PPT on Rashtriya Kishor Swasthya Kariyakram

It is a ppt on the ongoing programme RKSK, how its been implemented in India and what are some of the operational guidelines

1. AIM To create awareness in all adolescents, their full potential by making informed and responsible decisions related to their health and well being To assess services and support for achieving so

2. For the first time government of India has adopted a comprehensive programme to address all aspects of adolescent health in the country. It is the first major step towards continuum of care concept promoted by world health organization.

3. The new adolescent health (AH) strategy focuses on age groups 10-19 years with universal coverage.

4. Objectives Improve Nutrition Improve Sexual and Reproductive Health Enhance Mental Health Prevent Injuries and violence Prevent substance misuse Screen for non communicable diseases

5. Strategy MOHFW in collaboration with UNFPA developed a National Adolescent Health Policy for the implementation of this programme . It realigns the current clinic-based curative approach to a more holistic model , based on a continuum of care for adolescent health and developmental needs.

6. What’s new about RKSK? There were 147 Centrally Sponsored Schemes till 2013 budget for adolescents RKSK will bring in several new dimensions such as mental health, nutrition, substance misuse, gender based violence and non-communicable diseases   Programme introduces community based interventions through peer educators, and is underpinned by collaborations with other Ministries

7. 3. At present the Government’s strategic approach in health sector is RMNCH+A 4. The programme is an effort to move away from a ‘ doctor driven ’ effort towards a holistic and participative programme . 5. The programme emphasis seven ‘Cs” 6. Active use of new technologies and social media platforms to reach the adolescents in their own spaces,

8. The 6 themes in the framework 1. Nutrition To reduce the prevalence of malnutrition among adolescent girls and boys To reduce prevalence of IDA among adolescents girls and boys Intervetion Community level- Counseling on balanced diet , Inclusion of nutritional education @ school level Health care based - Management of Low BMI , Counselling at AFHC

9. 2.Sexual and Reproductive Health(SRH) To improve knowledge, attitudes and behaviour in relation to SRH To promote healthy menstrual hygiene practices among adolescent girls To improve birth preparedness and complication readiness among adolescents To reduce teenage pregnancies

10. Intervention @ Community level Life skills focused AEPs through schools, Sanitary napkins provision and proper disposal, Helpline services etc @Healthcare level Treatment of STIs HIV testing and counseling Comprehensive abortion care through linkages with MTP clinics

11. 3.Mental health To address mental health concerns of adolescents Intervention @Community level Adolescent clubs @Health care level Counseling Referral and management of mental health disorders through linkage with the national mental health programme

12. 4.Preventing Injuries and Violence To promote favorable attitudes against injuries and violence, including Gender Based Violence among adolescents Intervention @Community level Issues related to gender stereotypes, discrimination and injuries/violence taken up in Kishori Samoohs through Sabla , Department of WCD, boys and girls groups in NYKS teen clubs and others, as relevant @Health facility-based Management of injuries and sexual abuse as per protocol in AFHCs

13. 5.Substance misuse To raise awareness on adverse effects and consequences of substance misuse

14. 6.Non-Communicable Diseases To promote behavior change for prevention of NCDs, hypertension, stroke, cardio-vascular diseases and diabetes

15. Community Awareness of healthy lifestyles Community-Based Institutions Incorporation of physical activity in schools , life skills-focused AEP Screening for diabetes in the State Health Plan Health facility-based Screening and management of NCDs through relevant programmes

16. In addition the program is focusing on 7 critical components in each program area(7c). Coverage Content Community Clinics counseling Communication Convergence

17. How Will We Get There? Peer Education to ensure that adolescents benefit from regular and sustained peer education covering nutrition, sexual and reproductive health, conditions for NCDs, substance misuse, injuries, violence and mental health

18. Adolescent Helpline Many states are in the process of setting up a 104 Helpline for health related information for the public at large and service providers as well as grievance redressal .

19. Training The State Nodal Officer AH should prepare a comprehensive district wise training plan across all components of AH

20. Strengthening Role of Parents State needs to identify strategies to work with existing parent-teacher associations/similar platforms to sensitize parents on adolescent health. During Adolescent Health Day the Counselor or the trained MO/ ANM should hold group sessions with parents for awareness.

21. Monitoring and Surveillance The proposed monitoring system will monitor inputs, processes and outputs.

22. The focus will be to monitor activities in: Planning of interventions Making informed decisions regarding operations, management and service delivery to adolescents Judicious allocation of resources , ensuring their effective and efficient use Evaluating the extent to which the strategy has had the desired impact on the lives of adolescents

23. Participatory monitoring is based on the following core principles: Considering primary stakeholders as active participants , not just sources of information Building the capacity of local people to analyze, reflect and take action Ensuring joint learning of stakeholders at various levels Catalyzing commitment for taking corrective action

24. References MoHFW Johnson LR. Rashtriya Kishor Swasthya Karyakram (RKSK).Academic Medical Journal of India. 2014 Feb 27;2(1):42. https://www.scribd.com/document/214180448/Rashtriya-Kishor-Swasthya-Karyakram-RKSK-and-RMNCH-A

25. THANK YOU