- Background:The 1st workshop titled “District level sensitization workshop cum exposure visits to Shraddha Clinic” was organized in collaboration with District Swastya Samiti in Rayagada. In addition,resource and communication materials like posters and leaflets on Shraddha Clincin local language were developed and distributed for wider dissemination.
The detailed workshop report is as follows;
UNFPA, VIEWS and the Rayagada District Swastya Samiti jointly organized a one day “District level Sensitization Workshop cum Exposure Visit to Shraddha Clinics” on 24th November 2018 at DTU Hall, DHH, Rayagada to disseminate information on the services available at the Shraddha Clinics among the adolescents and teachers from educational institutes in the district.
- Key objectives of the workshop
- Create sensitization on Adolescent Friendly Health Clinics (AFHCs) facilities among adolescents, head of the educational institutions, local NGOs and other stakeholders in Rayagada district of Odisha
- Facilitate exposure visit to Adolescent Friendly Health Clinics (AFHCs) to demonstrate the facilities available at Shraddha Clinics.
- Dissemination of IEC materials like posters and leaflets on Adolescent Friendly Health Clinics (AFHCs) facilities among adolescents, head of the educational institutions for wider out reach.
3. Participants Profile
69 participants from 11 colleges of 5 blocks including Gudari, Muniguda, Gunupur, Rayagada and Bismacuttack participated in the workshop cum exposure visit. The participants included 32 girls, 26 boys and 11 teachers.
Table 1: List of colleges that participated in the workshop
|Sl. No.||Name of the college||Place|
|1||Rayagada Autonomous college||Rayagada|
|3||GIACR Engineering College||Rayagada|
|6||Maa Markama Junior College||Bisamacuttack|
|7||Laxmipati Singhania Higher Secondary School||JK Pur|
|8||Thayarama Women’s College||Gunupur|
|11||Shree Ugratara Higher Secondary School||JK Pur|
Table 2: List of guest, resource persons and staff who attended the programme
|1||Dr. S.P. Padhy||CDM & PHO-cum District Mission Director||District Health Dept|
|2||Mr. Basudev Ratha||Manager, RKSK||DHH-Rayagada|
|4||Dr. Rahul Laxman||District Consultant||UNFPA|
|5||Ms. Chitrapola Kandapani||Counselor||Shraddha Clinic|
|6||Mr. S.Bheema Rao||Secretary||VIEWS|
4. Proceedings of the Workshop
4.1. Inauguration of the workshop: The workshop started with the song “ Vande Utkal Janani” by a group of adolescent girls at 10.30 A.M as per the schedule. Mr. S.Bheema Rao, Secretary of VIEWS welcomed all the guests, resource persons and participants and shared a brief background of the programme, objectives of the workshop and expectation from the participants. All the participants introduced themselves and their expectations from the workshop.
After that, Mr. S.Bheema Rao invited all the guests and resource persons to the dais. Dr. Rahul Laxman, District Consultant-UNFPA, Rayagada interacted with the participants and gave a brief presentation on Rashtriya Kishore Swasthya Karyakram (RKSK), whike sharing the context and objectives of the workshop. He stated that “the overview and rationale of the intervention is to create demand for adolescent health services specifically AFHC/Shraddha Clinic services through sensitization of teachers in educational institutions”. He stated that “this workshop will enhance the knowledge and understanding of the teachers and adolescents on adolescent health issues and various services available at AFHC. This will contribute to increase the referral of adolescents to AFHC from educational institutions.
The key topics shared as follows
- Rashtriya Kishor Swasthya Karyakram(RKSK)
- Objectives and functions of Shraddha Clinics
- Menstrual Hygiene Scheme
- WIFS and MHS status
- Convergence between health, education, ICDS and ST& SC Development
He also emphasized that every adolescent has right to access and avail the benefits of Shraddha clinic for their well being.
4.2. Overview on Shraddha Clinics:
Dr. S.P.Padhy, CDM & PHO-cum District Mission Director, Rayagada interacted with the participants and explained various benefits available at Health and Family welfare department of NHM for different age groups including newborn health care, Infant care, female health care. He shared that “Shraddha Clinic was established under Health and Family Welfare Department, GoO for adolescents as an Integrated Counseling & Management Centre for Adolescent health, family planning, infant and young child feeding, gender based violence and non communicable diseases. So all the adolescents age between from 10 to 19 years from the rural and urban should access the facility available at the Dist. Headquarter and CHC level. He also told that, trained counselors were available to provide timely counseling & referral services to the adolescents and maintain privacy of clients at the Shraddha clinics.
4.3. Benefits of Shraddha Clinic:
In this technical session, Dr. B.P Padhy interacted with the participants and shared the benefits of Shraddha Clinics in a participatory mode with live examples to create interest among the adolescents as well as to help them gain better understanding on the topic of Shraddha Clinics. He also made a power point presentation on the benefits of Shraddha clinic in Odiya language. The leaflets and posters on the benefit of Shradda Clinics prepared in Odiya language were also distributed.
After the session, the participants raised various questions related adolescent health and Shraddha Clinics to which he responded patiently while sharing various tips related to the following topics required for adolescent health.
- Nutrition, carbohydrate, protein, fat, & Minerals requirements
- Calculation of Body Mass Index (BMI) and its check up,
- Hemoglobin check, Anti Natal Check up
- Referral services
- Menstrual Hygiene & irregularity
- Non- Communicable disease
- Gender violence
- Aggressive & Depression
- Learning and understanding problem
4.4. Interface with Adolescents and Educational Institutions:In this interaction session, Mr. Basudev Ratha, Manager-RKSK presented a power point. The key topics covered were as follows
- What is Shraddha Clinic
- Clients and target group for shraddha clinics
- Levels of services available at district hospitals, sub-divisional hospitals and Community Health Centers (CHCs)
- Counseling , referral and linkages with other treatment service provision are available for target groups including adolescents
He shared the status of Shraddha clinic services in Rayagada. As many as 8 SHRADDHA clinics are functioning in Rayagada District (including CHC, SDH and DHH
- Total of 2248 cases have been registered at SHRADDHA clinic during 2017-18 and provided service at SHRADDHA clinic.
- 1562 cases have been registered and provided service in the year 2018 alone till September
He also briefed about the following services available at the Shraddha-Integrated Counseling Centre;
- Counseling services to target groups
- Facilitating referral linkages with secondary and tertiary level facilities including cross referral across the facilities where ever required to address the health issues of the target group.
- Establishing linkages with other service facilities such as ICTC, de-addiction centers, ICDS counseling services and legal system for comprehensively addressing the health and related issues.
- Providing treatment to the target group for the conditions that give rise to ill health or cause of concern.
- All counseling components are done under one umbrella and all counselors at every level sit in one room with separate cubicles.
- The clinics are established in CHCs where at least one counselor of any of the programme under H&FW dept. is available.
- ICTC counsellors, RKSK trained AYUSH Mos and ANMs provide services to adolescents in SHRADDHA clinic.
Counseling and Services provided on
- Sexual and reproductive health
- Menstrual Hygiene
- Gender based violence
- Substance abuse
Management of SHRADDHA Clinic
- Timing of the Clinic: The timing is as per the OPD timing of the same institution.
He shared that the functioning timings of Shraddha clinic in Rayagada district was from 12 P.M to 3 PM on Monday and Saturday in CHC and 6 days of a week in District HQ. He requested all the adolescents should avail the benefits of AHCs near to their place.
4.5. Focus Group Discussion: FGD was organized on the problems and issues faced by adolescents. Two boys groups, 2 Girls Groups and One Teacher Group were formed. The outputs of the FGD are mentioned below;
Table 3: Focus Group Discussion among Adolescents Issues
|What are the main problems in the age of Adolescent?||How they suffering from this issue?|
|Lack of personal hygiene Lack of awareness on menstrual cycle, its diseases and its management Social Toboo including Untouchable during the menstrual cycleUnusual growth of bodyPoor knowledge on Sex, STD & STILack of sufficient nutritional food as per the ageAddiction in social mediaAttracted towards substance abuse (smoking, alcohol)Attracted to junk foodSkin diseasesFrustration Lack of career plans Wrong decisionsEmotional imbalanceCarelessAngerStress due to parents expectation levelsChild /Early marriage in this age leads different physical and mental issues||Suffering with diseases like Infection, Stomach ache, Back pain, Vomiting, WeaknessFace pale, DepressionStress, HypertensionOver BleedingIrregular menstruationOver growing of private partNight fallMentally Harassment, Feeling uncomfortableFear to take initiative, Bad thought in mindBody growthSuicide Career hamperSocial media disturb the career/ study|
A focus group discussion among teachers was conducted to find out an alternative mechanism to overcome the issues in the age of adolescent. The key suggestions were as follows;
- Awareness camps among the students on the Shraddha Clinics should be conducted in high school and colleges level
- Technical Expert and Counselor should be employed at village and educational institutions level
- Women SHGs members should be involved to make this program more successful
- The benefits of Shraddha Clinics should be advertised in social media for wider coverage and dissemination
- Short film/ Documentary video shows should be conducted on adolescent health issues at school and colleges level for benefit of students
- NSS staff should be involved in adolescent awareness programmes
- IEC materials on adolescent health and Shraddha Clinics should be available in all educational institutions
- Special trainings on Shraddha clinic should be organized in boarding school and colleges
- Life skill education should be provided to all the students as part of their course curriculum
After the FGD presentation, Dr. Rahul Laxman and staff from District health departments responded to all the questions and queries from the participants. They provided various practical suggestions and solutions to overcome the health issues faced by students during the adolescent period.
All the students took oath to sentisitizea about Shraddha clinics 20 more students. “This Workshop was very interactive and educative. It is a good initiative for the betterment of adolescents” said Dr. Sarita Mishra, Lecturer
Mr. Saroja Kumar Satapathy, Project Coordinator-VIEWSshared the outcomes of the workshop and gave a vote of thanks to the guests, resource persons and participants of the workshop. He invited all the participants to join for lunch and continue individual interaction with the resource persons.
5. Exposure visit to Shraddha Clinics: After the lunch break, the participants were divided into 10 groups and taken for exposure visit to Shraddha Clincks. The adolescent groups visited the Shraddha clinics located inside the DHH. The counselor at the Shraddha Clinic interacted with the students and showed them facilities available in the clinic. She distributed some of IEC materials to the adolescents and explained the significance and benefits of Shraddha Clinics. The adolescents interacted actively with the counselor on various issues related to adolescent health and menstrual hygiene.
After this workshop, a feedback regarding the workshop was collected from the participants. The exposure concluded at 4.30 P.M with a vote of thanks from team VIEWS to officials of the health department and participants from the educational institutions.
6. Testimony from the participants
- “We knew that there is a facility for Adolescent, more people should be made aware about the facility so that they can access it and get benefitted” said Sagar Kandhapani.
- We came to know about the Shraddha Clinic, which is very useful for the adolescent girls” said Hemanta Bania.
- “We came to know of the issues faced by adolescents and also that that there is a facility for counseling and treatment of these” said Krushna Mallik.