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Digital tools for youth health promotion: principles, policies and practices in sub-Saharan Africa
被引:1
|作者:
Ferretti, Agata
[1
]
Adjei, Kwame K.
[2
]
Ali, Joseph
[3
,4
]
Atuire, Caesar
[5
,6
]
Ayuk, Betrand Tambe
[7
]
Banougnin, Bolade Hamed
[8
,9
]
Cengiz, Nezerith
[10
]
Gichoya, Judy
[11
]
Jjingo, Daudi
[12
]
Juma, Damian Omari
[13
]
Kotze, Wiaan
[14
]
Krubiner, Carleigh
[15
]
Littler, Katherine
[16
]
Mccradden, Melissa D.
[17
]
Moodley, Keymanthri
[7
]
Naidoo, Meshandren
[18
]
Nair, Gonasagrie
[19
]
Obeng-Kyereh, Kingsley
[20
]
Oliver, Kedebone
[21
]
Ralefala, Dimpho
[22
]
Toska, Elona
[23
]
Wekesah, Frederick M.
[24
]
Wright, Jonty
[14
]
Vayena, Effy
[1
]
机构:
[1] Swiss Fed Inst Technol, Hlth Ethics & Policy Lab, Hottingerstr 10, CH-8092 Zurich, Switzerland
[2] Ghana Hlth Serv, Res & Dev Div, Kintampo Hlth Res Ctr, Kintampo, Ghana
[3] Johns Hopkins Univ, Berman Inst Bioeth, 1809 Ashland Ave, Baltimore, MD 21205 USA
[4] Johns Hopkins Univ, Bloomberg Sch Publ Hlth, 615 North Wolfe St, Baltimore, MD 21205 USA
[5] Univ Ghana, Dept Philosophy & Class, MR269PV, WEB Dubois Rd, Accra, Ghana
[6] Univ Oxford, Nuffield Dept Med, Old Rd Campus, Oxford OX3 7BN, England
[7] Univ Buea, Fac Hlth Sci, Dept Publ Hlth & Hyg, 574W49W, Buea, Cameroon
[8] United Nations Populat Fund, West & Cent Afr Reg Off, PFQMRVF Route Almadies, Dakar, Senegal
[9] Univ Cape Town, Ctr Social Sci Res, 12 Univ Ave South, ZA-7700 Cape Town, South Africa
[10] Stellenbosch Univ, Fac Med & Hlth Sci, Dept Med, Div Med Eth & Law, Francie van Zijl Dr, ZA-7505 Cape Town, South Africa
[11] Emory Univ, Sch Med, Dept Radiol & Imaging Sci, 1364 Clifton Rd, Atlanta, GA 30322 USA
[12] Makerere Univ, Infect Dis Inst, African Ctr Excellence Bioinformat & Data Intens S, 8HMCPF5, Kampala, Uganda
[13] Hlth Brains Global Initiat, Rutherford, CA USA
[14] Stellenbosch Univ, Fac Med & Hlth Sci, Francie Van Zijl Dr, ZA-7505 Cape Town, South Africa
[15] Wellcome Trust Res Labs, 215 Euston Rd, London WC1E 6BP, England
[16] WHO, Res Hlth Dept, Sci Div, Hlth Eth & Governance Unit, Ave Appia 20, CH-1202 Geneva, Switzerland
[17] Hosp Sick Children, SickKids Res Inst, Dept Bioeth Genet & Genome Biol, 555 Univ Ave, Toronto, ON M5G 1X8, Canada
[18] Univ KwaZulu Natal, Howard Coll, Sch Law, King George 5 Ave, ZA-4041 Durban, South Africa
[19] Desmond Tutu Hlth Fdn, 3 Woodlands Rd, ZA-7915 Cape Town, South Africa
[20] Children & Youth Broadcasting Curious Minds, 3 Damba Close,Chaban Sakaman, Accra, Ghana
[21] Hlth Practice Area, Genesis Analyt, 50 6th Rd, Hyde Pk, ZA-2196 Johannesburg, South Africa
[22] Univ Botswana, Off Res & Dev, 4775 Notwane Rd, Gaborone, Botswana
[23] Univ Cape Town, Fac Humanities, Ctr Social Sci Res, 12 Univ Ave, ZA-7700 Cape Town, South Africa
[24] APHRC Headquarters, African Populat & Hlth Res Ctr, Nairobi, Kenya
关键词:
digital health;
young people;
adolescents health;
LMICs;
sub-Saharan Africa;
ethics;
policy roadmap;
D O I:
10.1093/heapro/daae030
中图分类号:
R19 [保健组织与事业(卫生事业管理)];
学科分类号:
摘要:
Although digital health promotion (DHP) technologies for young people are increasingly available in low- and middle-income countries (LMICs), there has been insufficient research investigating whether existing ethical and policy frameworks are adequate to address the challenges and promote the technological opportunities in these settings. In an effort to fill this gap and as part of a larger research project, in November 2022, we conducted a workshop in Cape Town, South Africa, entitled 'Unlocking the Potential of Digital Health Promotion for Young People in Low- and Middle-Income Countries'. The workshop brought together 25 experts from the areas of digital health ethics, youth health and engagement, health policy and promotion and technology development, predominantly from sub-Saharan Africa (SSA), to explore their views on the ethics and governance and potential policy pathways of DHP for young people in LMICs. Using the World Cafe method, participants contributed their views on (i) the advantages and barriers associated with DHP for youth in LMICs, (ii) the availability and relevance of ethical and regulatory frameworks for DHP and (iii) the translation of ethical principles into policies and implementation practices required by these policies, within the context of SSA. Our thematic analysis of the ensuing discussion revealed a willingness to foster such technologies if they prove safe, do not exacerbate inequalities, put youth at the center and are subject to appropriate oversight. In addition, our work has led to the potential translation of fundamental ethical principles into the form of a policy roadmap for ethically aligned DHP for youth in SSA.
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页数:11
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