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Challenges and Opportunities to Advance Adolescent Health Measurement in Armenia: Alignment Between Global Priority Indicators and National Policies, and Feasibility of Collecting Sexual, Reproductive, and Mental Health Indicators.
Melkumova, Marina; Movsesyan, Yeva; Sargsyan, Sergey; Storey, Simone; Keogh, Sarah C.
Afiliação
  • Melkumova M; Arabkir Medical Centre, Institute of Child and Adolescent Health, Yerevan, Armenia.
  • Movsesyan Y; Arabkir Medical Centre, Institute of Child and Adolescent Health, Yerevan, Armenia.
  • Sargsyan S; Arabkir Medical Centre, Institute of Child and Adolescent Health, Yerevan, Armenia.
  • Storey S; Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
  • Keogh SC; Maternal, Newborn, Child and Adolescent Health and Ageing Department, World Health Organization, Geneva, Switzerland. Electronic address: keoghs@who.int.
J Adolesc Health ; 74(6S): S80-S93, 2024 Jun.
Article em En | MEDLINE | ID: mdl-38762266
ABSTRACT

PURPOSE:

To assess alignment of the Global Action for Measurement of Adolescent health (GAMA) draft adolescent health indicators with national policies and explore challenges and opportunities for collecting data on adolescent sexual, reproductive, and mental health in Armenia.

METHODS:

We reviewed Armenia's national laws, decrees, policies, strategies, and programs for content related to the draft indicators. We conducted three focus group discussions with government and nongovernmental stakeholders and youth representatives on the feasibility of collecting the draft indicators, and analyzed the discussion segments related to sexual, reproductive, and mental health indicators.

RESULTS:

The policy review included 22 documents. Armenia's national laws, policies, strategies, orders, and decrees mention a range of tracking and monitoring activities in adolescent health, and many draft GAMA indicators are already incorporated into national statistics and are collected in ongoing surveys. However, policies and strategies often lack specificity around how to measure and report indicators. Sexual, reproductive, and mental health indicators were particularly sensitive to collect due to Armenian cultural norms and expectations, especially for younger adolescents under the age of 15 years.

DISCUSSION:

Guidance should be developed to facilitate the formulation of relevant policies with well-defined indicators and complete tracking and reporting information. Data collection should be further harmonized within the overall health information flow to avoid data overlap. While sensitization work and interviewer training can help address some issues around collecting data on sexual, reproductive, and mental health, it may be necessary to adapt certain indicators to be culturally acceptable in Armenia, such as by limiting the age range to above 15 years for highly sensitive indicators.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Saúde Mental / Saúde do Adolescente / Saúde Reprodutiva / Política de Saúde Limite: Adolescent / Female / Humans / Male País/Região como assunto: Europa Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Saúde Mental / Saúde do Adolescente / Saúde Reprodutiva / Política de Saúde Limite: Adolescent / Female / Humans / Male País/Região como assunto: Europa Idioma: En Ano de publicação: 2024 Tipo de documento: Article