Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland.
J Adolesc Health. 2024 Jun;74(6S):S66-S79. doi: 10.1016/j.jadohealth.2024.01.017.
To explore data availability, perceived relevance, acceptability and feasibility of implementing 52 draft indicators for adolescent health measurement in different countries globally.
A mixed-methods, sequential explanatory study was conducted in 12 countries. An online spreadsheet was used to assess data availability and a stakeholder survey to assess perceived relevance, acceptability, and feasibility of implementing each draft indicator proposed by the Global Action for Measurement of Adolescent health (GAMA). The assessments were discussed in virtual meetings with all countries and in deep dives with three countries. Findings were synthesized using descriptive statistics and qualitative thematic analysis.
Data availability varied across the 52 draft GAMA indicators and across countries. Nine countries reported measuring over half of the indicators. Most indicators were rated relevant by stakeholders, while some were considered less acceptable and feasible. The ten lowest-ranking indicators were related to mental health, sexual health and substance use; the highest-ranking indicators centered on broader adolescent health issues, like use of health services. Indicators with higher data availability and alignment with national priorities were generally considered most relevant, acceptable and feasible. Barriers to measurement included legal, ethical and sensitivity issues, challenges with multi-sectoral coordination and data systems flexibility.
Most of the draft GAMA indicators were deemed relevant and feasible, but contextual priorities and perceived acceptability influenced their implementation in countries. To increase their use for a more comprehensive understanding of adolescent health, better multi-sectoral coordination and tailored capacity building to accommodate the diverse data systems in countries will be required.
探索全球不同国家实施 52 项青少年健康测量草案指标的数据可用性、感知相关性、可接受性和可行性。
在 12 个国家进行了一项混合方法、顺序解释性研究。使用在线电子表格评估数据可用性，并进行利益相关者调查，以评估全球青少年健康测量行动（GAMA）提出的每个草案指标的感知相关性、可接受性和可行性。在与所有国家的虚拟会议和与三个国家的深入讨论中讨论了评估结果。使用描述性统计和定性主题分析对研究结果进行综合。
52 项 GAMA 草案指标和各国的指标数据可用性存在差异。9 个国家报告测量了一半以上的指标。大多数指标都被利益相关者认为具有相关性，而有些指标则被认为不太可接受和可行。排名最低的 10 个指标与心理健康、性健康和物质使用有关；排名最高的指标则集中在更广泛的青少年健康问题上，例如使用卫生服务。数据可用性较高且与国家优先事项一致的指标通常被认为最相关、最可行。衡量的障碍包括法律、道德和敏感性问题、多部门协调和数据系统灵活性方面的挑战。
大多数 GAMA 草案指标都被认为是相关和可行的，但国家的优先事项和感知接受度影响了其实施。为了更全面地了解青少年健康状况，提高其使用效果，需要更好地进行多部门协调，并针对各国不同的数据系统进行有针对性的能力建设。
