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Adolescent Health

Adolescent Health- Rashtriya Kishor Swasthya Karyakram

Delhi has an adolescent Population of nearly 35.0 Lac which is nearly 21% of its entire population. This represents a huge opportunity that can transform the social and economic fortunes of the State if substantial investments in their education, health and development are made.

As a part of strategy to address the health & development needs of adolescents a strategy in the form of Rashtriya Kishor Swasthya Karyakram (RKSK) has been adopted in Delhi. RKSK is a strategy based on a continuum of care for adolescent health & development needs, including the provision of information, commodities and services through various Adolescent Friendly Health Clinics (AFHCs) and also at the community level. It aims to provide an amalgamation of Preventive, Promotive, Curative, Counseling & Referral services to the adolescents.

Under Facility based component AFHCs in the form of “DISHA- Delhi Initiative for Safeguarding Health of Adolescents” Clinics have been established in nearly 20 facilities in Northeast & Northwest District and they are being further strengthened to provide Adolescent friendly services.

 Outreach Component has 4 activities-

1.       Weekly Iron & Folic Acid Supplementation Program

2.       Peer Education program

3.       Adolescent Health Day &

4.       Menstrual Hygiene Scheme

Anemia a manifestation of under nutrition and poor dietary intake of Iron is a serious health problem not only among pregnant women but among infants, young children and adolescents. Over 30% of adolescent boys & nearly 50% adolescent girls in Delhi are anemic, which can result in impaired physical growth, poor cognitive development, reduced physical fitness & work performance. 

Adolescents are the future parents and anemia among them may have a catastrophic effect on their health when they become mothers and the health & development of the new born.

Based on the evidence that demonstrates that regular consumption of Iron & Folic Acid (IFA) is effective in reducing the incidence of anemia, Weekly Iron & Folic Acid Supplementation (WIFS) Program was launched in Delhi in July, 2013.

WIFS Program is being implemented through Govt./Govt. aided Schools under the Directorate of Education as well as through Anganwadi Centres under the Deptt. of Women & Child Development in Delhi wherein IFA supplement in the form of “BLUE” tablet is administered to adolescent girls & boys on each Wednesday throughout the year.

Directorate of Family Welfare is the Nodal Department entrusted with overseeing the implementation of WIFS Program in Delhi.

As per reports received -the number of Adolescents taking IFA Tablets on each Wednesday is quite low with average compliance reported being nearly 17% in schools and 30% in Anganwadi Centers during the last financial year 2015-16.

The program has seen an upward trend during the C.F.Y.2016-17 and is depicted below:


As a part of Anemia Prevention & Control strategy, during National De-worming Day (NDD) on 10th February,2016 over 30.50 Lac children were administered de-worming drug at Schools and Anganwadi Centres. For the first time Private schools were made a part of the campaign.

NDD,2017 was held on 9th February,2017 followed by mop up day on 15th February. Nearly 31.21 Lac children & adolescents have been administered Albendazole at the level of 10897 Anganwadi Centers and 3342 Govt./Govt. aided schools as well as  605 private schools across the State.

Peer Education Program is based on the basic premise that Young People are much more likely to be receptive to information communicated by their peers, and would also be more likely to change their behavior if peers they trusted advocate the change. A “Peer Educator” is someone who belongs to the same social group, sharing one or more social or demographic characteristics such as – Age or Education.   Role of a Peer Educator can be varied- from information sharing through distribution of appropriate materials, to ‘Peer Education’ which involves sessions aimed at supporting young people to build their knowledge , aptitude & skills and finally, to provide counseling or intensive psychological support through trained counselors.

The activity is being rolled out with Master Trainers at State & District level already trained.150 Peer Educators have already been identified. One batch of Peer educators have already been trained in Northeast district while training of two batches is underway in Northwest district. By the mid of F.Y.2017-18 500 Peer Educators are planned to be trained and inducted into the system for outreach.

To facilitate the training, increasing the knowledge base and conduct participatory sessions with fellow adolescents by Peer Educators, Peer educator Kits have been printed at the State level and have been made available to the RKSK Districts (Northeast & Northwest).

Adolescent Health Day (AHD) is a quarterly activity and is being planned for last week of April, 2017. The objective of organization of AHDs are to- Improve Coverage with active involvement of Adolescents, Increase awareness among parents & other key stakeholders  on adolescent health needs &  Increase awareness among adolescents about the determinants of adolescent health such as Nutrition, SRH, Substance Misuse, NCDs, Mental Health& Violence (including GBV).

Menstrual Hygiene Scheme aims to increase awareness among adolescent girls on Menstrual Hygiene, ensure increased/easier access to and use of High Quality Sanitary Napkins, To ensure safe disposal of sanitary Napkins in an environment friendly manner. The scheme is to be rolled out in the F.Y. 2017-18

UHND as a Platform: UHNDs are being utilized as a platform to engage with adolescents. Focus is to utilize optimally and effectively, the platform provided by Outreach services/UHND’s for demand generation on Adolescent health issues/ selection of Peer Educators.


IEC/BCC Activities: Activities to increase awareness about adolescent health & development issues and to dispel various myths and misconceptions regarding various issues particularly related to Sexual & Reproductive Health, Sexuality, and Menstruation etc. apart from various important adolescent issues plaguing the State in particular Teenage Marriage & Pregnancy besides the increasingly relevant issue of Anemia and malnutrition are being undertaken.

“RKSK is not a health initiative alone, it is a nation-building programme. It is not a disease-response agenda, it is a life-enhancing agenda. It is not necessary, it is essential. It is not about justice alone, it is about dignity. It is not just about dignity, it is about Humanity.”

“DISHA- Delhi Initiative for Safeguarding Health of Adolescents” Clinics

Weekly Iron & Folic Acid Supplementation (WIFS) Program 2016 , 2017

National De-worming Day (NDD)

Menstrual Hygiene Scheme (MHS)

Peer Education Program

Adolescent Health Day (AHD)

Events &  Gallery

IEC /BCC Tools


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Last Updated : 18 Jan,2019