Perspectives on the use of a health surveillance system for Guatemalan youth: a stakeholder analysis
-
Sarah A. Golub
,
Juan Carlos Maza Reyes
Abstract
In Guatemala, adolescent health indicators are collected using the Sistema Informático del Adolescente (SIA), a clinical survey developed by the Pan-American Health Organization. Recent analysis revealed significant gaps in data, limiting the ability of clinicians and policy makers to effectively address health disparities. Our objective was to explore adolescent health stakeholders’ perceptions of the SIA. We conducted semi-structured interviews with 22 clinic personnel recruited from six adolescent health clinics throughout Guatemala. Stakeholders included multi-disciplinary providers and key database personnel. Interviews were conducted in Spanish, recorded and transcribed; a coding scheme was developed using a phenomenological approach, and Dedoose was used for analysis. Four major themes emerged: (1) Collecting baseline adolescent health data was useful for prevention, diagnosis and treatment of adolescent health issues. (2) The SIA was instrumental in streamlining clinical care and informing the psychosocial needs of patients. (3) The questionnaire was time-intensive, repetitive and often problematic for data input/extraction. (4) Condensing the survey and using a web-based version may improve the system for future use. Our findings show that despite the use of a standardized system, multiple barriers contribute to gaps in comprehensive data collection in Guatemala. Refining the system may enhance adolescent health surveillance and improve quality of care in this vulnerable population.
Funding source: Adolescent/Young Adult Health
Award Identifier / Grant number: HRSA/MCH LEAH #T71MC00009
Funding statement: Boston Children’s Hospital Division of Adolescent/Young Adult Health Gallagher Grant, Funder Id: http://dx.doi.org/10.13039/100007305, HRSA/MCH LEAH #T71MC00009.
Acknowledgments
The authors thank Michelle Nieserenko MD, Christiana Russ MD MPH, Brittany Charlton ScD, Elizabeth R. Woods MD MPH and S. Jean Emans MD for their expertise and support for this project.
References
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©2019 Walter de Gruyter GmbH, Berlin/Boston
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- Frontmatter
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- Educational interventions to improve menstrual health: approaches and challenges
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- Anthropometric evaluation of school-going native highlanders (4–19 years of age) from the Leh-Ladakh region in India
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