Evidence map›Paper›PMID 34376991›Full record

ArticleHealth services insights2021

Developing Strategies for Integrating Indigenous Health and Modern Health Systems for Improved Adolescent Sexual Health Outcomes in Umguza and Mberengwa Districts in Zimbabwe.

Wilfred Njabulo Nunu, Lufuno Makhado, Jabu Tsakani Mabunda, Rachel Tsakani Lebese

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health services insights, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Wilfred Njabulo NunuDepartment of Public Health, School of Health Sciences, University of Venda, Thohoyandou, South Africa.ORCID https://orcid.org/0000-0001-8421-1478
Lufuno MakhadoDepartment of Public Health, School of Health Sciences, University of Venda, Thohoyandou, South Africa.ORCID https://orcid.org/0000-0003-1689-9308
Jabu Tsakani MabundaDepartment of Public Health, School of Health Sciences, University of Venda, Thohoyandou, South Africa.
Rachel Tsakani LebeseSchool of Health Sciences, University of Venda, Thohoyandou, South Africa.
University of Venda · ZANational University of Science and Technology · ZW

Funding

UCLA-South African Research in Trauma Training ProgramD43TW007278 · FIC · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI WYATT, GAIL E. · 2005 to 2020
$3.1M
Sustainable Academic Capacity Building of Excellence through Research and Training Program (SACERT) Learning CollaborativeD43TW012029 · FIC · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI MILBURN, NORWEETA GERMAINE, WYATT, GAIL E. · 2021 to 2025
$1.5M
FIC NIH HHS D43 TW007278FIC NIH HHS D43 TW012029
6 · The paper itself

Abstract

backgroundStrategies to improve sexual health outcomes have evolved over the years due to technology's evolution to ensure that they are relevant. Challenges have been noticed in different systems that run parallel, particularly in Low-Income Countries where the majority utilise Indigenous Health Systems. Optimisation of resources and minimisation of conflicts could be realised through integrated health systems in the management of adolescents' sexual health issues. This study sought to develop strategies to facilitate Indigenous Health System and Modern Health System integration to improve the management of Adolescent Sexual Health issues, leveraging results from 3 papers.

methodsA multi-stage approach was utilised, with Phase 1 focussing on a preliminary assessment through merging findings from the 4 papers. The Strengths, Weaknesses, Opportunities, and Threats analyses were then used, followed by the Basic Logic Model to identify critical aspects that needed to be considered in building the strategies. The second phase used the Build, Overcome, Eliminate and Minimise framework to build the strategies.

resultsA total of 5 strategies were proposed to facilitate this integration, and these included revival of committees that were inclusive of all stakeholders; allocating Indigenous Health System space in clinics to work in; establishing adolescent-friendly clinics; intensifying information dissemination on sexual health-related issues, and developing clear Terms of Reference and procedures to govern this integration and ensure it is a success.

conclusionsImplementing these strategies could facilitate this integration and ensure that programs are planned and implemented in a complementary manner, thereby reducing conflicts between the 2 systems and ensuring collaborative efforts towards shared goals that would transform to better Sexual Health Outcomes for adolescents.

Indexed as

Adolescentindigenous health systemintegrationmodern health systemsexual health outcomesstrategiesZimbabwe

Identifiers

PMID34376991
PMCPMC8323425
OpenAlexW3183479177

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.