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Youth Friendly Services

Youth Friendly Services. Period of Youth . Adolescence 10 to 19 years Youth 15 to 24 years Young people 10 to 24 years.

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Youth Friendly Services

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  1. Youth Friendly Services

  2. Period of Youth • Adolescence • 10 to 19 years • Youth • 15 to 24 years • Young people • 10 to 24 years

  3. Period of Youth • Big Six Emotions- • Glad • Sad • Scared • Guilt • Mad • Lonely • Youth- • Active • Aggressive • Sexually curious • Period of concerns • Indecisive • Experimentation • Independent • Planning for future

  4. Why Pay Attention? • 1.2 billion adolescents - A fifth of the world’s population • 4 out of 5 live in developing countries • They face dangers more complex than previous generations faced, with less support

  5. Why Pay Attention? • Early puberty • Nuclear families • Effect of mass media • Academic pressures • Rat race • Explosion of Technology • Urbanisation • Industrialization • Globalisation • Experimentation with Internet & mobile phones etc

  6. Health Problems • Accidents • Violence • Sexual abuse • Mental Health problems • Scholastic difficulties • Eating disorders • Malnutrition • General Health Problems • Menstrual problems • Female genital mutilation • Early & unprotected sex • Addictive behaviour

  7. Health Problems • Premarital Sex • Prevalence of RTIs / STIs • Unsafe Abortions • Unwanted pregnancies • Minimal use of contraceptives

  8. Barriers • Lack of knowledge on the part of the youth • Legal or cultural restrictions • Physical or logistical restrictions • Poor quality of clinical services • Unwelcoming services • High cost • Gender barriers • Peer pressure

  9. History of Reproductive Rights • 1968- First International Conference on Human Rights • 1979- Women’s Convention • 1984- International Conference on Population Development • 1993- World Conference on Human Rights • 1994- ICPD, Cairo • 1995- Beijing Conference • 1998- Rome Treaty • 1999- A Review of ICPD

  10. Human Rights (UNFPA, WHO, IPPA) • Right to survival • Right to liberty & security • Right to highest standard of Health • Right to family planning • Right to marry & raise a family • Right to a private life & a family Life • Right to benefits of scientific progress • Right to receive & impart Information • Right of women against discrimination • Right to non-discrimination on the basis of sex

  11. Characteristics of Youth Friendly Services • An attitude of respect for the client irrespective of • age • sex • socio – economic status • marital status • A friendly approach • Assurance of confidentiality • Accessible location & friendly atmosphere • Practicality of working hours • Affordable Services

  12. What should be Friendly? • Policies • Procedures • Healthcare providers • Supporting staff • Health facilities • Peer educators • Community involvement • Youth participation & inputs

  13. Locations Health Centres / Hospitals • Hospital de Ricardo in Argentina • SHAHN at Safdarjang Hospital in New Delhi Youth / Community centres • Nagaru Teenage centre in Uganda, • FPA India • SECRT • Teen care

  14. Locations Outreach services • Friend Corners in Thailand • Kishori Project Of FOGSI School / College Health Clinics • Municipal Corporation of Mumbai Work places

  15. Strategy for Planning Services • Achieve a national consensus for action • Decide on essential services to be provided • Identify & set quality standards • Link related services, Networking, Referrals • Involve young people , parents & community leaders, professionals, teachers • Political support • Marketing, Media, Help-Lines • Public - Private Sector Co-ordination • Involvement of NGOS

  16. Guidelines Staff • Gynecologists • Pediatricians • Physicians • Psychologists • Counselors • Support staff • Laboratory technicians

  17. Guidelines Qualities & Skills • Non judgmental & unbiased attitude • Ensure confidentiality • Competence • Warm & Friendly Approach • Optimism & Motivation • Respect for clients irrespective of age, sex, socio-economic & marital status • Adequate time for interaction • Welcome drop-in clients • Skills in record keeping • Empathy, Sensitivity

  18. Characteristics of the Centre • A friendly ambience • Accessibility • A calm atmosphere • Separate provisions for boys & girls • Practical hours of operation • No overcrowding leading to lack of privacy • Telephonic access • Equipments, furniture • Medicines • IEC material

  19. Services • Screening & advice on nutrition, self-care issues, body-image • Counseling services • Contraceptive services • Pregnancy test, HIV testing etc • Safe Abortions • Prenatal & post natal care • Mental health services • Sexual & Reproductive health education • Space for youth groups to hold meetings • Referral services

  20. Communicating with young people • Take young people seriously • Offer help quickly • Give attention & encouragement • Don’t offer false assurance • Encourage them to talk it out • Help them to understand the cause of distress • Maintain continued contact • Focus on positive behavior • Expect rebuffs

  21. Seven C’s of Effective Communication • Command attention • Clarify messages • Communicate benefits • Create trust • Consistency counts • Cater to both the head & heart • Call for action

  22. Assessment & Evaluation • In young people Attitudinal, Behavioural changes Conceptual development Performance changes • Evaluating the programmeTraining objectives Appropriateness of services • Modes of Evaluation Questionnaire Interview Observations Records

  23. FOGSI Statement Of Policy • Supports inclusion of age-appropriate sexuality education as an integral part of education in schools & communities; FOGSI encourages its members to advocate for & participate in such education. • Endorses access to comprehensive health services to adolescents such as sexuality education, counseling, access to contraception etc in a variety of sites including schools, clinics, community-based, other health care facilities.

  24. FOGSI Supports • The unmarried female of any age whose sexual behaviour exposes her to conception should have access to effective contraception • Gynecologist should be free to exercise best judgment in prescribing contraception; Legal barriers should be removed • MTP services should be made available • Counseling for contraception should also include counseling on venereal diseases • Every effort should be made to include male partners in such services & counseling

  25. Concept – Dr. Duru Shah • Contributors Dr. Ashwini Bhalerao- Gandhi • Editors Dr. Sangeeta Agrawal Dr. Reena Wani

  26. We acknowledge the efforts of our : Coordinators : Dr. Sangeeta Agrawal - Central Dr. Narendra Malhotra - North Dr. Hema Divakar - South Dr. P. C. Mahapatra - East Dr. Uday Thanawala - West In bringing the FOGSI YOUTH EXPRESS to your city.

  27. Charak Pharma Pvt. Ltd CIPLA Ltd. Emcure Pharmaceuticals Ltd GlaxoSmithKline Pharmaceuticals Limited Glenmark Pharmaceuticals Ltd. Metropolis Health Service (India) Pvt.Ltd. Organon India Ltd Roche Pharmaceuticals Ltd. Sandoz Private Limited USV Limited Wyeth Limited This Youth Express has been possible through an educational grant from :

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