Health Promotion Division, Public Health Foundation of India, Gurugram, Haryana, India.
World Health Organization Regional Office for South-East Asia, New Delhi, Delhi, India.
BMJ Open. 2022 May 6;12(5):e047435. doi: 10.1136/bmjopen-2020-047435.
To review the overall planning, implementation and monitoring of adolescent and school health programmes currently implemented in India and determine if they are in alignment with the indicators for achieving universal health coverage for adolescents in India.
A rapid review, with key informant interviews and desk review, was conducted using World Health Organization's tool for Rapid Assessment of Implementation of Adolescent Health and School Health Programmes. Operational guidelines, reports and relevant publications (surveys, policy briefs and meeting proceedings) related to India's adolescent and school health programmes were reviewed. Key informant interviews were conducted in New Delhi (India) with senior officials from the health and education departments of the Government of India, representatives from the private health sector and civil society organisations. Data were analysed using World Health Organization's framework for universal health coverage for adolescents and summarised according to the key indicators.
Key informant interviews were conducted with 18 participants: four each from health and education department of the government, one clinician from private health sector and nine representatives from civil society organisations. Manuals and operational guidelines of India's existing adolescent and school health programmes were reviewed. India's national adolescent and school health programmes align with many priority actions of the World Health Organization's framework for delivering universal health coverage for adolescents. These programmes require strengthening in their governance and implementation. While adolescent health and school health programmes have robust monitoring frameworks, however, there is a need to strengthen research and policy capacity.
Various national health programmes have targeted adolescents as a priority population. A better translation of these programmes into implementation is needed so that the investments provided by the government offer sufficient opportunities for building collective national action for achieving universal health coverage with adolescents as an important section of the population.
审查印度目前实施的青少年和学校卫生方案的总体规划、实施和监测情况，并确定其是否符合印度实现青少年全民健康覆盖的各项指标。
采用世界卫生组织快速评估青少年健康和学校卫生方案实施情况工具，进行快速审查，并结合重点知情人访谈和文献回顾。审查了与印度青少年和学校卫生方案相关的业务准则、报告和相关出版物（调查、政策简报和会议记录）。在印度新德里对印度政府卫生和教育部门的高级官员、私营卫生部门的代表以及民间社会组织的代表进行了重点知情人访谈。利用世界卫生组织实现青少年全民健康覆盖框架对数据进行分析，并根据主要指标进行总结。
重点知情人访谈共 18 人参加：政府卫生和教育部门各 4 人，私营卫生部门临床医生 1 人，民间社会组织代表 9 人。审查了印度现有青少年和学校卫生方案的手册和业务准则。印度国家青少年和学校卫生方案符合世界卫生组织实现青少年全民健康覆盖框架的许多优先行动。这些方案需要加强治理和实施。尽管青少年健康和学校卫生方案具有健全的监测框架，但仍需要加强研究和政策能力。
各种国家卫生方案都将青少年作为重点人群。需要更好地将这些方案转化为实施，以便政府提供的投资为建立集体国家行动提供充分机会，实现全民健康覆盖，使青少年成为人口的重要组成部分。
