Scaling-up co-designed adolescent mental health interventions

每三名少女中就有一名在怀孕期间和出生后一年（称为围产期）经历心理健康状况。虽然大多数青少年怀孕发生在撒哈拉以南非洲，但在这种情况下，哪些干预措施可以改善心理健康结果的证据有限。青少年围产期健康创新方法项目试图通过制定解决方案来解决知识和护理方面的这一差距，以改善肯尼亚和莫桑比克农村和城市周边地区青少年围产期心理健康结果。通过这一项目，制定了“蓬勃发展的妈妈”方案。该方案是一个强化产前课程，旨在向青少年提供与怀孕和分娩、生育、生活技能和计划生育有关的技能和知识。在INSPIRE项目实施过程中，我们与主要利益攸关方的交流强调了决策者、卫生规划者和服务提供者在将新的干预措施纳入现有服务方面所面临的困难。现有的实施准则和框架对没有实际整合经验的人没有用处。目前的项目（扩大共同设计的青少年心理健康干预措施）侧重于这一挑战。它旨在开发一个有效且可用的工具包，以指导利益相关者完成青少年心理健康干预措施的适应和整合过程。将通过与政策制定者、技术专家、服务提供商举行的一系列研讨会，开发一个适应和交付的操作工具包草案。和年轻人。然后，将通过调整“繁荣妈妈”方案，在蒙巴萨（肯尼亚）和马普托（莫桑比克）实施，对商定的工具包进行测试。在整个过程中，将收集定性和定量数据，以更好地了解参与者参与共同设计活动的经验、业务工具包的实用性和全面性，以及在新的城市环境中实现“繁荣妈妈”方案的可行性、可接受性和适当性。

Up to 1 in every 3 adolescent girls will experience a mental health condition during the pregnancy and the year after birth (known as the perinatal period). While the majority of adolescent pregnancies occur in sub-Saharan Africa, there is limited evidence as to what interventions can improve mental health outcomes in this setting. The Innovative approaches for adolescent periantal wellbeing (INSPIRE) project sought to address this gap in knowledge and care by developing solutions to improve adolescent perinatal mental health outcomes in rural and peri-urban settings in Kenya and Mozambique. Through this project the Thriving Mamas programme was developed. The programme is an enhanced antenatal course designed to provide adolescents with skills and knowledge related to pregnancy and child birth, caregiving, life skills, and family planning. During the course of the INSPIRE project, our engagment with key stakeholders highlighted the difficulties policymakers, health planners, and service providers had in integrating new interventions into existing services. Existing implementation guidelines and frameworks lack utility for those without practical integration experience. The current project (Scaling-up co-designed adolescent mental health interventions) focuses on this challenge. It aims to develop an effective and useable tookit to guide stakeholders through the process of adaptation and integration of adolescent mental health interventions.A draft operational toolkit for adaptation and delivery will be developed through a series of workshops with policymakers, techinical experts, service providers, and young people. The agreed toolkit will then be tested through the adaptation of the Thriving Mamas programme for delivery in Mombasa (Kenya) and Maputo (Mozambique). Throughout these processes, qualitative and quantitative data will be collected to better understand participants' experiences of engaging in co-design activities, the utility and comprehensiveness of the operational toolkit, and the percieved feasibility, acceptability, and appropriateness of the Thriving Mamas programme in a new, urban setting.