A study of the functioning of the adolescent friendly health clinics as well as the awareness and health seeking behaviour of adolescents attending the adolescent friendly health clinics in the Rampurhat health district, West Bengal, India

Authors

  • Tanima Biswas Department of Community Medicine, KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India
  • Kunal Kanti Majumdar Department of Community Medicine, KPC Medical College and Hospital, Jadavpur, Kolkata, West Bengal, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20222907

Keywords:

Adolescents’ health, Awareness, AFHCs services, SRH, Utilization

Abstract

Background: Adolescents constitute more than half of the country's population and one-sixth of the global population. Many of them drop out of school, marry young, work in dangerous jobs and engage in sexual activity. Many of the SDGs are heavily reliant on adolescent health and well-being so services should be accessible, acceptable, equitable, appropriate, effective, and comprehensive. Objective of current study was to study the awareness and health seeking behaviour among the Adolescents girls and boys attending AFHCs as well as functioning of adolescent friendly health clinic services in Rampurhat health district.

Methods: This is a Cross-sectional study among the adolescents belonging to the age group of 15-19 years attending AFHCs and are residents of Rampurhat health district, West Bengal.

Results: 40% of adolescent friendly health clinics (AFHCs) are located away from the OPD/Labour Room or other congested areas. Except for sanitary napkins, which were available at 40% of clinics, 80% of AFHCs had 100% supplies of the equipment and commodities. Most adolescent girls (44.5%) experienced menstrual problems and most adolescent boys (27.1%) reported genital itching and urinary problems. 48.5% of clients stated that they did not feel compelled to visit AFHCs. Clinical services were provided to 60% of AFHCs, with the remaining 40% receiving only partial clinical services.

Conclusions: One of the primary reasons for low utilisation of available Sexual and Reproductive Health (SRH) related services is a lack of awareness. Preventing adolescent well-being issues requires a multifaceted approach involving many partners, including adolescents, schools, parents, society, the government, and health care providers.

References

Making health services adolescent friendly: developing national quality standards for adolescent friendly health services, ‎2012. Available at https://apps.who.int/iris/handle/10665/75217. Accessed on 20th June 2021.

Making your health services youth-friendly: a guide for programme planners and implementers. USAID, 2011. Available at: https://www.psi.org/publication/ making-your-health-services-youth-friendly-a-guide-for-program-planners-and-implementers/. Accessed on 20th June 2021.

Adolescent health. Adolescent Health; 2017. Available at: http://www.who.int/topics/adolescent_ health/en/. Accessed on 20th June 2021.

Gupta A, Kumar R, Dureja S, Mohan A, Rahi S. Operational framework: translating strategy into programmes. Available at: http://nhm.gov.in/images/ pdf/programmes/RKSK/RKSK_Operational_Framework.pdf. Accessed on 22th June 2021.

National Family Health Survey (NFHS-4), 2015-16: India. Mumbai: IIPS, 2017. Available at: http://rchiips.org/nfhs/. Accessed on 25th June 2021.

National Family Health Survey (NFHS-5), 2019-21: India. Mumbai: IIPS, 2021. Available at: http://rchiips.org/nfhs/. Accessed on 25th June 2021.

WHO recommendations on adolescent sexual and reproductive health and rights, 2018. Available at: https://apps.who.int/iris/bitstream/handle/10665/275374/9789241514606-eng.pdf. Accessed on 22th June 2021.

Kassa TA, Luck T, Bekele A, Riedel-Heller SG. Sexual and reproductive health of young people with disability in Ethiopia: a study on knowledge, attitude and practice: a cross-sectional study - Globalization and Health. BioMed Central; 10 February 2016. Available at: https://doi.org/10.1186/s12992-016-0142-3. Accessed on 22th June 2021.

Awang H, Rahman AA, Sukeri S, Hashim N, Rashid NRNA. Adolescent-friendly health services in primary healthcare facilities in Malaysia and its correlation with adolescent satisfaction level. Int J Adolesc Youth. 2020;25(1):551-61.

Giri N, Shrestha S, Uprety S, Sangroula R. Utilization of adolescent friendly health services and its associated factors in Dang district of Nepal. Int J Commu Med Public Health. 2020;7(8):2931-7.

Dixit G, Jain S, Mansuri F, Jakasania A. Adolescent friendly health services: where are we actually standing?. Int J Commu Med Public Health. 2017;4(3):820-4.

Kumar D, Yadav RJ, Pandey A. Evaluation of adolescent friendly health services: clients’ perspectives. Int J Curr Res Rev. 2015;7(16):4-6.

Pandey PL, Seale H, Razee H. Exploring the factors impacting on access and acceptance of sexual and reproductive health services provided by adolescent-friendly health services in Nepal, 2019. PLoS One. 2009;14(8):e0220855.

Mahalakshmy T, Premarajan KC, Soundappan K, Rajarethinam K, Krishnamoorthy Y, Rajalatchumi A, et al. A mixed methods evaluation of adolescent friendly health clinic under national adolescent health program, Puducherry, India. Indian J Pediatr. 2019; 86(2):132-9.

Ramasubramaniam S, Iyengar S. Health promoting behaviour among Adolescents attending Adolescent friendly services at school campus. IOSR J Nurs Health Sci. 2014;3:58-62.

Sinha N, Kumar A, Rashmi S. Biosocial and awareness profile of adolescent clients and utilization patterns of the services at an ARSH clinic at Patna, Bihar. Int J Commu Med Public Health. 2019;6:3049.

Raju G, Mackwin D, Krishna K, Kaji TD, Abinash U. Awareness and perceived need of sexual and reproductive health services among higher secondary school adolescents in post disaster setting of sindhupalchowk district, Nepal. Am J Public Health Res. 2020;8(4):125-31.

Singhe MS. Utilization of adolescent friendly health clinic (afhc) services a study of dakshina kannada district. J Composit Ther. 2020;13(9):135-42.

Santhya KG, Prakash R, Jejeebhoy SJ, Singh SK. Accessing adolescent friendly health clinics in India: the perspectives of adolescents and youth. New Delhi: Population Council, 2014. Available at: https://www.popcouncil.org/uploads/pdfs/2014PGY_ AFHC-IndiaReport.pdf. Accessed on 18th July 2021.

Sunil M, Ruchi S, Murari C. Integrating adolescent-friendly health services into the public health system: an experience from rural India. WHO South-East Asia J Public Health. 2013;2:165.

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Published

2022-10-29

How to Cite

Biswas, T., & Majumdar, K. K. (2022). A study of the functioning of the adolescent friendly health clinics as well as the awareness and health seeking behaviour of adolescents attending the adolescent friendly health clinics in the Rampurhat health district, West Bengal, India. International Journal Of Community Medicine And Public Health, 9(11), 4124–4131. https://doi.org/10.18203/2394-6040.ijcmph20222907

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Original Research Articles