Designing Routine Health Checkups for Adolescents in Zimbabwe

Chingono, Rudo; Mackworth-Young, Constance; Ross, D. A.; Tshuma, Maureen; Chiweshe, Tendai; Nyamayaro, Chipo; Sekanevana, Cuthbert; Doyle, Aoife; Weiss, Helen A.; Kohl, Kid; Mangombe, Aveneni; Madzima, Bernard; McHugh, Grace; Ferrand, Rashida A

doi:10.1016/j.jadohealth.2021.07.002

Cited by 9 publications

(10 citation statements)

References 26 publications

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“…However, there is extensive literature on adolescent sexual and mental health [49,50], the literature on physical health checks of adolescents is insufficient. The absence of routine health checkups during adolescence in low-and middle-income countries is a missed opportunity for prevention, early identification, and treatment of health issues, and health promotion [51]. Whereas the health and well-being of adolescents are essential for achieving the Sustainable Development Goals (SDGs) and Goal 3 is on good health and well-being [52].…”

Section: Discussionmentioning

confidence: 99%

<strong>Predictors of eHealth Literacy Among Turkish Adolesents: Perspectives From Preventive Health Practices And Health Promotion Activities</strong>

Yılmazel¹

2023

Preprint

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Objective: This study aimed to determine impact of eHealth literacy on health promotion activities and preventive health practice among adolescents. Methods: This cross-sectional study was conducted between March and May 2022 with 706 adolescents in Çorum, Turkey. A face to face questionnaire form including socio demographic characteristics, preventive health practices, eHealth Literacy scale and Adolescent Health Promotion Scale were used. The data of the research were analyzed with the SPSS 22.0 program. Percentage, mean, Pearson Correlation analysis and multiple regression analysis were used in the analyzes. The p<0.05 value was considered statistically significant in the evaluations. Results: In the study, 55.8% were female and the mean age of the whole group was 16.09±2.63 years. The mean score of eHealth Literacy scale was 29.40±6.29. The mean of the total scores obtained from the Adolescent Health Promotion Scale was 137.97±21.87. Among the adolescents 96.0% didn’t use alcohol and 81% didn’t smoke. The rate of annual weight measure was 68.8%. Measurements of annual blood pressure, annual blood iron, annual cholesterol, annual dental examination and regular exercise rate were below 50%. There was a significant positive correlation between eHealth literacy and the Adolescent Health Promotion Scale (p<0.001). Multiple linear regression analysis was performed to predict eHealth literacy using the variables of Adolescent Health Promotion and preventive health practices. eHealth literacy was positively and significantly predicts health promotion behaviors (β= 0.27, t (695)= 7.54, p<0.001). eHealth literacy increased annual weight measurement by more than 0.13 (β=0.13), the annual blood iron measurement by more than 0.16 (β=0.16), annual dental examination by more than 0.11 (β=0.11). Conclusions: Adolescents ehealth literacy was high and effected via health promotion activities and preventive health practices. Developing eHealth litracy interventions will be important for environments with a high concentration of adolescents (schools, courses). Also, primary health care services should be entegrated with school environment.

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Section: Discussionmentioning

confidence: 99%

<strong>Predictors of eHealth Literacy Among Turkish Adolesents: Perspectives From Preventive Health Practices And Health Promotion Activities</strong>

Yılmazel¹

2023

Preprint

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“…Delivery of health check-ups in schools and community settings should be considered in the context of other potential challenges, including a low demand for services, shortages of healthcare staff, and limited resources to sustain the services [ 36 , 41 , 42 ]. Schools and community settings have been proposed for adolescent health check-ups in some African countries, with specific recommendations on how the check-ups should be organised [ 5 , 43 ]. Experience from these countries could be relevant in the context of Tanzania too.…”

Section: Discussionmentioning

confidence: 99%

“…In the few health systems where such services are available, they are heavily focused on curative services and are generally not well-equipped to detect and provide early treatment and preventive or promotive services for this population [ 4 ]. As a result, most adolescents do not seek health care services [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

“…We conducted formative research to contribute the knowledge required for the design of adolescent health check-ups in Tanzania. This study is part of a collaborative research program (Y-Check) coordinated by the WHO and involving three African cities: Chitungwiza, Zimbabwe; Mwanza city, Tanzania; and Cape Coast, Ghana [ 5 ]. The program comprises formative research and implementation research phases.…”

Section: Introductionmentioning

confidence: 99%

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Routine health check-ups for adolescents in Mwanza City, Tanzania: stakeholders’ recommendations on its content, venue, and mode of delivery

et al. 2023

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Background Routine adolescent health screening aiming at the detection of unnoticed medical problems may increase awareness among policy makers and contribute to improved health in this population. Research is needed to inform the World Health Organization (WHO) and national health programs to provide evidence-based guidance on whether public health systems should offer comprehensive adolescent health screening, what should be included in different contexts, and how it should be delivered. We conducted formative research to define the content and delivery strategies for health check-ups to be performed in young (10–14 years) and older (15–19 years) adolescents, and to assess whether such services are likely to be acceptable and feasible in Tanzania. Methods As part of a collaborative research program coordinated by WHO in Chitungwiza, Zimbabwe; Mwanza City, Tanzania; and Cape Coast, Ghana a series of key informant interviews were conducted from April to July 2020, using a semi-structured guide with purposively selected stakeholders from government departments, non-governmental and community-based organisations, schools and health facilities. Data transcripts were coded using NVivo 12 software and thematic analysis was performed. Results We report results from 31 key informant interviews to address four main domains: proposed health conditions for routine health check-ups, health interventions to be combined with such check-ups, preferable venues, and the mode for delivering such screening activities. Stakeholders were supportive of introducing routine health check-ups among adolescents. They recommended focusing on non-communicable diseases, physical disabilities, common mental health problems, reproductive health problems, specific communicable diseases, and hygiene-related problems. They also recommended combining counselling and family planning information with these check-ups. Three venues were proposed: schools, community settings (to reach out-of-school adolescents), and youth-friendly health facilities (for conditions requiring a high level of confidentiality). Conclusions Stakeholders were supportive of the proposed routine health check-ups for adolescents, recommending specific health conditions to be screened for in both community and school settings. Based on the above, we plan to conduct implementation research to determine the number of new treatable conditions detected, and the costs of offering such services. In the longer term, evaluation of their health impact and cost-effectiveness will be required to guide policy.

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“…• Deliver eye health education in schools [17][18][19][20] • Promote/supervise outdoor activities for myopia progression prevention [21,22] • Be vision ambassadors [23] • Train other teachers in vision screening [24] • Promote hygiene practices and train student hygiene ambassadors [25] Volunteers • Deliver or facilitating eye health/immunization education or health promotion in schools/community [26][27][28][29][30][31][32][33][34][35] • Deliver peer support groups for people with diabetes • Utilize local media for eye health promotion and advocacy [36][37][38] • Mobilize community members for eye care, diabetes care and immunization uptake [31,[39][40][41][42][43] • Discuss trachoma trichiasis care with community members [44] Peers • Deliver peer support groups for people with diabetes [45,46] • Utilizing local media for eye health promotion [47] • Delivery hygiene and sanitation education to peers [48] • Apply peer pressure to carers to immunize their children [49] • Be vision or trachoma ambassadors [23,25,50] Community health workers • Provide diabetic retinopathy sensitization/education [51,52] • Provide activities and education for carers to engage with vision impaired children [53]…”

Section: Teachersmentioning

confidence: 99%

Integrated people-centered eye care: A scoping review on engaging communities in eye care in low- and middle-income settings

Lee

Moo²,

Angelopoulos³

et al. 2023

PLoS ONE

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Background Community engagement has been endorsed as a key strategy to achieving integrated people-centered eye care that enables people and communities to receive a full spectrum of eye care across their life-course. Understanding the ways communities are engaged in eye care, to what degree participation is achieved, and the factors associated with intervention implementation is currently limited. Objective The scoping review aimed to assess how community engagement is approached and implemented in eye care interventions in low- and middle-income countries, and to identify the barriers and facilitators associated with intervention implementation. Methods Searches were conducted across five databases for peer-reviewed research on eye care interventions engaging communities published in the last ten years (January 2011 to September 2021). Studies were screened, reviewed and appraised according to Cochrane Rapid Reviews methodology. A hybrid deductive-inductive iterative analysis approach was used. Results Of 4315 potential studies screened, 73 were included in the review. Studies were conducted across 28 countries and 55 targeted populations across more than one life-course stage. A variety of community actors were engaged in implementation, in four main domains of eye care: health promotion and education; drug and supplement distribution and immunization campaigns; surveillance, screening and detection activities; and referral and pathway navigation. With the approaches and level of participation, the majority of studies were community-based and at best, involved communities, respectively. Involving community actors alone does not guarantee community trust and therefore can impact eye care uptake. Community actors can be integrated into eye care programs, although with varying success. Using volunteers highlighted sustainability issues with maintaining motivation and involvement when resources are limited. Conclusion This scoping review provides researchers and policy makers contextual evidence on the breadth of eye care interventions and the factors to be considered when engaging and empowering communities in integrated people-centered eye care programs.

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Designing Routine Health Checkups for Adolescents in Zimbabwe

Cited by 9 publications

References 26 publications

<strong>Predictors of eHealth Literacy Among Turkish Adolesents: Perspectives From Preventive Health Practices And Health Promotion Activities</strong>

<strong>Predictors of eHealth Literacy Among Turkish Adolesents: Perspectives From Preventive Health Practices And Health Promotion Activities</strong>

Routine health check-ups for adolescents in Mwanza City, Tanzania: stakeholders’ recommendations on its content, venue, and mode of delivery

Integrated people-centered eye care: A scoping review on engaging communities in eye care in low- and middle-income settings

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