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Understanding accelerators to improve SDG-related outcomes for adolescents—An investigation into the nature and quantum of additive effects of protective factors to guide policy making

Recent evidence has shown support for the United Nations Development Programme (UNDP) accelerator concept, which highlights the need to identify interventions or programmatic areas that can affect multiple sustainable development goals (SDGs) at once to boost their achievement. These data have also...

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Autores principales: Sherr, Lorraine, Haag, Katharina, Tomlinson, Mark, Rudgard, William E., Skeen, Sarah, Meinck, Franziska, Du Toit, Stefani M., Steventon Roberts, Kathryn J., Gordon, Sarah L., Desmond, Chris, Cluver, Lucie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9821522/
https://www.ncbi.nlm.nih.gov/pubmed/36607964
http://dx.doi.org/10.1371/journal.pone.0278020
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author Sherr, Lorraine
Haag, Katharina
Tomlinson, Mark
Rudgard, William E.
Skeen, Sarah
Meinck, Franziska
Du Toit, Stefani M.
Steventon Roberts, Kathryn J.
Gordon, Sarah L.
Desmond, Chris
Cluver, Lucie
author_facet Sherr, Lorraine
Haag, Katharina
Tomlinson, Mark
Rudgard, William E.
Skeen, Sarah
Meinck, Franziska
Du Toit, Stefani M.
Steventon Roberts, Kathryn J.
Gordon, Sarah L.
Desmond, Chris
Cluver, Lucie
author_sort Sherr, Lorraine
collection PubMed
description Recent evidence has shown support for the United Nations Development Programme (UNDP) accelerator concept, which highlights the need to identify interventions or programmatic areas that can affect multiple sustainable development goals (SDGs) at once to boost their achievement. These data have also clearly shown enhanced effects when interventions are used in combination, above and beyond the effect of single interventions. However, detailed knowledge is now required on optimum combinations and relative gain in order to derive policy guidance. Which accelerators work for which outcomes, what combinations are optimum, and how many combinations are needed to maximise effect? The current study utilised pooled data from the Young Carers (n = 1402) and Child Community Care (n = 446) studies. Data were collected at baseline (n = 1848) and at a 1 to 1.5- year follow-up (n = 1740) from children and young adolescents aged 9–13 years, living in South Africa. Measures in common between the two databases were used to generate five accelerators (caregiver praise, caregiver monitoring, food security, living in a safe community, and access to community-based organizations) and to investigate their additive effects on 14 SDG-related outcomes. Predicted probabilities and predicted probability differences were calculated for each SDG outcome under the presence of none to five accelerators to determine optimal combinations. Results show that various accelerator combinations are effective, though different combinations are needed for different outcomes. Some accelerators ramified across multiple outcomes. Overall, the presence of up to three accelerators was associated with marked improvements over multiple outcomes. The benefit of targeting access to additional accelerators, with additional costs, needs to be weighed against the relative gains to be achieved with high quality but focused interventions. In conclusion, the current data show the detailed impact of various protective factors and provides implementation guidance for policy makers in targeting and distributing interventions to maximise effect and expenditure. Future work should investigate multiplicative effects and synergistic interactions between accelerators.
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spelling pubmed-98215222023-01-07 Understanding accelerators to improve SDG-related outcomes for adolescents—An investigation into the nature and quantum of additive effects of protective factors to guide policy making Sherr, Lorraine Haag, Katharina Tomlinson, Mark Rudgard, William E. Skeen, Sarah Meinck, Franziska Du Toit, Stefani M. Steventon Roberts, Kathryn J. Gordon, Sarah L. Desmond, Chris Cluver, Lucie PLoS One Research Article Recent evidence has shown support for the United Nations Development Programme (UNDP) accelerator concept, which highlights the need to identify interventions or programmatic areas that can affect multiple sustainable development goals (SDGs) at once to boost their achievement. These data have also clearly shown enhanced effects when interventions are used in combination, above and beyond the effect of single interventions. However, detailed knowledge is now required on optimum combinations and relative gain in order to derive policy guidance. Which accelerators work for which outcomes, what combinations are optimum, and how many combinations are needed to maximise effect? The current study utilised pooled data from the Young Carers (n = 1402) and Child Community Care (n = 446) studies. Data were collected at baseline (n = 1848) and at a 1 to 1.5- year follow-up (n = 1740) from children and young adolescents aged 9–13 years, living in South Africa. Measures in common between the two databases were used to generate five accelerators (caregiver praise, caregiver monitoring, food security, living in a safe community, and access to community-based organizations) and to investigate their additive effects on 14 SDG-related outcomes. Predicted probabilities and predicted probability differences were calculated for each SDG outcome under the presence of none to five accelerators to determine optimal combinations. Results show that various accelerator combinations are effective, though different combinations are needed for different outcomes. Some accelerators ramified across multiple outcomes. Overall, the presence of up to three accelerators was associated with marked improvements over multiple outcomes. The benefit of targeting access to additional accelerators, with additional costs, needs to be weighed against the relative gains to be achieved with high quality but focused interventions. In conclusion, the current data show the detailed impact of various protective factors and provides implementation guidance for policy makers in targeting and distributing interventions to maximise effect and expenditure. Future work should investigate multiplicative effects and synergistic interactions between accelerators. Public Library of Science 2023-01-06 /pmc/articles/PMC9821522/ /pubmed/36607964 http://dx.doi.org/10.1371/journal.pone.0278020 Text en © 2023 Sherr et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Sherr, Lorraine
Haag, Katharina
Tomlinson, Mark
Rudgard, William E.
Skeen, Sarah
Meinck, Franziska
Du Toit, Stefani M.
Steventon Roberts, Kathryn J.
Gordon, Sarah L.
Desmond, Chris
Cluver, Lucie
Understanding accelerators to improve SDG-related outcomes for adolescents—An investigation into the nature and quantum of additive effects of protective factors to guide policy making
title Understanding accelerators to improve SDG-related outcomes for adolescents—An investigation into the nature and quantum of additive effects of protective factors to guide policy making
title_full Understanding accelerators to improve SDG-related outcomes for adolescents—An investigation into the nature and quantum of additive effects of protective factors to guide policy making
title_fullStr Understanding accelerators to improve SDG-related outcomes for adolescents—An investigation into the nature and quantum of additive effects of protective factors to guide policy making
title_full_unstemmed Understanding accelerators to improve SDG-related outcomes for adolescents—An investigation into the nature and quantum of additive effects of protective factors to guide policy making
title_short Understanding accelerators to improve SDG-related outcomes for adolescents—An investigation into the nature and quantum of additive effects of protective factors to guide policy making
title_sort understanding accelerators to improve sdg-related outcomes for adolescents—an investigation into the nature and quantum of additive effects of protective factors to guide policy making
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9821522/
https://www.ncbi.nlm.nih.gov/pubmed/36607964
http://dx.doi.org/10.1371/journal.pone.0278020
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