Skip to main content

Adolescent Health: Participation, Community, and Communication as the Key for RKSK Programs in Rural Gujarat

  • Chapter
  • First Online:
Narratives and New Voices from India

Part of the book series: Communication, Culture and Change in Asia ((CCCA,volume 8))

  • 128 Accesses

Abstract

The present chapter draws from field experience in rural Gujarat to reflect on adolescent participation and decision-making as key elements in their wellbeing and empowerment. In 2014, The Government of India has launched Rashtriya Kishor Swasthya Karyakram (RKSK) as a strategic approach to ensure the health, safety, and wellbeing of adolescent population. The emphasis of RKSK is on promoting behavior change communication through convergence among departments, collective action, community participation, and leadership. Most frequent practice of health communication strategies at the grassroots level, however, relies on one-way dissemination of information without taking into context the social and cultural settings, community participation, social norms, beliefs, etc. The chapter examines adolescent participation in the behavior change communication in the context of community-based interventions of RKSK and discusses evidence from the field study in four districts of Gujarat. Findings of the field-based qualitative research in rural Gujarat confirm that one-way power dissemination of information does not holistically bring empowerment in development initiatives; people's participation and ownership of the program is important. The chapter will assess the possibilities of strategic communication around RKSK in creating a multidirectional flow of communication with adolescent participation and engagement at the core.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  • Abhilasha Nair, M. K. (2017). Study of nutritional status of adolescent girls in a rural area of a district of Maharashtr. International Journal of Community Medicine and Public Health, 4(12), 4617–4622.

    Article  Google Scholar 

  • Austrian, K., Soler-Hampejsek, E., Behrman, J. R., Digitale, J., Jackson Hachonda, N., Bweupe, M., & Hewett, P. C. (2020). The impact of the adolescent girls empowerment program (AGEP) on short and long term social, economic, education and fertility outcomes: A cluster randomized controlled trial in Zambia. BMC Public Health, 20, 349. doi:https://doi.org/10.1186/s12889-020-08468-0

  • Barua, A., Watson, K., Plesons, M., Chandra- Mouli, V., & Sharma, K. (2020a). Adolescent health programming in India: A. Reproductive Health, 17, 87. doi: https://doi.org/10.1186/s12978-020-00929-4

  • Barua, A., Watson, K., Plesons, M., Chandra-Mouli, V., & Sharma, K. (2020b). Adolescent health programing in India: A rapid review. Reproductive Health, 17(1), 87. https://doi.org/10.1186/s12978-020-00929-4

    Article  Google Scholar 

  • Bjønness, S., Viksveen, P., Johannessen, J. O., & Storm, M. (2020). User participation and shared decision making in adolescent mental healthcare:a qualitative study of healthcare professionals’ perspective. Child Adolescent Psychiatry Mental Health, 14(2). doi: https://doi.org/10.1186/s13034-020-0310-3

  • Sivagurunathan, R. U. C. (2015). Adolescent health: present status and its related programmes in India. Are we in the right direction. Journal of Clinical and Diagnostic Research, 01–06.

    Google Scholar 

  • Calvin, A. C. (1992). Adolescence (ages 12–20). In C. A. Calvin (Eds.), Child and adult development (Vol. Critical Issues in Psychiatry (An Educational Series for Residents and Clinicians), pp. 91–105). Springer. doi:https://link.springer.com/chapter/https://doi.org/10.1007/978-1-4757-9673-5_7

  • Chandra-Mouli, V., Lane, C., & Wong, S. (2015). What doesnot work in Adolescent Sexual and reproductive health: A review of evidence on interventions commonly accepted as best practices. Global Health Science and Practices, 333–335. doi: https://doi.org/10.9745%2FGHSP-D-15-00126

    Google Scholar 

  • Dabhi, B. (2019, January 25). Gujarat struggles to save its infan. Retrieved from Ahmedabad Mirror: https://ahmedabadmirror.indiatimes.com/ahmedabad/cover-story/gujarat-struggles-to-save-its-infants/articleshow/67678835.cms?utm_source=contentofinterest&utm_medium=text&utm_campaign=cppst

  • Department of Health and Family Welfare, G. O. (2019, October 30). National health mission. Retrieved November 5, 2019, from NHM. doi: https://nhm.gov.in/index1.php?lang=1&level=1&sublinkid=794&lid=168

    Google Scholar 

  • G.A, F. (2005). Adolescence as cultural toolkits: High school debate and Repetoiresod childhood and adulthood. The Sociological Quarterly, 45(1), 10–20. doi: https://doi.org/10.2307/4120764

  • Grauenkaer, L., & Tufte, T. (2018). Youth-led communication for social change: empowerment, citizen media, and cultures of governance in Northern Ghana. Development in Practice, 400–413. doi: https://doi.org/10.1080/09614524.2018.1436696

  • Hannah Blencowe, J. K. (2019). National, regional, and worldwide estimates of low birthweight in 2015, with trends from 2000: a systematic analysis. The Lancet Global Health, PE849-E860.

    Google Scholar 

  • Institute of Medicine. (2007). Challenges in adolescent health care: Workshop Report. The National Academies Press. doi: https://doi.org/10.17226/12031

  • Jejeebhoy, S. J. (2017). Supporting transitions from adolescence to adulthood. Bill & Melinda Gates Foundation.

    Google Scholar 

  • Jennings, L. B., Medina, D. P., & Messias, D. K. (2004). Towards a critical theory of youth. Journal of Community Practice.

    Google Scholar 

  • Ramani, K. V. (2015). Global public health policies: Case studies from India on planning and implementation. Business Expert Press.

    Google Scholar 

  • Kansara, K., Saxena, D., Puwar, T., Trivedi, S., Savaliya, P., & Fancy, M. (2018). Convergence and outreach for Successful Implementation of Rashtriya Kishor Swasthya Karyakram. Indian Journal of Community Medicine, S18–S22.

    Google Scholar 

  • Khushi Kansara, D. S. (2018). Convergence and outreach for successful implementation of Rashtriya Kishore Swasthya Karyakram. Indian Journal of Community Medicine, S18–S22.

    Google Scholar 

  • Krueger, R. L. C., Guarnera, L. A., Nagel, A. G., & Reppucci, N. D. (2015). Community influence on adolescent development. In R. P. T. P. Gullotta (Eds.), Handbook of adolescent behavioural problems: Evidence based approaches to prevention and treatment (pp. 71–84). Springer Science + Business Media.

    Google Scholar 

  • Landry, M., Vyas, A., Malhotra, G., & Nagraj, N. (2020). Adolescents’ development of gender equity attitudes in India. International Journal of Adolescent and Youth, 25(1), 94–103. https://doi.org/10.1080/02673843.2019.1590852

    Article  Google Scholar 

  • Lansdown, G. (2018). Conceptual framework for measuring adolescent participation. UNICEF.

    Google Scholar 

  • Lehtimaki, S., Schwalbe, N., & Sollis, L. (2018). Adolescent health: The missing population in UHC. Plan International. Retrieved from https://www.who.int/pmnch/media/news/2018/Adolescent-Health-Missing-Population-in-UHC.pdf?ua=1

  • Mahler, H. (1987). The safe motherhood initiative: A call to action (1 ed.). Lancet.

    Google Scholar 

  • Michielsen, K., Beauclair, R., Delva, R., Roelens, K., Van Rossem, R., & Temmerman, M. (2012). Effectiveness of a peer-led HIV prevention intervention in secondary schools in Rwanda: Results from a non-randomized controlled trial. BMC Public Health. https://doi.org/DOI:10.1186/1471-2458-12-729

    Google Scholar 

  • Ministry of Health and Family Welfare, G. O. (2014). Rastriya Kishore Swasthya Karyakram: Strategy Handbook.

    Google Scholar 

  • MoHFW. (2019). Commissionerate of health. Retrieved from Ministry of Health and Family Welfare, Gujarat Government: http://gujhealth.gujarat.gov.in/rksk.htm

    Google Scholar 

  • Morris, N. (2000). Bridging the gap: An examination of diffusion and participatory approaches in development communication. Change Project USAID.

    Google Scholar 

  • MoSPI. (2018). Children in India.

    Google Scholar 

  • NFHS. (2014).

    Google Scholar 

  • NRHM. (2013). Strategi approach to reproductive, maternal, newborn, child and adolescent health in India: For healthy mother and child. Ministry of Health and Family Welfare.

    Google Scholar 

  • Organistaion, W. H. (2014). Retrieved May 2, 2019, from WHO: https://apps.who.int/adolescent/second-decade/section2/page7/implications-for-policies-and-programmes.html

  • Knox, P. L., & Cottam, M. (1981). A welfare approach to geography: Contrasting perspective on the quality of highland life. TIBG, 433–50.

    Google Scholar 

  • Patton, G. S. (2016). Our Future:the Lancet Commission on Adolescent Health and Wellbeing. Lancet, 2423–78.

    Google Scholar 

  • Paul, V. K. (2015). Aoloscent health and health care delivery in India. Stanley Medical Journal.

    Google Scholar 

  • PC. (n.d.). Adolecent. BMC.

    Google Scholar 

  • Rana, N. P. (2016). Citizens’ adoption of an electronic government system. Springer.

    Google Scholar 

  • Rath, S. P. (2020). Community youth teams facilitating participatory adolescent groups, youth leadership activities and livelihood promotion to improve school attendance, dietary diversity and mental health among adolescent girls in rural eastern India: protocol for a cluster. Trials, 52.

    Google Scholar 

  • Resnick, M. D., Catalano, R. F., Sawyer, S. M., Viner, R., & Patton, G. C. (2012). Seizing the opportunities of adolescent health. The Lancet, 379(9826), 1564–1567. Retrieved August 03, 2020

    Google Scholar 

  • Robert. W., & Blum, K. (2012). Adolescent Health in 21st Century. The Lancet Commission on Adolescent Health(9826), 1567–68. doi:https://doi.org/10.1016/S0140-6736(12)60407-3

  • Robert. W., & Blum, K. (2017, October 27). It Begins at 10: How Gender Expectations Shape Early Adolescence Around the World. The Journal of adolescent health, 61(4), S3-S4. https://doi.org/10.1016%2Fj.jadohealth.2017.07.009

    Google Scholar 

  • Russell M Viner, E. M. (2012, April 25). Adolescent and the social determinants. The Lancet, 397(9826), 1641–1652. doi: https://doi.org/10.1016/S0140-6736(12)60149-4

    Google Scholar 

  • Samantha Radcliffe Lattof, T. T. (2014). Improved Maternal Health Since the ICPD: 20 Years of Progress. Mexico: ICPD.

    Google Scholar 

  • Santhya, K. G., Acharya, R., Pandey, N., Rampal, S., Zavier, A. J. & Gupta, A. K. (2017). Understanding the lives of adolescents and young adults (UDAYA) in Bihar. Population Council.

    Google Scholar 

  • Satia, J. S. D. (2018). Improving adolescent health: Learning from Gujarat. Indian Institute of Public Health.

    Google Scholar 

  • Satia, J. (2018). Challenges for adolescent health programs: What is needed? Indian Journal of Community Medicine, 43(1), S1–S5. https://doi.org/10.4103/ijcm.IJCM_331_18

  • Sawyer, S. M. E. (2012). Adolescence: A foundation for future health. The Lancet, 1630–1640.

    Google Scholar 

  • Saxena, D., Yasobant, S., Puwari, T., Fancy, M. J., Trivedi, P., & Svaliyau, S. (2017, November–December). Revelling adolescent health days: Experience from Rural Gujarat, India. Annals of Medical and Health Sciences Research | November-December 2017 | Vol 7 | Issue 6 | 356, 7(6), 355–358.

    Google Scholar 

  • Siddiqui, M., Kataria, I., Watson, K., & Chndra-Mouli, V. (2020). A systematic review of the evidence on peer education programmes for promoting the sexual and reproductive health of young people in India. Sexual and Reproductive Health Matters. https://doi.org/10.1080/26410397.2020.1741494

    Article  Google Scholar 

  • Singh, S., & Gururaj, G. (2014a, August 24). Health behaviours and problem among young people in India: Causes for concern and call for action. Indian Journal of Medical Research, 140(2), 185–208. Retrieved May 15, 2020

    Google Scholar 

  • Singh, S., & Gururaj, G. (2014b). Health behaviours and Problems among young people in India: Causes for concern and call for action. Indian Journal of Medical Research, 185–208.

    Google Scholar 

  • Sinha, A. (n.d.). Reaching the last mile. Ethnographic and Flok Culture Society Lucknow.

    Google Scholar 

  • Standing, R. S. (1979). Poverty and basic needs. International Labour Office.

    Google Scholar 

  • Studies, C. F. (2016). Reducing child marriage in India. UNICEF.

    Google Scholar 

  • Sunitha Singh, G. G. (2014). Health behaviours and problems among young people in India: Cause for concern and call for action. Indian Journal of Medical Research, 2(140), 185–208.

    Google Scholar 

  • Susanna Lehtimaki, N. S. (2019). Adolescent health: A Missing population of universal health coverage. Plan International.

    Google Scholar 

  • Swaminathan, D. S. (2019, October 7). The policy interview. (I. express, Interviewer)

    Google Scholar 

  • T. R. Harris, & Cox, L. J. (2012, 2nd quarter). Community business matching model aids local decisionmakers and developers. Choices, The Magazine of Food, Farm and Resource Issues, 27.

    Google Scholar 

  • Tulenko, K., Mogedal, S., Afzal, M. M., Frymus, D., & Oshin, A. K. (2013, November 1). Community health workers for universal health-care coverage: From fragmentation to synergy. Bulletin of the World Health Organisation, 91(11), 847–852. doi:https://dx.doi.org/10.2471%2FBLT.13.118745

    Google Scholar 

  • UN. (2013, September). We can end poverty; Millenium development goals and beyond 2015. Retrieved from June 21, 2019, www.un.org/millenniumgoals

  • UNAID. (2016). Ending the AIDS epidemic for adolescent with adolescents: A guide to meaningfully engage adolescents in AIDS response. Retrieved from https://www.unaids.org/en/resources/documents/2016/ending-AIDS-epidemic-adolescents

    Google Scholar 

  • UNDP. (2015). The millennium development goals. UNDP.

    Google Scholar 

  • UNDP. (2018). UNDP. Retrieved JUNE from June 4, 2019, https://www.undp.org/content/undp/en/home/sdgoverview/mdg_goals/mdg4/

  • UNDP. (n.d.). Goal3: Good health anf well being. Retrieved from United Nations Development Programme: https://www.undp.org/content/undp/en/home/sustainable-development-goals/goal-3-good-health-and-well-being.html

  • UNFPA. (2014). The power of 1.8 Billion; Adoloscents, Youth and the transformation of future. The State of Population Report. UNFPA.

    Google Scholar 

  • UNFPA. (2017, April 19). The Lancet: Investing in adolescent health, education could bring tenfold economic benefit. Retrieved from May 03, 2020, https://www.unfpa.org/press/lancet-investing-adolescent-health-education-could-bring-tenfold-economic-benefit

  • UNICEF. (2012). A report card on adolescents. Socio-demographic profile of adolescents: Number 10 April.

    Google Scholar 

  • UNICEF. (2013). Adoloscent in India. Population Council India.

    Google Scholar 

  • UNICEF. (2017). Adolescent and youth engagement strategic framework. Retrieved from http://www.unicefinemergencies.com/downloads/

    Google Scholar 

  • UNICEF. (2018). Conceptual framework measuring outcomes and adolescent participation.

    Google Scholar 

  • UNICEF. (2019a). Child mortality—UNICEF DATA. Retrieved from UNICEF: https://data.unicef.org/topic/child-survival/under-five-mortality/

  • UNICEF. (2019b). The state of the world’s children 2019, children, food and nutrition: Growing well in a changing world. UNICEF.

    Google Scholar 

  • UNICEF. (n.d.). C4D Report 2018.

    Google Scholar 

  • UN-IGCME. (2019). Levels and trends in child mortality.

    Google Scholar 

  • USAID. (2010). Communication, participation and social change: A review of communication initiatives addressing gender-based violence, gender norms, and harmful traditional practices in crisis-affected settings. USAID.

    Google Scholar 

  • USAID. (2014). RNMCH+A in India.

    Google Scholar 

  • USAID. (2017). Integrated SBCC programs. Retrieved from https://sbccimplementationkits.org/integrated-sbcc-programs

  • Villa-Torres, L., & Svanemyr, J. (2015). Ensuring Youth’s right to participation and promotion of youth leadership in the development of sexual and reproductive health policies and programs. Journal of Adolescent Health, 51–57.

    Google Scholar 

  • Wadhwa, R., Chaudhary, N., Bisht, N., Gupta, A., Behera, N., Verma, A. K., & Gera, R. (2018). Improving adolescent health services across high priority districts in 6 States of India: Learnings from an integrated reproductive maternal newborn child and adolescent health project. Indian Journal Community Medicine, S6–S11. doi: https://doi.org/10.4103/ijcm.IJCM_38_18

  • WHO. (n.d.). Adolescent health epidemiology. Retrieved from https://www.who.int/maternal_child_adolescent/

  • WHO. (2015). Global strategy for women’s, children’s and adolescents health 2016–2030. Every Woman Every Child.

    Google Scholar 

  • WHO. (2016). Retrieved from https://apps.who.int/gho/data/node.country.country-IND?lang=en

  • WHO. (2018). Global strategy for women’s, children’s, adolescent’s health: 2018 Monitoring report. Every Woman Every Child.

    Google Scholar 

  • WHO. (2019, September). Maternal health. Retrieved from World Health Organisation: https://www.who.int/news-room/fact-sheets/detail/maternal-mortality

  • WHO. (2020a). World Health Organisation. Retrieved from May 12, 2020a, Adolescent Health: https://www.who.int/southeastasia/health-topics/adolescent-health

  • WHO. (2020b). Adolescent health epdemiology. Retrieved from 2020b, https://www.who.int/maternal_child_adolescent/

  • WHO, S. (2018, June 10). WHO. Retrieved from http://www.searo.who.int/mediacentre/features/2018/india-groundbreaking-sucess-reducing-maternal-mortality-rate/en/#

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Manisha Pathak Shelat .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Shelat, M.P., Choudhury, P. (2022). Adolescent Health: Participation, Community, and Communication as the Key for RKSK Programs in Rural Gujarat. In: Kaushik, A., Suchiang, A. (eds) Narratives and New Voices from India. Communication, Culture and Change in Asia, vol 8. Springer, Singapore. https://doi.org/10.1007/978-981-19-2496-5_17

Download citation

Publish with us

Policies and ethics