Shalash Aisha, Nemer Maysaa, Abu-Rmeileh Niveen, Kittaneh Mohammad, Kelly Dervla, Elmusharaf Khalifa
Institute of Community and Public Health, Birzeit University, Birzeit, Palestine.
School of Medicine, University of Limerick, Limerick, Ireland.
Reprod Health. 2025 May 31;22(Suppl 1):81. doi: 10.1186/s12978-025-01991-6.
Adolescent health plays a crucial role in shaping lifelong well-being, yet significant gaps exist in addressing adolescent health needs. In conflict-affected regions like the West Bank, fragmented service delivery, inconsistent data collection, and lack of coordination between providers undermine the effectiveness of health services. An efficient health information system ensures accurate data collection, stakeholder integration, and evidence-based decision-making. This study aims to map the landscape of available adolescent health services in the West Bank, clarify the key service providers, determine the existing data sources, and describe the health information system supporting adolescent health.
This study utilized a comprehensive landscape analysis to assess adolescent health services in the West Bank. Stakeholder mapping and interviews identified key stakeholders and assessed their roles in service delivery and the health information system. Ethical approval was obtained, and all participants provided informed consent. Data were collected from different healthcare organizations, including governmental bodies, non-governmental organizations, and private facilities. Thematic analysis was performed on interview data, and geospatial analysis was used to visualize the distribution of services and providers across 11 governorates using ArcMap 10.5.
Governmental bodies, non-governmental organizations, and private entities were the predominant providers of adolescent health services in the West Bank. These services were primarily delivered through healthcare facilities, educational institutions, youth centers, and select population-based programs, including vaccination initiatives and the 121 hotline, which provides free psychological support to victims of violence. The adolescent health information system in the West Bank was fragmented, with inconsistent data collection across providers. Governmental, NGO, and private sector organizations use different data systems. Each type of provider used population-based surveys as the primary source of health data. However, there were limitations in the availability of routine data.
This study represents the first comprehensive mapping of adolescent stakeholders and services in the West Bank. Identifying the existing services accessible to adolescents and their providers establishes a foundation for developing target policies and programs that address the current gap and needs of adolescents in the West Bank.
青少年健康对塑造终身幸福起着至关重要的作用，但在满足青少年健康需求方面仍存在显著差距。在约旦河西岸等受冲突影响的地区，服务提供分散、数据收集不一致以及提供者之间缺乏协调，削弱了卫生服务的有效性。一个高效的卫生信息系统可确保准确的数据收集、利益相关者整合以及基于证据的决策。本研究旨在描绘约旦河西岸现有的青少年健康服务状况，明确关键服务提供者，确定现有数据来源，并描述支持青少年健康的卫生信息系统。
本研究采用全面的状况分析来评估约旦河西岸的青少年健康服务。利益相关者映射和访谈确定了关键利益相关者，并评估了他们在服务提供和卫生信息系统中的作用。获得了伦理批准，所有参与者均提供了知情同意书。数据收集自不同的医疗保健组织，包括政府机构、非政府组织和私人机构。对访谈数据进行了主题分析，并使用ArcMap 10.5进行地理空间分析，以可视化11个省份的服务和提供者分布。
政府机构、非政府组织和私人实体是约旦河西岸青少年健康服务 的主要提供者。这些服务主要通过医疗保健机构、教育机构、青年中心以及特定的基于人群的项目提供，包括疫苗接种倡议和121热线，该热线为暴力受害者提供免费心理支持。约旦河西岸的青少年健康信息系统分散，各提供者的数据收集不一致。政府、非政府组织和私营部门组织使用不同的数据系统。每种类型的提供者都将基于人群的调查作为健康数据的主要来源。然而，常规数据的可用性存在局限性。
本研究是对约旦河西岸青少年利益相关者和服务的首次全面映射。确定青少年及其提供者可获得的现有服务，为制定目标政策和项目奠定了基础，以解决约旦河西岸青少年当前的差距和需求。
