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Adolescent Reproductive Sexual Health(ARSH)
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Adolescent Reproductive Sexual Health(ARSH)

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AAdolescent Reproductive Sexual Health(ARSH)

AAdolescent Reproductive Sexual Health(ARSH)

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  • 1. Introduction
    ADOLESCENT REPRODUCTIVE SEXUAL HEALTH (ARSH)RCH II
    GROUP-5
    1. AMIT TRIPATHI 4. RASHI GUPTA
    2. NEHA DANG 5.SANA AMREEN
    3. POOJA DAHHIYA 6.SHRAVARI UBALE
    7.SHRUTI GOYAL
    8.TARUN DESHMUKH
    9. VAISHALI TALANI
  • 2. INTRODUCTION
  • 3.
    • The term adolescence is derived from the Latin word “adolescere” meaning to grow, to mature.
    • 4. It is a time of physical and emotional change as the body matures and the mind becomes more questioning and independent.
    • 5. These are the formative years of life of an individual when major physical, psychological & behavioural changes takes place.
    • 6. Period of preparation for undertaking greater responsibilities including healthy responsible parenthood.
  • SOME FACTS
    • 225 million adolescent comprise 22% of India’s
    total population.
    • Of this 12%-10-14year age group
    10%-15-19 year age group
    • Female comprise 47% of adol.population
    • About 20% of total adol.female population are
    married before the age of 15 years are already
    mother.
  • 7. >70% girls between 10-19 year age group suffer from severe or moderate anemia.
    • Mortality rate is higher in 15-19 year then 10-14 year age group.
    • Unmet need of contraception is much higher in this age group.
    • Over 35%of all reported HIV infection occur among 15-24 years age group.
    • Indicating young people are highly vulnerable and majority of them infected by unprotected sex.
  • 8. Definitions:
    Adolescence: 10 – 19 years
    Early Adolescence: 10 – 13 years
    Middle adolescence: 14 – 16 years
    Late adolescence: 17 – 19 years
    Youth: 15 – 24 years
    Young people: 10 - 24 years
  • 9. Characteristics:
    A – Aggressive, Anemic, Abortion
    D – Dynamic, Developing, Depressed
    O – Overconfident, Overindulging, Obese
    L –Loud but lonely & Lack information
    E – Enthusiastic, Explorative & Experimenting
    S – Social, Sexual, & Spiritual
    C – Courageous, Cheerful, & Concern
    E – Emotional, Eager & Emulating
    N – Nervous, Never say no to peers
    T – Temperamental, Teenage pregnancy
  • 10. Why invest??????
    Investments in young people will yield dividents in term of delaying age of marriage, reducing incidence of pregnancies meeting unmet needs of contraception and reducing incidence of STI/HIV/AIDS
    CATCH THEM YOUNG
  • 11. 10 -19 years a critical phase
    Risks
    Inadequately prepared for life
    Enter adult hood in poor health
    Unintended unwanted pregnancy/unsafe abortion
    Maternal mortality higher for young women
    Infant mortality higher for young mothers
    Sexual abuse /violence and unwanted sexual activity
    STIS including HIV/AIDS
    10-19 YEARS CRITICAL PHASE
  • 12. Reproductive and Child Health-II
    Adolescent Reproductive and Sexual Health(ARSH)
  • 13. Package of services
    Promotive services:
    • Focused care during antenatal period
    • 14. Counselling & provision of emergency contraceptives
    • 15. Counselling & provision of reversible contraceptives
    • 16. Information/advice on SRH services
    Preventive services:
    • Services for TT and prophylaxsis against nutritional anemia
    • 17. Nutritional counselling
    • 18. Services for early and safe termination of pregnancy and management of post abortion complications
  • 3.Curative services:
    • Treatment for common RTI/STIs
    • 19. Treatment & counselling of menstrual disorders sexual concerns of males and female adolescents
    4. Referral services:
    • Integrated Counselling and Testing Centre
    • 20. Prevention of Parent to Child Transmission
    5. Outreach services:
    • Periodic health checkups and community camps
    • 21. Periodic health education activities
    • 22. Co-curricular activities
  • 23.
  • 24.
  • 25. NRHM - ARSH
    NRHM ARSH
    Vision
    • Improve availability of quality healthcare in rural areas
    • 26. Synergy between health and determinants of good health
    • 27. Community ownership of health facilities
    • 28. Undertake architectural corrections of the health system
    Expected outcomes by 2012
    • IMR -30/1000 live births
    • 29. MMR – 100/1000 live births
    • 30. TFR -2.1
  • ARSH Strategy
    Objective is to contribute to RCH II goals of reduction of IMR,MMR,and TFR by:
    Reducing teenage pregnancies
    Meeting unmet contraceptive needs
    Reducing number of teenage maternal deaths
    Reducing incidence of STIs
    Reducing proportion of HIV positive in 10 – 19 years age group
    ARSH STRATEGY
  • 31. Interventions by ARSH
    Services for adolescents to cover preventive , promotive ,curative and counseling services
    Capacity building of on meeting needs of adolescents
    Communication activities to be undertaken
    MIS indicators identified as per specific objectives
    Inter-sectoral linkages with NACP and NRHM
  • 32.
  • 33. Training package
    Orientation programme for MOs and ANMs(AWW and counselors)
    “How to treat differentially a client who is 16 not 6 or 26
    • Developing sensitivity towards adolescent clients
    • 34. Non judgmental, friendly, competent provider
    How to deliver friendly services within “public health system”
    Training of ASHA- adolescent health included
  • 35. Implementation guide
    Part 1:Background
    - purpose of implementation guide
    -ARSH in RCH II
    Part 2: What to implement?
    - standards for adolescent friendly reproductive and sexual health services
    Part 3:How to implement?
    Service delivery package
    Organizing effective services
    Conducive environment at health facilities
    Capacity building of providers
    Environment building
    Communication with adolescents
    Monitoring and supervision
    Sample implementation
    Part 4 moving ahead
    Conclusion
  • 36. Convergence between ARSH and HIV
    • Addressing common challenges
    • 37. Understanding the need to address common risk factors
    • 38. Utilizing capacity for optimum utilization of resources
    • 39. Pro active participation of key stake holders to mainstream programme with public healthsystem
    • 40. Common communication strategy for access to services
    • 41. Preventing overlap of interventions- avoid duplication
    • Establishing linkages with regard to services
    • 42. Institutional linkages critical for roll out
    • 43. Preventing overlap of interventions with regard to target groups and services
    • 44. Balancing the preventive and care strategies in both programme
  • Next steps
    • Strengthen RCH MIS frame work
    • 45. Communication strategy for ARSH
    • 46. Establishing / strengthening inter sectoral convergence
    • 47. Quality assurance of framework
    • 48. Developing institutional and service linkages within ARSH framework to address HIV concerns
  • Strategies for promotion of adolescent health
    A =Adoption of healthy life style
    D =Develop appropriate i.e. strategy discourage early marriage and teenage pregnancy
    O =Organize adolescent/ youth friendly clinic
    L =Life skill training, legal support, liasion with peers, parents
    E =Educate about sexuality, safe sex, spirituality, responsible parenthood
    S =Safe, secure and supportive environment to be provided
    C =Counseling / curriculum in school inclusive of family life education
    E =Enable & empower for responsible citizenship
    N =Networking for experience sharing
    T =Training for income generation, teen clubs