“The Times They Are A-Changin”: using technology for ASRHR in the 25 years since ICPD

Nanda, Priya; Tandon, Sahil

doi:10.1080/26410397.2019.1676023

Cited by 5 publications

(9 citation statements)

References 3 publications

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“…Twelve out of 26 publications reported on digital interventions with outcomes related to sexual and reproductive health and rights. These papers focused on the access to information as the gateway to behaviour change and improved SRHR norms [ 33 , 34 , 36 , 38 – 40 , 42 , 43 , 48 , 50 , 54 , 55 ].…”

Section: Resultsmentioning

confidence: 99%

“…We found these are rarely reported. Some papers include a discussion of counterproductive outcomes, such as the risks involved with interaction with social media such as cyber-bullying, cyber-violence, and profiling [ 55 , 56 ]. Banaji et al caution against over-enthusiasm for the effects of the use of digital technology as these interact with, for example, gatekeepers which constrain girls’ access to the digital world to curb their agency [ 23 ].…”

Section: Resultsmentioning

confidence: 99%

“…Finally, four studies were reports describing interventions [34,35,40,41], while two papers presented literature reviews [23,56]. Four publications were commentaries with empirical content [39,54,57,58].…”

Section: "Rough" or Starter Iptmentioning

confidence: 99%

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A Realist-Informed Review of Digital Empowerment Strategies for Adolescents to Improve Their Sexual and Reproductive Health and Well-being

2022

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The use of digital technologies for health has been rapidly gaining ground in the last decade, including as a strategy to empower adolescents living in urban resource-constrained settings. Nevertheless, unclarity and incoherence remain regarding which programme strategies generate which outcomes, as well as regarding the importance of context. We set out to answer the question “How do digital empowerment strategies work to improve adolescent health and well-being?”. We conducted a realist-informed review, the first on this subject matter to our knowledge. The realist methodology is geared towards the understanding of socially complex interventions, such as digital empowerment. We synthesized the data into a programme theory uncovering social mechanisms and context conditions underlying specific programme strategies. We found that digital technologies enlarge the space for adolescents to access information to health services on their own terms and provide anonymity, which leads to a sense of safety if access is not curbed by gatekeepers. If adolescents have access to information adapted to their needs, they will be able to make informed decisions, and this will contribute to improved health outcomes because their better understanding enlarges their sense of individual agency. We identified two main gaps in the literature on digital interventions for adolescents. Both are related to an under-theoretisation of the concepts the programmes rely on in implementation: (1) the urban environment the programme has to operate in and its meaning for the adolescents; (2) the socio-developmental stage of the adolescents the programmes work in.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A Realist-Informed Review of Digital Empowerment Strategies for Adolescents to Improve Their Sexual and Reproductive Health and Well-being

2022

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“…Efforts are needed to engage with parents, guardians and caregivers to support them in learning how to effectively communicate with their children about sex and HIV, particularly in a setting with high STI and HIV prevalence. These efforts may include virtual tools that can support challenging child-parent conversations ( 58 ). However, in order for parents to be able to talk to their children about taboo topics like sexuality, they need opportunities to discuss their own experiences as young people and sexuality in general.…”

Section: Discussionmentioning

confidence: 99%

Gender and Power Dynamics of Social Relationships Shape Willingness to Participate in Biomedical HIV Prevention Research Among South African Adolescents and Young Adults

Closson

Lee

Dietrich

et al. 2021

Front. Reprod. Health

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Background: Understanding young women and men's perceived barriers and facilitators to participation in biomedical HIV prevention research is important for designing youth friendly services (YFS) and acceptable technologies, which are necessary for preventing high sustained HIV incidence in South Africa. This study explores the multileveled barriers and facilitators to young men and women's willingness to participate in hypothetical biomedical HIV prevention research.Methods: Eight age- (16–18 and 19–24 years) and gender-stratified focus group discussions (FGDs) were conducted using semi-structured interview guides to explore young South African women and men's willingness, perceived barriers, and facilitators to participating in biomedical HIV prevention research. FGD transcripts were uploaded to NVivo and coded collaboratively with youth study team members. Thematic analysis using Bronfenbrenner's ecological model (individual, inter-personal, community, and societal) was used to guide a deductive coding procedure, which was documented and compared by gender.Results: Thirty-one participants from Durban and 34 from Soweto participated in FGDs. Individual facilitators for participation were discussed more by young men and included financial incentives and altruism. Concerns about side-effects of biomedical products were a common barrier. Interpersonal relationships with peers, intimate partners and caregivers influenced young people's willingness to participate in HIV prevention research, more so among young women. For young women, gendered power dynamics and distrust of intimate partners and parents influenced both communication regarding participation and willingness to participate in research that is often stigmatized, due to societal norms around women's sexuality. On a societal level, participants expressed distrust in medical and research institutions, however a sense of community that was developed with the study staff of this project, was a motivator to participate in future studies.Discussion: At each level of the ecological model, we found participants expressed gendered barriers and facilitators for participation. Gender norms as well as distrust of partners, parents, and health care professionals were key barriers that cut across all levels. At each level participants discussed facilitators that were youth-engaged, underscoring the need to implement YFS, establish trust and address gender inequities within future biomedical HIV prevention studies wishing to engage and retain South African youth.

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“…Technological changes altered the ground on which SRHR is negotiated. Comprehensively analysed in the commentary by Nanda and Tandon, 6 the opportunities provided by technology can be massive in relation to behaviour change, knowledge expansion, receptivity of sensitive issues, data collection and access to services. Yet attention has to be paid to how digital spaces are often reflective of societal hierarchies and regressive norms, providing fertile ground for the perpetuation of targeted harm, discrimination, the invasion of privacy and jeopardisation of personal data security.…”

Section: A Glass Half Fullmentioning

confidence: 99%

Moving the ICPD agenda forward: challenging the backlash

Sen

Kismödi

Knutsson

2019

Sexual and Reproductive Health Matters

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“The Times They Are A-Changin”: using technology for ASRHR in the 25 years since ICPD

Cited by 5 publications

References 3 publications

A Realist-Informed Review of Digital Empowerment Strategies for Adolescents to Improve Their Sexual and Reproductive Health and Well-being

A Realist-Informed Review of Digital Empowerment Strategies for Adolescents to Improve Their Sexual and Reproductive Health and Well-being

Gender and Power Dynamics of Social Relationships Shape Willingness to Participate in Biomedical HIV Prevention Research Among South African Adolescents and Young Adults

Moving the ICPD agenda forward: challenging the backlash

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