Evidence map›Paper›PMID 37254079›Full record

ArticleBMC public health2023

Routine health check-ups for adolescents in Mwanza City, Tanzania: stakeholders' recommendations on its content, venue, and mode of delivery.

Yovitha Sedekia, Gerry Mshana, Mussa K Nsanya, Kid Kohl, Mwita Wambura, Heiner Grosskurth, David A Ross, Saidi Kapiga

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
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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

8 authors at 4 institutions in 4 countries.

Yovitha SedekiaMwanza Intervention Trials Unit, National Institute for Medical Research, Mwanza, Tanzania. yovitha.sedekia@mitu.or.tz.
Gerry MshanaMwanza Intervention Trials Unit, National Institute for Medical Research, Mwanza, Tanzania.
Mussa K NsanyaMwanza Intervention Trials Unit, National Institute for Medical Research, Mwanza, Tanzania.
Kid KohlThe Global Fund to Fight AIDS, TB and Malaria, Geneva, Switzerland.
Mwita WamburaMwanza Intervention Trials Unit, National Institute for Medical Research, Mwanza, Tanzania.
Heiner GrosskurthMwanza Intervention Trials Unit, National Institute for Medical Research, Mwanza, Tanzania.
David A RossInstitute for Life Course Health Research, Stellenbosch University, Stellenbosch, South Africa.
Saidi KapigaMwanza Intervention Trials Unit, National Institute for Medical Research, Mwanza, Tanzania.
National Institute for Medical Research · TZGlobal Fund to Fight AIDS, Tuberculosis and Malaria · CHMwanza Intervention Trials Unit · TZStellenbosch University · ZA

Funding

Medical Research Council G0901756
6 · The paper itself

Abstract

backgroundRoutine adolescent health screening aiming at the detection of unnoticed medical problems may increase awareness among policy makers and contribute to improved health in this population. Research is needed to inform the World Health Organization (WHO) and national health programs to provide evidence-based guidance on whether public health systems should offer comprehensive adolescent health screening, what should be included in different contexts, and how it should be delivered. We conducted formative research to define the content and delivery strategies for health check-ups to be performed in young (10-14 years) and older (15-19 years) adolescents, and to assess whether such services are likely to be acceptable and feasible in Tanzania.

methodsAs part of a collaborative research program coordinated by WHO in Chitungwiza, Zimbabwe; Mwanza City, Tanzania; and Cape Coast, Ghana a series of key informant interviews were conducted from April to July 2020, using a semi-structured guide with purposively selected stakeholders from government departments, non-governmental and community-based organisations, schools and health facilities. Data transcripts were coded using NVivo 12 software and thematic analysis was performed.

resultsWe report results from 31 key informant interviews to address four main domains: proposed health conditions for routine health check-ups, health interventions to be combined with such check-ups, preferable venues, and the mode for delivering such screening activities. Stakeholders were supportive of introducing routine health check-ups among adolescents. They recommended focusing on non-communicable diseases, physical disabilities, common mental health problems, reproductive health problems, specific communicable diseases, and hygiene-related problems. They also recommended combining counselling and family planning information with these check-ups. Three venues were proposed: schools, community settings (to reach out-of-school adolescents), and youth-friendly health facilities (for conditions requiring a high level of confidentiality).

conclusionsStakeholders were supportive of the proposed routine health check-ups for adolescents, recommending specific health conditions to be screened for in both community and school settings. Based on the above, we plan to conduct implementation research to determine the number of new treatable conditions detected, and the costs of offering such services. In the longer term, evaluation of their health impact and cost-effectiveness will be required to guide policy.

Indexed as

CounselingSex EducationAdolescentGhanaHumansReproductive HealthTanzaniaAdolescentsHealth check-upHealth interventionsHealth screeningRoutine check-upStakeholdersTanzania

Identifiers

PMID37254079
PMCPMC10227790
OpenAlexW4378781475

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.