Exploring a Preliminary Set of Indicators to Measure Adolescent Health: Results From a 12-Country Feasibility Study.
Journal: The Journal of adolescent health : official publication of the Society for Adolescent Medicine
Volume: 74
Issue: 6S
Year of Publication: 2024
Affiliated Institutions:
Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland.
Health and Education Section, Division for Peace and Sustainable Development, Education Sector, UNESCO, Paris, France.
Adolescent Health Unit, Institute of Child Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Adolescent and Youth Program, Guatemalan Ministry of Public Health and Social Assistance, Guatemala City, Guatemala.
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.
University Cheikh Anta Diop of Dakar, Faculty of Medicine, Pharmacy and Odontology/Gynecology and Obstetrics Clinic, University Teaching Hospital, Dakar, Senegal.
Bill and Melinda Gates Institute for Population and Reproductive Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
Section Ado-jeunes, Ministère de la Santé, Conakry, Guinea.
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.
WHO Country Office for Timor-Leste, Dili, Timor-Leste.
Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Imperial College Healthcare NHS Trust, London, United Kingdom.
Independent Consultancy, Tannay, Switzerland.
Women Deliver Young Leaders Alumni, Harare, Zimbabwe.
WHO Country Office for India, New Delhi, India.
Arabkir Medical Centre, Institute of Child and Adolescent Health, Yerevan, Armenia.
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.
Universal Health Cluster- Live Course, WHO Country Office for the United Republic of Tanzania, Dar-es-Salaam, United Republic of Tanzania.
Division Santé Maternelle Infantile et Planification Familiale, Ministère de la Santé de l'hygiène publique et de l'accès universel aux soins, Lomé, Togo.
Reproductive, Maternal, Newborn, Child and Adolescent Health Programme, WHO Country Office for Pakistan, Islamabad, Pakistan.
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.
Adolescent Health Sector, Family Health Development Division, Ministry of Health, Putrajaya, Malaysia.
Health Services and Policies, WHO Country Office for Lesotho, Maseru, Lesotho.
Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland. Electronic address: gutholdr@who.int.
Abstract summary
To explore data availability, perceived relevance, acceptability and feasibility of implementing 52 draft indicators for adolescent health measurement in different countries globally.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.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.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.
Authors & Co-authors:
Kågesten Anna E AE
Marsh Andrew D AD
Storey Simone S
Abduvahobov Parviz P
Adebayo Emmanuel E
Amezquita Velásquez Ana Isabel AI
Azzopardi Peter S PS
Ba Mariame Gueye MG
Bose Krishna K
Camara Mamady Kankou MK
Cardona Marcelo M
da Cruz Jermias J
Dastgiri Saeed S
Fagan Lucy L
Ferguson B Jane BJ
Giyava Charity R CR
Karna Priya P
Keogh Sarah C SC
Melkumova Marina M
Moller Ann-Beth AB
Newby Holly H
Swai Edwin E
Tchandana Makilioubè M
Uzma Qudsia Q
Yoffo Gboboto Jérôme GJ
Zainal Abidin Zamzaireen Z
Zbelo Mesfin M
Guthold Regina R
Study Outcome
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