Strategies for adolescents in RMNCH+A Programme.

Strategies for adolescents in RMNCH+A Programme :--

Approach adopted in the Reproductive, Maternal, Newborn, Child and Adolescent Health Strategy:--
India’s RMNCH+A Strategy was unique as it recognised the fact that maternal and child health cannot be improved in isolation and need to be effectively weaved with adolescent, family planning and nutrition-based interventions. The ‘Plus’ within the strategy focused on continuum of care with linkages between the interventions targeted at various stages of life-cycle from newborn to the reproductive age, with focus on adolescence as a distinct life stage. It laid focus on linkages between home and community-based services to facility-based care, and between referrals and counter-referrals between and among the health facilities at the primary, secondary and tertiary levels.12

The ‘RMNCH+A Strategy’ was based on innovative approaches and management reforms, like selection of poor-performing areas and high-impact healthcare interventions, enhancing responsibility of development partners and establishing a concurrent monitoring system within the healthcare delivery system to improve its efficiency and effectiveness as described in the following section.

Selection of ‘High Priority Districts:--
India is a union of 29 states and seven union territories (UT) comprising 718 districts with a vast and variable geographical expanse. The country is characterised by wide interstate and intrastate disparities in terms of distribution, availability, utilisation of public healthcare services and the health status of its citizens contributing towards poor health outcomes.13 14 Under the ‘RMNCH+A Strategy’, underperforming districts named as ‘High Priority Districts’ were identified to facilitate focused planning and implementation. To achieve this, state/UT-wise ranking of districts was done based on defined sets of mortality and outcome indicators selected from the most recent evaluation survey findings for the respective states/UTs. Likewise, ‘Annual Health Survey’ (2012–2013) was considered for nine states, while ‘District Level Household Survey-3’ (2007–2008) was considered for the remaining states/UTs (table 1). Within each state, 25% poorest performing districts were selected based on the performance of selected health indicators. Additionally, the tribal predominant districts and those affected by insurgent and rebel groups were also __________ _____ _______ __________ ________ ______ ___ _________ ______ ______ ____ _______.
________ _________ _____ __________ _______ _______ ___ ______ __________ ______ __________ ____.
______ ___ _____ _______ __________.
__________ _____ ____ _____ _____ __________ ____ __________ _______ _________.
___ _________ ______ __________ ________ ________ ________ ______ ___.
______ ___ __________ _______ _________ __________ ____ _______ ____.
____ _____ _______ ________ ___ ________ ________ ______.
_______ __________ ____ ________ ______ _______ ___ ______ ___.
____ _______ ________ _____ _________ __________.
___ ________ _____ _______ __________.
________ ________ _______ _________ ________ _________ ________.
_____ ________ _______ ___ ________ __________ ____ _____ ___ _________ ___.
_______ ____ _____ _____ _____ ____ _____ ________ ____.
___ ______ _________ _____ __________ ____.
______ ________ _____ ___ _________ ____ ____ ___.
________ ______ __________ ____ ________.
_______ _________ ________ _____ ____.
____ _____ ___ __________ ______ _______ _____.
__________ _________ _______ __________ _______ _________ _________ _________.
_____ __________ ___ __________ ______ _________ ______ ____ _____ ________ __________.
_________ _________ _________ _________ __________ ______ _______ _____.
_______ ________ ____ _______ ___.
_________ ______ _____ _______ _____ ______ __________ ____ __________ ____.
_______ __________ ______ ____ ________ ______.
__________ ___ ____ ________ ____ ______ _________.
___ ________ ________ ________ ________.
_________ _________ _________ _________ ___.
_________ _____ ______ ______ ___.
_____ ___ ________ ____ __________ _________ _____ __________ ___ ___ ____ _____.
____ _______ ____ ______ ____ ___.
______ ____ _______ ______ ________ ____ ______ _________ ________ _____.
__________ _____ ________ ________ _______ ___ ________.
____ _________ ______ _________ _________.
________ __________ ___ _________ __________ _________ ______.
___ _______ ________ __________ ______ _________ ___ ______.
___ _______ ________ ___ ________ ________.
____ _________ ________ _______ ___ _______ __________ _______.
________ ____ __________ ____ _____ _______.
___ ___ _____ __________ _________ _____ ___ ______.
___ ___ ____ ________ ____ _________ _____ ___ ________ _________ __________.
_________ ____ _______ _________ _______ _______ _________ __________ _____ ______ ________.
______ _____ ___ ____ ____ ___ ________ ___.
____ ________ _____ ______ ___ _________ __________ ___ ___ ________ _____ __________.
________ __________ _______ _____ ____ _______ _____ _____ ________ ________.
______ _______ ___ ___ _____ _________.
________ ______ _______ ___ ________ ___ __________ ___ ____.
__________ ____ _________ ______ _____ ________ ________ _____ ______.
________ ______ ________ ______ ______ _____ __________ _______ ______ _________ _________.
____ __________ ________ __________ ______ ___ __________ _______ _______ _____.
____ __________ ________ __________ _______ ___ __________ _________ _______.
_____ _______ _________ ________ ______.
____ _________ __________ __________ __________ _______ ____ _______ ______.
________ ______ _____ ________ __________ _________ _________ ___.
________ ________ _________ ___ ___ ___ _____ _______ ______.
__________ ___ __________ __________ ____ ___ ________ _______.
___ _______ _____ __________ ______ _____ _______.
_______ ____ _____ _____ ___ ____ ____ ____ ____ _________.
_________ ____ _______ ____ _________.
__________ ____ _____ ________ ______ _____ _________ _________ _________.
______ ________ ___ _________ _______ ________ ______ ___ _________ ___ __________ ____.
____ _______ __________ __________ ____ ________.
______ _________ ___ _____ _________ _____ _____ ____ _____.
___ ______ _____ __________ ____ ______ ______ __________ ___.
__________ __________ ___ _____ ______ _____ ___ ___ ___ ______ ____.
__________ ___ ____ ______ __________ __________ __________ __________ __________.
_______ ________ __________ _________ ____ ________ _________ ______ _____ _______.
____ ___ _______ ___ ______ _____ __________ ____ _______ ________ _____.
_____ _________ ______ _________ _______ ___ ___ ____ _______ _____ _____ _____.
________ __________ ______ _________ _________ ___ ________ _______ _________ __________ ________ _________.
___ ________ ________ ________ __________ _____ _________ _____ ____ _________ _________.
_______ ___ ______ ________ ______ _______.
________ ______ ________ ______ _____ ____ _______ __________ ______ __________ ___.
_________ ____ ____ ___ _____ ________ ______ ________.
__________ ______ ________ _____ _____.
________ __________ ____ _______ _________ ______ __________ __________.
______ _________ _____ _______ ____ ________ ________.
_____ ______ __________ ________ ______ ____ ___ _______ ___ __________.
________ __________ _____ _________ _____ ___ ____ ___.
_______ ______ _____ ________ _________ _______ __________ ________.
___ ______ ___ _______ ____ __________.
_________ ____ _____ ___ __________ ____.
____ _______ ________ _____ __________ ___ _________ __________ ________.
______ _____ _______ ________ ___ _______ ________ _____ _____ _____ __________.
_________ __________ ________ ______ _________.
___ ____ ______ ____ _______ __________ _____ ________ ____ _____ _____ _____.
_________ ________ ___ _____ _______ _________ ________.
______ ______ ______ _______ _____ __________ _________ __________.
______ ____ ____ __________ ____.
___ _______ __________ _________ __________ ______ ___.
_________ _____ __________ ___ ______ ______ ________ ______ ________ ____.
______ _____ _____ __________ ___ _____ ________ _________ ________ ____ ________.
_______ __________ ___ ______ _________ ______ ___.
_________ _____ ____ __________ _____ ___ ______ _____ ____ _______.
________ _______ _____ _______ ___ ______ ______ __________ _____ _________ _____ _______.
______ ______ _______ ______ __________ ________ ____ ___ ____ _________.
___ ____ ______ ____ __________ _____ __________ __________ ______ _________ ___ __________.
____ _________ ____ ____ _________ ___ ________ __________ ______ ________ ____.
_________ ________ ______ ______ ____ ____ ______ _______ ______ _______.
___ __________ ___ ____ __________ ______ ________ __________ ________ ________ ______ ____.
_____ __________ ___ ________ _____ ______ ________ _________ _____ _______.
__________ ___ _______ _________ ___ ________ ______ ___ _________ _____.
_________ ________ ___ ___ _________ ___ _____ ______ _________ __________ _________ _______.
______ ____ _____ ___ _________ ______ ____ ___ ____ _____ ____.
_______ ______ ________ _________ ______ ____ ________.
_____ ______ _______ ______ ______ ________ ___ ______.
______ ___ _________ _________ _____ _________ ________.
____ _____ _____ _____ ______ ___ ____ ___ ____ ________ __________ _________.
_______ ____ __________ ______ ___.
_______ _______ _______ ___ _______ __________ _______.
_____ _______ __________ __________ _______ __________ ____ ______ ___ _____.
_____ ________ _____ __________ _______ ______ _________ ______ ___.
_____ __________ __________ __________ ___ __________ ______ ______ _______ _______.
___ ___ _______ ____ ____ __________ ____ _________ ______ ______ ________.
_______ ___ _____ ________ ________ ______ _____.
______ _________ ______ ___ ____ ______ ____ ________ ___ ________.
______ _________ ____ ______ __________.
_____ ______ _______ ___ __________ ____ _________ ________ __________ _________.
_____ ____ ____ ______ ___ _______ _________ ___.
Get Full Answer on WhatsApp