Evidence map›Paper›PMID 30173336›Full record

ArticleIndian journal of pediatrics2019

A Mixed Methods Evaluation of Adolescent Friendly Health Clinic Under National Adolescent Health Program, Puducherry, India.

Thulasingam Mahalakshmy, Kariyarath Cheriyath Premarajan, Kathirvel Soundappan, Kanagarethinam Rajarethinam, Yuvaraj Krishnamoorthy, Adhisakthi Rajalatchumi, Vijayageetha Mathavaswami, Deepika Chandar, Palanivel Chinnakali, Amol R Dongre

Abstract read
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In one paragraph

Article in Indian journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
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  6. Utilisation of adolescent reproductive and sexual health services in a rural area of West Bengal: A mixed-method study.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2023
    Article
  7. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Thulasingam MahalakshmyDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, 605009, India. mahalakshmi.dr@gmail.com.
Kariyarath Cheriyath PremarajanDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, 605009, India.
Kathirvel SoundappanDepartment of Community Medicine, School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Kanagarethinam RajarethinamDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, 605009, India.
Yuvaraj KrishnamoorthyDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, 605009, India.
Adhisakthi RajalatchumiDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, 605009, India.
Vijayageetha MathavaswamiDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, 605009, India.
Deepika ChandarDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, 605009, India.
Palanivel ChinnakaliDepartment of Preventive and Social Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, 605009, India.
Amol R DongreDepartment of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India.
Jawaharlal Institute of Post Graduate Medical Education and Research · INPost Graduate Institute of Medical Education and Research · INSri Manakula Vinayagar Medical College and Hospital · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the awareness and utilization of Adolescent Friendly Health Clinic (AFHC) services among school going adolescents (14-19 y) and to explore the forces 'for' and 'against' the utilization of AFHC services in Puducherry, India.

methodsThis mixed-methods study was conducted in two primary health centres. Record review assessed the utilization of AFHC service. Survey assessed the awareness on AFHC services and self-reported illnesses and their treatment seeking behavior. Group interviews were conducted with adolescent girls, boys and healthcare providers. A summative content analysis was done to organize the 'for' and 'against' forces for service utilization.

resultsOf the 311 adolescents, less than 50% were aware of the services available at AFHC. Utilization of Weekly Iron and Folic Acid Supplementation was good. Only 2-10% of adolescents consulted the outpatient services of the Primary Health Centre for the treatment of their health problems. The authors found low utilization of AFHC services (15% among girls, zero among boys). One of the reasons for low utilization was poor awareness. Though free sanitary napkins motivated the girls to avail the services, boys considered the AFHC as a girl's clinic. Healthcare providers suggested that building rapport and trust with adolescents and their parents, involving school teachers and ensuring privacy in the clinic would increase the utilization.

conclusionsThere is a huge gap between the awareness and utilization of AFHC services. The reasons for non-utilization were poor awareness and misconceptions about the clinic. Training of health staffs on communication skills, and supportive supervision could improve the utilization.

Indexed as

Adolescent HealthHealth Services AccessibilityNational Health ProgramsAdolescentAdolescent Health ServicesAmbulatory Care FacilitiesAwarenessFemaleFolic AcidFood, FortifiedHand DisinfectionHealth Knowledge, Attitudes, PracticeHealth PersonnelHealth ServicesHumansIndiaFolic AcidIronAdolescent friendly health clinicAwarenessIndiaMixed methodsUtilization

Identifiers

PMID30173336
OpenAlexW2889389019

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.