Adolescent health and well-being check-up programme in three African cities (Y-Check): protocol for a multimethod, prospective, hybrid implementation-effectiveness study
Saidi Kapiga,
Helen Anne Weiss,
Sarah Bernays,
Giulia Greco,
Victoria Simms,
Tsitsi Bandason,
Rashida Ferrand,
Mussa Kelvin Nsanya,
Aoife Margaret Doyle,
Rudo Chingono,
Valentina Baltag,
S Derry,
Ethel Dauya,
Yovitha Sedekia,
Benedict Weobong,
Patricia Akweongo,
Salome Manyau,
Constance Mackworth-Young,
Chido Dziva Chikwari,
Mandi Tembo,
Prerna Banati,
David Anthony Ross,
Farirai Nzvere,
Franklin Glozah,
Philip B Adongo,
Kenneth S Adde,
Evans Agbeno,
Eric Koka,
Bernard A Owusu,
Hannah Taylor-Abdulai
Affiliations
Saidi Kapiga
5 London School of Hygiene and Tropical Medicine, London, UK
Helen Anne Weiss
5 London School of Hygiene and Tropical Medicine, London, UK
Sarah Bernays
3 London School of Hygiene & Tropical Medicine, England
Giulia Greco
5 London School of Hygiene and Tropical Medicine, London, UK
Victoria Simms
1 Biomedical Research and Training Institute, Harare, Zimbabwe
Tsitsi Bandason
1 Biomedical Research and Training Institute, Harare, Zimbabwe
Rashida Ferrand
7 Department of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, UK
Mussa Kelvin Nsanya
4 National Institute for Medical Research Mwanza Research Centre, Mwanza, United Republic of Tanzania
Aoife Margaret Doyle
5 London School of Hygiene and Tropical Medicine, London, UK
Rudo Chingono
Valentina Baltag
1 World Health Organization, Geneva, Switzerland
S Derry
Ethel Dauya
1 Biomedical Research and Training Institute, Harare, Zimbabwe
Yovitha Sedekia
Benedict Weobong
3 University of Ghana, Legon, Ghana
Patricia Akweongo
Salome Manyau
Constance Mackworth-Young
Chido Dziva Chikwari
Mandi Tembo
Prerna Banati
1 World Health Organization, Geneva, Switzerland
David Anthony Ross
2 Stellenbosch University, Stellenbosch, South Africa
Farirai Nzvere
5 London School of Hygiene and Tropical Medicine, London, UK
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 26 395 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.Trial registration number NCT06090006.
