Descriptive Overview of Adolescent Health Indicators in Humanitarian Settings: A Cross-Country Analysis
DOI:
https://doi.org/10.36311/jhgd.v34.16301Palavras-chave:
Adolescents, health information system, humanitarian crises, data sources, health indicatorsResumo
Purpose: An adolescent health information system is a relevantly new concept, especially in humanitarian settings. This article aims to map the available adolescent health indicators collected in selected humanitarian settings, identify the available data sources, and determine the alignment between these indicators and the draft list of priority indicators for adolescent health measurement recommended by the Global Action for the Measurement of Adolescent Health Advisory Group.
Methods: We selected five countries experiencing humanitarian crises- Myanmar, Nigeria, Palestine, Ukraine, and Yemen. We identified the adolescent health indicators collected in each country using document analysis and a purposive sampling approach. We reviewed the primary population-based surveys used to gather adolescent health data and noted the most recent year each survey was conducted. The identified indicators were then categorized by measurement domains and specific areas of adolescent health.
Results: The Multiple Indicator Cluster Survey and Demographic Health Survey were conducted in all five countries selected, but three out of five countries have not administered either within the last five years. Yemen and Palestine only included married women in their sample sizes, and no one younger than 15 was interviewed. Indicators most commonly assess reproductive health, tobacco use, and adolescent fertility. Limited data was found on younger adolescents, males, water, sanitation, hygiene, disability, and nutrition indicators.
Discussion: Adolescent health information in humanitarian crises requires more frequent surveys, including all adolescent age groups, and unique data collection methodologies. The current surveys used to measure adolescent health indicators have limited ability to be inclusive to all adolescents. It is important to establish a list of priority indicators deemed essential in humanitarian settings and relevant ways to collect them.
Downloads
Referências
Organization WH. Adolescent health 2021 [Available from: https://www.who.int/health-topics/adolescent-health#tab=tab_1.
Singh N, DeJong J, Popple K, Undie C-C, El Masri R, Bakesiima R, et al. The forgotten population? A call to invest in adolescent well-being in humanitarian and fragile settings. 2021.
WHO Guidelines Approved by the Guidelines Review Committee. Inter-Agency Field Manual on Reproductive Health in Humanitarian Settings: 2010 Revision for Field Review. Geneva: Inter-agency Working Group on Reproductive Health in Crises Copyright © 2010 Inter-agency Working Group on Reproductive Health in Crises.; 2010.
Poljanšek K, Disperati S, Vernaccini L, Nika A, Marzi S, Essenfelder A. INFORM Severity Index. 2020.
Lopez VK, Nika A, Blanton C, Talley L, Garfield R. Can severity of a humanitarian crisis be quantified? Assessment of the INFORM severity index. Globalization and Health. 2023;19(1).
Ogbu TJ, Guha-Sapir D. “Strengthening data quality and reporting from small-scale surveys in humanitarian settings: a case study from Yemen, 2011–2019”. Conflict and Health. 2021;15(1).
WHO. Monitoring the building blocks of health systems: a handbook of indicators and their measurement strategies: World Health Organization; 2010.
Bostoen K, Bilukha OO, Fenn B, Morgan OW, Tam CC, ter Veen A, et al. Methods for health surveys in difficult settings: charting progress, moving forward. Emerging Themes in Epidemiology. 2007;4(1):13.
Mazurana D, Marshak A. Addressing data gaps on child, early and forced marriage in humanitarian settings. J Save the Children, White Paper Discussion Draft December. 2019.
Shalash A, Abu-Rmeileh NME, Kelly D, Elmusharaf K. The need for standardised methods of data collection, sharing of data and agency coordination in humanitarian settings. BMJ Global Health. 2022;7(Suppl 8):e007249.
Guthold R, Moller A-B, Azzopardi P, Ba MG, Fagan L, Baltag V, et al. The Global Action for Measurement of Adolescent health (GAMA) Initiative-Rethinking Adolescent Metrics. The Journal of adolescent health : official publication of the Society for Adolescent Medicine. 2019;64(6):697-9.
Newby H, Marsh AD, Moller A-B, Adebayo E, Azzopardi PS, Carvajal L, et al. A Scoping Review of Adolescent Health Indicators. Journal of Adolescent Health. 2021;69(3):365-74.
Guthold R, Moller A-B, Adebayo E, Carvajal L, Ekman C, Fagan L, et al. Priority areas for adolescent health measurement. 2021;68(5):888-98.
Group GA. Proposed indicators for global adolescent health measurement by the Global Action for Measurement of Adolescent health (GAMA) Advisory Group. World Health Organization; 2020.
ACAPS. Humanitarian Persspectives Highlights from 2019-Risks in 2020. 2020.
Committee IR. IRC Emergency Watchlist 2020 2020 [Available from: https://www.rescue.org/resource/irc-emergency-watchlist-2020.
Fund UNP. Humanitarian Action 2020 Overview. 2020.
Group IC. 10 Conflicts to Watch in 2020 | Crisis Group 2019 [Available from: https://www.crisisgroup.org/global/10-conflicts-watch-2020.
Ten humanitarian crises and trends to watch in 2020 2020 [Available from: https://www.thenewhumanitarian.org/feature/2020/1/1/humanitarian-crisis-to-watch.
International C. Suffering in Silence The 10 most under-reported humanitarian crises of 2019. 2020.
Nations U. A record number of people will need help worldwide during 2020: UN Humanitarian Overview | | UN News. 2019.
SIDA. SIDA 2019 List of Aid. 2019.
What is a humanitarian disaster? 2021 [Available from: https://www.wvi.org/disaster-management/what-humanitarian-disaster.
ACAPS. CrisisInSight Humanitarian Access Overview. 2019.
Conflict UN-CStPAbDa. Global Humanitarian Overview 2020. 2020.
Organization WH. The Global Health Observatory: Explore a world of health data 2022 [
Chan M, Kazatchkine M, Lob-Levyt J, Obaid T, Schweizer J, Sidibe M, et al. Meeting the Demand for Results and Accountability: A Call for Action on Health Data from Eight Global Health Agencies. PLOS Medicine. 2010;7(1):e1000223.
Hoxha K, Hung YW, Irwin BR, Grepin KA. Understanding the challenges associated with the use of data from routine health information systems in low-and middle-income countries: A systematic review. J Health Information Management Journal. 2022;51(3):135-48.
Dagnew E, Woreta SA, Shiferaw AM. Routine health information utilization and associated factors among health care professionals working at public health institution in North Gondar, Northwest Ethiopia. BMC Health Services Research. 2018;18(1):685.
Abbara A, Blanchet K, Sahloul Z, Fouad F, Coutts A, Wasim M. The effect of the conflict on Syria’s health system and human resources for health. J World health population. 2015;16(1):87-95.
Jennings L, George AS, Jacobs T, Blanchet K, Singh NS. A forgotten group during humanitarian crises: a systematic review of sexual and reproductive health interventions for young people including adolescents in humanitarian settings. Conflict and Health. 2019;13(1):57.
WHO. Global accelerated action for the health of adolescents ( AA-HA!): guidance to support country implementation. 2017.
Dick B, Ferguson BJJJoAH. Health for the world’s adolescents: a second chance in the second decade. 2015;56(1):3-6.
Gerdin M, Chataigner P, Tax L, Kubai A, von Schreeb J. Does need matter? Needs assessments and decision-making among major humanitarian health agencies. Disasters. 2014;38(3):451-64.
Barreix M, Tunçalp Ö, Mutombo N, Adegboyega AA, Say L, Group RHI, et al. Experience from a multi-country initiative to improve the monitoring of selected reproductive health indicators in Africa. 2017;137(2):205-12.
Leventhal DGP, Crochemore-Silva I, Vidaletti LP, Armenta-Paulino N, Barros AJD, Victora CG. Delivery channels and socioeconomic inequalities in coverage of reproductive, maternal, newborn, and child health interventions: analysis of 36 cross-sectional surveys in low-income and middle-income countries. The Lancet Global Health. 2021;9(8):e1101-e9.
Gray N, Azzopardi P, Kennedy E, Willersdorf E, Creati M. Improving adolescent reproductive health in Asia and the Pacific: do we have the data? A review of DHS and MICS surveys in nine countries. J Asia Pacific Journal of Public Health. 2013;25(2):134-44.
Zhao L, Cao B, Borghi E, Chatterji S, Garcia-Saiso S, Rashidian A, et al. Data gaps towards health development goals, 47 low-and middle-income countries. J Bulletin of the World Health Organization. 2022;100(1):40.
Goulart CM, Giancola A, Nakhuda H, Ampadu A, Purewal A, Kortenaar J-L, et al. Tools for measuring sexual and reproductive health and rights (SRHR) indicators in humanitarian settings. J medRxiv. 2021.
Filippi V, Dennis M, Calvert C, Tunçalp Ö, Ganatra B, Kim CR, et al. Abortion metrics: a scoping review of abortion measures and indicators. 2021;6(1):e003813.
McGinn T, Casey SE. Why don’t humanitarian organizations provide safe abortion services? J Conflict Health 2016;10(1):1-7.
Nickerson JW, Hatcher-Roberts J, Adams O, Attaran A, Tugwell P. Assessments of health services availability in humanitarian emergencies: a review of assessments in Haiti and Sudan using a health systems approach. J Conflict Health. 2015;9(1):1-11.
Augustinavicius JL, Greene MC, Lakin DP, Tol WA. Monitoring and evaluation of mental health and psychosocial support programs in humanitarian settings: a scoping review of terminology and focus. J Conflict Health 2018;12(1):1-10.
Tol WA, Patel V, Tomlinson M, Baingana F, Galappatti A, Panter-Brick C, et al. Research priorities for mental health and psychosocial support in humanitarian settings. J PLoS medicine. 2011;8(9):e1001096.
Guthold R, Carvajal-Velez L, Adebayo E, Azzopardi P, Baltag V, Dastgiri S, et al. The Importance of Mental Health Measurement to Improve Global Adolescent Health. Journal of Adolescent Health. 2023;72(1):S3-S6.
Moore A, van Loenhout JAF, de Almeida MM, Smith P, Guha-Sapir D. Measuring mental health burden in humanitarian settings: a critical review of assessment tools. J Global Health Action. 2020;13(1):1783957.
Marsh AD, Moller A-B, Saewyc E, Adebayo E, Akwara E, Azzopardi P, et al. Priority Indicators for Adolescent Health Measurement – Recommendations From the Global Action for Measurement of Adolescent Health (GAMA) Advisory Group. Journal of Adolescent Health. 2022;71(4):455-65.
Ghadge A. ICT-enabled approach for humanitarian disaster management: a systems perspective. The International Journal of Logistics Management. 2023;34(6):1543-65
Downloads
Arquivos adicionais
Publicado
Edição
Seção
Licença
Copyright (c) 2024 Shalash A, Abu-Rmeileh NME, Kelly D, Elmusharaf K
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.