Interventions for adolescent mental, sexual and reproductive health in West Africa: A scoping review.

Autor: Agyepong IA; Ghana College of Physicians and Surgeons. (GCPS), Accra, Ghana.; Dodowa Health Research Center, Ghana., Agblevor E; Ghana College of Physicians and Surgeons. (GCPS), Accra, Ghana., Odopey S; Dodowa Health Research Center, Ghana.; School of Public Health, University of Ghana, Ghana., Addom S; Ghana College of Physicians and Surgeons. (GCPS), Accra, Ghana.; Ghana Mental Health Authority, Accra, Ghana., Enyimayew Afun NE; Ghana College of Physicians and Surgeons. (GCPS), Accra, Ghana., Agyekum MP; Dodowa Health Research Center, Ghana., Asante PY; University of Health and Allied Sciences, Ghana., Aye GE; Ghana College of Physicians and Surgeons. (GCPS), Accra, Ghana.; Dodowa Health Research Center, Ghana., Darko N; Dodowa Health Research Center, Ghana., Diarra A; Laboratoire d'études et Recherches sur les dynamiques Sociales et le développement local. (LASDEL), Niger., Fenny AP; University of Ghana, Institute of Statistical, Social and Economic Research (ISSER UG), Ghana., Gladzah A; Dodowa Health Research Center, Ghana., Ibrahim N; Laboratoire d'études et Recherches sur les dynamiques Sociales et le développement local. (LASDEL), Niger.; Université de Montréal Quebec, Canada., Kagambega A; Institut National de Santé Publique, Observatoire National de Santé de la Population (IASP), Burkina Faso., Wallace LJ; Dodowa Health Research Center, Ghana., Novignon J; Kwame Nkrumah University of Science and Technology (KNUST) Department of Economics, College of Humanities and Social Sciences, Ghana., Yaogo M; Institut National de Santé Publique, Observatoire National de Santé de la Population (IASP), Burkina Faso., Borgès Da Sliva R; Université de Montréal Quebec, Canada., Ensor T; University of Leeds, UK., Mirzoev T; London School of Hygiene and Tropical Medicine, London UK Department of Global Health and Development London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK.
Jazyk: angličtina
Zdroj: Public health in practice (Oxford, England) [Public Health Pract (Oxf)] 2024 Jul 09; Vol. 8, pp. 100530. Date of Electronic Publication: 2024 Jul 09 (Print Publication: 2024).
DOI: 10.1016/j.puhip.2024.100530
Abstrakt: Objectives: A quarter of West Africa's population are adolescents 10-19 years. Their mental, sexual, and reproductive health is inter-related. We therefore aimed to examine published evidence on effectiveness of interventions for adolescent mental, sexual and reproductive health in the Economic Community of West African States (ECOWAS) to inform development, implementation and de-implementation of policies and programs.
Study Design: The study design was a scoping review.
Methods: We considered all qualitative and quantitative research designs that included adolescents 10-19 years in any type of intervention evaluation that included adolescent mental, sexual and reproductive health. Outcomes were as defined by the researchers. PubMed/Medline, APA PsycINFO, CAIRN, and Google Scholar databases were searched for papers published between January 2000 and November 9, 2023.1526 English and French language papers were identified. After eliminating duplicates, screening abstracts and then full texts, 27 papers from studies in ECOWAS were included.
Results: Interventions represented three categories: service access, quality, and utilization; knowledge and information access and intersectionality and social determinants of adolescent health. Most studies were small-scale intervention research projects and interventions focused on sexual and reproductive or mental health individually rather than synergistically. The most common evaluation designs were quasi-experimental (13/27) followed by observational studies (8/27); randomized, and cluster randomized controlled trials (5/27), and one realist evaluation. The studies that evaluated policies and programs being implemented at scale used observational designs.
Conclusion: Research with robust evaluation designs on synergistic approaches to adolescent mental, sexual and reproductive health policies, interventions, implementation and de-implementation is urgently needed to inform adolescent health policies and programs.
Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(© 2024 The Authors.)
Databáze: MEDLINE