Adolescent health and well-being check-up programme in three African cities (Y-Check): protocol for a multimethod, prospective, hybrid implementation-effectiveness study
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BMJ Open
Abstract
Background During adolescence, behaviours are initiated
that will have substantial impacts on the individual’s short-term
and long-term health and well-being. However, adolescents
rarely have regular contact with health services, and available
services are not always appropriate for their needs. We co developed with adolescents a health and well-being check-up
programme (Y-Check). This paper describes the methods to
evaluate the feasibility, acceptability, short-term effects and
cost-effectiveness of Y-Check in three African cities.
Method This is a multi-country prospective intervention
study, with a mixed-method process evaluation. The
intervention involves screening, on-the-spot care and referral
of adolescents through health and well-being check-up visits.
In each city, 2000 adolescents will be recruited in schools
or community venues. Adolescents will be followed-up at
4 months. The study will assess the effects of Y-Check on
knowledge and behaviours, as well as clinical outcomes and
costs. Process and economic evaluations will investigate
acceptability, feasibility, uptake, fidelity and cost effectiveness.
Ethics and dissemination Approval has been received from
the WHO (WHO/ERC Protocol ID Number ERC.0003778); Ghana
Health Service (Protocol ID Number GHS-ERC: 027/07/22),
the United Republic of Tanzania National Institute for Medical
Research (Clearance No. NIMR/HQ/R.8a/Vol.IX/4199), the
Medical Research Council of Zimbabwe (Approval Number
MRCZ/A/2766) and the LSHTM (Approval Numbers 26395
and 28312). Consent and disclosure are addressed in the
paper. Results will be published in three country-specific
peer-reviewed journal publications, and one multicountry
publication; and disseminated through videos, briefs and
webinars. Data will be placed into an open access repository.
Data will be deidentified and anonymised
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Research Article
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Banati P, Ross DA, Weobong B, et al. Adolescent health and well-being check-up programme in three African cities (Y-Check): protocol for a multimethod, prospective, hybrid implementation effectiveness study. BMJ Open 2024;14:e077533. doi:10.1136/ bmjopen-2023-077533