Shah Tejas, Prajapati Bipin, Shah Venu
Department of Community Medicine, GMERS Medical College, Himmatnagar, Gujarat, India.
Department, Community Medicine, GCS Medical College, Ahmedabad, Gujarat, India.
Indian J Community Med. 2022 Oct-Dec;47(4):543-548. doi: 10.4103/ijcm.ijcm_18_22. Epub 2022 Dec 14.
Rastriya Kishor Swasthya Karyakram (RKSK) is a holistic approach implemented for betterment of adolescent health. Barriers in the implementation can be identified by conducting the situational analysis of any program. The present study is a part of the multi-centric study conducted at Sabarkantha district for situational analysis of RKSK. To assess the implementation of various components under RKSK at various levels of health facilities, 2) to identify the barriers faced by services providers in RKSK implementation, and 3) to identify the perception of beneficiaries regarding RKSK.
A Cross-sectional study using a mixed method approach was conducted to review the implementation of the RKSK program at Sabarkantha district. In-depth interview of health personnel involved in implementation of RKSK was conducted using pre-structured and pre-tested interview guide. Ongoing sessions of Adolescent Friendly Health Clinics (AFHCs) were examined, and exit interview of adolescents was conducted. Adolescents residing within limits of the defined facility were also interviewed. Frequency and percentages were used for descriptive analysis, and a thematic qualitative analysis approach was used for qualitative aspects.
RKSK was implemented successfully at Primary Health Centers. Infrastructure for AFHC was inadequate particularly at higher care facilities. Weekly Iron Folic Acid Supplementation (WIFS) was successfully implemented in the district. Overall sessions conducted at AFHC were found to be satisfactory. Adolescents interviewed in the community were satisfied with the services delivered to them under RKSK.
For better implementation of RKSK, there is a need to focus on certain issues such as inadequate infrastructure of AFHCs, the lack of trained counselors, unavailability of sanitary pads, and inadequate participation of adolescents from the community in availing RKSK services.
“国家青少年健康计划”（Rastriya Kishor Swasthya Karyakram，简称RKSK）是一项为改善青少年健康而实施的全面举措。通过对任何项目进行情况分析，可以找出实施过程中的障碍。本研究是在萨巴坎塔区进行的多中心研究的一部分，旨在对RKSK进行情况分析。目的是：1）评估各级卫生设施中RKSK各组成部分的实施情况；2）确定服务提供者在实施RKSK过程中面临的障碍；3）了解受益者对RKSK的看法。
采用混合方法进行横断面研究，以评估萨巴坎塔区RKSK项目的实施情况。使用预先构建并经过预测试的访谈指南，对参与RKSK实施的卫生人员进行深入访谈。检查了青少年友好健康诊所（AFHCs）的进行中的课程，并对青少年进行了离场访谈。还对居住在指定设施范围内的青少年进行了访谈。使用频率和百分比进行描述性分析，并采用主题定性分析方法进行定性分析。
RKSK在初级卫生中心成功实施。AFHC的基础设施不足，特别是在高级护理设施中。该地区成功实施了每周铁叶酸补充（WIFS）。发现AFHC进行的总体课程令人满意。在社区接受访谈的青少年对RKSK项下提供给他们的服务感到满意。
为了更好地实施RKSK，需要关注某些问题，例如AFHC的基础设施不足、缺乏训练有素的咨询师、卫生棉条供应不足以及社区青少年参与RKSK服务的程度不够。
