Plain English summary
Background
Methods / design
Research approach
Phase 1
Phase 1 (a) systematic literature review
Review title
Method | Objectives | Participants | Data Collection Method | Data Analysis | |
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Phase 1 (Concurrent Triangulation Mixed Method) | a) Systematic Literature review | 1. Review literature on the relationship between Health Systems Strategies and Adolescent Sexual Health issues guided by Rodgers evolutionary concept analysis framework. 2. Develop a Conceptual Framework that would guide a study that seeks to “Develop strategies to facilitate safe sexual practices in adolescents through Integrated Health Systems in Umguza and Mberengwa Districts in Zimbabwe”. | Quantitative and qualitative studies and reports that are published in English up to December 2018 in peer reviewed journals and are obtainable from Google Scholar, PUBMED, EBSCO and Science Direct. | Developed Data collection form guided by Rodgers Evolutionary Conceptual Analysis Framework | Thematic Analysis |
b) Qualitative study | 3. Explore Indigenous Knowledge that influences sexual experiences; 4. Assess the role played by different stakeholders in communities that influence adolescent development and sexual experiences | Community Leaders / herbalists / Traditional Attendants, Health Service Providers (Doctors, Nurses and Environmental Health Practitioners involved in adolescent sexual health issues), Adolescents parents / legal guardians, | Interviews Focus Group Discussions | Thematic Analysis in MAXQDA | |
c) Quantitative study | 5. Establish the extent of influence of IHSs and MHS on adolescent sexual behaviours | Adolescents | Questionnaire with both open ended and closed questions | Cross Tabulations and Multiple Logistic Regressions in STATA Version 13 SE |
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Review literature on the relationship between Health Systems Strategies and Adolescent Sexual Health issues guided by Rodgers evolutionary concept analysis framework.
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Develop a Conceptual Framework that would guide a study that seeks to “Develop strategies to facilitate safe sexual practices in adolescents through Integrated Health Systems in selected Districts in Zimbabwe”.
Phase 1 (b) and 1(c) concurrent mixed method
Phase 1 (b) qualitative approach
Study Population | Sampling Procedure | Sample Size | Instrument and Data collection Procedure | Data Analysis Plan |
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1. Community Leaders (16 Chiefs in Mberengwa and 5 chiefs in Umguza) | Purposive | 21 | Unstructured Interviews, recording of interviews using a tape recorder | Coding and Thematic analysis on MAXQDA version 14 |
2. Herbalists and traditional attendants | Snowballing | Unknown, therefore sample size would be determined by data saturation. | Unstructured Interviews, recording of interviews using a tape recorder | Coding and Thematic analysis on MAXQDA version 14 |
3. Parents and guardians | Purposive | 5 Focus groups with at 10 participants. The groups would comprise of 5 females and 5 male participants. | Focus Group Discussion Guide, recording the conversations using a tape recorder | Coding and Thematic analysis on MAXQDA version 14 |
4. Health Service Providers | Purposive | Mberengwa has 32 Health facilities therefore one doctor (if available), one nurse and one environmental Health Practitioner involved in adolescent sexual health issues would be selected at least one in each category per facility, the sample size would depend on data saturation. In Umguza there are 5 health facilities Sample of 5 doctors (if available), 5 nurses and 5 EHPs | Unstructured Interviews, recording of interviews using a tape recorder | Coding and Thematic analysis on MAXQDA version 14 |
Quantitative approach
Interface
Phase 2
Method | Objectives | Participants | Data Collection Method | Data Analysis | |
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Phase 2 | a) Development of strategies | 1. Develop strategies that leverage on empirical evidence to enhance HSs performance regarding management of adolescent sexual issues | Analysis of Data from participants in phase 1 | SWOT Matrix Basic Logic Model BOEM | SWOT analysis to determine the possible areas to facilitate the integration |
b) Validation of developed strategies | 2. Validate the developed strategies | Experts Key Stakeholders | Delphi Technique Checklist | Expert feedback Quantitative and qualitative analysis of data from the checklist |