Designing Routine Health Checkups for Adolescents in Zimbabwe.
Designing Routine Health Checkups for Adolescents in Zimbabwe.
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DOI：
10.1016/j.jadohealth.2021.07.002
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发表时间：
2021-12
期刊：
影响因子：
--
通讯作者：
Ferrand RA
中科院分区：
文献类型：
--
作者：
Chingono RMS;Mackworth-Young CRS;Ross DA;Tshuma M;Chiweshe T;Nyamayaro C;Sekanevana C;Doyle AM;Weiss HA;Kohl K;Mangombe A;Madzima B;McHugh G;Ferrand RA
低收入和中等收入国家青春期缺乏常规健康检查，从而错失了预防、早期识别和治疗健康问题以及促进健康的机会。我们的目标是与青少年和生活中的关键成年人共同设计津巴布韦青少年常规健康检查的内容和交付方式。我们与青少年（16 场研讨会；96 名青少年）和家长（8 场研讨会；95 名家长）举办了参与式研讨会，并对关键知情人进行了深入访谈，包括政策制定者、规划人员和医护人员 (n=25)。分析是迭代的，检查的设计根据参与者的偏好、疾病负担数据的文件审查和可行性考虑进行了完善。绝大多数参与者支持实行例行健康检查。据报道，参加活动的促进因素包括免费和了解个人健康状况的愿望。障碍包括仅在生病时才寻求医疗服务的倾向、对诊断和判断的恐惧以及宗教信仰。交付偏好是由不带偏见的医疗专业人员在对青年友好的环境中进行的，并伴随着青年参与活动。首选地点是针对年龄较小的青少年（10-14 岁）的学校和针对年龄较大的青少年（15-19 岁）的社区环境。根据健康负担和参与者的偏好，优先内容包括性健康、口腔健康、心理健康、听力、视力、生长和营养、贫血、免疫和驱虫。这项研究与津巴布韦的利益相关者一起设计了两次例行健康检查的大纲，分别在青少年学校和老年青少年社区环境中进行。需要提供此类检查的可行性、有效性和成本效益的证据。
The absence of routine health check-ups during adolescence in low- and middle-income countries is a missed opportunity for prevention, early identification, and treatment of health issues, and health promotion. We aimed to co-design the content and delivery for routine adolescent health check-ups in Zimbabwe, with adolescents and key adults in their lives. We held participatory workshops with adolescents (16 workshops; 96 adolescents) and parents (8 workshops; 95 parents), and in-depth interviews with key informants including policy makers, programmers and healthcare workers (n=25). Analysis was iterative and the design of the check-ups was refined based on participant preferences, document review of burden of disease data, and feasibility considerations. Participants overwhelming supported the introduction of routine health check-ups. Reported facilitators to attendance included free cost and desire to know one’s health status. Barriers included tendencies for health service-seeking only when ill, fear of diagnosis and judgement, and religious beliefs. Delivery preferences were by non-judgemental medical professionals, in a youth-friendly environment, and accompanied by youth engagement activities. Preferred location was schools for younger adolescents (10-14 years), and community settings for older adolescents (15-19 years). Prioritised content included sexual health, oral health, mental health,hearing, eyesight, growth and nutrition, anaemia, immunisation, and deworming, based on health burden and participant preferences. This study resulted in an outline design of two routine health check-ups with stakeholders in Zimbabwe, in schools for young adolescents and in community settings for older adolescents. Evidence of feasibility, effectiveness and cost-effectiveness of such check-ups is required.
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影响因子：
5.9
作者：
Langhaug, Lisa F.;Pascoe, Sophie J.;Mavhu, Webster;Woelk, Godfrey;Sherr, Lorraine;Hayes, Richard J.;Cowan, Frances M.
通讯作者：
Cowan, Frances M.
DOI：
10.1016/s2352-4642(20)30335-7
发表时间：
2021-03
期刊：
The Lancet. Child & adolescent health
影响因子：
--
作者：
Martin K;Olaru ID;Buwu N;Bandason T;Marks M;Dauya E;Muzangwa J;Mabey D;Dziva Chikwari C;Francis SC;Tembo M;Mavodza C;Simms V;Mackworth-Young CRS;Machiha A;Kranzer K;Ferrand RA
通讯作者：
Ferrand RA
DOI：
10.1016/s0140-6736(16)00579-1
发表时间：
2016-06-11
期刊：
Lancet (London, England)
影响因子：
--
作者：
Patton GC;Sawyer SM;Santelli JS;Ross DA;Afifi R;Allen NB;Arora M;Azzopardi P;Baldwin W;Bonell C;Kakuma R;Kennedy E;Mahon J;McGovern T;Mokdad AH;Patel V;Petroni S;Reavley N;Taiwo K;Waldfogel J;Wickremarathne D;Barroso C;Bhutta Z;Fatusi AO;Mattoo A;Diers J;Fang J;Ferguson J;Ssewamala F;Viner RM
通讯作者：
Viner RM
影响因子：
3.1
作者：
Homer, Caroline S. E.;Castro Lopes, Sofia;ten Hoope-Bender, Petra
通讯作者：
ten Hoope-Bender, Petra
影响因子：
3.8
作者：
Midzi, Nicholas;Mduluza, Takafira;Mutapi, Francisca
通讯作者：
Mutapi, Francisca