Engaging young people in the design of a sexual reproductive health intervention: Lessons learnt from the Yathu Yathu ("For us, by us") formative study in Zambia.
Engaging young people in the design of a sexual reproductive health intervention: Lessons learnt from the Yathu Yathu ("For us, by us") formative study in Zambia.
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DOI：
10.1186/s12913-021-06696-7
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发表时间：
2021-07-29
影响因子：
2.8
通讯作者：
Simwinga M
中科院分区：
文献类型：
--
作者：
Simuyaba M;Hensen B;Phiri M;Mwansa C;Mwenge L;Kabumbu M;Belemu S;Shanaube K;Schaap A;Floyd S;Fidler S;Hayes R;Ayles H;Simwinga M
要满足青少年和青年的性健康和生殖健康需求，就需要他们有意义地参与干预措施的设计。我们描述了一个迭代的过程中，从事青年人，以完成设计的社区为基础的，同行领导的和激励性健康和生殖健康干预的青年人年龄在卢萨卡和经验教训。在2018年11月至2019年3月期间，进行了18次焦点小组讨论，8次深入访谈和6次观察，以评估AYP对艾滋病毒/性健康和生殖健康服务的了解，影响AYP性行为的因素，并就拟议干预措施的核心要素征求意见，包括：提供服务的社区空间（中心）、服务提供者类型以及通过预防积分卡激励服务使用（PPC;“忠诚”卡，用于获得访问服务的积分并将其兑换为奖励）。共有230名AYP（15名参加了两次不同的研究活动）和21名成年人（仅参加了社区绘图讨论）参加了研究。参与者是根据年龄、性别、居住地以及他们在研究社区中的角色有目的地选择的。数据按主题进行分析。酗酒和吸毒、同龄人的压力、贫穷、失业和娱乐设施有限影响了青年志愿者的性行为。青少年男孩和年轻男子缺乏避孕服务和所有预防艾滋病毒暴露前和暴露后预防的AYP知识。青年计划表示，他们倾向于在社区的“中心”而不是卫生设施获得服务。青年计划在选择他们愿意从谁那里获得服务时，考虑了提供者的年龄、性别和培训。尽管忠诚卡的概念对AYP来说是新的，但PPC在AYP中是可以接受的。AYP建议提供财政和学校支持、电子设备、服装和食品供应作为奖励。让青年志愿者参与性健康和生殖健康干预措施的设计是可行的、有益的，并被认为是对青年志愿者需求的回应。虽然AYP的建议是多种多样的，AYP参与的迭代过程促进了AYP提供信息和可执行的干预措施的设计。该形成性研究为本试验的设计提供了信息：ClinicalTrials.gov，NCT 04060420。2019年8月19日注册。
Meeting the sexual and reproductive health (SRH) needs of adolescents and young people (AYP) requires their meaningful engagement in intervention design. We describe an iterative process of engaging AYP to finalise the design of a community-based, peer-led and incentivised SRH intervention for AYP aged 15–24 in Lusaka and the lessons learnt. Between November 2018 and March 2019, 18 focus group discussions, eight in-depth interviews and six observations were conducted to assess AYP’s knowledge of HIV/SRH services, factors influencing AYP’s sexual behaviour and elicit views on core elements of a proposed intervention, including: community-based spaces (hubs) for service delivery, type of service providers and incentivising service use through prevention points cards (PPC; “loyalty” cards to gain points for accessing services and redeem these for rewards). A total of 230 AYP (15 participated twice in different research activities) and 21 adults (only participated in the community mapping discussions) participated in the research. Participants were purposively selected based on age, sex, where they lived and their roles in the study communities. Data were analysed thematically. Alcohol and drug abuse, peer pressure, poverty, unemployment and limited recreation facilities influenced AYP’s sexual behaviours. Adolescent boys and young men lacked knowledge of contraceptive services and all AYP of pre and post exposure prophylaxis for HIV prevention. AYP stated a preference for accessing services at “hubs” located in the community rather than the health facility. AYP considered the age, sex and training of the providers when choosing whom they were comfortable accessing services from. PPCs were acceptable among AYP despite the loyalty card concept being new to them. AYP suggested financial and school support, electronic devices, clothing and food supplies as rewards. Engaging AYP in the design of an SRH intervention was feasible, informative and considered responsive to their needs. Although AYP’s suggestions were diverse, the iterative process of AYP engagement facilitated the design of an intervention that is informed by AYP and implementable. This formative study informed the design of this trial: ClinicalTrials.gov, NCT04060420. Registered 19 August, 2019.
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影响因子：
2.9
作者：
de Walque D;Dow WH;Nathan R;Abdul R;Abilahi F;Gong E;Isdahl Z;Jamison J;Jullu B;Krishnan S;Majura A;Miguel E;Moncada J;Mtenga S;Mwanyangala MA;Packel L;Schachter J;Shirima K;Medlin CA
通讯作者：
Medlin CA
影响因子：
3.2
作者：
Creswell, JW;Miller, DL
通讯作者：
Miller, DL
DOI：
10.1097/qai.0000000000001746
发表时间：
2018-08-15
影响因子：
3.6
作者：
Oliveras, Carlo;Cluver, Lucie;Armstrong, Alice
通讯作者：
Armstrong, Alice
影响因子：
5.4
作者：
BAUM, F
通讯作者：
BAUM, F
影响因子：
2.5
作者：
Hayes R;Ayles H;Beyers N;Sabapathy K;Floyd S;Shanaube K;Bock P;Griffith S;Moore A;Watson-Jones D;Fraser C;Vermund SH;Fidler S;HPTN 071 (PopART) Study Team
通讯作者：
HPTN 071 (PopART) Study Team