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Walmisley U, Kinney MV, Kiendrébéogo JA, Kafando Y, George AS. Any better? A follow-up content analysis of adolescent sexual and reproductive health inclusion in Global Financing Facility country planning documents. Glob Health Action 2024; 17:2315644. [PMID: 38962875 PMCID: PMC11188955 DOI: 10.1080/16549716.2024.2315644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2023] [Accepted: 02/03/2024] [Indexed: 07/05/2024] Open
Abstract
BACKGROUND The Global Financing Facility (GFF) supports national reproductive, maternal, newborn, child, adolescent health, and nutrition needs. Previous analysis examined how adolescent sexual and reproductive health was represented in GFF national planning documents for 11 GFF partner countries. OBJECTIVES This paper furthers that analysis for 16 GFF partner countries as part of a Special Series. METHODS Content analysis was conducted on publicly available GFF planning documents for Afghanistan, Burkina Faso, Cambodia, CAR, Côte d'Ivoire, Guinea, Haiti, Indonesia, Madagascar, Malawi, Mali, Rwanda, Senegal, Sierra Leone, Tajikistan, Vietnam. Analysis considered adolescent health content (mindset), indicators (measure) and funding (money) relative to adolescent sexual and reproductive health needs, using a tracer indicator. RESULTS Countries with higher rates of adolescent pregnancy had more content relating to adolescent reproductive health, with exceptions in fragile contexts. Investment cases had more adolescent content than project appraisal documents. Content gradually weakened from mindset to measures to money. Related conditions, such as fistula, abortion, and mental health, were insufficiently addressed. Documents from Burkina Faso and Malawi demonstrated it is possible to include adolescent programming even within a context of shifting or selective priorities. CONCLUSION Tracing prioritisation and translation of commitments into plans provides a foundation for discussing global funding for adolescents. We highlight positive aspects of programming and areas for strengthening and suggest broadening the perspective of adolescent health beyond the reproductive health to encompass issues, such as mental health. This paper forms part of a growing body of accountability literature, supporting advocacy work for adolescent programming and funding.
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Affiliation(s)
- Ulla Walmisley
- School of Public Health, University of the Western Cape, Cape Town, South Africa
| | - Mary V. Kinney
- School of Public Health, University of the Western Cape, Cape Town, South Africa
| | - Joël Arthur Kiendrébéogo
- Department of Public Health, University Joseph Ki-Zerbo, Ouagadougou, Burkina Faso
- Recherche pour la Santé et le Développement (RESADE), Ouagadougou, Burkina Faso
- Heidelberg Institute of Global Health, Medical Faculty and University Hospital, Heidelberg University, Heidelberg, Germany
- Institute of Tropical Medicine, Department of Public Health, Antwerp, Belgium
| | - Yamba Kafando
- Recherche pour la Santé et le Développement (RESADE), Ouagadougou, Burkina Faso
| | - Asha S. George
- School of Public Health, University of the Western Cape, Cape Town, South Africa
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2
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Klein JD. Global Use of Youth Risk Survey Systems - More Evidence the Global Action for Measurement of Adolescent Health Initiative is on the Right Track. J Adolesc Health 2024; 75:375-376. [PMID: 39152009 DOI: 10.1016/j.jadohealth.2024.05.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/28/2024] [Accepted: 05/30/2024] [Indexed: 08/19/2024]
Affiliation(s)
- Jonathan D Klein
- Division of Adolescent Medicine, Department of Pediatrics, Stanford University, Palo Alto, California
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3
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Abduvahobov P, Guthold R, Moller AB, Friedman HS, Carvajal-Velez L, Bendaud V, Damji N, Marsh AD, Castle C, Banerjee A. A United Approach to Enhance Adolescent Health Measurement. J Adolesc Health 2024; 74:S3-S5. [PMID: 38762260 PMCID: PMC11099294 DOI: 10.1016/j.jadohealth.2023.12.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2023] [Accepted: 12/01/2023] [Indexed: 05/20/2024]
Affiliation(s)
- Parviz Abduvahobov
- Division for Peace and Sustainable Development, Health and Education Section, Education Sector, UNESCO, Paris, France.
| | - Regina Guthold
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, WHO, Geneva, Switzerland
| | - Ann-Beth Moller
- UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, Geneva, Switzerland
| | - Howard S Friedman
- Technical Division, United Nations Population Fund, New York, New York
| | - Liliana Carvajal-Velez
- Division of Data, Analytics, Planning and Monitoring, Data and Analytics Section, UNICEF, New York, New York
| | | | - Nazneen Damji
- Governance and Participation Section, Gender equality, HIV and Health, UN Women, New York, New York
| | - Andrew D Marsh
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, WHO, Geneva, Switzerland
| | - Christopher Castle
- Division for Peace and Sustainable Development, Education Sector, UNESCO, Paris, France
| | - Anshu Banerjee
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, WHO, Geneva, Switzerland
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4
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Keogh SC, Guthold R, Newby H, Storey S, Ahmed T, Azzopardi P, Fagan L, Ferguson BJ, Friedman HS, Tang K, Marsh AD. Filling Gaps in Adolescent Health Measurement: Taking Stock of Progress and Priorities Ahead. J Adolesc Health 2024; 74:S17-S21. [PMID: 38762255 DOI: 10.1016/j.jadohealth.2024.01.020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/15/2023] [Revised: 12/28/2023] [Accepted: 01/21/2024] [Indexed: 05/20/2024]
Affiliation(s)
- Sarah C Keogh
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland.
| | - Regina Guthold
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Holly Newby
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Simone Storey
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Tashrik Ahmed
- Division of Data, Analytics, Planning and Monitoring, United Nations Children's Fund, New York, New York
| | - Peter Azzopardi
- Department of Paediatrics, Centre for Adolescent Health, Murdoch Children's Research Institute, University of Melbourne, Melbourne, Victoria, Australia; Adolescent Health and Wellbeing Program, Telethon Kids Institute, National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia
| | - Lucy Fagan
- UN Major Group for Children and Youth, London, United Kingdom; Imperial College Healthcare NHS Trust, London, United Kingdom
| | | | - Howard S Friedman
- Technical Division, United Nations Population Fund, New York, New York
| | - Kun Tang
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Andrew D Marsh
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
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5
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Ferguson BJ, Adebayo E, Bose K, Ekman C, Giyava CR, Hagell A, Mehra S, Marsh AD. Addressing the Need to Select Indicators of Adolescent Health: An Advisory Group's Reflections on the Journey. J Adolesc Health 2024; 74:S6-S8. [PMID: 38762264 PMCID: PMC11099295 DOI: 10.1016/j.jadohealth.2024.02.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Revised: 02/02/2024] [Accepted: 02/06/2024] [Indexed: 05/20/2024]
Affiliation(s)
| | - Emmanuel Adebayo
- Institute of Child Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Krishna Bose
- Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
| | | | | | - Ann Hagell
- Association for Young People's Health, London, United Kingdom
| | - Sunil Mehra
- Mamta Health Institute for Mother and Child, New Delhi, India
| | - Andrew D Marsh
- Department of Maternal, Newborn, Child, Adolescent Health and Ageing, World Health Organization, Geneva, Switzerland
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6
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Berg TD, Ford CA. To Improve Adolescent Health Globally, We Need Globally Applicable Standardized Health Measures. J Adolesc Health 2024; 74:1064-1065. [PMID: 38762248 DOI: 10.1016/j.jadohealth.2024.02.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Accepted: 02/12/2024] [Indexed: 05/20/2024]
Affiliation(s)
- Tor D Berg
- Managing Editor, San Francisco, California
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7
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Ekman C, Bose K, Marsh AD, Giyava CR, Adebayo E, Wickremarathne D, Fagan L, Gueye Ba M, Guthold R. "Nothing About Us Without Us": Engagement of Young People in the Selection of Priority Indicators for Adolescent Health Measurement. J Adolesc Health 2024; 74:S9-S11. [PMID: 38762267 DOI: 10.1016/j.jadohealth.2024.01.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Revised: 12/18/2023] [Accepted: 01/03/2024] [Indexed: 05/20/2024]
Affiliation(s)
- Carolin Ekman
- Independent Consultancy, Sexual and Reproductive Health and Rights, Adolescent Health, Geneva, Switzerland.
| | - Krishna Bose
- Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
| | - Andrew D Marsh
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | | | - Emmanuel Adebayo
- Adolescent Health Unit, Institute of Child Health, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | | | - Lucy Fagan
- UN Major Group for Children and Youth, London, United Kingdom; Imperial College Healthcare NHS Trust, London, United Kingdom
| | - Mariame Gueye Ba
- Faculty of Medicine, Pharmacy and Odontology, University Cheikh Anta Diop of Dakar, Dakar, Sénégal; Gynecology and Obstetrics Clinic, University Teaching Hospital A. Le Dantec, Dakar, Sénégal
| | - Regina Guthold
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
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8
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Marsh AD, Newby H, Storey S, Yeung D, Diaz T, Baltag V, Banerjee A, Abduvahobov P, Adebayo E, Azzopardi PS, Ba MG, Bose K, Cardona M, Carvajal-Velez L, Dastgiri S, Fagan L, Ferguson BJ, Friedman HS, Hagell A, Inchley J, Kågesten AE, Keogh SC, Moller AB, Saewyc EM, Tang K, Guthold R. Indicators to Measure Adolescent Health at the Country, Regional, and Global Levels: Results of a Five-Year Selection Process by the Global Action for the Measurement of Adolescent Health. J Adolesc Health 2024; 74:S31-S46. [PMID: 38762261 DOI: 10.1016/j.jadohealth.2024.02.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Revised: 02/06/2024] [Accepted: 02/07/2024] [Indexed: 05/20/2024]
Abstract
PURPOSE To improve adolescent health measurement, the Global Action for the Measurement of Adolescent health (GAMA) Advisory Group was formed in 2018 and published a draft list of 52 indicators across six adolescent health domains in 2022. We describe the process and results of selecting the adolescent health indicators recommended by GAMA (hereafter, "GAMA-recommended indicators"). METHODS Each indicator in the draft list was assessed using the following inputs: (1) availability of data and stakeholders' perceptions on their relevance, acceptability, and feasibility across selected countries; (2) alignment with current measurement recommendations and practices; and (3) data in global databases. Topic-specific working groups comprised of GAMA experts and representatives of United Nations partner agencies reviewed results and provided preliminary recommendations, which were appraised by all GAMA members and finalized. RESULTS There are 47 GAMA-recommended indicators (36 core and 11 additional) for adolescent health measurement across six domains: policies, programs, and laws (4 indicators); systems performance and interventions (4); health determinants (7); health behaviors and risks (20); subjective well-being (2); and health outcomes and conditions (10). DISCUSSION These indicators are the result of a robust and structured five-year process to identify a priority set of indicators with relevance to adolescent health globally. This inclusive and participatory approach incorporated inputs from a broad range of stakeholders, including adolescents and young people themselves. The GAMA-recommended indicators are now ready to be used to measure adolescent health at the country, regional, and global levels.
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Affiliation(s)
- Andrew D Marsh
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland.
| | - Holly Newby
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Simone Storey
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Diana Yeung
- Department of International Health, Institute for International Programs, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
| | - Theresa Diaz
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Valentina Baltag
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Anshu Banerjee
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Parviz Abduvahobov
- Health and Education Section, Division for Peace and Sustainable Development, Education Sector, UNESCO, Paris, France
| | - Emmanuel Adebayo
- Adolescent Health Unit, Institute of Child Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Peter S Azzopardi
- Department of Paediatrics, Centre for Adolescent Health, Murdoch Children's Research Institute, University of Melbourne, Melbourne, Australia; Adolescent Health and Wellbeing Program, Telethon Kids Institute, National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia
| | - Mariame Gueye Ba
- Faculty of Medicine, Pharmacy and Odontology/Gynecology, University Cheikh Anta Diop of Dakar, Dakar, Senegal; Obstetrics Clinic, University Teaching Hospital A. Le Dantec, Dakar, Senegal
| | - Krishna Bose
- Department of Population, Family and Reproductive Health, Johns Hopkins University, Bloomberg School of Public Health, Baltimore
| | - Marcelo Cardona
- Center for Eating and feeding Disorders Research, Mental Health Center Ballerup, Copenhagen University Hospital - Mental Health Services, Copenhagen, Denmark
| | - Liliana Carvajal-Velez
- Division of Data, Analytics, Planning and Monitoring, Data and Analytics Section, UNICEF, New York, New York
| | - Saeed Dastgiri
- Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Lucy Fagan
- UN Major Group for Children and Youth, London, United Kingdom; Imperial College Healthcare NHS Trust, London, United Kingdom
| | | | - Howard S Friedman
- Technical Division, United Nations Population Fund, New York, New York
| | - Ann Hagell
- Independent Consultant, London, United Kingdom
| | - Jo Inchley
- MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom
| | - Anna E Kågesten
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Sarah C Keogh
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Ann-Beth Moller
- Department of Sexual and Reproductive Health and Research World Health Organization includes the UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Geneva, Switzerland
| | | | - Kun Tang
- Vanke School of Public Health, Tsinghua University, Beijing, China
| | - Regina Guthold
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
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9
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Rizvi ZA, Kumar D, Mehta R, Singh S, Bansal S, Newby H, Storey S, Guthold R, Karna P. Improving Adolescent Mental Health Measurement in India. J Adolesc Health 2024; 74:S24-S26. [PMID: 38762257 DOI: 10.1016/j.jadohealth.2024.01.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2023] [Revised: 12/18/2023] [Accepted: 01/03/2024] [Indexed: 05/20/2024]
Affiliation(s)
| | - Deepak Kumar
- Ministry of Health and Family Welfare, New Delhi, India
| | - Rajesh Mehta
- WHO-South-East Asia Regional Office, New Delhi, India
| | | | | | - Holly Newby
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, WHO, Geneva, Switzerland
| | - Simone Storey
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Regina Guthold
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, WHO, Geneva, Switzerland.
| | - Priya Karna
- WHO Country Office for India, New Delhi, India
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10
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Newby H, Massaquoi L, Guthold R, Saewyc E, Abduvahobov P, Adebayo E, Azzopardi PS, Dastgiri S, Ferguson BJ, Friedman HS, Giyava CR, Kågesten AE, Keogh SC, Moller AB, Saha KK, Marsh AD. Towards Harmonized Adolescent Health Measurement: Assessing Alignment Between Current Recommendations and the Global Action for Measurement of Adolescent Health-Recommended Indicators. J Adolesc Health 2024; 74:S56-S65. [PMID: 38762263 DOI: 10.1016/j.jadohealth.2024.01.018] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2023] [Revised: 01/11/2024] [Accepted: 01/21/2024] [Indexed: 05/20/2024]
Abstract
PURPOSE This study identified alignment of indicators across different initiatives and data collection instruments as a foundation for future harmonization of adolescent health measurement. METHODS Using the Global Action for Measurement of Adolescent health (GAMA) recommended indicators as the basis for comparison, we conducted a desk review of 14 global-level initiatives, such as the Sustainable Development Goals and the Global Strategy for Women's, Children's and Adolescents' Health, and five multicountry survey programs, such as the Multiple Indicator Cluster Surveys and the Global school-based Student Health Survey. We identified initiative and survey indicators similar to a GAMA indicator, deconstructed indicators into standard elements to facilitate comparison, and assessed alignment to the corresponding GAMA indicator across each of the elements. RESULTS A total of 144 initiative indicators and 90 survey indicators were identified. Twenty-four initiative indicators (17%) and 14 survey indicators (16%) matched the corresponding GAMA indicators across all elements. Population of interest was the most commonly discrepant element; whereas GAMA indicators mostly refer to ages 10-19, many survey and initiative indicators encompass only part of this age range, for example, 15-19-year-olds as a subset of adults ages 15-49 years. An additional 53 initiative indicators (39%) and 44 survey indicators (49%) matched on all elements except the population of interest. DISCUSSION The current adolescent measurement landscape is inconsistent, with differing recommendations on what and how to measure. Findings from this study support efforts to promote indicator alignment and harmonization across adolescent health measurement stakeholders at the global, regional, and country levels.
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Affiliation(s)
- Holly Newby
- Maternal, Newborn, Child and Adolescent health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Lamin Massaquoi
- Maternal, Newborn, Child and Adolescent health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Regina Guthold
- Maternal, Newborn, Child and Adolescent health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Elizabeth Saewyc
- School of Nursing, University of British Columbia, Vancouver, Canada
| | - Parviz Abduvahobov
- Health and Education Section, Division for Peace and Sustainable Development, Education Sector, UNESCO, Paris, France
| | - Emmanuel Adebayo
- Adolescent Health Unit, Institute of Child health, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Peter S Azzopardi
- Department of Paediatrics, Centre for Adolescent Health, Murdoch Children's Research Institute, University of Melbourne, Melbourne, Australia; Adolescent Health and Wellbeing Program, Telethon Kids Institute, National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia
| | - Saeed Dastgiri
- Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | | | - Howard S Friedman
- Technical Division, United Nations Population Fund, New York, New York
| | | | - Anna E Kågesten
- Maternal, Newborn, Child and Adolescent health and Ageing Department, World Health Organization, Geneva, Switzerland; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Sarah C Keogh
- Maternal, Newborn, Child and Adolescent health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Ann-Beth Moller
- Department of Sexual and Reproductive Health and Research World Health Organization includes the UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Geneva, Switzerland
| | - Kuntal Kumar Saha
- Department of Nutrition and Food Safety, World Health Organization, Geneva, Switzerland
| | - Andrew D Marsh
- Maternal, Newborn, Child and Adolescent health and Ageing Department, World Health Organization, Geneva, Switzerland.
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Carvajal-Velez L, Manoj M, Quintana E, Mehra S, Adebayo E, Fagan L, Saewyc E, Azzopardi P, Kohrt BA. The Path Forward: Emerging Lessons From Validating a Multicountry Population-Level Data Collection Tool to Measure Adolescent and Youth Mental Health. J Adolesc Health 2024; 74:S27-S28. [PMID: 38762258 DOI: 10.1016/j.jadohealth.2024.02.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 02/02/2024] [Accepted: 02/05/2024] [Indexed: 05/20/2024]
Affiliation(s)
- Liliana Carvajal-Velez
- Division of Data, Analytics, Planning and Monitoring, Data and Analytics Section, UNICEF, New York, New York; Department of Global Public Health, Karolinska Institutet, Stockholm.
| | - Malvikha Manoj
- Division of Data, Analytics, Planning and Monitoring, Data and Analytics Section, UNICEF, New York, New York
| | - Eva Quintana
- Division of Data, Analytics, Planning and Monitoring, Data and Analytics Section, UNICEF, New York, New York
| | - Sunil Mehra
- MAMTA Health Institute for Mother and Child, New Delhi, India
| | - Emmanuel Adebayo
- Adolescent Health Unit, Institute of Child Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Lucy Fagan
- UN Major Group for Children and Youth, GAMA Advisory Group, London, United Kingdom
| | - Elizabeth Saewyc
- School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada
| | - Peter Azzopardi
- Global Adolescent Health Group, Maternal Child and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia; Adolescent Health and Wellbeing Program, Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia
| | - Brandon A Kohrt
- Department of Psychiatry, George Washington University, Washington, D.C
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12
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Kågesten AE, Marsh AD, Storey S, Abduvahobov P, Adebayo E, Amezquita Velásquez AI, Azzopardi PS, Ba MG, Bose K, Camara MK, Cardona M, da Cruz J, Dastgiri S, Fagan L, Ferguson BJ, Giyava CR, Karna P, Keogh SC, Melkumova M, Moller AB, Newby H, Swai E, Tchandana M, Uzma Q, Yoffo GJ, Zainal Abidin Z, Zbelo M, Guthold R. Exploring a Preliminary Set of Indicators to Measure Adolescent Health: Results From a 12-Country Feasibility Study. J Adolesc Health 2024; 74:S66-S79. [PMID: 38762265 DOI: 10.1016/j.jadohealth.2024.01.017] [Citation(s) in RCA: 9] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/29/2023] [Revised: 01/17/2024] [Accepted: 01/21/2024] [Indexed: 05/20/2024]
Abstract
PURPOSE To explore data availability, perceived relevance, acceptability and feasibility of implementing 52 draft indicators for adolescent health measurement in different countries globally. METHODS A mixed-methods, sequential explanatory study was conducted in 12 countries. An online spreadsheet was used to assess data availability and a stakeholder survey to assess perceived relevance, acceptability, and feasibility of implementing each draft indicator proposed by the Global Action for Measurement of Adolescent health (GAMA). The assessments were discussed in virtual meetings with all countries and in deep dives with three countries. Findings were synthesized using descriptive statistics and qualitative thematic analysis. RESULTS Data availability varied across the 52 draft GAMA indicators and across countries. Nine countries reported measuring over half of the indicators. Most indicators were rated relevant by stakeholders, while some were considered less acceptable and feasible. The ten lowest-ranking indicators were related to mental health, sexual health and substance use; the highest-ranking indicators centered on broader adolescent health issues, like use of health services. Indicators with higher data availability and alignment with national priorities were generally considered most relevant, acceptable and feasible. Barriers to measurement included legal, ethical and sensitivity issues, challenges with multi-sectoral coordination and data systems flexibility. DISCUSSION Most of the draft GAMA indicators were deemed relevant and feasible, but contextual priorities and perceived acceptability influenced their implementation in countries. To increase their use for a more comprehensive understanding of adolescent health, better multi-sectoral coordination and tailored capacity building to accommodate the diverse data systems in countries will be required.
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Affiliation(s)
- Anna E Kågesten
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Andrew D Marsh
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Simone Storey
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Parviz Abduvahobov
- Health and Education Section, Division for Peace and Sustainable Development, Education Sector, UNESCO, Paris, France
| | - Emmanuel Adebayo
- Adolescent Health Unit, Institute of Child Health, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | | | - Peter S Azzopardi
- Department of Paediatrics, Centre for Adolescent Health, Murdoch Children's Research Institute, University of Melbourne, Melbourne, Australia; Adolescent Health and Wellbeing Program, Telethon Kids Institute, National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia
| | - Mariame Gueye Ba
- University Cheikh Anta Diop of Dakar, Faculty of Medicine, Pharmacy and Odontology/Gynecology and Obstetrics Clinic, University Teaching Hospital, Dakar, Senegal
| | - Krishna Bose
- Bill and Melinda Gates Institute for Population and Reproductive Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
| | | | - Marcelo Cardona
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland; Center for Eating and feeding Disorders Research, Mental Health Center Ballerup, Copenhagen University Hospital - Mental Health Services, Copenhagen, Denmark
| | | | - Saeed Dastgiri
- Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Lucy Fagan
- Imperial College Healthcare NHS Trust, London, United Kingdom
| | | | | | - Priya Karna
- WHO Country Office for India, New Delhi, India
| | - Sarah C Keogh
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Marina Melkumova
- Arabkir Medical Centre, Institute of Child and Adolescent Health, Yerevan, Armenia
| | - Ann-Beth Moller
- Department of Sexual and Reproductive Health and Research World Health Organization includes the UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Geneva, Switzerland
| | - Holly Newby
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Edwin Swai
- Universal Health Cluster- Live Course, WHO Country Office for the United Republic of Tanzania, Dar-es-Salaam, United Republic of Tanzania
| | - Makilioubè Tchandana
- Division Santé Maternelle Infantile et Planification Familiale, Ministère de la Santé de l'hygiène publique et de l'accès universel aux soins, Lomé, Togo
| | - Qudsia Uzma
- Reproductive, Maternal, Newborn, Child and Adolescent Health Programme, WHO Country Office for Pakistan, Islamabad, Pakistan
| | - Gboboto Jérôme Yoffo
- Programme National de la Santé Scolaire et Universitaire Santé Adolescents et Jeunes, Ministère de la Santé de l'Hygiène Publique et de la Couverture Maladie Universelle, Abidjan, Côte d'Ivoire
| | - Zamzaireen Zainal Abidin
- Adolescent Health Sector, Family Health Development Division, Ministry of Health, Putrajaya, Malaysia
| | - Mesfin Zbelo
- Health Services and Policies, WHO Country Office for Lesotho, Maseru, Lesotho
| | - Regina Guthold
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland.
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Wallengren E, Guthold R, Newby H, Moller AB, Marsh AD, Fagan L, Azzopardi P, Ba MG, Kågesten AE. Relevance of the Sustainable Development Goals (SDGs) to Adolescent Health Measurement: A Systematic Mapping of the SDG Framework and Global Adolescent Health Indicators. J Adolesc Health 2024; 74:S47-S55. [PMID: 38762262 DOI: 10.1016/j.jadohealth.2024.01.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/02/2023] [Revised: 12/11/2023] [Accepted: 01/03/2024] [Indexed: 05/20/2024]
Abstract
PURPOSE To assess the relevance of the Sustainable Development Goals (SDGs) framework for adolescent health measurement, both in terms of age disaggregation and different health domains captured, and how the adolescent health indicators recommended by the Global Action for Measurement of Adolescent Health (GAMA) can complement the SDG framework. METHODS We conducted a desk review to systematically map all 248 SDG indicators using the UN metadata repository in three steps: 1) age-related mandates for SDG reporting; 2) linkages between the SDG indicators and priority areas for adolescent health measurement; 3) comparison between the GAMA indicators and the SDG framework. RESULTS Of the 248 SDG indicators, 35 (14%) targeted an age range overlapping with adolescence (10-19 years) and 33 (13%) called for age disaggregation. Only one indicator (3.7.2 "adolescent birth rate") covered the entire 10-19 age range. Almost half (41%) of the SDG indicators were directly related to adolescent health, but only 33 of those (13% of all SDG indicators) overlapped with the ages 10-19, and 15 (6% of all SDG indicators) explicitly mandated age disaggregation. Among the 47 GAMA indicators, five corresponded to existing SDG indicators, and eight were adolescent-specific age adaptations. Several GAMA indicators shed light on aspects not tracked in the SDG framework, such as obesity, mental health, physical activity, and bullying among 10-19-year-olds. DISCUSSION Adolescent health cannot be monitored comprehensively with the SDG framework alone. The GAMA indicators complement this framework via age-disaggregated adaptations and by tracking aspects of adolescent health currently absent from the SDGs.
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Affiliation(s)
- Emma Wallengren
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
| | - Regina Guthold
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Holly Newby
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Ann-Beth Moller
- Department of Sexual and Reproductive Health and Research World Health Organization includes the UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Geneva, Switzerland
| | - Andrew D Marsh
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Lucy Fagan
- Imperial College Healthcare NHS Trust, London, United Kingdom
| | - Peter Azzopardi
- Global Adolescent Health Group, Burnet Institute, Melbourne, Victoria, Australia; Adolescent Health and Well-being Program, Aboriginal Health Equity Theme, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia; Department of Paediatrics, Centre for Adolescent Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Mariame Guèye Ba
- Faculty of Medicine, Pharmacy and Odontology/Gynecology, University Cheikh Anta Diop of Dakar, Dakar, Senegal; Obstetrics Clinic, University Teaching Hospital A. Le Dantec, Dakar, Senegal
| | - Anna E Kågesten
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden; Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
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Melkumova M, Movsesyan Y, Sargsyan S, Storey S, Keogh SC. Challenges and Opportunities to Advance Adolescent Health Measurement in Armenia: Alignment Between Global Priority Indicators and National Policies, and Feasibility of Collecting Sexual, Reproductive, and Mental Health Indicators. J Adolesc Health 2024; 74:S80-S93. [PMID: 38762266 DOI: 10.1016/j.jadohealth.2024.01.019] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 01/17/2024] [Accepted: 01/21/2024] [Indexed: 05/20/2024]
Abstract
PURPOSE To assess alignment of the Global Action for Measurement of Adolescent health (GAMA) draft adolescent health indicators with national policies and explore challenges and opportunities for collecting data on adolescent sexual, reproductive, and mental health in Armenia. METHODS We reviewed Armenia's national laws, decrees, policies, strategies, and programs for content related to the draft indicators. We conducted three focus group discussions with government and nongovernmental stakeholders and youth representatives on the feasibility of collecting the draft indicators, and analyzed the discussion segments related to sexual, reproductive, and mental health indicators. RESULTS The policy review included 22 documents. Armenia's national laws, policies, strategies, orders, and decrees mention a range of tracking and monitoring activities in adolescent health, and many draft GAMA indicators are already incorporated into national statistics and are collected in ongoing surveys. However, policies and strategies often lack specificity around how to measure and report indicators. Sexual, reproductive, and mental health indicators were particularly sensitive to collect due to Armenian cultural norms and expectations, especially for younger adolescents under the age of 15 years. DISCUSSION Guidance should be developed to facilitate the formulation of relevant policies with well-defined indicators and complete tracking and reporting information. Data collection should be further harmonized within the overall health information flow to avoid data overlap. While sensitization work and interviewer training can help address some issues around collecting data on sexual, reproductive, and mental health, it may be necessary to adapt certain indicators to be culturally acceptable in Armenia, such as by limiting the age range to above 15 years for highly sensitive indicators.
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Affiliation(s)
- Marina Melkumova
- Arabkir Medical Centre, Institute of Child and Adolescent Health, Yerevan, Armenia
| | - Yeva Movsesyan
- Arabkir Medical Centre, Institute of Child and Adolescent Health, Yerevan, Armenia
| | - Sergey Sargsyan
- Arabkir Medical Centre, Institute of Child and Adolescent Health, Yerevan, Armenia
| | - Simone Storey
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
| | - Sarah C Keogh
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland.
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Dandona R, Pandey A, Kumar GA, Arora M, Dandona L. Review of the India Adolescent Health Strategy in the context of disease burden among adolescents. THE LANCET REGIONAL HEALTH. SOUTHEAST ASIA 2024; 20:100283. [PMID: 38234699 PMCID: PMC10794100 DOI: 10.1016/j.lansea.2023.100283] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/16/2023] [Revised: 08/24/2023] [Accepted: 09/07/2023] [Indexed: 01/19/2024]
Abstract
Background A nuanced understanding of the health needs of adolescents in the context of the India Adolescent Health Strategy (IAHS) is needed to inform policy interventions for improving the health and well-being of adolescents in India. Methods Using data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019, we identified the top ten causes of years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs) disaggregated by sex and age group (10-14 and 15-19 years) for India and its states in 2019. To inform the IAHS of refinement or expansion in focus needed to improve adolescent health in India, we reviewed the extent to which the top 10 causes of disease burden are addressed in the IAHS, and the availability of and age- and sex-disaggregation in the service utilisation data for adolescents captured in the Adolescent Friendly Health Clinic monitoring information system (AFHC MIS) and Health Management Information System (HMIS). We also reviewed the availability of and age-and sex-disaggregation in the data capture at the population level for the IAHS outcome indicators in the data sources identified in the IAHS operational framework. Findings Females in the 10-14 and 15-19 years age groups suffered 6.75 million and 9.25 million DALYs, respectively, 39.1% and 44.2% of which were YLLs; the corresponding DALYs for males were 6.71 million and 9.65 million (42.3% and 41.1% YLLs), respectively. Within the 6 thematic areas of the IAHS, most strategies and indicators identified are for sexual and reproductive health followed by nutrition, and broadly these conditions accounted for YLDs and not YLLs in adolescents. Significant gaps in the IAHS in comparison to the disease burden for fatal diseases and conditions were seen across injuries, communicable diseases, and non-communicable diseases. Injuries accounted for 65.9% and 45.3% of YLLs in males and females aged 15-19 years, and 40.8% in males aged 10-14 years. Specifically, road injuries (15.3%, 95% UI 11.0-18.0) and self-harm (11.3%, 95% UI 8.7-14.2) accounted for most of the injury deaths in 15-19 years whereas drowning (7.7% 95% UI 5.8-9.6) and road injuries (6.9%, 95% UI 4.7-8.6) accounted for the most injury deaths in 10-14 years males. However, only self-harm and gender-based violence are specifically addressed in the IAHS with non-specific interventions for other injuries. Diarrhoea, lower respiratory infections, malaria, encephalitis, tuberculosis, typhoid, cirrhosis, and hepatitis are the other disease conditions accounting for YLLs and DALYs in adolescents but these are neither addressed in the IAHS nor in service provision under the AFHC MIS. There is no age- or sex-disaggregation in the cause of death data captured in the HMIS to allow an understanding of mortality in adolescents. For the IAHS outcome indicators at the population level, data capture for the 10-14 years irrespective of sex was largely missing from the population surveys and none of the surveys captured data for either females or males aged 15-19 years for physical inactivity and mental health indicators. Interpretation The considerable differences seen in the IAHS thematic focus as compared with the leading causes of fatal and non-fatal disease burden in adolescents in India, and in the availability of population-level data to monitor the outcome indicators of the IAHS can pose substantial limitations for improving adolescent health in India. The findings in this paper can be utilized by decision makers to refine action aimed at improving adolescent health and well-being. Funding Bill & Melinda Gates Foundation.
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Affiliation(s)
- Rakhi Dandona
- Public Health Foundation of India, New Delhi, India
- Institute for Health Metrics and Evaluation, University of Washington, Seattle, USA
| | | | - G Anil Kumar
- Public Health Foundation of India, New Delhi, India
| | - Monika Arora
- Public Health Foundation of India, New Delhi, India
| | - Lalit Dandona
- Public Health Foundation of India, New Delhi, India
- Institute for Health Metrics and Evaluation, University of Washington, Seattle, USA
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Guthold R, Newby H, Keogh S, Afifi RA, Austrian K, Baird S, Blum RW, Bundy DAP, Deardorff J, Engel D, Klein JD, Kostelecky SM, Mackworth-Young C, Marquez J, NicGabhainn S, Requejo J, Ross DA, Saewyc E, Mohan A. Developing a Global Approach for Measurement of Adolescent Well-Being. J Adolesc Health 2023; 73:972-974. [PMID: 37815774 PMCID: PMC10654044 DOI: 10.1016/j.jadohealth.2023.08.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2023] [Revised: 08/18/2023] [Accepted: 08/21/2023] [Indexed: 10/11/2023]
Affiliation(s)
- Regina Guthold
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland.
| | - Holly Newby
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Sarah Keogh
- Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Rima A Afifi
- College of Public Health, University of Iowa, Iowa City, Iowa
| | | | - Sarah Baird
- Department of Global Health, George Washington University, Washington, D.C
| | - Robert W Blum
- Department of Population, Family and Reproductive Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland
| | - Donald A P Bundy
- Research Consortium for School Health and Nutrition, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | | | - Danielle Engel
- Technical Division, United Nations Population Fund, New York, New York
| | - Jonathan D Klein
- Department of Pediatrics, University of Illinois at Chicago, Chicago, Illinois
| | | | - Constance Mackworth-Young
- Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom; The Health Research Unit Zimbabwe, The Biomedical Research and Training Institute, Harare, Zimbabwe
| | - Jose Marquez
- Manchester Institute of Education, University of Manchester, Manchester, United Kingdom; Wellbeing Research Oxford, Harris Manchester College, University of Oxford, Oxford, United Kingdom
| | | | - Jennifer Requejo
- Department of International Health, Johns Hopkins Bloomberg School of Public Health, Balitmore, Maryland; Global Financing Facility, World Bank Group, Washington, D.C
| | - David A Ross
- Consultant to the Child Health Initiative of the FIA Foundation, Bad Herrenalb, Germany
| | - Elizabeth Saewyc
- School of Nursing and Stigma and Resilience Among Vulnerable Youth Centre (SARAVYC), University of British Columbia, Vancouver, British Columbia, Canada
| | - Anshu Mohan
- Partnership for Maternal, Newborn and Child Health, Geneva, Switzerland
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Hennegan J, Caruso BA, Zulaika G, Torondel B, Haver J, Phillips-Howard PA, Valdez J, Gruer C, Okwaro N, Mahon T, Sommer M. Indicators for National and Global Monitoring of Girls' Menstrual Health and Hygiene: Development of a Priority Shortlist. J Adolesc Health 2023; 73:992-1001. [PMID: 37737755 PMCID: PMC10654045 DOI: 10.1016/j.jadohealth.2023.07.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Revised: 06/28/2023] [Accepted: 07/07/2023] [Indexed: 09/23/2023]
Abstract
PURPOSE Despite the importance of menstrual health and hygiene (MHH) for adolescent girls' health, education, and gender equality, few countries monitor MHH. MHH needs remain underprioritized, and progress achieved through policies, programs, or investments go unmeasured. This article reports the systematic development of an indicator shortlist to monitor adolescent girls' MHH at the national and global levels across low- and middle-income countries. METHODS A core group of MHH researchers and practitioners collaborated with stakeholders from three countries with demonstrated commitment to monitoring MHH (Bangladesh, Kenya, and the Philippines), measures experts, and a global advisory group. The approach included the following: (1) define domains for monitoring MHH; (2) review and map existing indicators and measures; (3) iteratively shortlist indicators through appraising quality, feasibility, and stakeholder input; and (4) refine the shortlist and develop guidance for use. RESULTS The shortlist comprises 21 indicators across seven domains covering menstrual materials, water, sanitation, and hygiene facilities, knowledge, discomforts and disorders, supportive social environments, menstrual health impacts, and policies. Indicators are accompanied by measures that have been tested or are expected to provide reliable data, alongside justification for their selection and guidance for use. DISCUSSION The shortlisted indicators reflect the multisectoral collaboration necessary for ensuring girls' MHH. Uptake requires integration into monitoring systems at national and global levels. Future work remains to evaluate the performance of the indicators over time and to support their widespread use. Governments and stakeholders can use these indicators to track the progress of programs and policies, monitor unmet MHH needs, identify disparities, and set targets for improvement.
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Affiliation(s)
- Julie Hennegan
- Maternal, Child and Adolescent Health Program, Burnet Institute, Melbourne, Victoria, Australia; Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Bethany A Caruso
- Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia
| | - Garazi Zulaika
- Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, United Kingdom
| | - Belen Torondel
- Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom
| | - Jacquelyn Haver
- Department of Education and Child Protection, School Health and Nutrition Program, Save the Children US, Washington, D.C
| | | | - Jonathan Valdez
- Department of Education and Child Protection, School Health and Nutrition Program, Save the Children US, Washington, D.C
| | - Caitlin Gruer
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York
| | | | - Therese Mahon
- International Programmes Department, WaterAid, London, United Kingdom
| | - Marni Sommer
- Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York.
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Acotchéou PE, Affo MA, Dansou J, Delvaux T, Saizonou ZJ. La pratique contraceptive moderne chez les adolescentes au Bénin: Tendances, déterminants et perspectives / Modern contraceptive use among adolescents in Benin: trends, determinants and prospects. Sex Reprod Health Matters 2023; 31:2267200. [PMID: 38010343 PMCID: PMC11078119 DOI: 10.1080/26410397.2023.2267200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2023] Open
Abstract
RésuméLa pratique contraceptive moderne augmente lentement parmi les jeunes générations au Bénin. La présente étude analyse les tendances, les déterminants du recours aux contraceptifs et leurs mécanismes d'actions chez les adolescentes. Les approches socio-écologique et intersectionnelle ont été adoptées, avec une méthode d'étude mixte portant sur les adolescentes de 15 à 19 ans sexuellement actives et non enceintes. Le volet quantitatif recourt aux données des cinq enquêtes démographiques et de santé du Bénin entre 1996 et 2017-18, avec une analyse descriptive et une régression logistique binaire pas à pas. Les données qualitatives collectées par des observations, discussions de groupe et entretiens individuels auprès de différents acteurs nationaux, ont fait l'objet d'analyse de contenu. Les résultats révèlent une prévalence contraceptive moderne basse, passant de 4,6% en 1996 à 13,3% en 2017-18, avec le préservatif comme principale méthode utilisée (8,2%). En 2017-18, la probabilité d'utiliser les contraceptifs était plus élevée chez les adolescentes des ménages riches (OR = 2,3), les scolarisées (OR = 2,3), les célibataires (OR = 2,1), celles fréquentant les services de planification familiale (PF) (OR = 1,8), connaissant le cycle menstruel (OR = 1,6), et économiquement actives (OR = 1,5). Cependant, être Yoruba réduit les chances d'utiliser les contraceptifs (OR = 0,5). Les données qualitatives confirment ces résultats et les complètent en mettant en avant l'effet du cadre juridique favorable à la pratique contraceptive, la stigmatisation sociale des utilisatrices, et les infox véhiculées en communauté. Nous recommandons des efforts pour le maintien des filles à l'école, la généralisation des services de PF pour les adolescents, la communication communautaire, et la subvention des contraceptifs.
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Affiliation(s)
- Pacôme Evènakpon Acotchéou
- Chercheur, Institut Régional de Santé Publique Comlan Alfred Quenum (IRSP/CAQ), Université d'Abomey-Calavi (UAC), Abomey Calavi, Bénin; Chercheur, Groupe de Recherche en Population Santé et Développement (GRPSD), Université d'Abomey-Calavi, Abomey Calavi, Bénin. Correspondence: ;
| | - Mingnimon Alphonse Affo
- Chercheur et Trésorier, Groupe de Recherche en Population Santé et Développement (GRPSD), Université d'Abomey-Calavi, Abomey Calavi, Bénin; Enseignant-Chercheur, Centre de Formation et de Recherche en matière de Population (CEFORP), Université d'Abomey-Calavi (UAC), Abomey Calavi, Bénin
| | - Justin Dansou
- Chercheur et Commissaire aux comptes, Groupe de Recherche en Population Santé et Développement (GRPSD), Université d'Abomey-Calavi, Abomey Calavi, Bénin; Enseignant-Chercheur, Ecole Nationale de Statistique, de Planification et de Démographie (ENSPD), Université de Parakou, Parakou, Bénin
| | - Thérèse Delvaux
- Experte et Chercheuse principale, Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium
| | - Zinsou Jacques Saizonou
- Enseignant-Chercheur, Institut Régional de Santé Publique Comlan Alfred Quenum (IRSP/CAQ), Université d'Abomey-Calavi (UAC), Abomey Calavi, Bénin; Chercheur et Directeur exécutif, Groupe de Recherche en Population Santé et Développement (GRPSD), Université d'Abomey-Calavi, Abomey Calavi, Bénin
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Newby H, Hagell A, Marsh AD, Guthold R. Opportunities to advance measurement of adolescent wellbeing: building on a new conceptual framework. BMJ 2022; 379:e068955. [PMID: 36302540 PMCID: PMC9600170 DOI: 10.1136/bmj-2021-068955] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Available data are insufficient and inconsistent, but increasing focus on adolescent wellbeing provides the impetus to advance measurement, argue Holly Newby and colleagues
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Affiliation(s)
- Holly Newby
- Maternal, Newborn, Child, and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Ann Hagell
- Association for Young People's Health, London, UK
| | - Andrew D Marsh
- Maternal, Newborn, Child, and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
| | - Regina Guthold
- Maternal, Newborn, Child, and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland
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