Adolescents (age group between) represent a vital population sub group. They embody dynamism and energy. However, adolescents also face numerous challenges as they transition from childhood to adulthood. These challenges are linked to physiological and psychological maturation as well as evolving interpersonal and social equations.


Policy and programmatic measures in India do recognize the need for addressing the issues and concerns of the adolescents. This is reflected in the Government of India’s Reproductive Child Health II(RCHII) programme and the National Rural Health Programme. Linkages between relevant ministries have also grown over the years. Some of the key schemes/programmes aimed at adolescents include Menstrual Hygiene Management, Weekly Iron and Folic Acid Supplementation (WIFS). In fact, there is now a clear thrust on Reproductive, Maternal, Neonatal and Child Health + Adolescent (RMNCH+A) in the national RCH programming.


The Adolescent Friendly Health Clinics (AFHCs) initiated under NRHM represent a significant Endeavour in this regard. The Clinics have been envisaged as key service delivery point for adolescent friendly services including counseling, linking with clinical services, referral and outreach.


In West Bengal, the Clinics (Known as Anwesha Clinics) were initiated in 2008 across select district and located usually within the Block Primary Health Centres. These clinics are currently operational in all the districts at the block level with the counselors playing a key role in their functioning.


Along with state, Adolescent Health Programme launched in Purulia. For this Anwesha Clinics were initiated in 20 blocks. Firstly Lady Counsellors were posted at this clinic and Male counselors joined them in the year 2012. At present Purulia has 40(Forty) counselors.


The Anwesha counselors constitute a key point of contact between adolescent and the public health delivery system. They are tasked with helping adolescents to share their needs and issues and wok collectively to address/resolve the same. Counsellors handle the primary process themselves and facilitate referrals as required.




“Rashtriya Bal Swasthya Karyakram” was launched at Puurlia in 2013. This programme has been launched under National Rural Health Mission initiated by the Ministry of Health and Family Welfare, therefore, aims at early detection and management of the 4Ds prevalent in children. These are
• Defects at Birth
• Diseases in Children
• Deficiency conditions
• Developmental Delays including Disabilities.


Mobile Health Team playing a vital Role in this programme. Mobile health teams will be dedicated to the screening of children, and two AYUSH doctors (one male and one female), nurse and a pharmacist would be available for the service in blocks.
At present, 18 SHTs running in Puurlia.


WIFS Programme:


Objective of Weekly Iron Folic acid Supplementation (WIFS) To reduce the prevalence and severity of anemia in adolescent population (10-19 years). WIFS programme launched at Purulia in the year 2012


Target groups::


• School going adolescent girls and boys in 6th to 12th class enrolled in government/government aided/municipal schools.
• Out of school adolescent girls.


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