Evaluation of Adolescent Friendly Health Clinics initiated in Maharashtra

Agency : UNFPA, Maharashta

Adolescents Reproductive and Sexual Health (ARSH) servIces have received a high priority in health services quite recently. In Jine with the strategy of Ministry of Health and Family Welfare, Government of India, the state of Maharashtra has taken an important initiative to start ARSH and set up Adolescents Friendly Health Clinics (AFHCs) at the district hospitals and sub-district hospitals in the entire state. Since 2008, 73 AFHCs have been created and made functional. The UNFPA, Maharashtra commissioned a quick study of AFHCs to assess the current situation with respect to infrastructure, functional status, and attitude and perceptions of the healthcare providers and adolescents.

The broad objective of the evaluation was to assess whether the basic standards/principles of adolescent friendly health service are being followed. The specific objectives of the evaluation were to assess:

  • Is service environment conducive for adolescents to seek health services? (i) What is the service delivery package? (ii) How are services organized? (clinic location, sign age reflecting location, clinic timings, audio-visual privacy, name of the ARSH clinics that appeals to adolescents) (iii) Are clients, information material, equipment and supplies available at the clinics?
  • Are service providers trained for provision of ARSH services?
  • Is information available to adolescents regarding availability of good quality services? (Activities undertaken to promote availability of AFHC, linkages developed to inform adolescents regarding clinics)
  • Are management systems In place to improve/sustain provision of services?

Out of the 73 facilities, 25 facilities were selected randomly for the study. The study was carried out using quantitative as well as qualitative techniques of data collection. The facility survey was carried out using a semi-structured questionnaire. An observation checklist was prepared to observe service provision. The interviews of the service providers were carried out using semi-structured interview schedules. A semi-structured questionnaire was prepared for the adolescents. Additionally, observations and review of records were undertaken for the existing management in formation system.



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