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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Utilisation of Adolescent Health Services Under RMNCH+A in an Urban Slum of Berhampur, Odisha, India
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Utilisation of Adolescent Health Services Under RMNCH+A in an Urban Slum of Berhampur, Odisha, India

机译：印度奥里萨邦贝勒姆布尔市区贫民窟中RMNCH + A规定的青少年保健服务的利用

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Adolescents constitute 22.3% percent of the global population. Many challenges are faced by the adolescent girls for which adolescent health services under National Rural Health Mission (NRHM) are being provided to them. Reproductive, Maternal, Neonatal, Child and Adolescent Health (RMNCH+A) approach launched in 2013 was an attempt to address the major causes of mortality among women and children. The RMNCH+A approach has been developed strategically to provide an understanding of ?continuum of care? across various life stages.Aim: To study the knowledge and extent of utilisation of services under RMNCH+A programme among adolescent girls of Berhampur, Odisha.Materials and Methods: This field based cross-sectional study was carried out in the Anganwadi centres (AWCs) of urban slums of Berhampur under Urban Health Training Centre (UHTC) of the institution from April 2015 to October 2016. All the unmarried adolescent girls and Anganwadi Workers (AWWs) were the study subjects. Data was collected from the girls using pre-tested, Self designed, semi-structured questionnaire and by in-depth interview from seven AWWs.Results: A total of 142 Hindu adolescent girls were interviewed. Majority belonged to nuclear families and upper lower socio economic class. Most of them had completed their education upto high school level but 2 (1.4%) had never gone to school. All of them had knowledge about distribution of Iron and Folic Acid tablets (IFA) and 110 (77.4%) were aware about deworming tablets. The media played important role in making girls aware about Sexual and Reproductive Health (SRH). They were not given any preventive health checkups. There were, 30 (21.1%) girls suffering from Reproductive Tract Infections (RTI). But none of them went to the AWWs for consultation. Sanitary napkins were exclusively used by 31 (43.7%) girls. Menstrual hygiene was adequate among 49 (69%) girls. The AWWs had knowledge about services to be provided under RMNCH+A but no health education to the beneficiaries was imparted by them.Conclusion: All the beneficiaries and AWWs were aware about some services available under RMNCH+A. Inspite of the adequate supply, one third of girls were not consuming IFA. None of the AWWs provided any health education to the ir beneficiaries.
机译：青少年占全球人口的22.3％。青春期妇女面临许多挑战，正在向国家农村卫生使命（NRHM）提供青春期服务。 2013年启动的生殖，孕产妇，新生儿，儿童和青少年健康（RMNCH + A）方法是试图解决妇女和儿童死亡的主要原因。 RMNCH + A方法已得到战略性开发，以提供对“连续性护理”的理解。 目标：研究在奥里萨邦Berhampur的青春期女孩中，RMNCH + A计划下服务的知识和利用范围。材料与方法：进行了基于实地的横断面研究该机构的城市健康培训中心（UHTC）于2015年4月至2016年10月在Berhampur城市贫民窟的Anganwadi中心（AWC）进行了研究。所有未婚少女和Anganwadi工人（AWW）均为研究对象。使用预先测试的，自行设计的半结构调查表并通过对七个AWW的深入访谈从这些女孩那里收集数据。结果：总共采访了142个印度教少女。大多数人属于核心家庭和较低的上层社会经济阶层。他们中的大多数人都已经完成了高中学历的教育，但是有2人（1.4％）从未上过学。他们所有人都知道铁和叶酸片（IFA）的分布，其中110人（占77.4％）知道驱虫片。媒体在使女孩了解性健康和生殖健康（SRH）中发挥了重要作用。他们没有接受任何预防性健康检查。有30名（21.1％）女童患有生殖道感染（RTI）。但是他们都没有去过AWW进行咨询。 31名（43.7％）女孩专门使用卫生巾。 49名（69％）女孩的月经卫生状况良好。 AWW知道要在RMNCH + A下提供的服务，但是他们没有向受益人提供健康教育。结论：所有受益人和AWW都知道RMNCH + A下可以提供的某些服务。尽管供应充足，但三分之一的女孩没有食用IFA。所有的AWW均未向其受益人提供任何健康教育。

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