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Assessment of implementation status of ARSH services


  • Najia Rizvi
  • Agency : ARSH Services, Adolescent, Reproductive Services, Sexual Health
  • Objective : To assess the implementation status of Adolescent Reproductive and Sexual Health Services in the districts of Rajasthan
  • Background : Not Available
  • Methodology : The study is primarily a Qualitative Research study. Primary Data was collected through in- depth interviews with the Service Providers (MOs and ANMs/LHVs) and Programme Managers (RCHO and DPMs).  Beneficiariesí  perspective  was  taken  through Focus group discussions of adolescents. Facility Survey was undertaken by the help of a checklist to assess the operationalization of ARSH clinics. Secondary Data was reviewed from the following sources -RCH-II PIP, training Reports of MOs and master trainers, ARSH Guidelines, Training modules of MOs and ANMs/LHVs.
  • Findings : Out of the four districts under the study, only 1 of the district had operational ARSH clinics. The operational ARSH clinics had been initiated by untrained MOs. 2 CHC had conducted awareness/outreach activity. Adolescents were not aware of the availability of ARSH services. The providers were sensitive towards the need of adolescent and had answered many questions correctly related to knowledge, attitude and practices.  There have been no monitoring or supervisory visits to the facility. The IEC material available at CHCs is inadequate.  
  • Recommendations : ARSH has been made a priority under the RCH-II PIP but when it comes to implementation, it has not been given much significance in lieu of other high priority health programmes. There is a need to follow up the ARSH activities in health facilities at the district level and also to provide IEC material for better promotion of the programme.
To assess the implementation status of Adolescent Reproductive and Sexual Health Services in the districts of Rajasthan