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Tailoring youth-friendly health services in Nigeria: a mixed-methods analysis of a designathon approach

BACKGROUND: Young people in low- and middle-income countries are often neglected in designing youth-friendly health services, especially HIV testing and preventive services. Designathons, which are time-bounded co-creation events where individuals gather in teams to develop solutions to a problem, c...

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Autores principales: Nwaozuru, Ucheoma, Tahlil, Kadija M., Obiezu-Umeh, Chisom, Gbaja-Biamila, Titilola, Asuquo, Sarah E., Idigbe, Ifeoma, BeLue, Rhonda, Oladele, David, Muessig, Kathryn E., Rosenberg, Nora E., Ong, Jason J., Musa, Adesola Z., Tang, Weiming, Ezechi, Oliver, Iwelunmor, Juliet, Tucker, Joseph D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8676684/
https://www.ncbi.nlm.nih.gov/pubmed/34904539
http://dx.doi.org/10.1080/16549716.2021.1985761
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author Nwaozuru, Ucheoma
Tahlil, Kadija M.
Obiezu-Umeh, Chisom
Gbaja-Biamila, Titilola
Asuquo, Sarah E.
Idigbe, Ifeoma
BeLue, Rhonda
Oladele, David
Muessig, Kathryn E.
Rosenberg, Nora E.
Ong, Jason J.
Musa, Adesola Z.
Tang, Weiming
Ezechi, Oliver
Iwelunmor, Juliet
Tucker, Joseph D.
author_facet Nwaozuru, Ucheoma
Tahlil, Kadija M.
Obiezu-Umeh, Chisom
Gbaja-Biamila, Titilola
Asuquo, Sarah E.
Idigbe, Ifeoma
BeLue, Rhonda
Oladele, David
Muessig, Kathryn E.
Rosenberg, Nora E.
Ong, Jason J.
Musa, Adesola Z.
Tang, Weiming
Ezechi, Oliver
Iwelunmor, Juliet
Tucker, Joseph D.
author_sort Nwaozuru, Ucheoma
collection PubMed
description BACKGROUND: Young people in low- and middle-income countries are often neglected in designing youth-friendly health services, especially HIV testing and preventive services. Designathons, which are time-bounded co-creation events where individuals gather in teams to develop solutions to a problem, could promote youth participation and ownership of health services. OBJECTIVE: The purpose of this study is to examine youth participation in a designathon to create youth-friendly health services in Nigeria. METHODS: Our designathon was based on crowdsourcing principles and informed by a human-centered design approach. The designathon included an open call for Nigerian youths between 14 and 24 years to share ideas on how to promote uptake of HIV self-testing services and a three-day sprint event that brought together diverse teams to develop strategies enhancing linkage to care. Teams pitched their solutions to a panel of five independent experts who scored ideas based on the desirability, feasibility, potential impact, and teamwork. We used descriptive statistics to summarize participants’ demographics and conducted a content analysis to synthesize themes from youth proposals. RESULTS: Nine hundred seventy-six youth across Nigeria applied to join the designathon. Forty-eight youth in 13 teams participated in the designathon with a median age of 20 years (IQR: 17–22]. Boys and young men were 48.5% (446/919) of the total applicants, 62.5% (30/48) of the designathon participants, and 63.6% (7/11) of the finalists. Students, from all educational levels, represented 91.2% (841/922) of the total applicants, 88.4% (38/43) of the designathon participants, and 90.0% (9/10) of the finalists. About twenty-three percent (3/13) of the final proposals were top ranked. The three finalist approaches to optimize youth-friendly health services centered on decentralizing service delivery to young people through mobile health technologies, use of mobile tents, or peer support services. CONCLUSIONS: Our open call engaged diverse groups of Nigerian youth, including young women and students. Our data suggest that designathons may be useful for developing tailored youth-friendly health services. Further research is needed to understand the designathon process and the effectiveness of the finalist submissions.
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spelling pubmed-86766842021-12-17 Tailoring youth-friendly health services in Nigeria: a mixed-methods analysis of a designathon approach Nwaozuru, Ucheoma Tahlil, Kadija M. Obiezu-Umeh, Chisom Gbaja-Biamila, Titilola Asuquo, Sarah E. Idigbe, Ifeoma BeLue, Rhonda Oladele, David Muessig, Kathryn E. Rosenberg, Nora E. Ong, Jason J. Musa, Adesola Z. Tang, Weiming Ezechi, Oliver Iwelunmor, Juliet Tucker, Joseph D. Glob Health Action Methods Forum BACKGROUND: Young people in low- and middle-income countries are often neglected in designing youth-friendly health services, especially HIV testing and preventive services. Designathons, which are time-bounded co-creation events where individuals gather in teams to develop solutions to a problem, could promote youth participation and ownership of health services. OBJECTIVE: The purpose of this study is to examine youth participation in a designathon to create youth-friendly health services in Nigeria. METHODS: Our designathon was based on crowdsourcing principles and informed by a human-centered design approach. The designathon included an open call for Nigerian youths between 14 and 24 years to share ideas on how to promote uptake of HIV self-testing services and a three-day sprint event that brought together diverse teams to develop strategies enhancing linkage to care. Teams pitched their solutions to a panel of five independent experts who scored ideas based on the desirability, feasibility, potential impact, and teamwork. We used descriptive statistics to summarize participants’ demographics and conducted a content analysis to synthesize themes from youth proposals. RESULTS: Nine hundred seventy-six youth across Nigeria applied to join the designathon. Forty-eight youth in 13 teams participated in the designathon with a median age of 20 years (IQR: 17–22]. Boys and young men were 48.5% (446/919) of the total applicants, 62.5% (30/48) of the designathon participants, and 63.6% (7/11) of the finalists. Students, from all educational levels, represented 91.2% (841/922) of the total applicants, 88.4% (38/43) of the designathon participants, and 90.0% (9/10) of the finalists. About twenty-three percent (3/13) of the final proposals were top ranked. The three finalist approaches to optimize youth-friendly health services centered on decentralizing service delivery to young people through mobile health technologies, use of mobile tents, or peer support services. CONCLUSIONS: Our open call engaged diverse groups of Nigerian youth, including young women and students. Our data suggest that designathons may be useful for developing tailored youth-friendly health services. Further research is needed to understand the designathon process and the effectiveness of the finalist submissions. Taylor & Francis 2021-12-14 /pmc/articles/PMC8676684/ /pubmed/34904539 http://dx.doi.org/10.1080/16549716.2021.1985761 Text en © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Methods Forum
Nwaozuru, Ucheoma
Tahlil, Kadija M.
Obiezu-Umeh, Chisom
Gbaja-Biamila, Titilola
Asuquo, Sarah E.
Idigbe, Ifeoma
BeLue, Rhonda
Oladele, David
Muessig, Kathryn E.
Rosenberg, Nora E.
Ong, Jason J.
Musa, Adesola Z.
Tang, Weiming
Ezechi, Oliver
Iwelunmor, Juliet
Tucker, Joseph D.
Tailoring youth-friendly health services in Nigeria: a mixed-methods analysis of a designathon approach
title Tailoring youth-friendly health services in Nigeria: a mixed-methods analysis of a designathon approach
title_full Tailoring youth-friendly health services in Nigeria: a mixed-methods analysis of a designathon approach
title_fullStr Tailoring youth-friendly health services in Nigeria: a mixed-methods analysis of a designathon approach
title_full_unstemmed Tailoring youth-friendly health services in Nigeria: a mixed-methods analysis of a designathon approach
title_short Tailoring youth-friendly health services in Nigeria: a mixed-methods analysis of a designathon approach
title_sort tailoring youth-friendly health services in nigeria: a mixed-methods analysis of a designathon approach
topic Methods Forum
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8676684/
https://www.ncbi.nlm.nih.gov/pubmed/34904539
http://dx.doi.org/10.1080/16549716.2021.1985761
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