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Adolescent Reproductive & Sexual Health

10 to 19 yrs of life is known as adolescent period. During this period human being undergo moltiple physical as well as mental changes which have lot of bearings on health. So it is important to address the adolescents and influence their health seeking behaviours and break the inter generational gap.
There are a number of problems in the adolescent period. Specially females such as low nutrition, low health status, early marriage, early pregnancy, low contraceptive prevalence. Pregnancy among adolescents bears excess risk for maternal and infant mortality.

  1. On delayed marriage
  2. Care during pregnancy
  3. Prevention and treatment of STI
  4. Provisos of condoms, Contraceptive Pills, Emergency  contraceptive Pills
  5. Education on Nutrition
  6. Safe abortion services
  7. Educate community Self Help Group, PRI members on gender and other RCH issues.
  8. To provide easy access to health facilities.

Activities - Training of Service Providers, Medical Officers, other health personnel, NGOS.

  1.  Advocacy at all levels.


  1. To improve health condition of adolescent aiming at reduction of IMR & MMR, Adolescent Sexual Reproductive Health (ARSH) component under RCH-II.
  2.  To address the unmet health issues and risks of adolescents through establishment of Adolescent Friendly Health Clinic (AFHC) & outreach activities under ARSH.

Progress of activities under ARSH, AACP & MHS

  1. 117 AFHCs were functional at L-3 institutions (145 to be established by March’14). 55186 adolescents got services from AFHCs for treatment &counseling on ARSH.
  2. 79,378 Quarterly KishoriSwasthyaMela (QKSM) are being ogranised in all 30 Districts, where out-of-school adolescent girls (32,66,192) were provided educative sessions on ARSH along with screening on adolescent health issues and referral to AFHC and basic health check up by ANM.
  3. 13,66,414 adolescent girls were registered for services under Adolescent Anaemia Control Programme (AACP). Under this programme weekly doses of IFA large are being administered under supervision at AWC by AWW along with 6 monthly de-worming of albendazole and educative session on menstrual / personal hygiene & nutrition.
  4. 817004 out of 1366414 (60%) adolescent girls were consumed 4/5 IFA per month
  5. Govt. of India is supplying sanitary napkins for distributing to Adolescent girls (10-19 Yrs) at subsidiary price (@ Rs. 6 per pack of 6) through social marketing by ASHA under Menstrual Hygiene Scheme (MHS) in Bhadrak, Dhenkanal, Jagatsinghpur, Kendrapada&Ganjam districts.

Rashtriya Kishore SwasthyaKaryakram(RKSK)
To address several issues of adolescents, government at national and state level has initiated moltipronged strategies. “Rashtriya Kishore SwasthyaKaryakram(RKSK)” has been launched at national level to these strategies forward. Among several key strategies of RKSK; Peer Education, establishment of Adolescent Friendly Health Clinics(AFHCs), Adolescents Health Day(AHD),Menstrual Hygiene Scheme and Weekly Iron Folic acid Supplementation(WIFS) are the key programmatic interventions.

  1. Peer Education under RKSK. -This programme has been envisaged akin to the successfol ASHA initiative in Odisha. The process woold be entirely community driven ensuring community ownership and sustainability. The ASHA structures and systems woold be adopted for propagating a robust peer education drive in Odisha.
  2. Adolescent Friendly Club-  At Sub Centre level one Adolescent Friendly Club will be formed with the PEs, covered under each ASHA of the Sub Centre. The AFC will be composed of 15 to 20 Peer Educators. It is important to note that unlike the group sessions, AFCs are technical in content and are based on a Q&A format.
  3. Adolescent Friendly Health Clinic (AFHC) - AFHC plays a significant role in providing clinical and counseling services to adolescents. The objective of the clinic is to ensure facility based clinical and counseling services for adolescents.
  4. Menstrual Hygiene Scheme - The State mandates foll Menstrual Hygiene Scheme (MHS) coverage for all 30 districts. In 2014-15, all the 15 first phase districts covered under RKSK woold be included under MHS and scaling up to all 30 districts woold be over by 2015-16

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