programme is an effort to move away
froma doctordriven effort towards a holistic
and participative programme.
5. The programme emphasis seven Cs
6. Active use of new technologies and social
media platforms to reach theadolescents in
their own spaces,

The 6 themes in the framework


1.Nutrition
To reduce the prevalence of malnutrition among

adolescent girls and boys


To reduce prevalence of IDA among adolescents
girls and boys
Intervetion
Community level- Counseling on balanced diet ,
Inclusion
of nutritional education @ school level
Health care based - Management of Low BMI,
Counselling at AFHC

2.Sexual and Reproductive Health(SRH)


To improve knowledge, attitudes and behaviour

in relation to SRH
To promote healthy menstrual hygiene
practices among adolescent girls
To improve birth preparedness and complication
readiness among adolescents
To reduce teenage pregnancies

Intervention
@Community level

Life skills focused AEPs through schools,


Sanitary
napkins provision and proper disposal, Helpline
services etc
@Healthcare level
Treatment of STIs
HIV testing and counseling
Comprehensive abortion care through

linkages with MTP clinics

3.Mental health
To address mental health concerns of

adolescents

Intervention
@Community level
Adolescent clubs
@Health care level
Counseling
Referral and management of mental health

disorders through linkage with the national mental


health programme

4.Preventing Injuries and Violence


To promote favorable attitudes against injuries

and violence, including Gender Based Violence


among adolescents
Intervention@Community level
Issues related to gender stereotypes, discrimination and

injuries/violence taken up in Kishori Samoohs through


Sabla,
Department of WCD, boys and girls groups in NYKS teen
clubs and others, as relevant

@Health facility-based
Management of injuries and sexual abuse as per protocol in AFHCs

5.Substance misuse
To raise awareness on adverse effects and

consequences of substance misuse

6.Non-Communicable Diseases
To promote behavior change for prevention of

NCDs, hypertension, stroke, cardio-vascular


diseases and diabetes

Community
Awareness of healthy lifestyles
Community-Based Institutions
Incorporation of physical activity in schools ,
life skills-focused AEP
Screening for diabetes in the State Health Plan
Health facility-based
Screening and management of NCDs through

relevant programmes

In addition the program is focusing on 7

critical components in each program area(7c).


Coverage
Content
Community
Clinics
counseling
Communication
Convergence

How Will We Get There?

Peer Education
to ensure that adolescents benefit from regular
and sustained peer education covering
nutrition, sexual and reproductive health,
conditions for NCDs, substance misuse, injuries,
violence and mental health

Adolescent Helpline
Many states are in the process of setting up a
104 Helpline for health related information for
the public at large and service providers as well
as grievance redressal.

Training
The State Nodal Officer AH should prepare a
comprehensive district wise training plan across
all components of AH

Strengthening Role of Parents


State needs to identify strategies to work with
existing parent-teacher associations/similar
platforms to sensitize parents on adolescent
health.
During Adolescent Health Day the Counselor or
the trained MO/ ANM should hold group sessions
with parents for awareness.

Monitoring and
Surveillance
The proposed monitoring system will monitor

inputs, processes and outputs.

The focus will be to monitor activities in:

Planning of interventions
Making informed decisions regarding

operations, management and service delivery


to adolescents
Judicious allocation of resources, ensuring
their effective and efficient use
Evaluating the extent to which the strategy
has had the desired impact on the lives of
adolescents

Participatory monitoring is based on the following core principles:

Considering primary stakeholders as active

participants, not just sources of information


Building the capacity of local people to
analyze, reflect and take action
Ensuring joint learning of stakeholders at
various levels
Catalyzing commitment for taking corrective
action

References
MoHFW
Johnson LR. Rashtriya Kishor Swasthya Karyakram

(RKSK).Academic Medical Journal of India. 2014 Feb


27;2(1):42.
https://www.scribd.com/document/214180448/Rash
triya-Kishor-Swasthya-Karyakram-RKSK-andRMNCH-A

THANK YOU