Organisation : Ministry of Health and Family Welfare
Scheme Name : Rashtriya Kishor Swasthya Karyakram RKSK

Home Page : http://nrhm.gov.in
Details Here : http://nrhm.gov.in/rashtriya-kishor-...karyakram.html

Rashtriya Kishor Swasthya Karyakram :
** The Ministry of Health & Family Welfare has launched a 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.

** The Rashtriya Kishor Swasthya Karyakram was launched on 7th January, 2014. The key principle of this programme is adolescent participation and leadership, Equity and inclusion, Gender Equity and strategic partnerships with other sectors and stakeholders.

The 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.

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

** The Rashtriya Kishor Swasthya Karyakram (National Adolescent Health Programme),will comprehensively address the health needs of the 243 million adolescents. It introduces community-based interventions through peer educators, and is underpinned by collaborations with other ministries and state governments.

Objectives :
** Improve Nutrition
** Improve Sexual and Reproductive Health
** Enhance Mental Health
** Prevent Injuries and violence
** Prevent substance misuse

Registration of the Clients :
** All the adolescents visiting the AFHCs must be registered and record must be maintained in the Client Registration Register.

** Referring all the adolescents coming to the General OPD to the AFHC must be avoided. Only those Adolescents who require counselling on specific AH issues should be referred to the AFHC. Adolescents requiring clinical services for general ailments or other diseases should be treated at the General OPD only.

Guidelines for operationalizing the Model AFHCs :
Infrastructure:
** There has to be a separate room for AFHC. In case of non-availability of the separate room the available room should be sub divided to create space/room for the AFHC.
** The physical appearance of AFHCs is important for creating an environment where adolescents feel comfortable.
** A typical health set up might not attract adolescents, but a simple makeover with wall paint, colourful furniture, bright posters, LCD screens with appropriate health messages etc. can all transform the facility.
** Basic amenities like sitting arrangement, clean drinking water, and clean toilets should be made available for the adolescents visiting the clinic.

Minimum Human Resource Required for the AFHCs:
** Full time placement of One AFHS trained MO and ANM/ LHV should be ensured by the facility in charge.
** It is advisable that two MOs are trained for the facility with preferable inclusion of the Female MO.
** In absence of the service providers at the weekly AFHCs at the PHCs the MOs, ANMs and Counsellor from the nearby CHCs should be deputed to those PHCs on service days.
** Dedicated AH Counsellor is to be placed at the AFHCs (DH,SDH and CHC ) for counselling services. If the recruitment of the Counsellor is to be done, it has to be completed at the earliest.
** All the clinical services must be provided by the clinical staff of the AFHC and counselling services must be provided by the trained counsellors/ MO/ANM.
** Service providers should be non- judgmental and competent.

Privacy of the Clients :
** Efforts should be made to maintain privacy and confidentiality, to ensure that adolescents are comfortable attending clinics.
** Adolescents must be treated with dignity and respect.
** Place of physical examination must have screens.
** While examination of the adolescent girls ANMs/ LHVs must remain present.
** All the doors and windows of the Clinic must have curtains.