| Methodology used to conduct Situational Analysis | Issues Explored | Salient Findings |
| Focus group discussions (8) with both males and female married and unmarried groups-two each | § Major health problems faced by adolescents § Where do adolescents seek service for their health complaints § Expected services to be available at the health facilities for adolescents § Acceptance of linked SRH/HIV services § Convenient day and timing of ARSH clinic at the health facility | § Menstrual problems, vaginal discharge, mental stress, problem in conception and RTI/STI were the common health concerns § Health seeking behaviour was very poor and they visited health centers or private practitioners § They expected to receive sexuality education, pre-marital counseling, information on HIV/AIDS, condom, pregnancy care & contraception at the public health facilities |
| Facility Survey | § Information regarding available and sanctioned manpower at the health facility § Stock of drugs § Training status of health staff on adolescent health issues § Linkage with local bodies (ICDS, local NGOs or SHGs, Schools, ASHAs) § IEC material | § Five of the eight health facilities had vacant posts of either the MO or para-medical staff § Negligible inter sectoral linkages existed for adolescent activities § IEC material specific to adolescent issues was limited § Service signage boards did not spell out that they were available for adolescents |
| Interaction with health staff | § Awareness of ARSH program § Provision of ARSH services § Any official guidelines received to implement ARSH services § Community level sensitization of gatekeepers | § Awareness about ARSH program among health care providers was poor § A&YFHCs were not functional at Sub District Hospital and did not exist at Rural hospital or any PHCs § The Medical staff needed guidelines and training to deal with specific adolescent issues. § Adolescent girls were being addressed in the block through ICDS. Health camps, hemoglobin testing and treatment of iron deficiency anemia were exiting programs for girls in the block. § There was no sensitization of the community in all the areas under these health facilities concerning SRH needs of the young people, especially the tribal region. |