Promotion of Menstrual Hygien Scheme
Health Department is implement Adolescent Friendly Health services programme for Boys & Girls of Adolescent age since 2006-07. Adolescent constitute 23% of total population and programme such as Maitri Clinic, community Based activities, IRON tablets for Adolescent Girls are be implemented. There are Physical mental and social changes during adolescent period. During this period Girls starts Menstruating. Adolescent girls constitute 10 to 11 % of total population. Menstruation starts any time between 10 to 16 years. The information about physical changes that take place during adolescent age is far from available form relatives and teachers. Lack of information related to menstrual cycle among the girls lead to depression physical unhygienic conditions, which may complicate in future leading to diseases. During this period cervical region is open and there are chances of introduction of infection. These viral, bacterial, fungal infections if left untreated, often lead to infertility, pelvic inflammatory diseases. There is need of knowledge regarding menstrual cycle, hygiene during and after, use of sanitary napkins and eco friendly disposal of sanitary napkin. Our families, social and cultural taboos, don't allow free and frank discussion on this subject. Because of lack of scientific knowledge the girls face consequences.
Government of India has launched Promotional Menstrual Hygiene Scheme as special programme. The scheme will be implemented in this state for 10-19 years girls from rural area. Nandurbar, Dhule, Buldhana, Beed, Latur, Osmanabad, Amravati, Akola and Satara are 9 selected districts from the State for implementation of the scheme.
GoI will supply "free days" brand sanitary napkins under the scheme. The state has constituted State Level Task Force Committee, District and Taluka Level Coordination Committees. The scheme will be implemented jointly by women and child development department, education department, water supply sanitation department, rural development department, tribal development department, environmental department, information and public relation department along with Public Health Department.
The ASHAs will be involved for providing sanitary napkin the adolescent girls @ of Rs. 6/- per sanitary napkin pad.
Adolescent Reproductive and Sexual Health Programme
Adolescents (age 10-19) constitute over 23% of the population in Maharashtra, numbering approximately 23 million. Adolescence is a phase of rapid physical growth, psychosocial development and sexual transformation. Adolescents are not a homogenous group but, depending upon the region, culture, socio-political and economic background, have diverse educational, career, social, behavioral, developmental and health needs. A large number of adolescents lack formal or informal education.
A large number of adolescents are out of school, get married early, work in vulnerable situations, are sexually active, unemployed, and are exposed to peer pressure for initiating tobacco or alcohol use. These factors have serious social, economic and public health. Therefore Adolescent Period during which Adolescent Fall prey to ill habits like tobacco and substance abuse which have serious impacts on Adolescent Health.
Adolescent Reproductive and Sexual Health Programme (ARSH) is the component of Reproductive and Child Health Programme Phase II.
To tackle problems/ difficulties faced by Adolescents ARSH Programme has been started under RCH -II since 2006-07. 140 ARSH/Maitry clinics are established and functional till date at each of the District Hospital, Women Hospitals and Govt. Medical colleges and some Sub District Hospital and Rural Hospital.
At each ARSH clinic trained 2 Medical officers and 2 Staff nurses and one counselor are working. 59593 adolescents (girls and boys) have attended the ARSH clinics in the year 2010-11.
To create awareness among adolescents, Community Based Approach is undertaken in 45 blocks in the state. Medical Officers, ANMs, LHVs, Mukhya Sevikas, Anganwadi Workers, ASHA are being trained. With the Help of Anganwadi Workers, ASHA 2 Male and 2 Female Peer Educators have been identified from the villages having Population of more than 500 from each selected block, 5750 Villages have been identified. Identified peer volunteers will be trained in the year 2011-12, regarding Adolescent issues. Thus a referral linkage will be established.