An Introduction to RASHTRIYA KISHOR SWASTHYA KARYAKRAM RKSK

An Introduction to RASHTRIYA KISHOR SWASTHYA KARYAKRAM (RKSK) Aprajita Anand Mandrekar

Today’s Overview 1 • Familiarizing yourself with RKSK. 2 • Need of RKSK in Adolescent’s Life. 3 • Facilities at YUVA Clinic 4 • What you can do to help Adolescents in your school.

Quick Facts. - Substance Abuse is on rise in Goa. - Child Marriage is still prevalent. - Many Adolescents know very little about Sexual & Reproductive Health - Unaware about the Medical and Counselling facilities. Adolescent Problems 2015 yr 2016 yr 2017 yr

Behaviors Formed In Adolescence Influence Health & Morbidity Across Life (INDIA) 18% adolescent boys use tobacco 31% of aged 15 and over are insufficiently active 14% of adolescent girls and 18% 20% of adolescents experience a mental health problem of boys reported use alcohol. 50% Physical inactivity- 7% deaths 30% NCDs due 6% of deaths , main tobacco use cause for 21– 25% of breast and colon cancers, 27% of diabetes, 30% of ischaemic heart disease experien ce alcohol depende nce adolescent are obese 50% continue to be overweight 47% continue to smoke 11% Overweight & Antisocial personality obesity disorder- greater than 50% of first diagnoses across the 9% of all deaths in life course are ONLY by age 25 years 15 and 29 age group due to alcohol-related causes 44% of diabetes, 23% of ischaemic heart disease and 741% of certain cancers Source: WHO 2008; WHO 2009; WHO 2011

Vulnerabilities of Adolescents : • Malnourished anaemic • Unintended and unwanted pregnancies/unsafe abortions • Maternal mortality higher in adolescents • Infant mortality higher amongst young mothers • Incidence of STDs including HIV/AIDS among adolescents

Vulnerabilities of Adolescents : • Sexual abuse/violence and unwanted sexual activity • Prone to accidents, injuries and violence • Suffer from mental health problems

What is RKSK? Rashtriya Kishor Swasthya Karyakram (RKSK) Health Programme for adolescents, in the age group of 10 -19 years, which would target their nutrition, reproductive health and substance abuse, among other issues.

Key Principles of RKSK • Adolescent participation and leadership • Equity and inclusion, • Gender Equity • Strategic partnerships with other sectors and stakeholders.

RKSK Programme envisions enabling all adolescents in India to realize their full potential by making informed and responsible decisions related to their health and well-being and by accessing the services and support they need to do so.

• RKSK introduces community-based interventions through peer educators, and is underpinned by collaborations with other ministries and state governments. • Will comprehensively address the health needs of the 243 million adolescents across India.

The Paradigm Shift and Key Thematic Areas Mental and Emotional Well Being Healthy Lifestyle Violence free living RKSK Objectives Reproductive and Sexual Health Substance misuse prevention Improved nutrition al status

Objectives of RKSK • Improve nutrition – Reduce the prevalence of malnutrition among adolescent girls and boys – Reduce the prevalence of iron-deficiency anaemia (IDA) among adolescent girls and boys • Improve sexual and reproductive health – Improve knowledge, attitudes and behaviour, in relation to SRH – Reduce teenage pregnancies – Improve birth preparedness, complication readiness and provide early parenting support for adolescent parents

Objectives of RKSK • Enhance mental health – Address mental health concerns of adolescents • Prevent injuries and violence – Promote favourable attitudes for preventing injuries and violence (including GBV) among adolescents • Prevent substance misuse – Increase adolescents’ awareness of the adverse effects and consequences of substance misuse • Address NCDs – Promote behaviour change in adolescents to prevent NCDs such as hypertension, stroke, cardio-vascular diseases and diabetes

Target Group • The new adolescent health (AH) strategy focuses on age groups 10 -14 years and 15 -19 years with universal coverage. • Males and females; urban and rural; in school and out of school; married and unmarried; and vulnerable and under -served.

Strategies • Strategies/interventions to achieve objectives can be broadly grouped as: Community based interventions Peer Education (PE) Quarterly Adolescent Health Day (AHD) Weekly Iron and Folic Acid Supplementation Programme (WIFS) – Menstrual Hygiene Scheme (MHS) – – • Facility based interventions – Strengthening of Adolescent Friendly Health Clinics (AFHC) also called as Yuva Clinics.

Strategies • Convergence – Within Health & Family Welfare - FP, MH (incl VHND), RBSK, NACP, National Tobacco Control Programme, National Mental Health Programme, NCDs and IEC – With other departments/schemes - WCD (ICDS, KSY, BSY, SABLA), HRD (AEP, MDM), Youth Affairs and Sports (Adolescent Empowerment Scheme, National Service Scheme, NYKS, NPYAD) • Social and Behaviour Change Communication with focus on Inter Personal Communication

YUVA CLINIC Adolescent Friendly Health Clinic

Facilities at Yuva Clinic • • Addressing Medical Issues. Psychological & Social Issues. Gynaecological Issues. Sexual & Reproductive Health Nutrition Vaccination Cosmetic Queries Life Skills

Facilities at Yuva Clinic • Stress Management • Career Guidance • Prevention of Diseases & Promotion of Awareness • Counselling Services

We value Rights of Adolescents • • • Right to Education Right to a Family Right to Health care preferred Right to have a name Right to food everyday

Giving your Best Support! • Identify children/adolescents in need of counselling. • Inform us about children doing substance abuse. • Spread awareness among children about Yuva clinic which provides health services and counselling facilities.

Primary Health Centre, Corlim • Routine check-ups at primary, secondary and tertiary levels of care is provided on fixed days and fixed time to adolescents married and unmarried, girls and boys during the clinic sessions. • PHC, Corlim is available on Monday to Friday. • Timings: 9 am to 1 pm & 2 pm to 4 pm. • Yuva Clinic available under this PHC • Friendly Staff and Doctors. (RKSK Doctor, Counsellor, School Health AMM) • Additional Support and Help.

QUESTIONS

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