BACKGROUND Zimbabwe has the highest teenage pregnancy rate in Sub Saharan Africa. Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) prevalence in adolescents that are from tribes that perform cultural initiations and subscribe to certain norms are higher than the national prevalence which is estimated at 12% (18 and 13.6% respectively) in Zimbabwe. Indigenous Health Systems (IHSs) and Modern Health Systems (MHSs) in Zimbabwe run parallel thereby introducing challenges in the management of adolescent sexual health due to conflicts. This study seeks to develop strategies that will facilitate the integration of IHSs and MHS in Mberengwa and Umguza districts. METHODS This research will be conducted in two phases. The first phase would utilise a concurrent triangulation mixed methods design with both qualitative and quantitative approaches. The findings from the qualitative and quantitative approaches would be merged through a comparison of findings side by side. The second phase would focus on the development and validation of strategies that would facilitate the integration of IHSs and MHSs. The Strength, Weakness, Opportunity and Threat (SWOT) analysis would be applied on interfaced findings from phase one. The Basic Logic and the Build, Overcome, Explore and Minimise (BOEM) models would then be used to develop strategies based on the SWOT findings. The developed strategies would be validated through the application of Delphi technique and administration of checklist to selected key stakeholders through organised workshops. DISCUSSION There have been no known studies found in the literature that explores the possibility and developed strategies of integrating IHSs and MHSs so as to promote safe sexual practices in adolescents. Most programs on sexual health have ignored the role of IHSs and MHSs in influencing safe sexual practices leading to them failing to attain desired goals. A lot of emphases has been targeted at minimising the spread of Sexually Transmitted Infections (STIs) through advocating for utilisation MHSs rather than focussing on an integrating systems that are meant to manage Adolescent Sexual Health (ASH) related issues. The study protocol was approved by the University of Venda Ethics Committee Registration (SHS/19/PH/17/2608) on the 26th of August 2019.

中文翻译：

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通过津巴布韦选定地区的综合卫生系统促进青少年安全性行为的策略：混合方法研究方案。

背景技术津巴布韦在撒哈拉以南非洲地区的少女怀孕率最高。在津巴布韦，来自进行文化创始并遵循某些规范的部落的青少年中的人类免疫缺陷病毒（HIV）和后天免疫缺陷综合症（AIDS）的患病率高于全国流行率，据估计该国的患病率为12％（分别为18和13.6％）。 。津巴布韦的土著卫生系统（IHS）和现代卫生系统（MHS）并行运行，从而由于冲突给青少年性健康管理带来了挑战。本研究旨在制定策略，以促进Mberengwa和Umguza地区的IHS和MHS整合。方法本研究将分两个阶段进行。第一阶段将利用同时定性和定量方法的三角剖分混合方法设计。定性和定量方法的发现将通过并排比较发现而合并。第二阶段将集中于制定和验证有助于IHS和MHS整合的策略。优势，劣势，机会和威胁（SWOT）分析将应用于第一阶段的相关发现。然后，将使用基本逻辑和构建，克服，探索和最小化（BOEM）模型来开发基于SWOT研究结果的策略。所开发的策略将通过使用Delphi技术和通过组织研讨会对选定的关键利益相关者进行清单管理来验证。讨论文献中没有发现已知的研究探讨IHS和MHS整合以促进青少年安全性行为的可能性和发展策略。大多数关于性健康的计划都忽略了IHS和MHS在影响安全性行为中的作用，导致他们未能实现预期目标。许多重点旨在通过倡导利用MHS来最大程度地减少性传播感染（STI）的传播，而不是专注于旨在管理与青少年性健康（ASH）相关问题的集成系统。该研究方案已于2019年8月26日获得芬达大学伦理委员会注册（SHS / 19 / PH / 17/2608）的批准。