Department of Global Health and Health System Design, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Arnhold Institute for Global Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Int J Adolesc Med Health. 2024 Jun 7;36(3):203-236. doi: 10.1515/ijamh-2024-0001. eCollection 2024 Jun 1.
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.
本范围综述提供了撒哈拉以南非洲国家青少年友好健康服务 (AYFHS) 的最新证据概述。我们对四个数据库和灰色文献来源进行了检索，以确定 2005 年 1 月 1 日至 2022 年 12 月 14 日期间发表的英文出版物。该综述综合了关于 AYFHS 的模式和特征、世界卫生组织 (WHO) 标准的应用以及 AYFHS 是否改善了年轻人健康结果的证据。共有 77 项研究被纳入综述，代表了 19 个国家的 47 项 AYFHS 倡议和 3 项多国报告。AYFHS 最常在公共卫生设施中提供，主要关注性健康和生殖健康，WHO 标准的应用有限。一些证据表明，AYFHS 增加了年轻人对卫生服务的利用和避孕药具的使用。显然需要加强和制定创新的、多方面的方法，在该地区提供和评估 AYFHS。
