Characterizing models of adolescent and youth-friendly health services in sub-Saharan Africa: a scoping review

Author:

Embleton Lonnie12ORCID,Boal Ava12,Sawarkar Sakshi12,Chory Ashley12,Bandanapudi Riya Murty3,Patel Tirth3,Levinson Carrie4,Vreeman Rachel12,Wu Wan-Ju12,Diaz Angela156,Ott Mary A.7

Affiliation:

1. Department of Global Health and Health System Design , Icahn School of Medicine at Mount Sinai , New York , NY , USA

2. Arnhold Institute for Global Health , Icahn School of Medicine at Mount Sinai , New York , NY , USA

3. Graduate School of Biomedical Sciences at Icahn School of Medicine at Mount Sinai , New York , NY , USA

4. Levy Library , Icahn School of Medicine at Mount Sinai , New York , NY , USA

5. Department of Pediatrics , Icahn School of Medicine at Mount Sinai , New York , NY , USA

6. Department of Environmental Medicine and Public Health , Icahn School of Medicine at Mount Sinai , New York , NY , USA

7. Department of Pediatrics , Indiana University School of Medicine , Indianapolis , IN , USA

Abstract

Abstract This scoping review provides an up-to-date overview of the evidence on adolescent and youth-friendly health services (AYFHS) in sub-Saharan African countries. We conducted a search of four databases and grey literature sources to identify English language publications from January 1, 2005, to December 14th, 2022. The review synthesized evidence on the models and characteristics of AYFHS, the application of World Health Organization (WHO) standards, and whether AYFHS have improved young people’s health outcomes. In total, 77 sources were included in the review, representing 47 AYFHS initiatives spanning 19 countries, and three multi-country reports. Most commonly, AYFHS were delivered in public health facilities and focused on sexual and reproductive health, with limited application of WHO standards. Some evidence suggested that AYFHS increased young people’s health service utilization and contraceptives uptake. There is a clear need to strengthen and develop innovative and multi-pronged approaches to delivering and evaluating AYFHS in this region.

Publisher

Walter de Gruyter GmbH

Reference133 articles.

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4. World Health Organization. Making health services adolescent friendly: developing national quality standards for adolescent-friendly health services. Geneva, Switzerland; 2012. Report No.: 978 92 4 150359 4.

5. Robinson, R. From population to HIV: the organizational and structural determinants of HIV outcomes in sub-Saharan Africa. J Int AIDS Soc 2011;14(Suppl 2):S6. https://doi.org/10.1186/1758-2652-14-s2-s6.

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