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.
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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
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
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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