ADOLESCENT It is a vital stage of growth and development. It is a period of transition from childhood to adulthood . WHO – age period between 10 – 19 years for both sexes, married & unmarried people.
ADOLESCENT 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
WHY ADOLESCENT HEALTH? Major physical, psychological and behavioural changes take place. Sexual maturity & onset of sexual activity. Development of adult mental process & adult identity. Healthy responsible parenthood.
WHY ADOLESCENT HEALTH? Great human resource for the society. Growth spurt(growing quickly) and physical activity. Menstruation. Pregnancy.
Major adolescent problems Risk-taking behavior. Substance abuse. Eating habits – Anorexia Nervosa/ Obesity Lack of connection with parents or other adults etc. Early pregnancy and STDs
RMNCH+A (Reproductive, Maternal, Newborn Child plus Adolescent Health) It address(express) the major causes of mortality among women and children. RMNCH+A was formed in 2013. Aim: To ensure equal focus on various life stages .
KEY STRATEGIES OF RMNCH+A Family Planning: Expansion of the basket of FP Choices Home Delivery of Contraceptives by ASHAs National Family Planning Indemnity Scheme Emphasis on Post Partum and Post Abortion FP services
National family planning indemnity scheme Compensation for death/failure/complication following sterilization operation.
KEY STRATEGIES OF RMNCH+A Maternal Health: Early registration of pregnancy ANC services, detection and follow-up of high risk cases. Encouraging institutional deliveries Maternal Death Review Comprehensive/complete Abortion Care
KEY STRATEGIES OF RMNCH+A Child Health: Essential newborn care at specialised units for stabilization and care of sick newborn babies Home based newborn care Promotion of breastfeeding and timely initiation of complementary feeding Management of cases of severe acute malnutrition at Nutrition Rehabilitation Centres Micronutrient supplementation ( eg. Vitamins)
Rashtriya Kishor Swasthya Karyakram (RKSK) The Ministry of Health & Family Welfare. Launched on 7th January, 2014 . RKSK has been developed to strengthen the adolescent component of the RMNCH+A strategy.
Objectives Improve Nutrition Improve Sexual and Reproductive Health Enhance Mental Health Prevent Injuries and violence Prevent substance misuse Prevent non communicable disease
Services provided: WIFS (Weekly Iron Folic acid Supplementation) Clinics and counselling Peer Educator & Adolescent Health Day Menstrual Hygiene Scheme
Kishori Shakti Yojana Launched – year 2000 Aim: Breaking the intergenerational(generation gap) life cycle of nutritional & gender disadvantage and providing a supportive environment for self development.
Objectives To improve nutritional and health status of girls in age group of 11-18 years. To provide required literacy and numeracy skills through the non-formal stream of education. To stimulate a desire for more social exposure and knowledge and to help them improve their decision making capabilities.
Objectives To train the adolescent girls to improve/ upgrade home-based vocational skills. To promote awareness of health, hygiene, nutrition and family welfare, home management and child care . To gain a better understanding of their environment related social issues and the impact on their lives.
Objectives Education for school dropouts and functional literacy among illiterate adolescent girls. Non-formal education to adolescent girls. Emphasis on life education aspects including physical, developmental and sex education is given.
Beneficiaries Adolescent girls who are unmarried and Belong to families below the poverty line School drop-outs
Nutrition Programme for Adolescent Girls (NPAG) Nutrition Programme for Adolescent Girls (NPAG) is a Government of India scheme through which special nutrition is provided to adolescent girls from families living below poverty line. Two backward districts of Karnataka i.e. Kolar and Gulbarga have been selected for implementing this programme on an experimental basis.
Beneficiaries: Adolescent girls (11-15 years) with body weight less than 30 kg. Adolescent girls (15-19 years) with body weight less than 35 kg.
Eligibility criteria Adolescent girls (11-19) - registered in an Anganwadi Centres irrespective of financial status of the family to which they belong.
Benefits Improvement of nutritional and health status of girls. 6 kg of free food grain (rice) per month per beneficiary.
Balika Samridhi Yojana Launched by Government of India in 1997. Aim - to delay the age of marriage.
Objectives To change negative family and community attitudes towards the girl child at birth and towards her mother. To improve enrollment and retention of girl children in schools. to increase the age of marriage of girls. To assist the girl to undertake income generation activities.
Beneficiaries Girl children belonging to families below the poverty line . Who are born on or after 15th August, 1997. The benefits are restricted to two girl children in a household irrespective of number of children in the household.
BENEFITS Benefits: A post birth grant amount of Rs. 500/- CLASS Amount of Annual Scholarship I-III Rs. 300/- per annum for each class IV Rs. 500/- per annum V Rs. 600/- per annum VI-VII Rs. 700/- per annum VIII Rs. 800/- per annum IX-X Rs. 1000/- per annum
Procedure for obtaining the benefit ICDS infrastructure in rural areas and Health Department in urban areas. The application forms are available with Anganwadi Workers in the villages and with Health functionaries in urban.
WIFS (Weekly Iron Folic acid Supplementation) The programme covers 11.2 crore beneficiaries. 8.4 crore in-school. 2.8 crore out of school beneficiaries.
Salient features of WIFS To reduce the prevalence and severity of anaemia in adolescent population (10-19 years).
Target groups School going adolescent girls and boys in 6th to 12th class enrolled in government/government aided/municipal schools. Out of school student Urban and rural area
Intervention Supervised Weekly Iron-folic Acid Supplements 100mg elemental iron and 500ug Folic acid. Screening of target groups for moderate/severe anaemia and referring these cases to an appropriate health facility. Biannual de-worming (Albendazole 400mg)
Adolescent Health Day This is one of the strategies to achieve the objectives of the adolescent health program. Increase awareness among adolescents, parents and families and stakeholders(party that have interest in a company).
Adolescent Health Day The AHD should be organized in every village . Once every quarter on a convenient day (preferably on a Sunday). AWCs or community spaces may be - venues for organizing the AHD.
Adolescent Health Day Services should be offered to all the adolescent target groups ( male/female; 10-14 and 15-19 age ; school going, drop out; and married adolescents).