People Level Outcome

·       What are the key adolescent health related issues / outcomes of concern in the given geography?

·       How can this information be disaggregated / understood in further depth using an intersectional-gender justice lens?

·       What are the precipitating factors. concerns, issues, challenges contributing to these outcomes

·       Who are the key stakeholders/ gatekeepers influencing these outcomes / contributing to these conditions or challenges

·       Which are the key institutions/ structures that have a direct or indirect impact on the identified adolescent health outcomes and challenges?

Systems / Institutions

. What are the key institutions/structures, that have a direct and indirect impacts on the identified health outcomes?

·       What institutional structures are available / absent to address the identified adolescent health outcomes?

·       How are these institutions or structures functioning / not functioning? And how does this contribute to the outcomes/ challenges identified?

·       What are the causal mechanisms / factors influencing their current state of functioning – formal and informal (e.g., formal maybe availability of resources or personnel; informal maybe graft, or leakage, etc).

Processes

·       How are adolescent concerns represented within the system / systems (this could be primarily focus on the Panchayat, but also include allied systems such as health, education, livelihood, etc). What are the mechanisms available for the representation of their concerns? Are there formal / informal platforms or forums for these concerns to be raised?

·       What are the communication channels around adolescent health issues within the system – e.g., opportunities for self-representation versus represented through other stakeholders?

·       How does decision making and planning for adolescent health issues occur? At what levels does planning or decision making around adolescent health occur? (e.g., local, district level, state level)? Are these through formal (e.g., policies, govt orders) or informal means (e.g., local plans of Panchayats, community level institutions or structures)

·       At what levels are this forums / communication channels / platforms / available? And how does data/information flow from one level to the other?

·       What are the factors that influence decision making on adolescent health? (Formal or informal – e.g., may include attitudes, beliefs, gender norms)

·       What scope is present for adolescent participation in these decision-making processes?