AAdolescent Reproductive Sexual Health(ARSH)

1. Introduction ADOLESCENT REPRODUCTIVE SEXUAL HEALTH (ARSH)RCH II GROUP-5 1. AMIT TRIPATHI 4. RASHI GUPTA 2. NEHA DANG 5.SANA AMREEN 3. POOJA DAHHIYA 6.SHRAVARI UBALE 7.SHRUTI GOYAL 8.TARUN DESHMUKH 9. VAISHALI TALANI

2. INTRODUCTION

4. It is a time of physical and emotional change as the body matures and the mind becomes more questioning and independent.

5. These are the formative years of life of an individual when major physical, psychological & behavioural changes takes place.

7. >70% girls between 10-19 year age group suffer from severe or moderate anemia. • Mortality rate is higher in 15-19 year then 10-14 year age group. • Unmet need of contraception is much higher in this age group. • Over 35%of all reported HIV infection occur among 15-24 years age group. • Indicating young people are highly vulnerable and majority of them infected by unprotected sex.

8. Definitions: 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

9. Characteristics: A – Aggressive, Anemic, Abortion D – Dynamic, Developing, Depressed O – Overconfident, Overindulging, Obese L –Loud but lonely & Lack information E – Enthusiastic, Explorative & Experimenting S – Social, Sexual, & Spiritual C – Courageous, Cheerful, & Concern E – Emotional, Eager & Emulating N – Nervous, Never say no to peers T – Temperamental, Teenage pregnancy

10. Why invest?????? 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 CATCH THEM YOUNG

11. 10 -19 years a critical phase Risks Inadequately prepared for life Enter adult hood in poor health Unintended unwanted pregnancy/unsafe abortion Maternal mortality higher for young women Infant mortality higher for young mothers Sexual abuse /violence and unwanted sexual activity STIS including HIV/AIDS 10-19 YEARS CRITICAL PHASE

12. Reproductive and Child Health-II Adolescent Reproductive and Sexual Health(ARSH)

14. Counselling & provision of emergency contraceptives

15. Counselling & provision of reversible contraceptives

17. Nutritional counselling

21. Periodic health education activities

26. Synergy between health and determinants of good health

27. Community ownership of health facilities

29. MMR – 100/1000 live births

31. Interventions by ARSH Services for adolescents to cover preventive , promotive ,curative and counseling services Capacity building of on meeting needs of adolescents Communication activities to be undertaken MIS indicators identified as per specific objectives Inter-sectoral linkages with NACP and NRHM

34. Non judgmental, friendly, competent providerHow to deliver friendly services within “public health system” Training of ASHA- adolescent health included

35. Implementation guide Part 1:Background - purpose of implementation guide -ARSH in RCH II Part 2: What to implement? - standards for adolescent friendly reproductive and sexual health services Part 3:How to implement? Service delivery package Organizing effective services Conducive environment at health facilities Capacity building of providers Environment building Communication with adolescents Monitoring and supervision Sample implementation Part 4 moving ahead Conclusion

37. Understanding the need to address common risk factors

38. Utilizing capacity for optimum utilization of resources

39. Pro active participation of key stake holders to mainstream programme with public healthsystem

40. Common communication strategy for access to services

42. Institutional linkages critical for roll out

43. Preventing overlap of interventions with regard to target groups and services

45. Communication strategy for ARSH

46. Establishing / strengthening inter sectoral convergence

47. Quality assurance of framework