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Shalini Bharat - Health and Wellbeing of Indias Young People: Challenges and Prospects

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Shalini Bharat Health and Wellbeing of Indias Young People: Challenges and Prospects
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This volume fills a major gap in the evidence base on adolescents and youth in India by bringing together research, policy critiques and programme analyses in an intersectoral and multidisciplinary way. With about 373 million persons between the ages of 10 and 24 years, India has the largest number of young people of any country in the world. While this large cohort presents an excellent opportunity to reap a rich demographic dividend, their potential can be realised only with intelligent investments, which create well nourished, healthy, appropriately educated and skilled youth. This volume is based on desk reviews and is complemented by discussions with experts in 4 key thematic areas: nutrition, sexual and reproductive health, mental health and livelihoods, overall focusing on the health and wellbeing of the young in India. Each chapter provides a comprehensive picture of the current situation in a focal theme and identifies significant gaps in information/data and programmes. In addition, it explores the scenario of building capacity for undertaking research on, and with adolescents, through a qualitative needs assessment. This timely volume provides a thorough overview of related research, policy and programmes for a wide group of social and behavioural scientists and public health experts interested in Indias young people.

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Contents
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Editors Shalini Bharat and Geeta Sethi Health and Wellbeing of Indias Young - photo 1
Editors
Shalini Bharat and Geeta Sethi
Health and Wellbeing of Indias Young People Challenges and Prospects
Editors Shalini Bharat Director Tata Institute of Social Sciences Mumbai - photo 2
Editors
Shalini Bharat
Director, Tata Institute of Social Sciences, Mumbai, Maharashtra, India
Geeta Sethi
Centre of Excellence on Adolescents and Youth, Tata Institute of Social Sciences, Mumbai, Maharashtra, India
ISBN 978-981-13-6592-8 e-ISBN 978-981-13-6593-5
https://doi.org/10.1007/978-981-13-6593-5
Springer Nature Singapore Pte Ltd. 2019
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd.

The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721, Singapore

Acknowledgments

A volume of this nature would not have been possible without the valuable contributions of the authors of individual chapters. We acknowledge their hard work and commitment to undertaking rigorous reviews of various thematic streams along with a critical examination of policies and programs for Indias adolescents and youth.

We appreciate the contribution of Sahana Mitra to the background research for an overview of the situation of adolescents and youth in India.

Alpana Thadani deserves special appreciation for ably supporting us in the preparation of this volume.

Finally, we acknowledge the contribution of the United Nations Population Fund for their support to the Tata Institute of Social Sciences-UNFPA Centre of Excellence on Adolescents and Youth. The reviews that form the basis for the chapters of this volume were undertaken as part of the work of the center.

Shalini Bharat
Geeta Sethi
Abbreviations
AFHC

Adolescent Friendly Health Clinics

AHD

Adolescent Health Day

ANM

Auxiliary Nurse Midwife

DMHP

District Mental Health Programme

ICMR

Indian Council of Medical Research

LSE

Life Skills Education

MDG

Millennium Development Goals

MoHFW

Ministry of Health and Family Welfare

MO

Medical Officer

NIMHANS

National Institute of Mental Health and Neurosciences

NMHP

National Mental Health Programme

NRHM

National Rural Health Mission

PE

Peer Education

RKSK

Rashtriya Kishor Swasthya Karyakram

SDG

Sustainable Development Goals

TISS

Tata Institute of Social Sciences

UNFPA

United Nations Population Fund

NIMHANS

National Institute of Mental Health and Neurosciences

NSSO

National Sample Survey Office

Contents
Geeta Sethi and Shalini Bharat
Hemal Shroff and Deepa Shokeen
Chetna Duggal and Lamia Bagasrawala
Chetna Duggal and Lamia Bagasrawala
M. Sivakami and Saurabh Rai
Sunil D. Santha , Swati Banerjee and Devisha Sasidevan
Geeta Sethi and Shalini Bharat
List of Figures
Fig. 4.1 Community-based services provided at the village and sub-centre levels under the RKSK
Fig. 4.2 Services provided by the AFHCs at different levels under the RKSK
Fig. 4.3 Nature of counselling services at different levels under the RKSK
Fig. 5.1 Barriers for seeking sexual and reproductive health among young people
Fig. 6.1 Spread of social organisations
List of Tables
Table 2.1 Prevalence of Undernutrition a among adolescents in India (1019 years)
Table 2.2 Protein-calorie adequacy percentages (based on NNMB Survey 2012)
Table 2.3 Prevalence of overweight/obesity b among adolescents in India
Table 2.4 Studies on micronutrient deficiencies among Indian adolescent and youth populations
Table 2.5 Prevalence of anaemia among women and men aged 1524 years (NFHS-3)
Table 3.1 Epidemiological studies reviewed to assess prevalence rates of mental health concerns among adolescents arranged chronologically
Table 3.2 Disorder-specific studies reviewed for this chapter arranged chronologically
Table 3.3 Areas of action and strategic recommendations to address adolescent and youth mental health needs in India
Table 4.1 Adolescent and youth mental health in national policies
Table 4.2 List of programmes at various levels addressing adolescent and youth mental health needs
Table 4.3 Areas of action and strategic recommendations
Table 5.1 Information of various SRH indicators for adolescents and youth in India
Table 6.1 Number of programmes/organisations reviewed as part of the preliminary desk review
Table 6.2 No. of programmes/organisations identified for in-depth analysis
Table 6.3 Needs of adolescents and youth that are addressed by diverse social actors
Table 6.4 Practice fields of various actors in the livelihood domain
Table 6.5 Intervention strategies of various actors
Table 6.6 Practice fields and strategies
Table 6.7 Interventions with respect to needs and strategies of adolescents and youth
List of Boxes
Box 2.1 Definitions of Terms Used to Describe Nutrition Status of Adolescents and Youth
Box 2.2 An Overview of the Integrated Child Development Scheme (ICDS)
Box 2.3 Overview of the MDM Scheme
Box 2.4 An Overview of the PDS
Box 2.5 An Overview of the RKSK Programme
Box 2.6 An Overview of the National Anemia Control Programmes in India
Box 2.7 Overview of the National Iodine Deficiency Programme in India
About the Editors and Contributors
Editors
Shalini Bharat

is Director of the Tata Institute of Social Sciences, Mumbai, India. She teaches in the Centre for Health and Social Sciences, School of Health Systems Studies of the Institute.

Geeta Sethi

served as Senior Coordinator, Centre of Excellence on Adolescents and Youth, Tata Institute of Social Sciences, Mumbai, India. She has earlier served the UN system in various capacities.

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