Adolescent wellbeing in humanitarian and fragile settings: moving beyond rhetoric

Singh, Neha; DeJong, Jocelyn; Popple, Kimberley; Undie, Chi-Chi; Masri, Rozane El; Bakesiima, Ritah; Calderón‐Jaramillo, Mariana; Peprah, Ellen; Naseri, Saha; Cornier, Nadine; Blanchet, Karl

doi:10.1136/bmj-2021-068280

Cited by 3 publications

(4 citation statements)

References 14 publications

(25 reference statements)

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“…Así, se entiende que los adolescentes, sobre todo los que se encuentran en situación de vulnerabilidad, seguirán sin atención mientras no se identifiquen y prioricen sus necesidades y se garanticen las condiciones de trabajo e infraestructura adecuadas para implementación efectivas de las políticas, con el compromiso financiero, técnico y político de apoyar acciones y estrategias dirigidas a este colectivo ( 17 ).…”

Section: Discussionunclassified

El papel de los profesionales de enfermería en el desarrollo y atención de la salud adolescente en Honduras

De Bortoli Cassiani,

Moreno Dias,

Meléndez Romero

et al. 2024

Revista Panamericana De Salud Pública

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Objetivo. Identificar y analizar el papel de los profesionales de enfermería en el desarrollo y la atención de la salud adolescente en Honduras, por medio del análisis de los contenidos de la formación de los estudiantes de enfermería y de las políticas relacionadas con la salud de los adolescentes. Métodos. Estudio de métodos mixtos, con enfoque explicativo secuencial, desarrollado de mayo a julio del 2023 por medio de encuesta con escuelas de enfermería, análisis de los documentos políticos, encuesta con profesionales de enfermería y grupo focal. Datos cuantitativos analizados mediante estadística descriptiva y datos cualitativos analizados mediante el marco teórico de Walt y Gilson. Resultados. Durante la investigación, se analizaron 18 documentos y participaron siete escuelas de enfermería, 141 enfermeras y 10 actores clave en posición de liderazgo. Los resultados apuntan a la necesidad de actualizar y difundir el marco normativo, garantizar recursos y estructura para implementar programas intersectoriales y sostenibles, y capacitar a los profesionales. La escuela representa un espacio importante para la implementación de acciones, contexto en el que la adopción de la enfermera escolar puede ser provechosa. Las enfermeras fueron identificadas como protagonistas en la aplicación de los programas y deben ser consideradas en el desarrollo de políticas dirigidas a este público. Conclusiones. Las enfermeras participan en diversas etapas del proceso de implementación de políticas y pueden hacer importantes contribuciones a la salud escolar en el primer nivel de salud. Para ello, es necesario aumentar la capacidad de las enfermeras y docentes de enfermería en temas actuales y relevantes en la atención a los adolescentes.

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Section: Discussionunclassified

El papel de los profesionales de enfermería en el desarrollo y atención de la salud adolescente en Honduras

De Bortoli Cassiani,

Moreno Dias,

Meléndez Romero

et al. 2024

Revista Panamericana De Salud Pública

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“…Adolescence is a particularly crucial stage in childhood physical, cognitive, emotional, and sexual development [ 51 , 52 ]. This narrow band of years presents an important window for promoting health related capabilities and wellbeing [ 52 ] Conversely, exposure to crises and economic disruption can have adverse effects that endure throughout the life-course [ 53 ]. There is mounting evidence that humanitarian emergencies have different impacts on adolescents, however, humanitarian interventions have not historically recognised adolescents as a specific target group with their own vulnerabilities [ 51 ] and targeted support for adolescent boys appears rarer still.…”

Section: Discussionmentioning

confidence: 99%

The impact of humanitarian emergencies on adolescent boys: Findings from the Rohingya refugee crisis

Harrison,

Chenhall,

Block

et al. 2024

PLOS Glob Public Health

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Adolescent boys (age 9–19) are impacted differently by humanitarian emergencies. However, academic research on adolescent health and child protection has tended to focus on the direct impacts of an emergency rather than indirect impacts that may arise after a crisis. We sought to identify child protection concerns affecting adolescent boys in emergency settings and boys who are more vulnerable to harm through a case study of the humanitarian response to the 2017 Rohingya refugee crisis. We collected data in the Rohingya refugee crisis in Cox’s Bazar, Bangladesh between 2018–2019. This included six months of participant observation, 23 semi-structured interviews and 12 informal ethnographic interviews with humanitarian staff working in the crisis, and 10 focus group discussions with a total of 52 child protection caseworkers from four child protection organisations. Our results showed that adolescent Rohingya boys were exposed to numerous protection concerns, including child labour, drug trafficking, substance abuse, family violence, and neglect. We classified these into three main typologies: community-related violence, income-related violence, and life-stage vulnerabilities. We found that adolescent boys who were unaccompanied or separated from their caregivers, adolescent boys who were members of vulnerable households, and adolescent boys with a disability were at more risk of harm. Our findings indicate that adolescent boys are exposed to an array of impactful child protection concerns in humanitarian emergencies and that this has implications for the delivery of public health and child protection interventions. We believe that humanitarian actors should improve recognition of the complexity of adolescent boys’ lives and their exposure to gender and age-based harm as a critical matter for addressing adolescent health equity.

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“…Adolescents themselves are other important actors in this process. Adolescents should be involved in the design, implementation, and evaluation of interventions targeting this group [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…This requires adequate investments and resources. Financial and political commitment is essential to support the diverse needs of adolescents [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

The role of nurses in implementation of public policy on adolescent health in Colombia, Ecuador, and Peru

De Bortoli Cassiani,

Moreno Dias,

Rivera

et al. 2024

Health Res Policy Sys

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Background In Latin America, interventions aimed at adolescents’ health suffer from a shortfall of investment and lack of sustainability. Nurses, as an integral part of health services and systems, can lead the implementation and development of public health policies to improve adolescent health. Objective To identify and analyze the role of nurses in the development and implementation of public policies and in the provision of health care to adolescents in Colombia, Ecuador, and Peru. Methods The research was carried out in three phases: a documentary analysis, an online survey, and semi-structured focus groups. A total of 48 documents were analyzed, 288 nurses participated in the survey, and 29 nurses participated in the focus groups. Results State policies aim to guarantee rights, with special protection for children and adolescents. It is an incremental process, with greater involvement of civil society and governments. Participants reported a lack of synergy between law and practice, as well as differences in regulatory compliance in rural areas and in populations of different ethnicities and cultures. Their perception was that the protection of adolescents is not specifically enshrined in the legal bases and regulatory structures of the countries, meaning that there are both protective factors and tensions in the regulatory framework. While nurses are highly committed to different actions aimed at adolescents, their participation in policy development and implementation is low, with barriers related to a lack of specialized training and working conditions. Conclusions Given nurses’ involvement in different actions aimed at adolescents, they could play a fundamental role in the development of policies for adolescents and ensure their effective implementation. Policymakers should consider revising the budget to make compliance viable, incorporating and using monitoring indicators, and increasing the involvement of educational institutions and the community.

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Adolescent wellbeing in humanitarian and fragile settings: moving beyond rhetoric

Abstract: Neha S Singh and colleagues argue for research and investment in effective interventions to promote the wellbeing of adolescents affected by conflict and environmental disaster

Cited by 3 publications

References 14 publications

El papel de los profesionales de enfermería en el desarrollo y atención de la salud adolescente en Honduras

El papel de los profesionales de enfermería en el desarrollo y atención de la salud adolescente en Honduras

The impact of humanitarian emergencies on adolescent boys: Findings from the Rohingya refugee crisis

The role of nurses in implementation of public policy on adolescent health in Colombia, Ecuador, and Peru

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