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The Review and Outlook of Adolescent Friendly Health-care Services in Taiwan



Parallel abstracts

The Project of Adolescent Health Clinics started in 1993 and became the founder of adolescent friendly health-care service in Taiwan. In order to follow the standards of Adolescent Friendly Health Service from the World Health Organization, the Planned Parenthood Association of Taiwan undertook The Program of Friendly Reproductive Health Clinics for Youth in 2004, and the clinics providing this kind of service were called "Teens' Wellness No. 9." Taiwan Society for Adolescent Medicine and Health continued and further extended the program to The Project of Adolescent Friendly Clinics in 2010. It forwarded to provide comprehensive, adolescent-centered health-care services and encompass all common adolescent-health related issues such as reproductive health, substance abuse, mental health, obesity, etc. It also integrated community resources to provide health education and related services. Until early 2018, there had been 95 hospitals and clinics providing adolescent friendly health-care services nationwide. It had been 14 years to execute the project, and the result was outstanding and fruitful. Due to the new policy planned by Health Promotion Administration, Ministry of Health and Welfare, the project was transformed into A Pilot Project for Adolescent-friendly Health Care Institution Initiative. This article is a narrative review on the 14-year task of promoting the concept and operation of adolescent friendly health-care services nationwide. It includes "Bring Adolescent Friendly Health-care Service into Practice," "Introduction of Training Programs," "Community Resource Integration and Health Education." The results showed that there were 95 institutions, 590 adolescent-friendly doctors, and 53 puberty consultants being spread over 22 counties. Data collected from the past years revealed that adolescents visiting the clinics were mostly for general diseases and for vaccination secondly. Emotional issues were the topic most talked when adolescents came to the counselors, and interpersonal relationship and adaptation issues were the second and the third concerned problems. This article also addressed several suggestions including: considering adolescent-friendly health-care as routine services, encouraging institutions bring adolescent-friendly health-care services into practice, emphasizing the importance of comprehensive and adolescent-centered health-care, strengthening the mechanism of adolescents' participation, and finally reinforcing publicity and education on adolescent health promotion and adolescent-friendly health-care.