Stated preferences of adolescents and young adults for sexual and reproductive health services in Africa: a systematic review protocol

BMJ Open. 2024 Sep 10;14(9):e079502. doi: 10.1136/bmjopen-2023-079502.

Abstract

Background: Adolescence and young adulthood are critical life stages with varied healthcare needs. Adolescents and young adults (AYAs) are often confronted with challenges in their sexual and reproductive health (SRH) and rights. Uptake of SRH services among AYAs groups remains limited, especially in resource-limited settings. This could be partly attributed to the existing services not catering for the preferences of AYAs. However, there is no systematic evaluation of research to explore the preferences of AYAs for SRH services in Africa. Therefore, the objective of this systematic review is to assess AYAs's preferences for SRH in Africa.

Methods and analysis: The systematic review will follow the recommendations of Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020. Stated preference studies in the area of SRH services conducted among AYAs will be included. We will search MEDLINE, EMBASE, PsycINFO, CINAHL, Scopus, Global Health and Google Scholar databases. Two independent researchers will screen the articles, and any disagreement will be handled through discussion with the broader research team. The quality of the included papers will be assessed and reported. The preferences for attributes, the most important and least important attributes and preference heterogeneity will be reported. In addition, the preference research gap across African regions and SRH services among AYAs will be reported.

Ethics and dissemination: Ethical approval is not required for this protocol. The systematic review findings will be published in a peer-reviewed journal and presented at conferences.

Prospero registration number: CRD42023386944.

Keywords: Adolescent; Health economics; Patient-Centered Care; REPRODUCTIVE MEDICINE; SEXUAL MEDICINE.

MeSH terms

  • Adolescent
  • Africa
  • Humans
  • Patient Preference
  • Reproductive Health
  • Reproductive Health Services*
  • Research Design
  • Sexual Health
  • Systematic Reviews as Topic
  • Young Adult