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Biermann O, Mwoka M, Ettman CK, Abdalla SM, Shawky S, Ambuko J, Pearson M, Zeinali Z, Galea S, Mberu B, Valladares LM. Data, Social Determinants, and Better Decision-making for Health: the 3-D Commission. J Urban Health 2021; 98:4-14. [PMID: 34414512 PMCID: PMC8376119 DOI: 10.1007/s11524-021-00556-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/07/2021] [Indexed: 12/24/2022]
Abstract
More than a decade after the World Health Organization Commission on the Social Determinants of Health (SDoH), it is becoming widely accepted that social and economic factors, including but not limited to education, energy, income, race, ethnicity, and housing, are important drivers of health in populations. Despite this understanding, in most contexts, social determinants are not central to local, national, or global decision-making. Greater clarity in conceptualizing social determinants, and more specificity in measuring them, can move us forward towards better incorporating social determinants in decision-making for health. In this paper, first, we summarize the evolution of the social framing of health. Second, we describe how the social determinants are conceptualized and contextualized differently at the global, national, and local levels. With this, we seek to demonstrate the importance of analyzing and understanding SDoH relative to the contexts in which they are experienced. Third, we problematize the gap in data across contexts on different dimensions of social determinants and describe data that could be curated to better understand the influence of social determinants at the local and national levels. Fourth, we describe the necessity of using data to understand social determinants and inform decision-making to improve health. Our overall goal is to provide a path for our collective understanding of the foundational causes of health, facilitated by advances in data access and quality, and realized through improved decision-making.
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Affiliation(s)
- Olivia Biermann
- Department of Global Public Health, Karolinska Institutet, Solna, Sweden
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA
| | - Meggie Mwoka
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA
| | - Catherine K. Ettman
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA
- Boston University School of Public Health, Boston, USA
| | - Salma M Abdalla
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA
- Department of Epidemiology, Boston University School of Public Health, Boston, USA
| | - Sherine Shawky
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA
- The Social Research Center, The American University in Cairo, Cairo, Egypt
| | - Jane Ambuko
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA
- University of Nairobi, Nairobi, Kenya
| | - Mark Pearson
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA
- OECD, Paris, France
| | - Zahra Zeinali
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA
| | - Sandro Galea
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA
- Department of Epidemiology, Boston University School of Public Health, Boston, USA
| | - Blessing Mberu
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA
- African Population and Health Research Center, Nairobi, Kenya
| | - Laura Magaña Valladares
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA
- Association of Schools and Programs of Public Health (ASPPH), Washington DC, USA
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Mwoka M, Biermann O, Ettman CK, Abdalla SM, Ambuko J, Pearson M, Rashid SF, Zeinali Z, Galea S, Valladares LM, Mberu B. Housing as a Social Determinant of Health: Evidence from Singapore, the UK, and Kenya: the 3-D Commission. J Urban Health 2021; 98:15-30. [PMID: 34480327 PMCID: PMC8415197 DOI: 10.1007/s11524-021-00557-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/07/2021] [Indexed: 10/31/2022]
Abstract
Housing is a paradigmatic example of a social determinant of health, as it influences and is influenced by structural determinants, such as social, macroeconomic, and public policies, politics, education, income, and ethnicity/race, all intersecting to shaping the health and well-being of populations. It can therefore be argued that housing policy is critically linked to health policy. However, the extent to which this linkage is understood and addressed in public policies is limited and highly diverse across and within countries. This analysis seeks to describe the linkages between housing policies and health and well-being using examples from three countries at different levels of the wealth spectrum: Singapore, the UK, and Kenya.We conducted a comparative policy analysis across three country contexts (Singapore, the UK, and Kenya) to document the extent to which housing policies address health and well-being, highlighting commonalities and differences among them. To guide our analysis, we used the United Nations (UN) definition of adequate housing as it offers a broad framework to analyze the impact of housing on health and well-being.The anatomy of housing policies has a strong correlation to the provision of adequate housing across Singapore, the UK, and Kenya, especially for vulnerable groups. The paper demonstrates that contextual factors including population composition (i.e., aging versus youthful), political ideologies, legal frameworks (i.e., welfare versus market-based provision of housing), and presence (or absence) of adequate, quality, timely, reliable, robust data systems for decision-making, which are taken up by stakeholders/state, have strong implications of the type of housing policies developed and implemented, in turn directly and indirectly impacting the overall health and well-being of populations.This analysis demonstrates the value of viewing housing policies as public health policies that could significantly impact the health and well-being of populations, especially vulnerable groups. Moreover, the findings highlight the importance of the Health in All Policies approach to facilitate integrated policy responses to address social determinants of health such as housing. This is more critical than ever, given the context of the global pandemic that has led to worsening overall health and well-being.
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Affiliation(s)
- Meggie Mwoka
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA
| | - Olivia Biermann
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA.,Department of Global Public Health, Karolinska Institutet, Solna, Sweden
| | - Catherine K Ettman
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA.,Boston University School of Public Health, Boston, USA
| | - Salma M Abdalla
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA. .,Department of Epidemiology, Boston University School of Public Health, Boston, USA.
| | - Jane Ambuko
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA.,University of Nairobi, Nairobi, Kenya
| | - Mark Pearson
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA.,OECD, Paris, France
| | - Sabina Faiz Rashid
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA.,Brac James P Grant School of Public Health, Brac University, Dhaka, Bangladesh
| | - Zahra Zeinali
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA
| | - Sandro Galea
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA.,Department of Epidemiology, Boston University School of Public Health, Boston, USA
| | - Laura Magaña Valladares
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA.,Association of Schools and Programs of Public Health (ASPPH), Washington DC, USA
| | - Blessing Mberu
- Rockefeller Foundation-Boston University 3-D Commission on Determinants, Data, and Decision-making, Boston, USA.,African Population and Health Research Center, Nairobi, Kenya
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Juma K, Ouedraogo R, Mwoka M, Ajayi AI, Igonya E, Otukpa EO, Ushie BA. Protocol for a scoping review of research on abortion in sub-Saharan Africa. PLoS One 2021; 16:e0254818. [PMID: 34264992 PMCID: PMC8282029 DOI: 10.1371/journal.pone.0254818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Accepted: 07/02/2021] [Indexed: 12/05/2022] Open
Abstract
Introduction Unsafe abortion is a leading cause of maternal mortality, and access to safe abortion services remains a public health priority in sub-Saharan Africa (SSA). A considerable amount of abortion research exists in the region; however, the spread of existing evidence is uneven such that some countries have an acute shortage of data with others over-researched. The imbalance reflects the complexities in prioritization among researchers, academics, and funders, and undeniably impedes effective policy and advocacy efforts. This scoping review aims to identify and map the landscape of abortion research in SSA, summarize existing knowledge, and pinpoint significant gaps, both substantive and geographic, requiring further investigation. This review will provide direction for future research, investments, and offer guidance for policy and programming on safe abortion. Materials and methods We utilize the Joanna Briggs Institute’s methodology for conducting scoping reviews. We will perform the search for articles in 8 electronic databases (i.e., PubMed, AJOL, Science Direct, SCOPUS, HINARI, Web of Knowledge, CINAHL, and WHO Regional Databases). We will include studies written in English or French language, produced or published between January 1, 2011, and July 31, 2021, and pertain directly to the subject of abortion in SSA. Using a tailored extraction frame, we will extract relevant information from publications that meet the inclusion criteria. Data will be analyzed using descriptive statistics and thematic analysis in response to key review questions. Ethics and dissemination Formal ethical approval is not required, as no primary data will be collected. The findings of this study will be disseminated through peer-reviewed publications and conference presentations.
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Affiliation(s)
- Kenneth Juma
- African Population and Health Research Center, Nairobi, Kenya
| | | | - Meggie Mwoka
- African Population and Health Research Center, Nairobi, Kenya
| | | | - Emmy Igonya
- African Population and Health Research Center, Nairobi, Kenya
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Mwoka M, Ajayi AI, Kibunja G, Cheruiyot C, Ouedraogo R, Juma K, Igonya EK, Opondo W, Otukpa E, Kabiru C, Ushie BA. Cocreated regional research agenda for evidence-informed policy and advocacy to improve adolescent sexual and reproductive health and rights in sub-Saharan Africa. BMJ Glob Health 2021; 6:bmjgh-2021-005571. [PMID: 33811099 PMCID: PMC8023722 DOI: 10.1136/bmjgh-2021-005571] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2021] [Revised: 03/13/2021] [Accepted: 03/15/2021] [Indexed: 11/26/2022] Open
Affiliation(s)
- Meggie Mwoka
- Policy Engagement and Communications, African Population and Health Research Center, Nairobi, Kenya
| | - Anthony Idowu Ajayi
- Population Dynamics & Sexual and Reproductive Health and Rights, African Population and Health Research Center, Nairobi, Kenya
| | - Grace Kibunja
- Policy Engagement and Communications, African Population and Health Research Center, Nairobi, Kenya
| | - Collins Cheruiyot
- Policy Engagement and Communications, African Population and Health Research Center, Nairobi, Kenya
| | - Ramatou Ouedraogo
- Population Dynamics & Sexual and Reproductive Health and Rights, African Population and Health Research Center, Nairobi, Kenya
| | - Kenneth Juma
- Population Dynamics & Sexual and Reproductive Health and Rights, African Population and Health Research Center, Nairobi, Kenya
| | - Emmy Kageha Igonya
- Population Dynamics & Sexual and Reproductive Health and Rights, African Population and Health Research Center, Nairobi, Kenya
| | - Winnie Opondo
- Population Dynamics & Sexual and Reproductive Health and Rights, African Population and Health Research Center, Nairobi, Kenya
| | - Emmanuel Otukpa
- Population Dynamics & Sexual and Reproductive Health and Rights, African Population and Health Research Center, Nairobi, Kenya
| | - Caroline Kabiru
- Population Dynamics & Sexual and Reproductive Health and Rights, African Population and Health Research Center, Nairobi, Kenya
| | - Boniface Ayanbekongshie Ushie
- Population Dynamics & Sexual and Reproductive Health and Rights, African Population and Health Research Center, Nairobi, Kenya
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Ajayi AI, Otukpa EO, Mwoka M, Kabiru CW, Ushie BA. Adolescent sexual and reproductive health research in sub-Saharan Africa: a scoping review of substantive focus, research volume, geographic distribution and Africa-led inquiry. BMJ Glob Health 2021; 6:bmjgh-2020-004129. [PMID: 33568395 PMCID: PMC7878134 DOI: 10.1136/bmjgh-2020-004129] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/08/2020] [Revised: 01/18/2021] [Accepted: 01/20/2021] [Indexed: 11/03/2022] Open
Abstract
BACKGROUND Previous review studies have not systematically mapped the existing body of knowledge on adolescent sexual and reproductive health (ASRH) in sub-Saharan Africa (SSA). Our scoping review addresses this gap by examining how the body of research on ASRH in SSA has evolved over the past decade, and its present profile, in terms of trends in volume, geographic and substantive focus, and Africa-led inquiry. METHODS We used a three-step search strategy to identify English and French peer-reviewed publications and relevant grey literature on ASRH in SSA published between January 2010 and December 2019. Two reviewers screened the titles, abstracts and full texts of publications for eligibility and inclusion. RESULTS A total of 1302 articles were published over the period, rising from 91 in 2010 to 183 in 2015. However, the bulk of the studies (63.9%) focused on six (South Africa, Kenya, Nigeria, Tanzania, Uganda and Ethiopia) of the 46 SSA countries. Ten countries had no ASRH papers, while five others each had only one publication. While issues like HIV (17.2%), sexual behaviours (17.4%) and access to sexual and reproductive health services (13.0%) received substantial attention, only a few studies focused on early adolescence (10-14 years), programme interventions, scaling up of interventions and policy evaluation. Just over half of publications had authors with African institutional affiliations as first authors (51.1%) or last author (53.0%). Sixteen per cent of papers did not include any authors from institutions in Africa. CONCLUSIONS Our review demonstrated that research on ASRH is limited in focus and is unevenly distributed across SSA countries. The identified gaps can guide future research and funding to advance ASRH policies and programmes. It is also vital for stakeholders in the research enterprise, including researchers, donors, ethical review boards, and journal editors and reviewers, to implement measures that foster national investigators' inclusion.
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Affiliation(s)
- Anthony Idowu Ajayi
- Population Dynamics and Sexual and Reproductive Health and Rights Unit, African Population and Health Research Center, Nairobi, Kenya
| | - Emmanuel Oloche Otukpa
- Population Dynamics and Sexual and Reproductive Health and Rights Unit, African Population and Health Research Center, Nairobi, Kenya
| | - Meggie Mwoka
- Population Dynamics and Sexual and Reproductive Health and Rights Unit, African Population and Health Research Center, Nairobi, Kenya
| | - Caroline W Kabiru
- Population Dynamics and Sexual and Reproductive Health and Rights Unit, African Population and Health Research Center, Nairobi, Kenya
| | - Boniface Ayanbekongshie Ushie
- Population Dynamics and Sexual and Reproductive Health and Rights Unit, African Population and Health Research Center, Nairobi, Kenya
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Kpokiri EE, Wu D, Srinivas ML, Anderson J, Say L, Kontula O, Ahmad NA, Morroni C, Izugbara C, de Visser R, Oduro GY, Gitau E, Welbourn A, Andrasik M, Norman WV, Clifton S, Gabster A, Gesselman A, Smith C, Prause N, Olumide A, Erausquin JT, Muriuki P, van der Straten A, Nicholson M, O'Connell KA, Mwoka M, Bajos N, Mercer CH, Gonsalves LM, Tucker JD. Development of an international sexual and reproductive health survey instrument: results from a pilot WHO/HRP consultative Delphi process. Sex Transm Infect 2021; 98:38-43. [PMID: 33846277 PMCID: PMC8785043 DOI: 10.1136/sextrans-2020-054822] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2020] [Revised: 01/16/2021] [Accepted: 01/22/2021] [Indexed: 01/24/2023] Open
Abstract
Population health surveys are rarely comprehensive in addressing sexual health, and population-representative surveys often lack standardised measures for collecting comparable data across countries. We present a sexual health survey instrument and implementation considerations for population-level sexual health research. The brief, comprehensive sexual health survey and consensus statement was developed via a multi-step process (an open call, a hackathon, and a modified Delphi process). The survey items, domains, entire instruments, and implementation considerations to develop a sexual health survey were solicited via a global crowdsourcing open call. The open call received 175 contributions from 49 countries. Following review of submissions from the open call, 18 finalists and eight facilitators with expertise in sexual health research, especially in low- and middle-income countries (LMICs), were invited to a 3-day hackathon to harmonise a survey instrument. Consensus was achieved through an iterative, modified Delphi process that included three rounds of online surveys. The entire process resulted in a 19-item consensus statement and a brief sexual health survey instrument. This is the first global consensus on a sexual and reproductive health survey instrument that can be used to generate cross-national comparative data in both high-income and LMICs. The inclusive process identified priority domains for improvement and can inform the design of sexual and reproductive health programs and contextually relevant data for comparable research across countries.
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Affiliation(s)
- Eneyi E Kpokiri
- Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK
| | - Dan Wu
- Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK
| | - Megan L Srinivas
- Institute for Global Health and Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.,Fort Dodge Community Health Center, Fort Dodge, Iowa, USA
| | - Juliana Anderson
- Infectious Diseases Division, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Lale Say
- UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction, WHO, Geneva, Switzerland
| | - Osmo Kontula
- Population Research Institute, Family Federation of Finland, Helsinki, Finland
| | - Noor A Ahmad
- Institute for Public Health, Ministry of Health Malaysia, Putrajaya, Wilayah Persekutuan, Malaysia
| | - Chelsea Morroni
- IPH, Liverpool School of Tropical Medicine, Liverpool, UK.,Botswana Sexual and Reproductive Health Research Initiative, Botswana-Harvard AIDS Institute Partnership, Gaborone, Botswana
| | | | - Richard de Visser
- School of Psychology, University of Sussex, Brighton & Hove, East Sussex, UK
| | - Georgina Y Oduro
- Department of Sociology and Anthropology, University of Cape Coast, Cape Coast, Central, Ghana
| | - Evelyn Gitau
- African Population and Health Research Center, Nairobi, Kenya
| | | | - Michele Andrasik
- Vaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
| | - Wendy V Norman
- Department of Family Practice, The University of British Columbia, Vancouver, British Columbia, Canada
| | - Soazig Clifton
- Centre for Population Research in Sexual Health and HIV, Institute for Global Health, University College London, London, UK
| | - Amanda Gabster
- Department of Clinical Research, London School of Hygiene and Tropical Medicine, London, UK.,Genómica y Proteómica, Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama City, Panama
| | - Amanda Gesselman
- The Kinsey Institute, Indiana University System, Bloomington, Indiana, USA
| | - Chantal Smith
- Adolescent and Child Health Institute, Durban, South Africa
| | | | - Adesola Olumide
- Institute of Child Health, College of Medicine, University College Hospital, Ibadan, Nigeria
| | - Jennifer T Erausquin
- Department of Public Health Education, University of North Carolina, Greensboro, North Carolina, USA
| | - Peter Muriuki
- African Population and Health Research Center, Nairobi, Kenya
| | - Ariane van der Straten
- Women's Global Health Imperative, RTI International, Berkeley, California, USA.,Center for AIDS Prevention Studies, Department of Medicine, University of California, San Francisco, California, USA
| | | | - Kathryn A O'Connell
- EngenderHealth, Program Impact, Research and Evaluation, Washington, Washington DC, USA
| | - Meggie Mwoka
- African Population and Health Research Center, Nairobi, Kenya
| | - Nathalie Bajos
- INSERM (Institut National de la Santé et de la Recherche Medicale), IRIS-EHESS, Paris, France
| | - Catherine H Mercer
- Centre for Population Research in Sexual Health and HIV, Institute for Global Health, University College London, London, UK
| | - Lianne Marie Gonsalves
- UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction, WHO, Geneva, Switzerland
| | - Joseph D Tucker
- Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK .,School of Medicine, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA
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Ajayi AI, Ouedraogo R, Juma K, Kibunja G, Cheruiyot C, Mwoka M, Igonya EK, Opondo W, Otukpa E, Kabiru CW, Ushie BA. Research priorities to support evidence-informed policies and advocacy for access to safe abortion care in sub-Saharan Africa. Sex Reprod Health Matters 2021; 29:1881207. [PMID: 33587020 PMCID: PMC8009017 DOI: 10.1080/26410397.2021.1881207] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
A key obstacle to advocacy efforts to promote legal and policy reforms that ensure women's and girls' access to comprehensive abortion care (CAC) is the lack of relevant and timely evidence. This commentary outlines a research agenda-setting initiative that identified research priorities to support evidence-informed policy and advocacy for CAC access in sub-Saharan Africa (SSA). It involved three phases: 1) a landscape analysis; 2) research agenda co-creation with stakeholders, and 3) a validation exercise on research priorities. Overall, the priority evidence needs included 1) estimating the incidence and magnitude of unsafe abortion and related costs; 2) examining the role of abortion laws and policies in facilitating or inhibiting access to CAC; 3) developing and documenting successful approaches for addressing societal barriers to the provision of CAC, and fostering a more inclusive and liberal abortion environment, and 4) documenting practice-based evidence on the provision of legal abortion services as well as for advocating for CAC. Various stakeholders, including researchers, policymakers, civil society organizations, and funding agencies, will find the agenda useful as they engage, at different levels, for the full domestication and implementation of forward-looking commitments on access to CAC in SSA.
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Affiliation(s)
- Anthony Idowu Ajayi
- Postdoctoral Research Scientist, African Population and Health Research Center (APHRC), Nairobi, Kenya. Correspondence:
| | | | - Kenneth Juma
- Research Officer, African Population and Health Research Center, Nairobi, Kenya
| | | | | | - Meggie Mwoka
- Project Administrative Officer, APHRC, Nairobi, Kenya
| | | | | | | | - Caroline W Kabiru
- Senior Research Scientist/Head of Population Dynamics and Reproductive Health and Rights, APHRC, Nairobi, Kenya
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Ajayi AI, Ushie BA, Mwoka M, Igonya EK, Ouedraogo R, Juma K, Aboderin I. Mapping adolescent sexual and reproductive health research in sub-Saharan Africa: protocol for a scoping review. BMJ Open 2020; 10:e035335. [PMID: 32611738 PMCID: PMC7332189 DOI: 10.1136/bmjopen-2019-035335] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
INTRODUCTION Previous studies have attempted to review the vast body of evidence on adolescent sexual and reproductive health (ASRH), but none has focused on a complete mapping and synthesis of the body of inquiry and evidence on ASRH in sub-Saharan Africa (SSA). Such a comprehensive scoping is needed, however, to offer direction to policy, programming and future research. We aim to undertake a scoping review of studies on ASRH in SSA to capture the landscape of extant research and findings and identify gaps for future research. METHODS AND ANALYSIS This protocol is designed using the framework for scoping reviews developed by the Joanna Briggs Institute. We will include English and French language peer-reviewed publications and grey literature on ASRH (aged 10-19) in SSA published between January 2010 and June 2019. A three-step search strategy involving an initial search of three databases to refine the keywords, a full search of all databases and screening of references of previous review studies for relevant articles missing from our full search will be employed. We will search AJOL, JSTOR, HINARI, Scopus, Science Direct, Google Scholar and the websites for the WHO, UNICEF, UNFPA, UNESCO and Guttmacher Institute. Two reviewers will screen the titles, abstracts and full texts of publications for eligibility and inclusion-using Covidence (an online software). We will then extract relevant information from studies that meet the inclusion criteria using a tailored extraction frame and template. Extracted data will be analysed using descriptive statistics and thematic analysis. Results will be presented using tables and charts and summaries of key themes arising from available research findings. ETHICS AND DISSEMINATION Ethical approval is not required for a scoping review as it synthesises publicly available publications. Dissemination will be through publication in a peer-review journal and presentation at relevant conferences and convening of policymakers and civil society organisations working on ASRH in SSA.
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Affiliation(s)
- Anthony Idowu Ajayi
- Population Dynamics and Sexual and Reproductive Health and Rights, African Population and Health Research Center, Nairobi, Kenya
| | - Boniface Ayanbekongshie Ushie
- Population Dynamics and Sexual and Reproductive Health and Rights, African Population and Health Research Center, Nairobi, Kenya
| | - Meggie Mwoka
- Population Dynamics and Sexual and Reproductive Health and Rights, African Population and Health Research Center, Nairobi, Kenya
| | - Emmy Kageha Igonya
- Population Dynamics and Sexual and Reproductive Health and Rights, African Population and Health Research Center, Nairobi, Kenya
| | - Ramatou Ouedraogo
- Population Dynamics and Sexual and Reproductive Health and Rights, African Population and Health Research Center, Nairobi, Kenya
| | - Kenneth Juma
- Population Dynamics and Sexual and Reproductive Health and Rights, African Population and Health Research Center, Nairobi, Kenya
| | - Isabella Aboderin
- Population Dynamics and Sexual and Reproductive Health and Rights, African Population and Health Research Center, Nairobi, Kenya
- Perivoli Chair in Africa Research and Partnerships, Perivoli Africa Research Centre, University of Bristol, Bristol, UK
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Wala E, Mwoka M, Okoro D. A Health Systems Strengthening Approach to Female Genital Fistula in Kenya. Nepal J Obstet Gynaecol 2018. [DOI: 10.3126/njog.v13i2.21949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Aims: To contribute to Universal Health Coverage by strengthening the capacity of the health system in Kenya to address female genital fistula using NHIF as an entry point.
Methods: This involves a revolving fund model using NHIF rebates from an initial donor funded payment of NHIF premiums for 3 years for as part of FGF management. USD 180 will be paid for NHIF subscription per patient. This will cover the woman and her dependents for 3 years. NHIF in return will pay a rebate of USD 600 per patient. The rebates will be used by County Governments for facility improvement especially on reproductive health services. This will be done with support from UNFPA who will provide technical guidance, capacity building, support of repair services and resource materials.
Results: The expected results of this innovative approach include: Contribution to Universal Health Coverage through increased uptake of NHIF; increased knowledge of health workers on RMNCH and FGF management; insurance cover for fistula champion and her dependents; and strengthening policies and legislation around facility improvement funds.
Conclusions: Addressing FGF will require a concentrated and coordinated effort at the national and local levels of different stakeholders under the leadership of the Ministry of Health (MOH) and county government to provide centralized coordination to ensure that quality services are available. Using NHIF as an entry point, the domino effect is health systems strengthening around FGF management and social health protection for household. This is a shift from the previous patient-focused management of fistula that had individual and not social impact.
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Salvo ID, Mwoka M, Kwaga T, Rukundo PA, Ernest DS, Osaheni LA, John K, Shafik K, de Sousa AM. Open access, open education resources and open data in Uganda. Pan Afr Med J 2015; 21:129. [PMID: 26327966 PMCID: PMC4546711 DOI: 10.11604/pamj.2015.21.129.6325] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2015] [Accepted: 02/26/2015] [Indexed: 11/17/2022] Open
Abstract
As a follow up to OpenCon 2014, International Federation of Medical Students’ Associations (IFMSA) students organized a 3 day workshop Open Access, Open Education Resources and Open Data in Kampala from 15-18 December 2014. One of the aims of the workshop was to engage the Open Access movement in Uganda which encompasses the scientific community, librarians, academia, researchers and students. The IFMSA students held the workshop with the support of: Consortium for Uganda University Libraries (CUUL), The Right to Research Coalition, Electronic Information for Libraries (EIFL), Makerere University, International Health Sciences University (IHSU), Pan African Medical Journal (PAMJ) and the Centre for Health Human Rights and Development (CEHURD). All these organizations are based or have offices in Kampala. The event culminated in a meeting with the Science and Technology Committee of Parliament of Uganda in order to receive the support of the Ugandan Members of Parliament and to make a concrete change for Open Access in the country.
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Affiliation(s)
- Ivana Di Salvo
- International Federation of Medical Students' Associations ; University of Pavia, Italia
| | - Meggie Mwoka
- International Federation of Medical Students' Associations ; University of Nairobi, Kenya
| | - Teddy Kwaga
- International Federation of Medical Students' Associations ; Mbarara University of Science and Technology, Uganda
| | - Priscilla Aceng Rukundo
- International Federation of Medical Students' Associations ; Mbarara University of Science and Technology, Uganda
| | - Dennis Ssesanga Ernest
- International Federation of Medical Students' Associations ; International University of Health Sciences
| | | | - Kasibante John
- International Federation of Medical Students' Associations ; Gulu University, Uganda
| | - Kasirye Shafik
- International Federation of Medical Students' Associations ; Gulu University, Uganda
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