title: ARSH 6: Reproductive health needs assessment of adolescents and young people (15-24 y): a qualitative study on 'perceptions of program managers and health providers'.
abstract: OBJECTIVE
  To understand the perceptions of program managers and service providers using in depth interview technique, a well-accepted qualitative research that can also offer semi quantitative input.
  
  
  METHODS
  Need assessment was done qualitatively using in-depth interviews, among program managers of health care system including District Medical Officers and RCH Officers and program service providers, both in rural and urban areas.
  
  
  RESULTS
  In total 34 in-depth interviews were conducted. Nearly half (2+) of the program managers and service providers of adolescent programs opined that the important problems faced by adolescents were issues related to sexuality, psychosocial conflict, identity crisis, adjustment problems and scholastic problems. Approximately half of them thought that improper parenting, negative attitude of parents, separated parents, ignorance of parents, family background, nuclear family setup etc. are the most important factors, which influence adolescent problems and that friends and media are their major source of reproductive sexual health information. Nearly half of them pointed out that pain and psychological disturbances like anxiety, tension and anger were the important menstrual problems faced by adolescents. Again nearly half of them, felt that FLE (Family Life Education) should be given at school and ARSH services at PHCs, but there was little consensus on provision of contraceptive service and abortion services to adolescents.
  
  
  CONCLUSIONS
  All the service providers and program managers are ready to cooperate but they had varied opinions about who should impart adolescent reproductive sexual health education and how the program should be done.
authors.affiliation: Child Development Centre, Thiruvananthapuram Medical College, Thiruvananthapuram, 695 011, Kerala, India, cdcmkc@gmail.com.
authors.forename: M K C
authors.initials: MK
authors.lastname: Nair
authors.forename: M L
authors.initials: ML
authors.lastname: Leena
authors.forename: Babu
authors.initials: B
authors.lastname: George
authors.forename: Yamini
authors.initials: Y
authors.lastname: Thankachi
authors.forename: Paul Swamidhas Sudhakar
authors.initials: PS
authors.lastname: Russell
mesh_terms: D000293:Adolescent; D016497:Adolescent Health Services / Q000458:organization & administration; D001291:Attitude of Health Personnel; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D006306:Health Surveys; D006801:Humans; D007194:India; D007407:Interviews as Topic; D008297:Male; D020380:Needs Assessment; D010342:Patient Acceptance of Health Care; D036301:Qualitative Research; D060728:Reproductive Health; D034121:Reproductive Health Services / Q000458:organization & administration; D012725:Sexual Behavior; D055815:Young Adult
references.citation: Pac Health Dialog. 2003 Sep;10(2):53-61
references.pmid: 18181416