Reaching adolescents with health services: Systematic development of an adolescent health check-ups and wellbeing programme in Ghana (Y-Check, Ghana)

Routine health check-ups may improve adolescent health, but global guidelines are lacking. Phase 1 of the WHO-coordinated Y-Check Research Programme involved three African cities to co-produce a programme of adolescent health check-ups. We describe a systematic approach to developing a routine adole...

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Vydáno v:PloS one Ročník 19; číslo 8; s. e0304465
Hlavní autoři: Weobong, Benedict, Glozah, Franklin N., Taylor-Abdulai, Hannah B., Koka, Eric, Addae, Nancy, Alor, Stanley, Kohl, Kid, Banati, Prerna, Adongo, Philip B., Ross, David A.
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Public Library of Science 27.08.2024
Public Library of Science (PLoS)
Témata:
Acceptability
Adolescent
Adolescent Health
Adolescent Health Services - organization & administration
Adolescents
Analysis
Best practice
Child
Child development
Construction standards
Context
Data collection
Education
Ethics
Evaluation
Female
Ghana
Grey literature
Health aspects
Health care industry
Health care reform
Health services
Humans
Intervention
Literature reviews
Male
Medical screening
Medical Subject Headings-MeSH
Medicine and Health Sciences
Mortality
People and Places
Psychological aspects
Public health
Public health administration
School attendance
Sexually transmitted diseases
Social Sciences
STD
Teenagers
Well being
Wellness programs
Workshops
Young Adult
Youth
Ghana
ISSN:1932-6203, 1932-6203
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Shrnutí:Routine health check-ups may improve adolescent health, but global guidelines are lacking. Phase 1 of the WHO-coordinated Y-Check Research Programme involved three African cities to co-produce a programme of adolescent health check-ups. We describe a systematic approach to developing a routine adolescent health check-ups and wellbeing programme (Y-Check) to contribute evidence on whether adolescent health check-ups should be part of routine health services in Ghana. Y-Check Phase 1 was conducted in four communities in Cape Coast Ghana, over two stages using a variety of methods: (a) needs assessment and landscape analysis on the health of adolescents (existing policies/programmes, school system, adolescent health conditions) was conducted through desk-review and interviews with key informants to identify the potential content, delivery strategy and settings for adolescent health check-ups in this context; (b) co-designing the Y-Check intervention framework through person-centred participatory workshops and a consensus-building workshop with multiple stakeholders, including adolescents (10-19 years) and their parents. The study was conducted between January 2020 and October 2020. The Y-Check intervention consists of two check-ups with content that is tailored to the needs of younger adolescents and older adolescents; delivered at both school and community settings by a team of trained staff in multiple steps involving up to four stations. Y-Check includes a referral system for adolescents with any problems that cannot be investigated or treated on-the-spot. Our systematic approach to co-producing Y-Check has resulted in an intervention whose content and structure is determined by the local context, and which was adjudged by multiple stakeholders to be likely to be both useful and acceptable, and which builds on best practice. As a logical next step, the Y-Check will be subjected to pilot testing and implementation research to rigorously evaluate the feasibility, acceptability, coverage, yield of previously undiagnosed conditions and cost of these health check-ups.
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Competing Interests: The authors have declared that no competing interests exist.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0304465