Health System Strategies and Adolescent Sexual Health: Systematic review using Rodgers Concept Analysis Framework

Abstract

Background: Health Systems Strategies have been key in determining Adolescent Sexual Health outcomes. This study therefore aims to review literature on relationship between Health Systems Strategies and Adolescent Sexual Health issues guided by Rodgers evolutionary concept analysis framework. The study further develops a Conceptual Framework that would guide a study that seeks to "develop strategies to facilitate safe sexual practices in adolescents through Integrated Health Systems in selected Districts in Zimbabwe". Methods: The words Adolescents, Health Systems, Sexual Health and Strategies were used to search for published literature (in English) on Google Scholar, PUBMED, EBSCO and Science Direct. 111Articles and 04 reports were obtained and their content screened for relevance and 32 articles 01 report were found suitable and relevant and thus were reviewed. Thematic analysis to identify attributes, antecedents and consequences of Health Systems Strategies on Adolescent Sexual Health was done. These findings were then used to inform the development of the Conceptual Framework.

Protocol to develop a framework addressing barriers to utilization of elimination of mother- to -child transmission of HIV services among pregnant women and lactating mothers in Gauteng province

“…The BOEM model is best known for its ability to assist in developing a framework that can be used to achieve the overall goals by building on the Strengths, overcoming Weaknesses, exploring Opportunities, and minimizing Threats [55] . Thus, this BOEM model will be adopted after the SWOT analysis has identified the Strength, Weaknesses, opportunities, and Threats from qualitative and quantitative findings.…”

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

“…This step compared the findings from these 4 papers side by side to have a comprehensive overview of the state of matters concerning adolescent sexual practices as influenced by the 2 HSs (ie, IHS and MHS). [15][16][17][18] This then enabled for a merged output to be generated to get an overview of the merged output to get a glimpse of key facets that needed to be taken into account and addressed in the development of the strategies in a triangulated manner. 19,20 The first paper (tilted Health System Strategies and Adolescent Sexual Health: a systematic review of the literature using Rodgers Concept Analysis Framework, submitted to SAGE's Journal of Health Services Insights) aimed at reviewing the literature on the relationship between Health System Strategies (HSSs) and ASH issues guided by Rodger's evolutionary concept analysis framework.…”

“…The study further sought to leverage the findings of this literature review to develop a Conceptual Framework (CF) that would guide research on 'Development of strategies to facilitate safe sexual practices in adolescents through integrated health systems in selected districts of Zimbabwe'. 15 The second paper (titled Indigenous Health Systems and Adolescent Sexual Health in Umguza and Mberengwa Districts of Zimbabwe: Community Key stakeholders' Perspectives submitted to the SAGE's Journal of Health Services Insights) paper explored the roles that are played by the MHS in the management of ASH issues as well as appreciate the ASH trends in the 2 districts. This paper further challenged HSPs to identify specific IHS factors incorporated into the MHS to improve ASH outcomes.…”

“…14 The development of these strategies would leverage on the empirical evidence of 4 papers that explored different aspects with regards to ASH and HSs. [15][16][17][18] The summarised findings of these 4 papers are presented on Table 1.…”