Involvement of stakeholders in determining health priorities of adolescents in rural South Africa
Involvement of stakeholders in determining health priorities of adolescents in rural South Africa
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DOI：
10.3402/gha.v9.29162
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发表时间：
2016-01-01
影响因子：
2.6
通讯作者：
Norris, Shane A.
中科院分区：
文献类型：
--
作者：
Twine, Rhian;Kahn, Kathleen;Norris, Shane A.
背景：在开展干预研究时，从社区角度探讨问题是很重要的。南非迫切需要促进青少年健康的干预措施，Ntshembo项目（“希望”）旨在改善南非东北部农村阿金库尔街道年轻妇女及其后代的健康，在整个研究过程中积极利用利益攸关方的参与。目的：本研究旨在根据主要利益相关者确定青少年健康优先事项，协调利益相关者和研究人员的优先事项，并形成一个利益相关者论坛，该论坛将在整个干预过程中发挥积极作用。设计：有目的地将32个利益相关者确定为对青少年健康感兴趣的社区成员。在一系列的三个研讨会中使用了一个改编的德尔福，结合了面对面的讨论，以及参与式的可视化。通过非参数分析确定共识。结果：利益攸关方和研究人员一致认为，同伴压力和缺乏信息，或有信息但不采取行动，是青少年健康问题的根本原因。怀孕、艾滋病毒、辍学、酗酒和滥用药物、无法获得保健服务以及不健康的生活方式（导致肥胖）被确定为青少年健康的优先问题。绘制了一个图表，显示了这八个优先事项如何相互关联，这对制定干预措施很有用。成立了利益相关者论坛，由参与利益相关者参与过程的12名利益相关者组成。结论：这一进程使研究人员和利益攸关方就青少年面临的最重要的健康问题达成共识，并建立了一个利益攸关方论坛来解决这些问题。利益相关者的参与作为研究参与战略的一部分，可以使研究人员和研究所在的社区互惠互利。
Background: When developing intervention research, it is important to explore issues from the community perspective. Interventions that promote adolescent health in South Africa are urgently needed, and Project Ntshembo ('hope') aims to improve the health of young women and their offspring in the Agincourt sub-district of rural northeast South Africa, actively using stakeholder involvement throughout the research process.Objective: This study aimed to determine adolescent health priorities according to key stakeholders, to align stakeholder and researcher priorities, and to form a stakeholder forum, which would be active throughout the intervention.Design: Thirty-two stakeholders were purposefully identified as community members interested in the health of adolescents. An adapted Delphi incorporating face-to-face discussions, as well as participatory visualisation, was used in a series of three workshops. Consensus was determined through non-parametric analysis.Results: Stakeholders and researchers agreed that peer pressure and lack of information, or having information but not acting on it, were the root causes of adolescent health problems. Pregnancy, HIV, school dropout, alcohol and drug abuse, not accessing health services, and unhealthy lifestyle (leading to obesity) were identified as priority adolescent health issues. A diagram was developed showing how these eight priorities relate to one another, which was useful in the development of the intervention. Astakeholder forum was founded, comprising 12 of the stakeholders involved in the stakeholder involvement process.Conclusions: The process brought researchers and stakeholders to consensus on the most important health issues facing adolescents, and a stakeholder forum was developed within which to address the issues. Stakeholder involvement as part of a research engagement strategy can be of mutual benefit to the researchers and the community in which the research is taking place.