Priority strategic directions in adolescent health in Iran based on the WHO’s Global Accelerated Action for the Health of Adolescents
-
Afsaneh Omidimorad
Abstract
Objectives
In line with the World Health Organization’s Global Accelerated Action for the Health of Adolescents (AA-HA!) guidance, the goal of the current research was to identify critical strategies for adolescents’ health and to determine the role and distribution of responsibilities among the leading players in the field of adolescent health in Iran.
Methods
The current qualitative and applied study is part of the Ministry of Health and Medical Education’s “Adolescent, Youth and School Health” plan to develop the “National Adolescent Health Plan Document” in 2020. First, stakeholder analysis was done, then a pool of nationally appropriate strategies was selected from the list of priority strategies recommended by the WHO in the AA-HA! through several group sessions. After that, the experts selected priority strategies based on the criteria of feasibility, acceptability, effectiveness, guaranteed resources, coordination with other plans and temporal priority, scoring, and executive priorities. Eventually, the priority strategies were assigned to different players/stakeholders in the field over several sessions bearing in mind the methods of implementation and the target groups.
Results
The experts identified 58 priority strategies/actions for adolescent health under the seven priority areas of positive development, sexual protection, reproductive health, mental health, substance abuse, self-harm, violence, unintentional injury, communicable and non-communicable diseases, nutrition, and physical activity.
Conclusions
The highest identified priority areas were in the areas of vaccination; special health care package for service providers; training and education to promote health literacy and self-care, life skills, sexual awareness, and prevention/protection against violence; community-based mental health services, planning for adolescents’ spare time, substance use prevention.
Funding source: Deputy of Health, Ministry of Health and Medical Education and the World Health Organization, Iran Office
Award Identifier / Grant number: 202640666
Acknowledgment
The authors thank all participants in this study.
-
Ethical approval: The local Institutional Review Board deemed the study exempt from review.
-
Informed consent: Verbal informed consent was obtained from all individuals included in this study.
-
Author contributions: Afsaneh Omidimorad: Project Management, Methodology Design, Data collection; Rahim Taghizadeh: Methodology Design and Supervision; Maryan Nazari, Najmeh Bahmanziari, Haddad Soleymani, Seyyed Hamed Barakati, Gelayol Ardalan, Tahereh Aminaee, Mohammad Esmail Motlagh: Data Collection and Study Design; Abtin Heidarzadeh: Supervision, Monitoring and Project Management, Methodology Design.
-
Competing interests: Authors state no conflict of interest.
-
Research funding: This study was supported by the Deputy of Health, Ministry of Health and Medical Education and the World Health Organization, Iran Office under the grant number 202640666.
References
1. World Health Organization. Strengthening the health sector response to adolescent health and development. Available from: https://toolkits.knowledgesuccess.org/sites/default/files/Adolescen%20Health%20WHO%20Report.pdf.Search in Google Scholar
2. Baheiraei, A, Khoori, E, Ahmadi, F, Foroushani, AR, Ghofranipour, F. Health concerns of Iranian adolescents: protocol for a mixed methods study. Iran Red Crescent Med J 2014;16:e6715. https://doi.org/10.5812/ircmj.6715.Search in Google Scholar PubMed PubMed Central
3. Blum, RW, Bastos, FIPM, Kabiru, C, Le, LC. Adolescent health in the 21st century. Am J Men’s Health 2012;9826:1567–8. https://doi.org/10.1016/s0140-6736(12)60407-3.Search in Google Scholar PubMed
4. World Health Organization. Global strategy for women’s, children’s and adolescents’ health (2016–2030). Available from: https://www.who.int/data/maternal-newborn-child-adolescent-ageing/global-strategy-data#:∼:text=The%20Global%20Strategy%20for%20Women’s,overall%20health%20and%20well%2Dbeing.Search in Google Scholar
5. Diclemente, RJ, Hansen, WB, Ponton, LE, editors. Handbook of adolescent health risk behavior. New York, United States: Springer; 2013.Search in Google Scholar
6. World Health Organization. Health for the world’s adolescents: a second chance in the second decade. Available from: https://apps.who.int/iris/handle/10665/112750.Search in Google Scholar
7. World Health Organization. Youth and health risks: report by the secretariat. Geneva, Switzerland: WHO; 2011. 7 p., Report No. A64/25.Search in Google Scholar
8. United Nations Children’s Fund. Progress for children A report card on adolescents. New York, United States: UNICEF; 2012. 53 p., Report No. E.12.XX.2.Search in Google Scholar
9. Moghadam, R, Tabibi, J, Hajinabi, K. A comparative study of adolescent and youth health status: a systematic review. J Healthc Protect Manag 2019;8:51–9.Search in Google Scholar
10. World Health Organization. Adolescent health. Available from: https://www.who.int/health-topics/adolescent-health#tab=tab_1.Search in Google Scholar
11. Kassebaum, N, Kyu, HH, Zoeckler, L, Olsen, HE, Thomas, K, Pinho, C, et al.. Child and adolescent health from 1990 to 2015: findings from the global burden of diseases and injuries and risk factors 2015 study. JAMA Pediatr 2017;171:573–92. https://doi.org/10.1001/jamapediatrics.2017.0250.Search in Google Scholar PubMed PubMed Central
12. Shahed, HGH. The naming of World mental health Day 2018 as adolescent and mental health in a changing World. Nurse Phys War 2018;20:87–8.Search in Google Scholar
13. World Health Organization. Global accelerated action for the health of adolescents (AA-HA!): guidance to support country implementation. Geneva, Switzerland: WHO; 2017. 151 p., Report No. CC BY-NC-SA 3.0 IGO.Search in Google Scholar
14. World Health Organization. Adolescent health research priorities: report of a technical consultation. Geneva, Switzerland: WHO; 2015.Search in Google Scholar
15. Zare, E, Simbar, M, Shahhosseini, Z, Majd, HA. The priorities of Iranian male adolescents health needs. Am J Men’s Health 2017;11:1255–9. https://doi.org/10.1177/1557988317693346.Search in Google Scholar PubMed PubMed Central
16. Sibbald, SL, Singer, PA, Upshur, R, Martin, DK. Priority setting: what constitutes success? A conceptual framework for successful priority setting. BMC Health Serv Res 2009;9:43–55. https://doi.org/10.1186/1472-6963-9-43.Search in Google Scholar PubMed PubMed Central
17. United Nations Population Fund & World Health Organization. Technical guidance for prioritizing adolescent health: every woman, every child. Available from: https://www.unfpa.org/publications/technical-guidance-prioritizing-adolescent-health.Search in Google Scholar
18. Schmets, G, Rajan, D, Kadandale, S, editors. Strategizing national health in the 21st century: a handbook. Geneva, Switzerland: World Health Organization; 2016.Search in Google Scholar
19. Tourani, S, Maleki, MR, Hadian, M, Amiresmaili, MR. A survey on present status of health services priority setting in Iran. Payesh 2011;10:217–30.Search in Google Scholar
20. Centers for Disease Control and Prevention. Prioritizing public health problem; facilator guide. Available from: https://www.cdc.gov/globalhealth/healthprotection/fetp/training_modules/4/prioritize-problems_fg_final_09262013.pdf.Search in Google Scholar
21. Damari, B, Alikhani, S, Akrami, F. Analysis of Iranian youth health policy: necessity of action-oriented interventions. Int J Prev Med 2018;9:39–47. https://doi.org/10.4103/ijpvm.ijpvm_341_16.Search in Google Scholar
22. Maliye, C, Garg, B. Adolescent health and adolescent health programs in India. J Mahatma Gandhi Inst Med Sci 2017;22:78–82. https://doi.org/10.4103/jmgims.jmgims_32_17.Search in Google Scholar
23. Sivagurunathan, C, Umadevi, R, Rama, R, Gopalakrishnan, S. Adolescent health: present status and its related programs in India, Are we in the right direction? J Clin Diagn Res 2015;9:1–6.10.7860/JCDR/2015/11199.5649Search in Google Scholar PubMed PubMed Central
24. Ott, MA, Rosenberger, JG, McBride, KR, Woodcox, SG. How do adolescents view health? Implications for state health policy. J Adolesc Health 2011;48:398–403. https://doi.org/10.1016/j.jadohealth.2010.07.019.Search in Google Scholar PubMed PubMed Central
25. Damari, B, Akrami, F. Sexual health challenges in Iran and the strategies for its improvement. Iran J Psychiatry Clin Psychol 2021;27:216–33. https://doi.org/10.32598/ijpcp.27.2.3502.1.Search in Google Scholar
26. Salam, RA, Das, JK, Lassi, ZS, Bhutta, ZA. Adolescent health interventions: conclusions, evidence gaps, and research priorities. J Adolesc Health 2016;59:88–92. https://doi.org/10.1016/j.jadohealth.2016.05.006.Search in Google Scholar PubMed PubMed Central
27. Hoseini, S, Kelishadi, R, Ataei, B, Yaran, M, Motlagh, M, Ardalan, G, et al.. Seroprevalence of hepatitis A in Iranian adolescents: is it time to introduce a vaccine? Epidemiol Infect 2016;144:291–6. https://doi.org/10.1017/s0950268815001302.Search in Google Scholar PubMed
28. Bundy, D, De Silva, N, Horton, S, Jamison, DT, Patton, GC, editors. Optimizing education outcomes: high-return investments in school health for increased participation and learning, 3rd ed. Washington (DC): The World Bank (WB); 2018.Search in Google Scholar
29. Banaei, M, Simbar, M, Ghasemi, V, Nazem, H. Barriers of Adolescents’ access to reproductive and sexual health services in Iran: a systematic review. Int J Pediatr 2019;7:10505–22.Search in Google Scholar
30. Azzopardi, PS, Hennegan, J, Prabhu, SM, Dagva, B, Balibago, MM, Htin, PPW, et al.. Key recommendations to strengthen public-private partnership for adolescent health in resource-constrained settings: formative qualitative inquiry in Mongolia, Myanmar, and the Philippines. Lancet Reg Health West Pac 2021;15:100242. https://doi.org/10.1016/j.lanwpc.2021.100242.Search in Google Scholar PubMed PubMed Central
31. Awang, H, AbRahman, A, Sukeri, S, Hashim, N, Nik Abdul Rashid, NR. “Aren’t they supposed to Be healthy?”: a qualitative exploration of healthcare providers on adolescent health services in Malaysia. Child Youth Serv 2021;43:1–20. https://doi.org/10.1080/0145935x.2021.1926229.Search in Google Scholar
32. Newby, H, Marsh, AD, Moller, A-B, Adebayo, E, Azzopardi, PS, Carvajal, L, et al.. A scoping review of adolescent health indicators. J Adolesc Health 2021;69:365–74. https://doi.org/10.1016/j.jadohealth.2021.04.026.Search in Google Scholar PubMed PubMed Central
33. Alemán-Díaz, AY, Backhaus, S, Siebers, LL, Chukwujama, O, Fenski, F, Henking, CN, et al.. Child and adolescent health in Europe: monitoring implementation of policies and provision of services. Lancet Child Adolesc Health 2018;2:891–904. https://doi.org/10.1016/s2352-4642(18)30286-4.Search in Google Scholar PubMed
34. Elgar, FJ, Pförtner, T-K, Moor, I, De Clercq, B, Stevens, GW, Currie, C. Socioeconomic inequalities in adolescent health 2002–2010: a time-series analysis of 34 countries participating in the Health Behaviour in School-aged Children study. Lancet 2015;385:2088–95. https://doi.org/10.1016/s0140-6736(14)61460-4.Search in Google Scholar
35. Hale, DR, Bevilacqua, L, Viner, RM. Adolescent health and adult education and employment: a systematic review. Pediatrics 2015;136:128–40. https://doi.org/10.1542/peds.2014-2105.Search in Google Scholar PubMed
© 2023 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Reviews
- Barriers to adequate nutrition in pregnant adolescent Colombian females
- The PCOS puzzle: putting the pieces together for optimal care
- Original Articles
- Priority strategic directions in adolescent health in Iran based on the WHO’s Global Accelerated Action for the Health of Adolescents
- Self-effectiveness and healthy lifestyle behaviors in adolescents with asthma
- The effect of education based on health belief model on high-risk health behaviors in youth: an interventional quasi-experimental study
- Association of health predictors with quality of life in children and adolescents
- Adolescents and young adults communicating with gastroenterologists: variation in inflammatory bowel disease clinical communication
- Prevalence and predictors of tobacco, alcohol and illicit drug experimentation among Tunisian middle and high school-adolescents
- Suicidal ideation, attempts and its determinants among young adults in Meghalaya: a cross sectional study
- Letter to the Editor
- Comprehensive sexual assessments should include conversations about sexual function and pleasure
Articles in the same Issue
- Frontmatter
- Reviews
- Barriers to adequate nutrition in pregnant adolescent Colombian females
- The PCOS puzzle: putting the pieces together for optimal care
- Original Articles
- Priority strategic directions in adolescent health in Iran based on the WHO’s Global Accelerated Action for the Health of Adolescents
- Self-effectiveness and healthy lifestyle behaviors in adolescents with asthma
- The effect of education based on health belief model on high-risk health behaviors in youth: an interventional quasi-experimental study
- Association of health predictors with quality of life in children and adolescents
- Adolescents and young adults communicating with gastroenterologists: variation in inflammatory bowel disease clinical communication
- Prevalence and predictors of tobacco, alcohol and illicit drug experimentation among Tunisian middle and high school-adolescents
- Suicidal ideation, attempts and its determinants among young adults in Meghalaya: a cross sectional study
- Letter to the Editor
- Comprehensive sexual assessments should include conversations about sexual function and pleasure