Abstract
Objective
To develop a model for providing community adolescent care services in the primary care setting
Methods
Need assessment was done among adolescents and perceived problems of adolescents were studied using qualitative and quantitative methods. Based on the results of these studies, a Family Life Education (FLE) module was prepared. Awareness programs were organized for all stakeholders in the community on adolescent issues. All anganwadi workers in the panchayat were trained to take interactive sessions for all the adolescents in the panchayat using the FLE module. Ward based Teen Clubs were formed in all the 13 wards of the Panchayat separately for boys and girls and FLE classes were given to them through anganwadi workers. An Adolescent Clinic was set up to provide necessary medical and counseling facilities. Adolescent Health Card was distributed to all Teen Club members and those who attended the adolescent clinics.
Results
The present approach stresses the need and feasibility of adolescent-centered, community-based interventions. The authors’ experience showed that before starting any adolescent program, community awareness generation about the need and content of the program is very important for its success. The experience of this model has made it possible to up-scale the program to seven districts of southern Kerala as a service model.
Conclusions
The experiences of the program gave a realistic picture of the needs and problems of adolescents and a simple feasible model for providing services to adolescents in the primary care setting that can be easily replicated in other parts of India.
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References
Grunseit AC, Kippas S. Effects of sex education on young people’s sexual behaviour. Geneva: WHO; 1993. p. 11.
Nair MKC, Paul MK, John R. Prevalence of depression among adolescents. Indian J Pediatr. 2004;71:523–4.
WHO. Orientation programmes to provide adolescent friendly reproductive and sexual health services. Geneva: WHO; 2006.
Nair MKC, George B, Philip E. Trivandrum development screening chart. Indian Pediatr. 1991;28:869–72.
MKC Nair. Editorial. Adolescent sexual and reproductive health. Indian Pediatr. 2004; 41:7–13.
National Research Council and Institute of Medicine, Community Programs to Promote Youth Development. http://www.nap.edu/catalog/10022.html.
Challenges in Family Life Education. http://family.jrank.org/pages/544/Family-Life-Education-Challenges-in-Family-Life-Education.html#ixzz0W3XeiETh.
Acknowledgements
We gratefully acknowledge the cooperation and support received from Unicef, Chennai, Kudappanakkunnu Panchayath, Thiruvananthapuram and staff of Child Development Centre, Kerala, especially Dr.G.Suresh Kumar, Mr.Vijayan Pillai H, Mr.Asokan, PA to Director, Suja S., Junior Programmer in conduction of this study.
Conflict of Interest
None.
Role of Funding Source
Unicef, Chennai.
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Nair, M.K.C., Leena, M.L., George, B. et al. A Panchayat Level Primary-care Approach for Adolescent Services. Indian J Pediatr 79 (Suppl 1), 6–10 (2012). https://doi.org/10.1007/s12098-011-0454-5
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DOI: https://doi.org/10.1007/s12098-011-0454-5