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Journal = Adolescents
Section = Adolescent Policy and Programmes

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12 pages, 386 KiB  
Article
Effect of Adolescent Health Policies on Health Outcomes in India
by Sayooj Sahadevan, Maureen Dar Iang and Fekri Dureab
Adolescents 2023, 3(4), 613-624; https://doi.org/10.3390/adolescents3040043 - 7 Oct 2023
Cited by 1 | Viewed by 4789
Abstract
Adolescence is a crucial phase marked by significant physical, psychological, emotional, and social changes. India has the world’s largest adolescent population. Understanding and addressing their health needs is vital for the nation’s social, political, and economic progress. The primary aim of this study [...] Read more.
Adolescence is a crucial phase marked by significant physical, psychological, emotional, and social changes. India has the world’s largest adolescent population. Understanding and addressing their health needs is vital for the nation’s social, political, and economic progress. The primary aim of this study was to evaluate the main adolescent health policies and strategies implemented from 2006 to 2020 and analyze the outcomes for adolescent health in India. To achieve this objective, the research adopted a mixed-method approach, combining qualitative and quantitative analyses of health policies, strategies, and programs implemented since 2005. Additionally, data from the most recent three Demographic Health Surveys (DHSs) were analyzed and compared to assess changes in adolescent health indicators after implementing these policies/strategies. The findings focused on India’s major adolescent health policies, namely the Adolescent Reproductive and Sexual Health (ARSH) Strategy2005, Rashtriya Kishor Swasthya Karyakram (RKSK) 2014, and the School Health Program 2020. All the strategies and programs aim to provide a comprehensive framework for sexual and reproductive health services, expand the scope of adolescent health programming, and address various health aspects. The analysis highlighted strengths in targeted interventions, monitoring, and promotion but weaknesses in awareness, societal barriers, and healthcare worker participation. Opportunities include female-friendly clinics and education about early pregnancy, while addressing substance abuse and training volunteers remain challenges. Family planning has improved with higher contraception usage and a decline in unmet needs. The incidence of violence decreased, and positive health behaviors increased, such as condom use. However, challenges remain, including limited access to health services, concerns about female providers, and low health insurance coverage. Nutrition indicators showed a slight increase in overweight/obesity and anemia rates. In conclusion, progress has been made, but certain adolescent health aspects still require attention. Further efforts are needed to achieve universal health coverage and improve adolescent health outcomes. Conducting targeted awareness campaigns, strengthening health worker and NGO engagement, and combating the increasing prevalence of overweight and obesity among adolescents are recommended. Full article
(This article belongs to the Section Adolescent Policy and Programmes)
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19 pages, 781 KiB  
Article
Purpose and Mattering as Dimensions of Meaning for Young People in Residential Care from Romania
by Ovidiu Bunea and Daniela Cojocaru
Adolescents 2023, 3(4), 594-612; https://doi.org/10.3390/adolescents3040042 - 1 Oct 2023
Viewed by 1690
Abstract
The study follows the interaction between the individual and the social context regarding the development of adolescents protected in residential houses from the child protection system in Iasi County, Romania. Starting from the evidence that in situations of providing relatively identical material and [...] Read more.
The study follows the interaction between the individual and the social context regarding the development of adolescents protected in residential houses from the child protection system in Iasi County, Romania. Starting from the evidence that in situations of providing relatively identical material and social resources, the results obtained by these children vary greatly, we examine how the meaning (understood mainly as purpose and mattering) can constitute a developmental resource. Considering theoretical models and previous research, the study aims to describe, through a qualitative approach, how these young people see themselves and the external environment (family and residential care), how they project their future (their purpose and objectives), and how these constructions and perceptions can influence their quality of life and social integration. We conducted three focus groups with 35 young people (the ages 13–21) protected in and for different periods in residential houses (period 1–20 years). The results highlighted that a specific meaning is reconfigured as compensatory when affected by a trauma or adverse external event and thus can be a resource for resilience. On the other hand, the research highlighted that the existence of goals alone is insufficient to generate action, and the unrealistic meanings given to own persons, experiences, and resources can be dangerous because it risks accentuating some social vulnerabilities of these young people. Full article
(This article belongs to the Section Adolescent Policy and Programmes)
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