Introduction<br />ADOLESCENT  REPRODUCTIVE SEXUAL HEALTH (ARSH)RCH II<br />GROUP-5<br />      1. AMIT TRIPATHI            ...
INTRODUCTION<br />
<ul><li>The term adolescence is derived from the Latin word “adolescere” meaning to grow, to mature.
It is a time of physical and emotional change as the body matures and the mind becomes more questioning and independent.
These are the formative years of life of an individual when major physical, psychological & behavioural changes takes place.
Period of preparation for undertaking greater responsibilities  including healthy responsible parenthood. </li></li></ul><...
>70% girls between 10-19 year age group suffer from severe or moderate anemia.<br />• Mortality rate is higher in 15-19 ye...
Definitions:<br />Adolescence:             10 – 19 years<br />Early Adolescence:    10 – 13 years<br />Middle adolescence:...
Characteristics:<br />A – Aggressive, Anemic, Abortion <br />D – Dynamic, Developing, Depressed <br />O – Overconfident, O...
Why invest??????<br />Investments in young people will yield dividents in term of delaying age of marriage, reducing incid...
10 -19 years a critical phase<br />Risks<br />Inadequately prepared for life<br />Enter adult hood in poor health<br />Uni...
Reproductive and Child Health-II<br />Adolescent Reproductive and Sexual Health(ARSH)<br />
Package of services<br />Promotive services:<br /><ul><li>Focused care during antenatal period
Counselling & provision of emergency contraceptives
Counselling & provision of reversible contraceptives
Information/advice on SRH services</li></ul>Preventive services:<br /><ul><li>Services for TT  and prophylaxsis against nu...
Nutritional counselling
Services for early and safe  termination of pregnancy and management of post abortion complications</li></li></ul><li>3.Cu...
Treatment & counselling of menstrual disorders sexual concerns of males and female adolescents</li></ul>4. Referral servic...
Prevention of Parent to Child Transmission</li></ul>5. Outreach services:<br /><ul><li>Periodic health checkups and commun...
Periodic health education activities
Co-curricular activities</li></li></ul><li>
NRHM - ARSH<br />NRHM ARSH<br />Vision<br /><ul><li>Improve availability of quality healthcare in rural areas
Synergy between health and determinants of good health
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Adolescent Reproductive Sexual Health(ARSH)

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Adolescent Reproductive Sexual Health(ARSH)

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