Abstract :
Background and Objectives: “Adolescent Reproductive and Sexual Health (ARSH)” has been included in
the existing public health system in Gujarat from 2006 for addressing issues of adolescents. This study
was done to identify the operational gaps and service utilization of ARSH clinic in one of the urban
health centers (UHC) in Surat city.
Methodology: Mixed approach having in-depth interviews and observation and record-based analysis
was done to assess operational efficiency of ARSH clinic. In-depth interviews were carried out among
four service providers and secondary data of 157 adolescents were analyzed from the UHC records. The
ARSH assessment check list was developed using national guidelines. Quantitative data analysis was
done by MS excel 2007. Interviews were transcribed, translated and content analysis was done. The
problem analysis was done using Fish-bone diagram and SWOC analysis. Action plan was prepared by
developing the critical pathway method.
Keyword :
Adolescent Reproductive and Sexual Health clinic, SWOC analysis, Fish bone diagram