2. AIM
To create awareness in all adolescents, their full
potential by making informed and responsible
decisions related to their health and well being
To assess services and support for achieving so
3. For the first time government of India has adopted a
comprehensive programme to address all aspects of
adolescent health in the country.
It is the first major step towards continuum of care
concept promoted by world health organization.
4. The new adolescent health (AH) strategy focuses on
age groups 10-19 years with universal coverage.
5. Objectives
Improve Nutrition
Improve Sexual and Reproductive Health
Enhance Mental Health
Prevent Injuries and violence
Prevent substance misuse
Screen for non communicable diseases
6. Strategy
MOHFW in collaboration with UNFPA developed a
National Adolescent Health Policy for the
implementation of this programme.
It realigns the current clinic-based curative approach
to a more holistic model, based on a continuum of care
for adolescent health and developmental needs.
7. What’s new about RKSK?
There were 147 Centrally Sponsored Schemes till 2013
budget for adolescents
1. RKSK will bring in several new dimensions such as
mental health, nutrition, substance misuse, gender
based violence and non-communicable diseases
2. Programme introduces community based
interventions through peer educators, and is
underpinned by collaborations with other Ministries
8. 3. At present the Government’s strategic approach in
health sector is RMNCH+A
4. The programme is an effort to move away from a
‘doctor driven’ effort towards a holistic and
participative programme.
5. The programme emphasis seven ‘Cs”
6. Active use of new technologies and social media
platforms to reach the adolescents in their own spaces,
9. The 6 themes in the framework
1.Nutrition
To reduce the prevalence of malnutrition among
adolescent girls and boys
To reduce prevalence of IDA among adolescents girls
and boys
Intervetion
Community level- Counseling on balanced diet , Inclusion
of nutritional education @ school level
Health care based - Management of Low BMI,
Counselling at AFHC
10. 2.Sexual and Reproductive Health(SRH)
To improve knowledge, attitudes and behaviour in
relation to SRH
To promote healthy menstrual hygiene practices among
adolescent girls
To improve birth preparedness and complication
readiness among adolescents
To reduce teenage pregnancies
11. Intervention
@Community level
Life skills focused AEPs through schools, Sanitary
napkins provision and proper disposal, Helpline services etc
@Healthcare level
Treatment of STIs
HIV testing and counseling
Comprehensive abortion care through linkages with
MTP clinics
12. 3.Mental health
To address mental health concerns of adolescents
Intervention
@Community level
Adolescent clubs
@Health care level
Counseling
Referral and management of mental health disorders
through linkage with the national mental health
programme
13. 4.Preventing Injuries and Violence
To promote favorable attitudes against injuries and
violence, including Gender Based Violence among
adolescents
Intervention@Community level
Issues related to gender stereotypes, discrimination and
injuries/violence taken up in Kishori Samoohs through Sabla,
Department of WCD, boys and girls groups in NYKS teen clubs
and others, as relevant
@Health facility-based
Management of injuries and sexual abuse as per protocol in
AFHCs
14. 5.Substance misuse
To raise awareness on adverse effects and consequences
of substance misuse
15. 6.Non-Communicable Diseases
To promote behavior change for prevention of NCDs,
hypertension, stroke, cardio-vascular diseases and
diabetes
16. Community
Awareness of healthy lifestyles
Community-Based Institutions
Incorporation of physical activity in schools ,
life skills-focused AEP
Screening for diabetes in the State Health Plan
Health facility-based
Screening and management of NCDs through relevant
programmes
17. In addition the program is focusing on 7 critical
components in each program area(7c).
Coverage
Content
Community
Clinics
counseling
Communication
Convergence
18. How Will We Get There?
Peer Education
to ensure that adolescents benefit from regular and
sustained peer education covering nutrition, sexual and
reproductive health, conditions for NCDs, substance
misuse, injuries, violence and mental health
19. Adolescent Helpline
Many states are in the process of setting up a 104
Helpline for health related information for the public at
large and service providers as well as grievance redressal.
20. Training
The State Nodal Officer AH should prepare a
comprehensive district wise training plan across all
components of AH
21. Strengthening Role of Parents
State needs to identify strategies to work with existing
parent-teacher associations/similar platforms to
sensitize parents on adolescent health.
During Adolescent Health Day the Counselor or the
trained MO/ ANM should hold group sessions with
parents for awareness.
23. The focus will be to monitor activities in:
Planning of interventions
Making informed decisions regarding operations,
management and service delivery to adolescents
Judicious allocation of resources, ensuring their
effective and efficient use
Evaluating the extent to which the strategy has had the
desired impact on the lives of adolescents
24. Participatory monitoring is based
on the following core principles:
Considering primary stakeholders as active
participants, not just sources of information
Building the capacity of local people to analyze, reflect
and take action
Ensuring joint learning of stakeholders at various
levels
Catalyzing commitment for taking corrective action
25. References
MoHFW
Johnson LR. Rashtriya Kishor Swasthya Karyakram
(RKSK).Academic Medical Journal of India. 2014 Feb
27;2(1):42.
https://www.scribd.com/document/214180448/Rashtri
ya-Kishor-Swasthya-Karyakram-RKSK-and-RMNCH-A
