Abstract
Background: Health Systems Strategies play a key role in determining Adolescent Sexual Health outcomes. This study aims to review the literature on the relationship between Health Systems Strategies and Adolescent Sexual Health issues guided by Rodger's 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: Adolescents, Health Systems, Sexual Health, and Strategies were used to search for published literature (in English) on Google Scholar, PUBMED, EBSCO, Cochran Library, and Science Direct. A total of 142 Articles and 11 reports were obtained, and the content was screened for relevance. This led to 42 articles and 03 reports being found suitable and relevant, and thus, the content was reviewed. Thematic analysis was done to identify attributes, antecedents, and consequences of Health Systems Strategies on Adolescent Sexual Health. These findings were then used to inform the development of the Conceptual Framework. Results: Key attributes, antecedents and consequences of Health System Strategies on Adolescent Sexual Health were identified. Strategies to Improve Adolescent Sexual Health outcomes were also identified. Conclusions: Different contextual factors influence policy changes and the consequences are mixed, with both positive and negative outcomes.
Highlights
Health Systems Strategies play a key role in determining Adolescent Sexual Health outcomes
Rodgers's Conceptual framework (CF) leverages on three key elements: a) Antecedents- these are classified as events or incidents that must occur before the occurrence of the concept; b) Attributes – that are described as characteristics of that specific concept in terms of addressing its intended issue; c) Consequences under this framework are defined as the outcomes of the concepts as identified from literature [20, 21]
A data collection form was developed guided by Rodgers Evolutionary Conceptual Analysis Framework to facilitate uniform data collection on attributes, antecedents, and consequences of Health System Strategies on Adolescent Sexual Health from the articles and reports that met the inclusion criteria
Summary
Health Systems Strategies play a key role in determining Adolescent Sexual Health outcomes. This study aims to review the literature on the relationship between Health Systems Strategies and Adolescent Sexual Health issues guided by Rodger's 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.”. Adolescent utilisation of SH care services in low and middle-income countries remains low despite many strategies that have been implemented to create demand for these services [1, 8]. Most countries find it challenging to provide comprehensive and integrated HSs to cater to adolescents' SH issues [9, 10].
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