Adolescent and youth responsive health system.pptx

Describe the concept of the responsive health system
Describe the national standards for quality adolescent and youth health service
Describe the existing policies and strategies related to AYH
Explain the concept of MCC and their characteristics in terms of AYH
Discuss the advantages of integrated management of common conditions in adolescents and youth and services to be integrated

1. Adolescent and Youth Responsive Health System and Services Chapter 13

2. By the end of this session, you will be able to: Describe the concept of the responsive health system Describe the national standards for quality adolescent and youth health service Describe the existing policies and strategies related to AYH Explain the concept of MCC and their characteristics in terms of AYH Discuss the advantages of integrated management of common conditions in adolescents and youth and services to be integrated Learning Objectives

3. What roles can health care facilities play in promoting adolescent and youth health Time 5’ Reflective questions Brainstorming:

4. Adolescent and youth responsive health system Previous interventions focused promotion and provision of AYFS A system is required to bring adolescent and youth demand and available quality service The service characteristic of accessible, acceptable, comprehensive, appropriate, equitable, effective, and efficient nature So far, the non-clinical aspects are poorly addressed, and the clinical aspect focuses on SRH services R ecognized that the desired outcomes of adolescent and youth health can not be achieved without addressing the non-clinical aspects of the health system Required a shift towards a responsive health system

5. What does Adolescent and Youth responsive health system mean ? Time 5’ Personal reflection

6. Adolescent and youth responsive health system Responsiveness Response to individuals’ legitimate expectations on the way treated and the environment th ey are treated. Responsive health system The outcome when institutions and institutional relationships are designed in such a way they can respond appropriately Elements of responsive health system Dignity Autonomy Confidentiality Prompt Attention Qualities of clean amenities Access to social support networks during care Choice of Care Provider

7. Evidences show that services for adolescents are: Highly fragmented, poorly coordinated and uneven in quality WHO/UNAIDS developed Global Standards for quality health care services Asist policy-makers and health planners in improving quality Make the health services accessible and available for the young people These standards serve as a yard stick to measure a health system’s responsiveness to the health needs of adolescents. National Standards for quality health care services for adolescents and youth

8. AYH standards N ational AYH quality standards adapted from the global AYH quality standards 1. Adolescents’ and youth health literacy: The health system needs to ensure that adolescents are knowledgeable about their own health, and they know where and when to obtain health services 2. Comprehensive service package: Health facilities provide a package of services including counseling, diagnostic, treatment and care services that fulfills client needs Services may be provided in the facility and/or through referral linkages and outreach 3. Adolescents’ and youth’s participation: Adolescents are involved in the planning, monitoring and evaluation of health services and in decisions

9. AYH standards… 4. Community engagement: These includes for parents, guardians , CBOs and other community members 5. Facility characteristics: C onvenient operating hours, a welcoming and clean environment and maintains privacy and confidentiality E quipment, medicines, supplies and technology for effective service provision 6. Providers’ competencies: Health-care providers demonstrate the technical competence. Both health-care providers and support staff respect, protect and fulfill client/ patient rights

10. AYH standards… 7. Equity and non-discrimination: Health facilities provide quality services to diverse adolescent group/clients 8. Data and quality improvement: Health facilities collect, analyze, and use data S taffs participate in continuous quality improvement 9. Inter-sectoral Collaboration Leading and promoting inter-sectoral collaboration Building governance and capacity to facilitate multisector actions. Synergistic action with other sectors and stakeholders

11. Policies and strategies on AYH Global and regional policies and strategies ICPD Plan of Action, 1994 Adolescent and Youth Regional Strategy and Plan of Action 2010–2018, WHO The UN Sustainable Development Goals (SDG 2016-2030) The UN Global Strategy on Women’s, Children’s, and Adolescents’ Health (2016-2030) The Global Financing Facility (GFF) The Global AA-HA document ( Accelerated Action for the Health of Adolescents) Orientation programs on adolescent health for health care providers , WHO Etc …

12. Policies and strategies on AYH … National policies and strategies: The National Health Policy, FDRE, 1994, Revised 2014 The National Adolescent and Youth Health Strategy (2021-2025) National RH strategy (2021-2025) National Youth Policy of Ethiopia, 2004 Health Sector Transformation Plan II(HSTP 20121-2025) National Standards of adolescent and youth health service. Minimum service package for AYH service

13. Discuss on the following points and share to the wider audience 1. What is meant by the terms Motivation, Competent and Compassion? 2. What do you think is a compassionate workforce mean? 3. What is MCC? Time 10’ Activity Pair share exercise:

14. What adolescents and youth need? A welcoming facility where they receive service quickly Privacy and confidentiality – without parental permission A convenient place at a convenient time that is free or at least affordable Service providers who could treat them with respect and free of judgment A range of services in one place, at the same time

15. Motivated , Competent and Compassionate (MCC) What is MCC? Enthusiastic and energetic Have the necessary technical and clinical knowledge and skills Serving patients/clients Being ethical Living the professional oath Being a model for fellow professionals It’s a movement that requires champions who identify with their profession and take pride in helping people

16. Points to aspire Medical care without compassion cannot be truly patient/client-centered Compassionate care addresses the client’s innate need for connection and relationships Compassion b ased on attentive listening and a desire to understand the client’s context and perspective Compassionate, client-centered care is a top priority to improve the quality and equity in youth-friendly service delivery

17. Essential Characteristics of MCC Clients are considered human beings with complex psychological, social, and economic needs and required person-centered care with empathy Effective communication with different groups, overtime & across settings Respect and facilitation of clients’ and families’ participation in decisions and care Taking pride in the profession they are in and getting satisfaction by serving the people in need

18. Integrated management of common AY Conditions It is a holistic approach of promoting health and treatment for common conditions This approach benefits from having an integration /collaboration & linking Current initiatives often focus on a limited range of issues, such as SRH Often neglected health problems include Mental health disorders, Substance use and substance use disorders, Intentional and unintentional injuries and Chronic illness

19. Integrated management… We need to move from SRH focus to a comprehensive package of services that address all key causes of disease burden

20. Advantages of Integrated management of AYH Attract a greater number and diversity of clients Increase uptake of a range of AYH services at a contact Increased quality of a range of AYH services, also screens Lead to better healthier behavior, through health information & counseling Reduced stigma at health facilities by providing range of services Efficient use of resources, with a lower unit cost of provision of key services

21. Summary Individual, interpersonal, community, organizational, and structural factors make adolescent clients unique This has implications for health care organizations and requires a transition from AF projects to adolescent-responsive health systems This needs the implementation of AYH quality standards and appropriate monitoring systems Young people are quite explicit about what they want from healthcare providers, hence competence in terms of knowledge, attitude, and skills is crucial For this purpose, the provision of MCC is important As the needs of AY are beyond SRH, an integrated and holistic approach of common conditions must be in place