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Behaviour Change Communication
The overarching BCC strategy for the UDAAN will go beyond the short term project objectives of ensuring utilization of the adolescent health services and aims at bringing about a substantial shift in the knowledge attitude and behaviours of the adolescents and their families at large. State has launched a comprehensive BCC Campaign “TAIYAAR HO” (Get Ready for a Healthy Future) prepared by John Hopkins University – Centre for Communication Program (JHUCCP), for the UDAAN program. This campaign address the primary targets, gatekeepers like parents, teachers and community to build enabling environment for adolescents and to increase the access to AFHS. A whole month was dedicated on “ARSH” in the “KALYANI” programme by Doordarshan.

Capacity Building of Providers
Adolescent health has been a neglected area in the scheme of primary healthcare. The skills of the service providers are limited with regards to dealing with adolescent health issues. Hence, there is a need to build the capacity of the service providers on ARSH issues.

Training the Medical Officers
Training the ANM/Lady Health Visitor (LHV)/Male supervisors and ICTC Counsellors
Training pharmacists
Training of master trainers of ASHA Support System at State Level
Refresher training of frontline service providers (Peer group Educators and Field Trainers)

Empowering Adolescents
The decision-making process of the adolescents is influenced by their peers. There are many instances where the adolescents’ experiments with risky behaviours like unsafe sex and substance abuse due to peer pressure. Adolescents are an untapped resource, which can be harnessed as powerful change agents in the community. Hence, it is important to empower the adolescents themselves, and using them as peer group educators was chosen for the said reason in this programme.

Adolescents Friendly Clinic and Counselling Centres (AFCC)
These centres have been established at the district hospital and the community health centers (CHC)/Block primary health centres (PHC). The adolescent clinics held on an appointed day at a suitable time after the regular OPD hours. The AFCC have both clinical services as well as counselling services, and function as a referral point for the sub block services i.e. AFCs at the village level. The district ICTCs collaborate to provide counselling services in the AFCC. In total 27 AFCC at the block level are functional in the state as of now and 13 AFCC at the district level are in process and will be functional during this financial year.

Adolescent Friendly Clubs (Teen Clubs)
The AFCs have been established by the implementing agencies at the sub block level. There is one adolescent-friendly clubs (AFC) for every 10 villages and at least 15 per block. These AFCs are managed by the adolescents. The PGEs/representative of the adolescent groups in each village is the members of the managing committee along with the ANM, select AWW, ASHAs and an NGO supervisor. In total, 405 AFC are functional in the state as of now.

Other Interventions for Out of School Adolescents
The FNGOs at the block level are doing the following additional activities for out of school adolescents:

Implementing agency form the Village-level adolescent groups led by peer group educators for providing information on adolescent issues. Support by ASHAs and AWWs. 1 male and 1 female PGE per group.
Establishment of Adolescent-friendly centers
Weekly IFA & Deworming distribution– Directly observed through PGEs, AWW, ASHAs, and active adolescents.

In addition other activities like Scholarship to PGE, convergence with school health teams, advocacy on menstrual hygiene and livelihood trainings for skill devlopment are added in 2011-12 for better and healthy future of youth.


District-wise Report

Udhamsingh Nagar

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