Linkages	Type of Intervention	Outcome of Interventions
1. Linkages with School health services	§ The annual school health check-up was done in the presence of paramedical staff of the nearby PHC. § IEC material was displayed during this activity and awareness talks were organized. § Any adolescent who needed intervention was referred to the PHC staff present in the school for further follow up and intervention as may be required. § Thus schools were linked to the A&YFHCs § Schools teachers/Principals/Kendra Pramukhs were sensitized to adolescent health needs and how to address adolescent health problems. § Self-learning VCDs were made available in all secondary schools to help teachers conduct adolescent health education in a more effective way.	§ An interface between A&YFHC and school health services has been developed. § Adolescent friendly environment created at the schools § Education department has agreed on inclusion of ARSH program activities in their regular schedule in schools. § Health education activities followed by question-answer sessions, essay/debate/ speech competitions are being conducted in schools.
2. Linkages with ICTC Centers	§ Integrated Testing and Counseling Centers (ICTC) counselors and technicians were trained and involved in ARSH program activities to bring about convergence in the block so that adolescents receive both the services under one roof. § Directive from District AIDS unit(DAPCU) has been sent to the ICTC centers for their involvement in the program.	§ Linked ARSH and HIV services provided § ICTC counselors and technicians visit PHCs (3 each) on fixed days to provide counseling service not only related to HIV/AIDS but also on ARSH.
3. Linkages with Non-Government Organizations (NGOs)	§ Local NGOs actively working in the block with common goals were identified and a link between them and A&YFHC was established. § Joint activities with A&YFHC were planned and undertaken in the community to create awareness and generate demand for services.	§ Local NGOs have a strong hold in the community. Their involvement and linkage with the health facilities has boosted an enabling environment for adolescent health in the community.
4. Linkages with Integrated Child Development Scheme (ICDS) and ASHAs	§ Anganwadi workers, supervisors and ASHAs were trained on ARSH. § They provided services to adolescents on VHND days and referred them to the PHCs if required. § ASHA received incentive of Rs. 10/-per referral of adolescent client to the A&YFHC for ARSH related complaint was piloted through the project.	§ ASHA’s were found to have huge potential as a link between adolescents in the community and service providers. § Mobilizing adolescents to seek services especially during outreach activities were well taken care by them. § Overall 828 referrals were made by ASHAs during last three years of the project period. § Oral/accompanied referral is followed in the block by ASHAs, aganwadi workers and ANMs.
5. Linkages with Peer Volunteers/National Service Scheme (NSS)	§ Identification and training of Peer Volunteers by block health officials as per state government guidelines. § Involvement of NSS volunteers in demand generation activities	§ Outcome was not very successful due to unclear roles and responsibilities. Investment in training NSS students was not productive due to frequent turnover of trained students each year