Priority Indicators for Adolescent Health Measurement – Recommendations From the Global Action for Measurement of Adolescent Health (GAMA) Advisory Group,Journal of Adolescent Health

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Priority Indicators for Adolescent Health Measurement – Recommendations From the Global Action for Measurement of Adolescent Health (GAMA) Advisory Group
Journal of Adolescent Health ( IF 7.6 ) Pub Date : 2022-06-29 , DOI: 10.1016/j.jadohealth.2022.04.015
Andrew D Marsh ₁ , Ann-Beth Moller ₂ , Elizabeth Saewyc ₃ , Emmanuel Adebayo ₄ , Elsie Akwara ₅ , Peter Azzopardi ₆ , Mariame Guèye Ba ₇ , Valentina Baltag ₁ , Krishna Bose ₈ , Stephanie Burrows ₉ , Liliana Carvajal ₁₀ , Saeed Dastgiri ₁₁ , Lucy Fagan ₁₂ , Jane Ferguson ₁₃ , Howard S Friedman ₁₄ , Charity Giyava ₁₅ , Ann Hagell ₁₆ , Jo Inchley ₁₇ , Debra Jackson ₁₈ , Anna E Kågesten ₁₉ , Aveneni Mangombe ₂₀ , Alison Morgan ₂₁ , Holly Newby ₁ , Linda Schultz ₂₂ , Marni Sommer ₂₃ , Ilene Speizer ₂₄ , Kun Tang ₂₅ , Regina Guthold ₁

Affiliation

Maternal, Newborn, Child and Adolescent Health and Ageing Department, WHO, Geneva, Switzerland.
Department of Sexual and Reproductive Health and Research, UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), World Health Organization, Geneva, Switzerland.
Stigma and Resilience Among Vulnerable Youth Centre, School of Nursing, University of British Columbia, Vancouver, British Columbia, Canada.
Adolescent Health Unit, Institute of Child Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Independent Consultant, Nairobi, Kenya.
Global Adolescent Health group, Burnet Institute, Melbourne, Victoria, Australia; Adolescent Health and wellbeing program, South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
University Cheikh Anta Diop of Dakar, Faculty of Medicine, Pharmacy and Odontology/Gynecology, Dakar, Senegal; Obstetrics Clinic, University Teaching Hospital A. Le Dantec, Dakar, Senegal.
Bill and Melinda Gates Institute for Population and Reproductive Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
Social Determinants of Health Department, WHO, Geneva, Switzerland.
Division of Data, Analytics, Planning and Monitoring, Data and Analytics Section, UNICEF, New York, New York; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Tabriz Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
UN Major Group for Children and Youth, London, United Kingdom; Imperial College Healthcare NHS Trust, London, United Kingdom.
Independent Consultant, Adolescent Health, Tannay, Switzerland.
Technical Division, United Nations Population Fund, New York, New York.
Women Deliver, Young Leaders Alumni, Harare, Zimbabwe.
Association for Young People's Health, London, United Kingdom.
MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom.
MARCH Centre, London School of Hygiene and Tropical Medicine, London, United Kingdom; School of Public Health, University of the Western Cape, Cape Town, South Africa.
Maternal, Newborn, Child and Adolescent Health and Ageing Department, WHO, Geneva, Switzerland; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Zimbabwe LSHTM Research Partnership, Ministry of Health and Child Care, Harare, Zimbabwe.
Global Financing Facility, The World Bank Group, Washington, District of Columbia; Nossal Institute for Global Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.
Global Financing Facility, The World Bank Group, Washington, District of Columbia.
Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, New York.
Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Vanke School of Public Health, Tsinghua University, Beijing, China.

Purpose

This article describes the selection of priority indicators for adolescent (10–19 years) health measurement proposed by the Global Action for Measurement of Adolescent health advisory group and partners, building on previous work identifying 33 core measurement areas and mapping 413 indicators across these areas.

Methods

The indicator selection process considered inputs from a broad range of stakeholders through a structured four-step approach: (1) definition of selection criteria and indicator scoring; (2) development of a draft list of indicators with metadata; (3) collection of public feedback through a survey; and (4) review of the feedback and finalization of the indicator list. As a part of the process, measurement gaps were also identified.

Results

Fifty-two priority indicators were identified, including 36 core indicators considered to be most important for measuring the health of all adolescents, one alternative indicator for settings where measuring the core indicator is not feasible, and 15 additional indicators for settings where further detail on a topic would add value. Of these indicators, 17 (33%) measure health behaviors and risks, 16 (31%) health outcomes and conditions, eight (15%) health determinants, five (10%) systems performance and interventions, four (8%) policies, programmes, laws, and two (4%) subjective well-being.

Discussion

A consensus list of priority indicators with metadata covering the most important health issues for adolescents was developed with structured inputs from a broad range of stakeholders. This list will now be pilot tested to assess the feasibility of indicator data collection to inform global, regional, national, and sub-national monitoring.

中文翻译：

青少年健康衡量的优先指标——来自全球青少年健康衡量行动 (GAMA) 咨询小组的建议

目的

本文描述了青少年健康衡量全球行动咨询小组和合作伙伴提出的青少年（10-19 岁）健康衡量优先指标的选择，该指标基于之前确定的 33 个核心衡量领域和跨这些领域的 413 个指标的工作。

方法

指标选择过程通过结构化的四步法考虑了广泛的利益相关者的意见：（1）选择标准和指标评分的定义；(2) 制定带有元数据的指标清单草案；(3) 通过调查收集公众反馈；(4) 审查指标清单的反馈和定稿。作为该过程的一部分，还确定了测量差距。

结果

确定了 52 个优先指标，包括 36 个被认为对衡量所有青少年健康最重要的核心指标，一个用于衡量核心指标不可行的环境的替代指标，以及 15 个用于进一步详细说明环境的附加指标主题会增加价值。在这些指标中，17 个 (33%) 衡量健康行为和风险，16 个 (31%) 健康结果和状况，八个 (15%) 健康决定因素，五个 (10%) 系统绩效和干预措施，四个 (8%) 政策，计划、法律和两个 (4%) 主观幸福感。