Acceptability of an economic support component to reduce early pregnancy and school dropout in Zambia: a qualitative case study

Banda, Emmanuel; Svanemyr, Joar; Sandøy, Ingvild Fossgard; Goicolea, Isabel; Zulu, Joseph Mumba

doi:10.1080/16549716.2019.1685808

Cited by 14 publications

(16 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While our inclusion criteria focused on primary acceptability research with adolescents and young adults, it should be noted that 25 studies also collected acceptability data from other stakeholders. These include caregivers or other family members, 32–40 teachers, facilitators, 26 41 42 community leaders or gate keepers, 28 43 peer mentors, service providers and healthcare workers. 44–51 Since the focus of this mapping review is the acceptability of young adults specifically, we do not synthesise or report on perspectives of other stakeholders.…”

Section: Resultsmentioning

confidence: 99%

“…Reasons for acceptability of economic support interventions included financial autonomy 78 and the freedom to decide how to use cash transfers. 28 However, concerns around the process of selecting which individuals or households were to receive transfers, as well as inclusion, sustainability and effects on social relations and social equity within the community, 38 78 were factors that threatened acceptability.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Decade of research into the acceptability of interventions aimed at improving adolescent and youth health and social outcomes in Africa: a systematic review and evidence map

et al. 2021

View full text Add to dashboard Cite

ObjectiveInterventions aimed at improving adolescent health and social outcomes are more likely to be successful if the young people they target find them acceptable. However, no standard definitions or indicators exist to assess acceptability. Acceptability research with adolescents in low-and-middle-income countries (LMICs) is still limited and no known reviews systhesise the evidence from Africa. This paper maps and qualitatively synthesises the scope, characteristics and findings of these studies, including definitions of acceptability, methods used, the type and objectives of interventions assessed, and overall findings on adolescent acceptability.DesignWe conducted a systematic review of peer-reviewed studies assessing intervention acceptability with young adults (aged 10–24) in Africa, published between January 2010 and June 2020.Data sourcesWeb of Science, Medline, PsycINFO, SociIndex, CINAHL, Africa-wide, Academic Search Complete and PubMed were searched through July 2020.Eligibility criteria for selecting studiesPapers were selected based on the following inclusion criteria: if they (1) reported primary research assessing acceptability (based on the authors’ definition of the study or findings) of one or more intervention(s) with adolescents and young adults 10–24; (2) assessed acceptability of intervention(s) aimed at positively influencing one or more development outcome(s), as defined by sustainable development goal (SDG) indicators; (3) reported on research conducted in Africa; (4) were in the English Language; (5) were peer-reviewed and and (6) were published between 1 January 2010 and 30 June 2020.Data extraction and synthesisAbstracts were reviewed independently by the two first authors to determine relevance. Full text of potentially eligible studies were retrieved and independently examined by the same two authors; areas of disagreement or lack of clarity were resolved through discussion by the two authors and—where necessary—the assessment of a third author.Results55 studies were considered eligible for inclusion in the review. Most studies were conducted in Southern Africa, of which 32 jointly in South Africa and Uganda. The majority of interventions assessed for acceptability could be classified as HIV or HPV vaccine interventions (10), E-health (10), HIV testing interventions (8), support group interventions (7) and contraceptive interventions (6). The objectives of most interventions were linked to SDG3, specifically to HIV and sexual and reproductive health. Acceptability was overall high among these published studies. 22 studies provided reasons for acceptability or lack thereof, some specific to particular types of interventions and others common across intervention types.ConclusionsOur review exposes considerable scope for future acceptability research and review work. This should include extending acceptability research beyond the health (and particularly HIV) sector and to regions in Africa where this type of research is still scarce; including adolescents earlier, and potentially throughout the intervention process; further conceptualising the construct of acceptability among adolescents and beyond; and examining the relationship between acceptability and uptake.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Decade of research into the acceptability of interventions aimed at improving adolescent and youth health and social outcomes in Africa: a systematic review and evidence map

et al. 2021

View full text Add to dashboard Cite

show abstract

“…To be as inclusive as possible, we included 10 studies that did not clearly specify the exact age range of participants, but for which available information indicated that the sample would have been entirely or almost entirely within this range (e.g. secondary school and university students (23-28) 0r where sample descriptive data indicated a sample consisting almost entirely of participants 24 or younger (29-31).…”

Section: Resultsmentioning

confidence: 99%

“…While our inclusion criteria focused on primary acceptability research with adolescents and young adults, it should be noted that 25 studies also collected acceptability data from other stakeholders. These include caregivers or other family members (32-40), teachers, facilitators (26, 41, 42), community leaders or gate keepers, (28, 43), peer mentors, service providers and healthcare workers (29, 44-51).…”

Section: Resultsmentioning

confidence: 99%

“…Reasons for acceptability of economic support interventions included financial autonomy (78) and the freedom to decide how to use cash transfers (28). However, concerns around the process of selecting which individuals or households were to receive transfers, as well as inclusion, sustainability and effects on social relations and social equity within the community (38, 78), were factors that threatened acceptability.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

A decade of Acceptability Research with Adolescents in Africa: Systematic review and evidence map

Somefun

Casale

Hauptronnie

et al. 2021

Preprint

View full text Add to dashboard Cite

Interventions aimed at improving adolescent developmental outcomes are more likely to be successful if the young people they target find them acceptable. However, no standard definitions or indicators exist to assess acceptability, acceptability research with adolescents in LMICs is still limited, and no known reviews synthesise the evidence from Africa.We conducted a systematic review of peer-reviewed studies assessing intervention acceptability with young adults (aged 10-24) in Africa, published between January 2010 and June 2020. This paper maps and qualitatively synthesizes the scope, characteristics, and findings of these studies, including definitions of acceptability, methods used, the type and objectives of interventions assessed, and overall findings on adolescent acceptability.The review was carried out in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Key word searches generated 4692 unique records and 55 final eligible studies, assessing 60 interventions. Most studies were conducted in Southern Africa, of which 32 jointly in South Africa and Uganda. The majority of interventions assessed for acceptability could be classified as HIV or HPV vaccine interventions (10), E-health (10), HIV testing interventions (8), support group interventions (7) and contraceptive interventions (6). The objectives of most interventions were linked to SDG3, specifically to HIV and sexual and reproductive health. Acceptability was overall high among these published studies. 22 studies provided reasons for acceptability or lack thereof, some specific to particular types of interventions and others common across intervention types.Our review exposes considerable scope for future acceptability research and review work. This should include: extending acceptability research beyond the health (and particularly HIV) sector and to regions in Africa where this type of research is still scarce; including adolescents earlier, and potentially throughout the intervention process; further conceptualising the construct of acceptability among adolescents and beyond, and examining the relationship between acceptability and uptake.Key QuestionsWhat is already known?Addressing the developmental needs of adolescents in African countries is critical if the continent is to achieve its sustainable development goals (SDGs).Many interventions aimed at strengthening adolescent developmental outcomes have not achieved desired impact, and adolescent involvement is often poorly envisaged and implemented.Uptake and effectiveness of interventions is likely to be higher if these interventions are acceptable to adolescent end-users.What are the new findings?Acceptability of interventions assessed in Africa was generally high among adolescents.Understanding of the intervention, ease of use, adequate emotional support, autonomy, confidentiality and protection from stigma were key overarching themes explaining why young people found interventions acceptableWhat do the new findings imply?Intervention developers and implementers across the continent should pay attention to these key aspects of interventions and their delivery.It is important to strengthen adolescents’ understanding of interventions, involve adolescents early on in intervention development, and engage with the broader context within which adolescent acceptability is shaped.There is a need for more acceptability research in important areas for adolescent development beyond (physical) health and, within the health sector, beyond HIV.

show abstract

Experiences of conditional and unconditional cash transfers intended for improving health outcomes and health service use: a qualitative evidence synthesis

Yoshino

Sidney-Annerstedt

Wingfield

et al. 2023

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

Acceptability of an economic support component to reduce early pregnancy and school dropout in Zambia: a qualitative case study

Cited by 14 publications

References 18 publications

Decade of research into the acceptability of interventions aimed at improving adolescent and youth health and social outcomes in Africa: a systematic review and evidence map

Decade of research into the acceptability of interventions aimed at improving adolescent and youth health and social outcomes in Africa: a systematic review and evidence map

A decade of Acceptability Research with Adolescents in Africa: Systematic review and evidence map

Experiences of conditional and unconditional cash transfers intended for improving health outcomes and health service use: a qualitative evidence synthesis

Contact Info

Product

Resources

About