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Priority Strategic Directions in Adolescent Health in Iran Based on the Who's Global Accelerated Action for the Health of Adolescents Publisher Pubmed



Omidimorad A1 ; Nazari M2 ; Bahmanziari N2 ; Soleymani MH3 ; Barakati SH4 ; Ardalan G4 ; Aminaee T5 ; Taghizadeh R6 ; Motlagh ME4 ; Heidarzadeh A7
Authors
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Authors Affiliations
  1. 1. Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland
  2. 2. Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Ministry of Health and Medical Education, Tehran, Iran
  5. 5. Youth and School Health Unit, The Population, Family and School Health Office, Ministry of Health and Medical Education, Tehran, Iran
  6. 6. Health Promotion, Maastricht University, Maastricht, Netherlands
  7. 7. Medical Education Research Center, Department of Community Medicine, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran

Source: International Journal of Adolescent Medicine and Health Published:2023


Abstract

Objectives: In line with the World Health Organization's Global Accelerated Action for the Health of Adolescents (AA-HA!) guidance, the goal of the current research was to identify critical strategies for adolescents' health and to determine the role and distribution of responsibilities among the leading players in the field of adolescent health in Iran. Methods: The current qualitative and applied study is part of the Ministry of Health and Medical Education's Adolescent, Youth and School Healthplan to develop the National Adolescent Health Plan Documentin 2020. First, stakeholder analysis was done, then a pool of nationally appropriate strategies was selected from the list of priority strategies recommended by the WHO in the AA-HA! through several group sessions. After that, the experts selected priority strategies based on the criteria of feasibility, acceptability, effectiveness, guaranteed resources, coordination with other plans and temporal priority, scoring, and executive priorities. Eventually, the priority strategies were assigned to different players/stakeholders in the field over several sessions bearing in mind the methods of implementation and the target groups. Results: The experts identified 58 priority strategies/actions for adolescent health under the seven priority areas of positive development, sexual protection, reproductive health, mental health, substance abuse, self-harm, violence, unintentional injury, communicable and non-communicable diseases, nutrition, and physical activity. Conclusions: The highest identified priority areas were in the areas of vaccination; special health care package for service providers; training and education to promote health literacy and self-care, life skills, sexual awareness, and prevention/protection against violence; community-based mental health services, planning for adolescents' spare time, substance use prevention. © 2023 Walter de Gruyter GmbH, Berlin/Boston.
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