Mamta Taruni Abhiyan

Overview

Health and Family Welfare department, under RCH-II has initiated Adolescent Friendly Health Services. 349 AFHC clinics centers including all the district hospitals and Medical colleges have been initiated. These clinics are meant to provide basic health care and counseling to the adolescents. As current year has been declared as "Nirogi Bal Varsh” adolescent health has been included as one of the components of MamtaDiwas.

Department has initiated Mamta Diwas which is meant to provide a fixed day outreach services to expecting and lactating mothers. The services are being provided by the Mamta Diwas, Adolescent Health Days, Adolescent Friendly Clubs, etc. A special card is been designed for record and documentation Adolescent Friendly Health Services given to the adolescents.

The state also gives special emphasis to the health challenges of adolescents (10 to 19 years) and focusing on various adolescent health services. Adolescent health interventions may not immediately get reflected in reduction in infant mortality rates or other conventional measures of health systems performance but they are nevertheless important. Rastriya Kishor Swasthya Karykram (RKSK) is implemented in 10 districts since January 2014.

Various community based and Facility based interventions are implemented under the RKSK paradigm to target Adolescents specific challenges such as: Social Discrimination, Negative Social Norms, Inadequate Education, Early Marriage,Teenage Pregnancy, etc. Under the program adolescents are enrolled and made aware about nutrition, personnel hygiene, health care, self employment generating scheme, reproductive health, menstrual hygiene, preventing substance abuse, etc.

Based on the above three concepts MAMTA TARUNI ABHIYAN is being proposed for adolescents girls in the age group of 10 to 19 years in rural areas. This is a community level intervention to cater the need of the above said group.

Why Mamta Taruni Abhiyan

There has been successful implementation of school health program which caters the need of school going adolescent. Maternal Health component of RCH-II covers most of the married adolescent and their needs for reproductive and sexual health and nutrition. The only group remains uncovered is out of school unmarried adolescents. Various studies and data both from central and state level shows the poor nutrition status of out of school adolescents boys and girls, early marriages and early pregnancies, unsafe abortions and unwanted pregnancies in this group, prone to sexual abuse and violence, high risk to RTI/STI including HIV/AIDS. This all in turn leads to various mental health problems. This is a group which least access the health care facilities for all the above mentioned problems. Mamta Taruni Abhiyan is a community based intervention under the umbrella of RCH-II ARSH strategy to provide health care out of school unmarried adolescent girls.

Following the same, convergence of ICDS Kishori Shakti Yojana and AFHS is proposed. As these girls are already trained in all the major aspects related to adolescents they can be provided refresher training and can be used as peer educators. These girls will be then acting as a bridge between the community and the AFHS centers.


Activities Carried Out in AFHS and KSY: Comparison

Sr. No. Activity KSY AFHS
1 Growth monitoring
2 Nutrition Awareness
3 Micro nutrient Supplementation (IFA, Iodine)
4 Basic Health Issues
5 Personal Hygiene
6 Life Skills: Self Employment Generation, Career Planning
7 Creating referral linkage
8 Peer Educator Model
9 TT Coverage
10 Nutrition Supplementation (under NPAG Scheme)
11 Quarterly Rapid assessment for adolescent girls to identify magnitude of problem of malnutrition.

Activities to be Conducted Under Taruni Abhian

  • Village Wise Enlisting of Out of School Unmarried Adolescent Girls: All adolescents' girls within the age group of 10-19 are to be registered in the defined population (ICDS Seja). Registration has to be done jointly by the AWW and ASHA. the register will be maintained at AWC. Updating of register will be done during the month of January every year.
  • Services at Mamta Diwas Centre: Weighing once after every 4 months. (January, May September), Monthly IFA, nutrition supplement to all the girls whose weight is less than 35 kg( this will be covered under KSY and in case number of girls exceed 30, these extra girls will be covered under health) , deworming, Vitamin A dose (October and April) [not to be given in rainy and mango seasons], TT vaccination at the age of 10 and 16 years, counseling for menstrual disorders, personal/menstrual hygiene, RTI/STI screening and awareness about contraceptives to be provided on the Mamta Day.
  • Identification of Mamta Taruni Peer Educators: RKSK – Peer Educators are selected as per Guidelines of Government of India. Moreover, Kishori Shakti Girls are placed at all aganwadi by ICDS. These Peer Educators are trained in growth monitoring, nutrition awareness, micro nutrient supplementation, personal hygiene and basic health issues. Out of these girls the girl having leadership qualities to be identified and trained as peer educators (PEs – RKSK districts). These peer educators will then play an important role in educating and bringing adolescents to the Adolescent Health Diwas, Adolescent Friendly Health Care clinics that will ensure health care facilities for counseling and treatment if needed.
  • Formulation of ARSH Cards and Registers for Reporting and Documentation: Uniform design of ARSH card and register to record needful information will be prepared at state level in consultation with ICDS.
  • TOT of MNGOs at State Level by RRC: MNGOs will be trained as trainers for ARSH. This training will be provided by CHETNA which is recognized as the Regional Resource Centre. The trained representatives of the MNGOs will train Kishori Shakti Girls at district level as peer educators and field level staff for provision of services.The module "HUM TUM" will be used for training.
  • Printing of HUM TUM in Gujarati and Distribution to Districts: Training cum IEC material on adolescents HUM TUM is prepared by CHETNA which is to be printed in Gujarati and distributed to the district health offices and MNGOs.
  • Identification of District Level Authority: District RCH Officer will be the district level authority for monitoring of MAMTA TARUNI ABHIYAN.
Mamta taruni abhiyan
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