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CTRI Number  CTRI/2026/01/100394 [Registered on: 06/01/2026] Trial Registered Prospectively
Last Modified On: 05/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Reproductive and mental health needs and challenges in accessing health care among older adolescents in Udupi district Karnataka a qualitative study with adolescents parents teachers and health workers 
Scientific Title of Study   Perceived reproductive and psychosocial health problems and determinants for accessing health care services among older adolescents (15-19 years) and key stakeholders: a qualitative study from Southern Karnataka, India 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Vidhi Deepak Rajkotia  
Designation  Postgraduate Resident  
Affiliation  Kasturba Medical College, Manipal  
Address  Department of Community Medicine Kasturba Medical College (KMC), Manipal, Tiger Circle Road, Madhav Nagar, Manipal, Karnataka 576104, India

Udupi
KARNATAKA
576104
India 
Phone  7208088806  
Fax    
Email  rajkotia.kmcmpl2024@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Dr Eshwari K 
Designation  Associate Professor 
Affiliation  Kasturba Medical College, Manipal  
Address  Department of Community Medicine ,Kasturba Medical College (KMC), Manipal, Tiger Circle Road, Madhav Nagar, Manipal, Karnataka 576104, India

Udupi
KARNATAKA
576104
India 
Phone  9880460083  
Fax    
Email  eshwari.k@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Akhila Doddamani 
Designation  Assistant Professor 
Affiliation  Kasturba Medical College, Manipal  
Address  Department of Community Medicine ,Kasturba Medical College (KMC), Manipal, Tiger Circle Road, Madhav Nagar, Manipal, Karnataka 576104, India

Udupi
KARNATAKA
576104
India 
Phone  9663703716  
Fax    
Email  akhila.d@manipal.edu  
 
Source of Monetary or Material Support  
Indian Council Of Medical Research (ICMR), V. Ramalingaswami Bhawan, P.O. Box No. 4911Ansari Nagar, New Delhi - 110029, India 
 
Primary Sponsor  
Name  Indian Council Of Medical Research ICMRIndia 
Address  V. Ramalingaswami Bhawan, P.O. Box No. 4911Ansari Nagar, New Delhi - 110029, India 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
DrEshwari K  Kasturba Medical College,Manipal  Department of Community Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Udupi District, Karnataka, India – 576104
Udupi
KARNATAKA 
9880460083

eshwari.k@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee-2 (Student Research))  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Percieved Reproductive health problems (e.g. menstrual and genital health concerns) and psychosocial/mental health problems (e.g. stress, emotional distress) in older adolescents(15-19 years) 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NA  NA 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Adolescents (15 to 19 years) residing in Udupi district who provide assent or consent ;parents or legal guardians of adolescents (15 to 19 years); teachers or school counsellors;health workers;healthcare providers and programme implementers (RCHO and RBSK MO) with at least one year relevant experience willing to participate 
 
ExclusionCriteria 
Details  Individuals with severe cognitive or communication impairments that prevent meaningful participation in discussions or interviews. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Understanding how older adolescents and key stakeholders perceive reproductive,mental and social health problems and challenges in accessing healthcare services.  From baseline (March 2025) 
 
Secondary Outcome  
Outcome  TimePoints 
Identification of barriers & facilitators for health care access among adolescents(15-19 years)  From Baseline (March 2025) 
 
Target Sample Size   Total Sample Size="150"
Sample Size from India="150" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/02/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="4"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
This qualitative study in Udupi district Karnataka will explore how older adolescents perceive reproductive and psychosocial health problems and the challenges they face in accessing health care services. Approximately three to four focus group discussions with adolescents in rural and urban areas and two in slum areas along with two to three focus group discussions each with parents, teachers and health workers and two to three in depth interviews with health care providers and one to two with programme implementers will be conducted using semi structured interview guides till data saturation is reached. All discussions and interviews will be audio recorded with prior consent translated and transcribed and participants will be selected purposively and will take part only after receiving information about the study in a language they understand and providing written informed consent and for adolescents written assent with parental consent where required. In addition the study includes a scoping review to summarise existing evidence from South Asia on barriers and facilitators to adolescent health care access and overall the expected outcome is a thematic understanding of personal social cultural and health system factors that act as barriers or facilitators to adolescents seeking reproductive and mental health care.

 
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