7
views
0
recommends
+1 Recommend
1 collections
    0
    shares

      To submit to this journal, please click here

      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Diverse policy maker perspectives on the mental health of pregnant and parenting adolescent girls in Kenya: Considerations for comprehensive, adolescent-centered policies and programs

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          The pregnancy rate in Kenya among adolescent girls is among the highest in the world. Adolescent girls experience increased risk of anxiety and depression during pregnancy and postpartum which can result in poor health outcomes for both mother and baby, and negatively influence their life course. Mental health is often given low priority in health policy planning, particularly in Sub-Saharan Africa (SSA). There is an urgent need to address the treatment gap and provide timely mental health promotion and preventative services, there is a need to focus on the shifting demographic of SSA—the young people. To understand perspectives on policymakers on the mental health prevention and promotion needs of pregnant and parenting adolescent girls, we carried out a series of interviews as part of UNICEF funded helping pregnant and parenting adolescents thrive project in Kenya. We interviewed 13 diverse health and social policy makers in Kenya to understand their perspectives on the mental health experiences of pregnant and parenting adolescent girls and their ideas for optimizing mental health promotion. Six principal themes emerged including the mental health situation for adolescent girls, risk factors for poor mental health and barriers to accessing services for adolescent girls, health seeking behavior effect on maternal and child health outcomes, mental health promotion, protective factors for good mental health, and policy level issues. Examination of existing policies is required to determine how they can fully and effectively be implemented to support the mental health of pregnant and parenting adolescent girls.

          Related collections

          Most cited references37

          • Record: found
          • Abstract: found
          • Article: found
          Is Open Access

          Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science

          Background Many interventions found to be effective in health services research studies fail to translate into meaningful patient care outcomes across multiple contexts. Health services researchers recognize the need to evaluate not only summative outcomes but also formative outcomes to assess the extent to which implementation is effective in a specific setting, prolongs sustainability, and promotes dissemination into other settings. Many implementation theories have been published to help promote effective implementation. However, they overlap considerably in the constructs included in individual theories, and a comparison of theories reveals that each is missing important constructs included in other theories. In addition, terminology and definitions are not consistent across theories. We describe the Consolidated Framework For Implementation Research (CFIR) that offers an overarching typology to promote implementation theory development and verification about what works where and why across multiple contexts. Methods We used a snowball sampling approach to identify published theories that were evaluated to identify constructs based on strength of conceptual or empirical support for influence on implementation, consistency in definitions, alignment with our own findings, and potential for measurement. We combined constructs across published theories that had different labels but were redundant or overlapping in definition, and we parsed apart constructs that conflated underlying concepts. Results The CFIR is composed of five major domains: intervention characteristics, outer setting, inner setting, characteristics of the individuals involved, and the process of implementation. Eight constructs were identified related to the intervention (e.g., evidence strength and quality), four constructs were identified related to outer setting (e.g., patient needs and resources), 12 constructs were identified related to inner setting (e.g., culture, leadership engagement), five constructs were identified related to individual characteristics, and eight constructs were identified related to process (e.g., plan, evaluate, and reflect). We present explicit definitions for each construct. Conclusion The CFIR provides a pragmatic structure for approaching complex, interacting, multi-level, and transient states of constructs in the real world by embracing, consolidating, and unifying key constructs from published implementation theories. It can be used to guide formative evaluations and build the implementation knowledge base across multiple studies and settings.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: found

            Our future: a Lancet commission on adolescent health and wellbeing

              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              A systematic review of the use of the Consolidated Framework for Implementation Research

              Background In 2009, Damschroder et al. developed the Consolidated Framework for Implementation Research (CFIR), which provides a comprehensive listing of constructs thought to influence implementation. This systematic review assesses the extent to which the CFIR’s use in implementation research fulfills goals set forth by Damschroder et al. in terms of breadth of use, depth of application, and contribution to implementation research. Methods We searched Scopus and Web of Science for publications that cited the original CFIR publication by Damschroder et al. (Implement Sci 4:50, 2009) and downloaded each unique result for review. After applying exclusion criteria, the final articles were empirical studies published in peer-review journals that used the CFIR in a meaningful way (i.e., used the CFIR to guide data collection, measurement, coding, analysis, and/or reporting). A framework analysis approach was used to guide abstraction and synthesis of the included articles. Results Twenty-six of 429 unique articles (6 %) met inclusion criteria. We found great breadth in CFIR application; the CFIR was applied across a wide variety of study objectives, settings, and units of analysis. There was also variation in the method of included studies (mixed methods (n = 13); qualitative (n = 10); quantitative (n = 3)). Depth of CFIR application revealed some areas for improvement. Few studies (n = 3) reported justification for selection of CFIR constructs used; the majority of studies (n = 14) used the CFIR to guide data analysis only; and few studies investigated any outcomes (n = 11). Finally, reflections on the contribution of the CFIR to implementation research were scarce. Conclusions Our results indicate that the CFIR has been used across a wide range of studies, though more in-depth use of the CFIR may help advance implementation science. To harness its potential, researchers should consider how to most meaningfully use the CFIR. Specific recommendations for applying the CFIR include explicitly justifying selection of CFIR constructs; integrating the CFIR throughout the research process (in study design, data collection, and analysis); and appropriately using the CFIR given the phase of implementation of the research (e.g., if the research is post-implementation, using the CFIR to link determinants of implementation to outcomes). Electronic supplementary material The online version of this article (doi:10.1186/s13012-016-0437-z) contains supplementary material, which is available to authorized users.
                Bookmark

                Author and article information

                Contributors
                Role: Data curationRole: Project administrationRole: Visualization
                Role: ConceptualizationRole: Data curationRole: Formal analysisRole: Project administrationRole: VisualizationRole: Writing – review & editing
                Role: MethodologyRole: VisualizationRole: Writing – original draft
                Role: Data curationRole: Formal analysisRole: SupervisionRole: ValidationRole: Visualization
                Role: Formal analysisRole: SoftwareRole: Validation
                Role: Data curationRole: InvestigationRole: MethodologyRole: Project administrationRole: SupervisionRole: Writing – review & editing
                Role: MethodologyRole: Project administrationRole: SupervisionRole: ValidationRole: Visualization
                Role: ConceptualizationRole: Funding acquisitionRole: MethodologyRole: Project administrationRole: Writing – review & editing
                Role: ConceptualizationRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: Writing – review & editing
                Role: ConceptualizationRole: Data curationRole: Formal analysisRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: SupervisionRole: Writing – original draftRole: Writing – review & editing
                Role: Editor
                Journal
                PLOS Glob Public Health
                PLOS Glob Public Health
                plos
                PLOS Global Public Health
                Public Library of Science (San Francisco, CA USA )
                2767-3375
                20 June 2023
                2023
                : 3
                : 6
                : e0000722
                Affiliations
                [1 ] Our Voices Initiative, Nairobi, Kenya
                [2 ] Department of Psychiatry, University of Nairobi, Nairobi, Kenya
                [3 ] Health Across Humanity, LLC, Boston, Massachusetts, United States of America
                [4 ] Saint Ambrose University, Davenport, Iowa, United States of America
                [5 ] Nairobi Metropolitan Services, Nairobi, Kenya
                [6 ] Vrije University, Amsterdam, Netherlands
                [7 ] UNICEF Headquarters, New York, New York, United States of America
                University of Liverpool, UNITED KINGDOM
                Author notes

                The authors have declared that no competing interests exist.

                Author information
                https://orcid.org/0000-0002-8887-7258
                https://orcid.org/0000-0002-9773-8014
                Article
                PGPH-D-22-00958
                10.1371/journal.pgph.0000722
                10281569
                37339107
                9ff5a655-fd5d-45fe-b2ea-1eec92f5e9bb
                © 2023 Obonyo et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 13 June 2022
                : 4 May 2023
                Page count
                Figures: 5, Tables: 2, Pages: 22
                Funding
                Funded by: funder-id http://dx.doi.org/10.13039/100000061, Fogarty International Center;
                Award ID: K43 TW010716-05
                Award Recipient :
                Research reported in this publication was supported by the Fogarty International Center of the National Institutes of Health under Award Number K43TW010716, which also supported the contributions of MK to this work. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The qualitative inquiry is part of an embedded study Helping Adolescents Thrive (HAT) supported by UNICEF Headquarters. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Medicine and Health Sciences
                Mental Health and Psychiatry
                People and Places
                Population Groupings
                Age Groups
                Children
                Adolescents
                People and Places
                Population Groupings
                Families
                Children
                Adolescents
                Medicine and Health Sciences
                Women's Health
                Maternal Health
                Pregnancy
                Medicine and Health Sciences
                Women's Health
                Obstetrics and Gynecology
                Pregnancy
                Medicine and Health Sciences
                Health Care
                Health Care Policy
                Child and Adolescent Health Policy
                Medicine and Health Sciences
                Health Care
                Health Care Policy
                Social Sciences
                Sociology
                Education
                Schools
                Medicine and Health Sciences
                Mental Health and Psychiatry
                Mood Disorders
                Depression
                Medicine and Health Sciences
                Women's Health
                Maternal Health
                Antenatal Care
                Custom metadata
                This is qualitative data with sensitive information, but is available upon reasonable request from the corresponding author and the Nairobi Ethics and Research Committee. The Institutional Research Ethics Committee of Kenyatta National Hospital and University of Nairobi prevent sharing this sensitive data as several policy makers were consulted. The point person in charge of the ethics body is Dr Beatrice Amugune who is the chair of the IRB. The IRB can be contacted for accessing data on reasonable request and the address and contact details are Kenyatta National Hospital-University of Nairobi Ethics and Research Committee P.O Box 19676-00202 Nairobi Email: uonknh_erc@ 123456uonbi.ac.ke .

                Comments

                Comment on this article