SERVICES
A) Patient Care Services

Objectives
• Increase the availability and access to information about adolescent health;
• Increase accessibility and utilization of quality adolescents counseling and health services; and
• Forge multi-sectored partnerships to create safe and supportive environments for adolescents.

7Cs of Adolescent Care Services

1. Coverage The new adolescent health and development strategy brings in dedicated programming for 10 to 19 years with universal coverage i.e. urban and rural; in school and out of school; married and un-married including the vulnerable and underserved subgroups.

 2.Content The revised Strategy identifies six strategic priorities based on ‘at risk’ analyses. The enhanced scope of the program will now incorporate the following areas: Nutrition, Sexual and Reproductive Health, Mental Health, Preventing Injuries and Violence (including Gender Based Violence), Substance Misuse and Non-Communicable Diseases. Lifeskills education is identified as a key and cross cutting intervention.

3. Communities The mainstay of this approach will be peer educators / mentors (both girls and boys) - selected, trained and mentored by the teachers in an institutional setting and jointly by ASHAs and AWWs in community based settings. Field level functionaries will be providers of Adolescent Friendly Health Service and enabling environment at the community level for adolescent health and development activities will be done through existing platforms like Aanganwadi Centres (AWCs), Sabla-Kishori Samooh, Teen Clubs and VHNSC and creating new spaces like organizing the quarterly Adolescent Health Day.

4. Clinics (Health Facilities)
1) Trained staff sensitized with Adolescent issues.
2) Walk in services at Sub-Centre level 3) Dedicated weekly Adolescent Clinic at the Primary Health Centre.
3) A dedicated counselor will be available

5. Counseling Channels of information provision at every level of adolescent universe, for instance: peers, nodal/school teachers, ground level health service providers.

6. Communication Effective communication is an integral part of this strategy and will be a catalyst in successful implementation. . Handout for ANMs/LHVs Orientation 5 Handout 1

7. Convergence The Adolescent Health Strategy envisages all intra–departmental activities with existing programs of the Ministry of Health and Family Welfare and relevant inter-ministerial convergence.

B) out patient services

  1. OPD services for 10 – 19 years on Monday to Friday (9 am – 2 pm)
  2. It inclues growth and development monitoring and nutritional advices
  3. Early detection and management of medical problems
  4. Regular Counselling service to encourage and reinforce behaviours that promote healthy lifestyle,
  5. Advices to the parents of adolescents in specific health care issues
  6. Outreach – School counseling programs on Thursday of every week to the allotted Govt. higher secondary Schools under borough I – IV
  7. Health risk identification by FAPS developed at the clinic
 
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