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ORIGINAL ARTICLE Table of Contents   
Year : 2018  |  Volume : 43  |  Issue : 5  |  Page : 6-11
Improving adolescent health services across high priority districts in 6 states of India: Learnings from an integrated reproductive maternal newborn child and adolescent health project


1 Senior Specialist, Adolescent and Reproductive Health, USAID-VRIDDHI/IPE Global Ltd, Haryana, India
2 State Technical Team Lead, USAID-VRIDDHI/IPE Global Ltd, Haryana, India
3 State Technical Team Lead, USAID-VRIDDHI/IPE Global Ltd, Uttarakhand, India
4 State Technical Team Lead, USAID-VRIDDHI/IPE Global Ltd, Himachal Pradesh, India
5 State Technical Officer, USAID-VRIDDHI/IPE Global Ltd, Punjab, India
6 State Technical Officer, USAID-VRIDDHI/IPE Global Ltd, Jharkhand, India
7 State Technical Officer, USAID-VRIDDHI/IPE Global Ltd, Delhi, India
8 Public Health Consultant, USAID-VRIDDHI/IPE Global Ltd, India
9 Lead Nutrition and Training, USAID-VRIDDHI/IPE Global Ltd, India
10 Advisor - Maternal and Child Health, USAID-India, India
11 National Technical Lead, USAID-VRIDDHI/IPE Global Ltd, India
12 Project Director, USAID-VRIDDHI/IPE Global Ltd, India

Correspondence Address:
Dr. Rajeev Gera
IPE Global Ltd, IPE Global House, B-84, Defence Colony, New Delhi - 110 024
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijcm.IJCM_38_18

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Background: India has been at the forefront of designing adolescent health (AH) policies. The National Adolescent Reproductive and Sexual Health policy (2006), the Reproductive, Maternal, Newborn Child, and AH strategy (2013), and the “Rashtriya Kishor Swasthya Karyakram (RKSK)” (2014) have been the critical milestones in this direction. However, despite policies being available, the AH outcomes need improvement through operationalization of focused and need-based AH interventions. Objectives: The objectives of this study were to improve services for RKSK interventions across select geographies of India. Materials and Methods: USAID's VRIDDHI Project has been providing technical support at the national level and in six focus states to improve uptake of evidence-based high-impact reproductive, maternal, newborn, child, and AH interventions. To improve AH services and outcomes, two approaches were implemented, namely (a) strengthen the functioning of adolescent-friendly health clinics in 95 high caseload health facilities in 26 high priority districts across six states and (b) demonstrate other operational strategies outlined in RKSK program including strengthening of district committees on AH, undertaking formative research for developing adolescent-focused communication strategy, and operationalizing weekly iron and folic acid supplementation program. Results: As a result of ongoing technical support over 2-year period (January 2016–December 2017), improvements were noted across multiple AH indicators. In addition, evidence-based learnings were also generated from the demonstration models for potential scale up to other geographies. Conclusion: The project was successful in improving AH services in the intervention facilities through an integrated approach which is replicable, sustainable, and scalable for driving the AH program in India.


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