Philippines Toolkit: AYSRH Service Delivery

Adolescent and Youth-Friendly Health Services

Indicators for success

Indicator Disaggregation Data Source(s)

Number of health personnel trained in providing adolescent and youth-friendly health services

  • Adolescent Job Aide (AJA)
  • Adolescent Health Education and Practical Training (ADEPT)
  • Health Young Ones
  • Manual of Procedures (MOP)

Type of health personnel (doctor, nurse, midwife, peer educator)

Regional AHDP reports

Percentage of adolescent-friendly health facilities (AFHF)

  • # of facilities (RHU and hospitals) that have Level 1, Level 2, or Level 3 AFHF certification
  • Total # of facilities (RHU and DOH-retained hospitals)

Level of certification (Level 1, 2, 3) Type of facilities (RHU, DOH retained hospitals, teen centers, others)

Regional AHDP reports

Number of health facilities completing AYSRH whole site orientation

  Facility/project report
Number of adolescents and youth provided contraception by method
  • 10-14
  • 15-19
  • 20-24
Health center data/Facility register/FHSIS
Proportion of adolescents and youth clients who reported a positive experience when seeking services
  • 10-14
  • 15-19
  • 20-24
Facility/project report/Regional AHDP reports

Number of health facilities with youth volunteers

Type of facilities (Rural Health Units or RHU, DOH retained hospitals, teen centers, others) Facility/project report/Regional AHDP reports

Resources needed

  • Making any facility adolescent-friendly may require an initial injection of financial resources, including making adjustments to clinic layout to ensure young clients’ privacy.
  • Venue space for trainings and WSO, if necessary, because should use space in or outside the facility if possible
  • Whole site orientation and training material printing costs
  • Print copies of WHO’s Family Planning Handbook, 2018 Ed
  • Information, education and communication (IEC) materials Job aids, tools and guideline material printing
  • Refreshments and transportation costs for engaging youth

What’s the evidence?

  • A literature review on young people’s perspectives on health care revealed eight indicators central to their positive experience of care: accessibility of health care; staff attitude; communication; medical competency; guideline-driven care; age appropriate environments; youth involvement in health care; and health outcomes (Ambresin et al., 2013).
  • Another literature review on the evidence for improving adolescent access to and use of SRH services highlights that, in addition to quality clinical services, the most effective intervention is  providing sexuality and life skills education and linking youth with educational and economic opportunities and supportive adults (Denno et al., 2015).
  • Evaluations show that competent health providers alone are not enough to increase youth access to SRH services (Chandra-Mouli et al., 2015; Dick et al., 2006). Approaches to scaling up services should use four complementary approaches:
    • Providers are trained and supported to be nonjudgmental and friendly to adolescent clients
    • Health facilities are welcoming and appealing
    • Communication and outreach activities inform adolescents about services and encourage them to make use of services
    • Community members are supportive of the importance of providing health services to adolescents


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