The stuff that dreams are made of: HIV-positive adolescents' aspirations for development.

The stuff that dreams are made of: HIV-positive adolescents' aspirations for development.
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DOI:
10.1002/jia2.25057
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发表时间:
2018-03
影响因子:
6
通讯作者:
Cluver L
Cluver L
中科院分区:
医学1区
文献类型:
--
作者:
Hodes R;Doubt J;Toska E;Vale B;Zungu N;Cluver L

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可持续发展目标(SDG)致力于加强政府与民间社会之间的合作。青少年是全球发展倡议的主要目标群体之一,但研究报告和方案很少包括他们对如何促进健康和福祉的直接看法。本文探讨了参与性研究的方法和结果如何为青少年在健康和社会发展领域的愿望提供见解。它调查了青少年如何将健康和社会服务视为相互关联的,以及这如何反映可持续发展目标的多部门目标。这项研究是在一项针对HIV阳性青少年的纵向混合方法研究中进行的(n = 80名定性参与者,n = 1060名定量访谈)。2013年11月至2014年2月期间,在南非东开普省的25名青少年中试行了一项参与性活动-“梦想诊所”。根据与会者分享的见解,并通过视觉和专题分析,确定了关键主题。这些发现是通过第二次参与性练习来探索的,“好吃还是不好吃?你是Mzantsi Wakho主厨!”于2016年1月进行。调查结果描述有关新兴的定量结果。混合方法探讨了获得食物、药品、清洁水和卫生设施与艾滋病毒阳性青少年的发展愿望之间的联系。这些活动根据医疗保健、粮食安全、清洁水和卫生设施之间的联系,为发展创新提出了切实可行的建议,同时说明了伙伴关系和合作的价值(可持续发展目标17的目标)。研究结果捕捉到了可持续发展目标2、3和6之间的紧密联系,证实了特定可持续发展目标对艾滋病毒阳性青少年的重要性。研究结果为南非国家和青少年健康政策(2017年)的目标提供了信息。可利用启发性研究来利用青少年的观点和经验。这里描述的方法为共同设计和实施发展举措提供了可能性,以实现可持续发展目标的宏伟任务。它们还可能创造新的机会,加强青少年参与政策和方案拟订。
The Sustainable Development Goals (SDGs) commit to strengthening collaborations between governments and civil society. Adolescents are among the key target populations for global development initiatives, but research studies and programmes rarely include their direct perspectives on how to promote health and wellbeing. This article explores how both the methods and the findings of participatory research provide insights into adolescents’ aspirations across the domains of health and social development. It investigates how adolescents conceive of health and social services as interconnected, and how this reflects the multisectoral objectives of the SDGs. This research was conducted within a longitudinal, mixed‐methods study of HIV‐positive adolescents (n = 80 qualitative participants, n = 1060 quantitative interviews). Between November 2013 and February 2014, a participatory exercise – the “dream clinic” – was piloted with 25 adolescents in South Africa's Eastern Cape. Key themes were identified based on the insights shared by participants, and through visual and thematic analysis. These findings were explored through a second participatory exercise, “Yummy or crummy? You are the Mzantsi Wakho masterchef !,” conducted in January 2016. Findings are described in relation to emerging quantitative results. Mixed methods explored associations between access to food, medicines, clean water and sanitation in HIV‐positive adolescents’ aspirations for development. The exercises produced practicable recommendations for innovations in development, based on associations between healthcare, food security, clean water and sanitation, while illustrating the value of partnership and collaboration (the objective of SDG17). Findings capture strong interlinkages between SDGs 2, 3 and 6 – confirming the importance of specific SDGs for HIV‐positive adolescents. Study results informed the objectives of South Africa's National and Adolescent and Youth Health Policy (2017). Participatory research may be used to leverage the perspectives and experiences of adolescents. The methods described here provide potential for co‐design and implementation of developmental initiatives to fulfil the ambitious mandate of the SDGs. They may also create new opportunities to strengthen the engagement of adolescents in policy and programming.
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