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Understanding adolescent health care services in Ghana: a scoping review

机译:了解加纳的青少年医疗保健服务:范围界定审查

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摘要

Over the last several decades, successful interventions in the health of newborns, infants, and children mean more children survive to become adolescents. There has been a global demand to improve health and care delivery for the adolescent population, guided by the United Nation’s Sustainable Development Goals by 2030. However, with this deadline fast approaching and with a rising adolescent population, this demand is ever more critical. Adolescent health requires a similar rights-based approach to ensure equitable distribution of healthcare interventions and service delivery going forward. This scoping review aims to explore the existing landscape of adolescent-responsive healthcare and service delivery in Ghana. It was conducted using the Joanna Briggs Institute (JBI) guidelines and reported according to the PRISMA-Scr standards. We searched the PubMed database from inception through May 2022 using the following search criteria: “Ghana” + “Adolescent” + “Health”. A total of 3172 studies were identified based on the search strategy outlined above, out of which 248 met the inclusion criteria. Both quantitative and qualitative analyses were conducted on all 248 studies to help synthesize findings. Overall, this review found that adolescent health care receives significant attention in Ghana, majority of which is focused on sexual and reproductive health (SRH). The studies available were a plethora of cross-sectional methods with large sample sizes, but their limited numbers of longitudinal studies and randomized control trials (RCTs) that could yield more robust evidence. This review is a call to action for a more comprehensive range of youth-driven, youth-responsive studies, interventions, and health programs that represent the whole range of challenges that confront adolescents in Ghana. This increased attention to adolescent needs will support a healthy cohort as they age into adulthood.
机译:在过去的几十年里,对新生儿、婴儿和儿童健康的成功干预意味着更多的儿童能够存活到青少年时期。在联合国到 2030 年可持续发展目标的指导下,全球要求改善青少年的健康和护理服务。然而,随着这个截止日期的迅速临近和青少年人口的增长,这种需求变得越来越重要。青少年健康需要类似的基于权利的方法,以确保未来医疗保健干预措施和服务提供的公平分配。本范围界定审查旨在探讨加纳青少年响应医疗保健和服务提供的现有状况。它是使用 Joanna Briggs Institute (JBI) 指南进行的,并根据 PRISMA-Scr 标准进行报告。我们使用以下搜索标准检索了从建库到 2022 年 5 月的 PubMed 数据库:“加纳”+“青少年”+“健康”。根据上述检索策略,共确定了 3172 项研究,其中 248 项符合纳入标准。对所有 248 项研究进行了定量和定性分析,以帮助综合结果。总体而言,本综述发现,青少年医疗保健在加纳受到高度关注,其中大部分集中在性和生殖健康 (SRH) 上。可用的研究是大量样本量大的横断面方法,但它们的纵向研究和随机对照试验 (RCT) 数量有限,可以产生更有力的证据。本综述呼吁采取行动,呼吁开展更全面的青年驱动、青年响应的研究、干预措施和健康计划,这些研究、干预措施和健康计划代表了加纳青少年面临的所有挑战。这种对青少年需求的日益关注将支持一个健康的群体,因为他们已经长大成人。

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