A designathon to co-create community-driven HIV self-testing services for Nigerian youth: findings from a participatory event.


Journal

BMC infectious diseases
ISSN: 1471-2334
Titre abrégé: BMC Infect Dis
Pays: England
ID NLM: 100968551

Informations de publication

Date de publication:
31 May 2021
Historique:
received: 01 06 2020
accepted: 19 05 2021
entrez: 1 6 2021
pubmed: 2 6 2021
medline: 10 6 2021
Statut: epublish

Résumé

Youth are at high risk for HIV, but are often left out of designing interventions, including those focused on adolescents. We organized a designathon for Nigerian youth to develop HIV self-testing (HIVST) strategies for potential implementation in their local communities. A designathon is a problem-focused event where participants work together over a short period to create and present solutions to a judging panel. We organized a 72-h designathon for youth (14-24 years old) in Nigeria to design strategies to increase youth HIVST uptake. Proposals included details about HIVST kit service delivery, method of distribution, promotional strategy, and youth audience. Teams pitched their proposals to a diverse seven-member judging panel who scored proposals based on desirability, feasibility, potential impact and teamwork. We examined participants' socio-demographic characteristics and summarized themes from their HIVST proposals. Forty-two youth on 13 teams participated in the designathon. The median team size was 3 participants (IQR: 2-4). The median age was 22.5 years (IQR: 21-24), 66.7% were male, 47.4% completed tertiary education, and 50% lived in Lagos State. Themes from proposals included HIVST integration with other health services, digital marketing and distribution approaches, and engaging students. Judges identified seven teams with exceptional HIVST proposals and five teams were supported for further training. The designathon provided a structured method for incorporating youth ideas into HIV service delivery. This approach could differentiate HIV services to be more youth-friendly in Nigeria and other settings.

Sections du résumé

BACKGROUND BACKGROUND
Youth are at high risk for HIV, but are often left out of designing interventions, including those focused on adolescents. We organized a designathon for Nigerian youth to develop HIV self-testing (HIVST) strategies for potential implementation in their local communities. A designathon is a problem-focused event where participants work together over a short period to create and present solutions to a judging panel.
METHODS METHODS
We organized a 72-h designathon for youth (14-24 years old) in Nigeria to design strategies to increase youth HIVST uptake. Proposals included details about HIVST kit service delivery, method of distribution, promotional strategy, and youth audience. Teams pitched their proposals to a diverse seven-member judging panel who scored proposals based on desirability, feasibility, potential impact and teamwork. We examined participants' socio-demographic characteristics and summarized themes from their HIVST proposals.
RESULTS RESULTS
Forty-two youth on 13 teams participated in the designathon. The median team size was 3 participants (IQR: 2-4). The median age was 22.5 years (IQR: 21-24), 66.7% were male, 47.4% completed tertiary education, and 50% lived in Lagos State. Themes from proposals included HIVST integration with other health services, digital marketing and distribution approaches, and engaging students. Judges identified seven teams with exceptional HIVST proposals and five teams were supported for further training.
CONCLUSIONS CONCLUSIONS
The designathon provided a structured method for incorporating youth ideas into HIV service delivery. This approach could differentiate HIV services to be more youth-friendly in Nigeria and other settings.

Identifiants

pubmed: 34059014
doi: 10.1186/s12879-021-06212-6
pii: 10.1186/s12879-021-06212-6
pmc: PMC8166032
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

505

Subventions

Organisme : National Institute of Child Health and Human Development
ID : UG3HD096929
Organisme : National Institute of Allergy and Infectious Diseases
ID : K24AI143471

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Auteurs

Kadija M Tahlil (KM)

Department of Epidemiology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Chisom Obiezu-Umeh (C)

Department of Behavioral Science and Health Education, Saint Louis University, Saint Louis, MO, USA.

Titi Gbajabiamila (T)

Nigerian Institute of Medical Research, Lagos, Nigeria.

Ucheoma Nwaozuru (U)

Department of Behavioral Science and Health Education, Saint Louis University, Saint Louis, MO, USA.

David Oladele (D)

Nigerian Institute of Medical Research, Lagos, Nigeria.

Adesola Z Musa (AZ)

Nigerian Institute of Medical Research, Lagos, Nigeria.

Ifeoma Idigbe (I)

Nigerian Institute of Medical Research, Lagos, Nigeria.

Jane Okwuzu (J)

Nigerian Institute of Medical Research, Lagos, Nigeria.

Agatha N David (AN)

Nigerian Institute of Medical Research, Lagos, Nigeria.

Tajudeen A Bamidele (TA)

Nigerian Institute of Medical Research, Lagos, Nigeria.

Collins O Airhihenbuwa (CO)

School of Public Health, Georgia State University, Atlanta, GA, USA.

Nora E Rosenberg (NE)

Department of Health Behavior, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

Weiming Tang (W)

Dermatology Hospital, Southern Medical University, Guangzhou, China.

Jason J Ong (JJ)

Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Central Clinical School, Monash University, Melbourne, Australia.

Donaldson F Conserve (DF)

Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, The University of South Carolina, Columbia, SC, USA.

Juliet Iwelunmor (J)

Department of Behavioral Science and Health Education, Saint Louis University, Saint Louis, MO, USA.

Oliver Ezechi (O)

Nigerian Institute of Medical Research, Lagos, Nigeria.

Joseph D Tucker (JD)

Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK. jdtucker@med.unc.edu.
Department of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599, USA. jdtucker@med.unc.edu.

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Classifications MeSH