Biosocial and awareness profile of adolescent clients and utilization patterns of the services at an ARSH clinic at Patna, Bihar
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20192850Keywords:
Adolescents, ARSH clinic, Nutritional awareness, RSHAbstract
Background: Adolescents constitute about 21% of India’s population. Realizing the special needs of adolescents, GOI launched the adolescent reproductive and sexual health (ARSH) program in 2006. ‘Yuva’ clinic was established for the first time in Bihar in 2012 at Patna Medical College for providing services as per ARSH protocols. This study aimed at analyzing the biosocial and awareness profile of the adolescent clients vis a vis ARSH strategy, and the utilization of services at the clinic.
Methods: Cross-sectional study using semi-structured questionnaire.
Results: Total of 1180 adolescents (950 males, 230 females) was studied. Sixty-six percent males, 74.8% females were urban; about 90% were unmarried. Majority were from upper middle class. No females but 66.6% and 86.7% of males were taking alcohol and tobacco respectively. More than 90% of attendees reported regular physical exercise; 36.8% males and 58% females had abnormal BMIs. Seventy-six percent were nutritionally aware, 24.06% aware about reproductive and sexual health (RSH), and 64.74% about ARSH services. Rural and SES were significantly associated with the adolescents’ awareness of nutrition, RSH, and services available. Females had significantly more knowledge regarding RSH. Sixty-seven percent availed counseling services and 1.35% was referred, 50.6% came for clinical services out of which 69.8% remained unmet.
Conclusions: ARSH clinic is a useful initiative. However there are gaps in services vis-a-vis ARSH strategies. If addressed, clinic is likely to attract more adolescents and achieve the objectives of improving their health and capacity to deal with their myriad problems in a better way.
References
Census of India website: Office of Registrar General and Census Commissioner India. Available at www.censusindia.gov.in. Accessed on 12 March 2019.
WHO. BMI-for-age (5-19 years). Available at https://www.who.int/growthref/who2007_bmi_for_age/en/. Accessed on 30 March 2019.
Drinking Guidelines: General Population. Available at www.iard.org/resources/drinking guidelines general population. Accessed on 12 March 2019.
Al –IbrahimMS, Gross JY. Tobacco Use. In: Walker HK, Hall WD, Hurst JW, eds. Clinical Methods: The History, Clinical And Laboratory Examinations 3rd edition. Boston: Butterworths; 1990: 40.
WHO. Physical Activity-World Health Organisation. Available at https://www.who. int/dietphysicalactivity/pa/en/. Accessed on 12 March 2019.
Kumar H, Kumar D, Kumar B, Sinha RK, Singh R. Nutritional assessment of rural children (6- 12 years) of north Bihar: A cross-sectional study. Indian J Child Health. 2019;6(1):25-9.
Prabhu S, D’Cunha D. Comparison of Body Image Perception and the Actual BMI and Correlation with Self Esteem and Mental Health.A Cross sectional Study Among Adolescents. Int J Health Allied Sci. 2018;7;145-9.
Dave H, Nimbalkar SM, Vasa R, Phatak AG. Assessment of Physical Activity Among Adolescents: A Cross-sectional Study. J Clin Diagnos Res. 2007;1(11)SC21-SC-24.
Anjana RM, Pradeepa R, Das AK, Deepa M, Bhansali A. Int J Behav Nutr Phys Act. 2014;11:26.
Paudel D, Nepal L. Awareness on Reproductive and Sexual Health among Adolescents: A Cross sectional study from Higher Schools of Kathmandu, Nepal”. Health Sci J. 2012;5:31-7.
Keene J, Li X. Age and Gender differences in Health Service Utililization. J Public Health. 2005;27(1):74-9.
Gupta M, Bhatnagar N, BahugunaP.Inequity in awareness and utilization of adolescent reproductive and sexual health services in union territory, Chandigarh, North India. Indian J Public Health. 2015;59:9-17.
Available at: https://data.unicef.org/topic/ adolescents/overview/. Accessed on 13.03.2019
Pegu B, Gaur BPS. HIV /AIDS Knowledge And attitude among adolescents of Kamrup Metro district, Assam. Int J Community Med Public Health 2018;5:4835-9.
Dixit S, Agarwal GG, Singh JV, Kant S, Singh N. A Study on Consciousness of Adolescent Girls About Their Body Image. Indian J Community Med. 2011;36(3)197-202.
Lawler M, Nixon E. Body Dissatisfaction Among Adolescent Boys And Girls: The Effects of Body Mass, Peer Appearance Culture and Internalization of Appearance Ideals. J Youth Adolesc. 2011;40(1):59-71.
