Key indicators for appraising adolescent sexual and reproductive health in South Asia: international expert consensus exercise using the Delphi technique.
Adolescent sexual and reproductive health
Delphi technique
indicator prioritization
Journal
Global health action
ISSN: 1654-9880
Titre abrégé: Glob Health Action
Pays: United States
ID NLM: 101496665
Informations de publication
Date de publication:
31 12 2020
31 12 2020
Historique:
entrez:
20
10
2020
pubmed:
21
10
2020
medline:
10
3
2021
Statut:
ppublish
Résumé
There is a need for an accurate assessment of the patterns and determinants of sexual and reproductive health in South Asia owing to high fertility rates and high incidence of unplanned pregnancy among adolescents. Health indicator sets, with a wide range of health dimensions, also support in formulating evidence-based policies. For attaining this, indicators should be developed and prioritized based on consensus and relevance. This study aimed to develop a comprehensive list of adolescent sexual and reproductive health (ASRH) key indicators for South Asia through systematic participatory expert consultation exercise using the Delphi technique. Experts were invited to two rounds of an indicator rating exercise and a third round to discuss the results in a broader regional perspective. A list of nine indicator categories, including 41 adolescent health indicators, was rated by the expert panel. Prioritization was based on mean Likert scores while consensus was established using Kendall's W. 24, 16 and six experts participated in the first, second and third round, respectively. Out of the nine indicator categories, demographics, reproductive health, violence, and nutrition were ranked high in relevance by the expert panel. Experts had a strong consensus on the relevance of parental control and connection, and behavioral indicators while there was moderate consensus on the relevance of nutrition, infectious disease, and mortality indicators. As far as we know, this is the first study that employs the Delphi technique for prioritizing ASRH indicators for South Asia. Engaging a diverse group of experts, using an online platform, we developed a comprehensive list of key indicators for appraising ASRH relevant to South Asia based on expert panel consensus and recommendations. Our results also highlight that there is a need for developing a region-specific prioritized list of indicators which might assist in identifying regional health needs.
Sections du résumé
BACKGROUND
There is a need for an accurate assessment of the patterns and determinants of sexual and reproductive health in South Asia owing to high fertility rates and high incidence of unplanned pregnancy among adolescents. Health indicator sets, with a wide range of health dimensions, also support in formulating evidence-based policies. For attaining this, indicators should be developed and prioritized based on consensus and relevance.
OBJECTIVE
This study aimed to develop a comprehensive list of adolescent sexual and reproductive health (ASRH) key indicators for South Asia through systematic participatory expert consultation exercise using the Delphi technique.
METHODS
Experts were invited to two rounds of an indicator rating exercise and a third round to discuss the results in a broader regional perspective. A list of nine indicator categories, including 41 adolescent health indicators, was rated by the expert panel. Prioritization was based on mean Likert scores while consensus was established using Kendall's W.
RESULTS
24, 16 and six experts participated in the first, second and third round, respectively. Out of the nine indicator categories, demographics, reproductive health, violence, and nutrition were ranked high in relevance by the expert panel. Experts had a strong consensus on the relevance of parental control and connection, and behavioral indicators while there was moderate consensus on the relevance of nutrition, infectious disease, and mortality indicators.
CONCLUSION
As far as we know, this is the first study that employs the Delphi technique for prioritizing ASRH indicators for South Asia. Engaging a diverse group of experts, using an online platform, we developed a comprehensive list of key indicators for appraising ASRH relevant to South Asia based on expert panel consensus and recommendations. Our results also highlight that there is a need for developing a region-specific prioritized list of indicators which might assist in identifying regional health needs.
Identifiants
pubmed: 33076781
doi: 10.1080/16549716.2020.1830555
pmc: PMC7594874
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1830555Références
Can J Public Health. 1999 Nov-Dec;90 Suppl 1:S22-6
pubmed: 10686755
Int J Nurs Stud. 2001 Apr;38(2):195-200
pubmed: 11223060
Lancet. 2019 Mar 16;393(10176):1101-1118
pubmed: 30876706
BMC Public Health. 2018 Apr 27;18(1):557
pubmed: 29703176
Annu Rev Public Health. 2006;27:29-55
pubmed: 16533108
J Glob Infect Dis. 2009 Jul;1(2):93-101
pubmed: 20300398
J Virus Erad. 2016 Nov 28;2(Suppl 4):1-6
pubmed: 28303199
BMC Res Notes. 2019 Feb 15;12(1):90
pubmed: 30770762
Semin Arthritis Rheum. 2011 Oct;41(2):95-105
pubmed: 21420149
J Adolesc. 2010 Aug;33(4):531-41
pubmed: 19589587
Adolesc Health Med Ther. 2019 Apr 18;10:49-58
pubmed: 31114415
Reprod Health. 2016 Jan 13;13:3
pubmed: 26758038
J Adv Nurs. 2000 Oct;32(4):1008-15
pubmed: 11095242
Environ Manage. 2004 Mar;33(3):294-305
pubmed: 15031759
Eur J Contracept Reprod Health Care. 2009 Feb;14(1):10-6
pubmed: 19241297
J Adolesc Health. 2015 Jan;56(1 Suppl):S1-6
pubmed: 25528975
Reprod Health. 2018 Dec 27;15(1):217
pubmed: 30587220
BMJ Open. 2016 Mar 02;6(3):e010290
pubmed: 26936906
Reprod Health. 2017 Mar 1;14(1):30
pubmed: 28249610
Soc Sci Med. 2014 Jun;111:64-73
pubmed: 24762261
J Environ Manage. 2006 Jan;78(2):114-27
pubmed: 16095806
J Glob Health. 2019 Jun;9(1):010408
pubmed: 30546869
Health Aff (Millwood). 2016 Aug 1;35(8):1536-40
pubmed: 27503980
Pediatrics. 2016 Mar;137(3):e20154079
pubmed: 26810785
BMC Public Health. 2015 Oct 09;15:1037
pubmed: 26452750