Digital tools for youth health promotion: principles, policies and practices in sub-Saharan Africa

Author:

Ferretti Agata1ORCID,Adjei Kwame K2,Ali Joseph34,Atuire Caesar56,Ayuk Betrand Tambe7,Banougnin Boladé Hamed89,Cengiz Nezerith10,Gichoya Judy11,Jjingo Daudi12,Juma Damian Omari13,Kotze Wiaan14,Krubiner Carleigh15,Littler Katherine16,McCradden Melissa D17ORCID,Moodley Keymanthri10,Naidoo Meshandren18,Nair Gonasagrie19,Obeng-Kyereh Kingsley20,Oliver Kedebone21,Ralefala Dimpho22,Toska Elona23,Wekesah Frederick M24,Wright Jonty14,Vayena Effy1

Affiliation:

1. Health Ethics and Policy Lab, ETH Zurich , Hottingerstrasse 10, 8092 Zurich , Switzerland

2. Kintampo Health Research Centre, Research and Development Division, Ghana Health Service , Ghana

3. Berman Institute of Bioethics, Johns Hopkins University , 1809 Ashland Avenue, Baltimore, MD 21205 , USA

4. Bloomberg School of Public Health, Johns Hopkins University , Baltimore, 615 North Wolfe Street, Baltimore, MD 21205 , USA

5. Department of Philosophy and Classics, University of Ghana , MR26+9PV, W.E.B. Dubois Road, Accra , Ghana

6. Nuffield Department of Medicine, University of Oxford , Old Road Campus, Oxford, OX3 7BN , UK

7. Department of Public Health and Hygiene, Faculty of Health Sciences, University of Buea , 574W+49W, Buea , Cameroon

8. United Nations Population Fund, West and Central Africa Regional Office , PFQM+RVF, Route des Almadies, Dakar,  Senegal

9. Centre for Social Science Research, University of Cape Town , 12 University Avenue South, Rondebosch, Cape Town 7700 , South Africa

10. Department of Medicine, Faculty of Medicine and Health Sciences, Division for Medical Ethics and Law, Stellenbosch University , Francie van Zijl Drive, Tygerberg, Cape Town 7505 , South Africa

11. Department of Radiology and Imaging Sciences, Emory University School of Medicine , 1364 Clifton Rd, Atlanta, GA 30322 , USA

12. African Center of Excellence in Bioinformatics and Data Intensive Sciences, Infectious Diseases Institute, Makerere University , 8HMC+PF5, Kampala , Uganda

13. Healthy Brains Global Initiative , Rutherford, CA , USA

14. Faculty of Medicine and Health Science, Stellenbosch University , Francie Van Zijl Drive, Parow, Cape Town 7505 , South Africa

15. Wellcome Trust , 215 Euston Road, London WC1E 6BP , UK

16. Health Ethics & Governance Unit, Research for Health Department, Science Division, WHO , Avenue Appia 20, 1202 Geneva ,  Switzerland

17. Department of Bioethics, Genetics & Genome Biology, SickKids Research Institute, The Hospital for Sick Children , 555 University Avenue, Toronto, ON M5G 1X8 , Canada

18. Howard College, School of Law, University of KwaZulu-Natal , King George V Avenue, Durban 4041 , South Africa

19. Desmond Tutu Health Foundation , 3 Woodlands Road, Woodstock, Cape Town 7915 ,  South Africa

20. Children and Youth in Broadcasting—Curious Minds , 3 Damba Close, Chaban-Sakaman, Accra , Ghana

21. Genesis Analytics, Health Practice Area , 50 6th Road, Hyde Park, Johannesburg 2196 ,  South Africa

22. Office of Research and Development, University of Botswana , 4775 Notwane Road, Gaborone ,  Botswana

23. Faculty of Humanities, Centre for Social Science Research, University of Cape Town , 12 University Avenue, Rondebosch, Cape Town 7700 ,  South Africa

24. African Population and Health Research Center , APHRC Headquarters, Kitisuru, Nairobi , Kenya

Abstract

Abstract Although digital health promotion (DHP) technologies for young people are increasingly available in low- and middle-income countries (LMICs), there has been insufficient research investigating whether existing ethical and policy frameworks are adequate to address the challenges and promote the technological opportunities in these settings. In an effort to fill this gap and as part of a larger research project, in November 2022, we conducted a workshop in Cape Town, South Africa, entitled ‘Unlocking the Potential of Digital Health Promotion for Young People in Low- and Middle-Income Countries’. The workshop brought together 25 experts from the areas of digital health ethics, youth health and engagement, health policy and promotion and technology development, predominantly from sub-Saharan Africa (SSA), to explore their views on the ethics and governance and potential policy pathways of DHP for young people in LMICs. Using the World Café method, participants contributed their views on (i) the advantages and barriers associated with DHP for youth in LMICs, (ii) the availability and relevance of ethical and regulatory frameworks for DHP and (iii) the translation of ethical principles into policies and implementation practices required by these policies, within the context of SSA. Our thematic analysis of the ensuing discussion revealed a willingness to foster such technologies if they prove safe, do not exacerbate inequalities, put youth at the center and are subject to appropriate oversight. In addition, our work has led to the potential translation of fundamental ethical principles into the form of a policy roadmap for ethically aligned DHP for youth in SSA.

Funder

Fondation Botnar

Publisher

Oxford University Press (OUP)

Reference44 articles.

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