{"doi":"10.21203/rs.2.23715/v1","title":"Health System Strategies and Adolescent Sexual Health: Systematic review using Rodgers Concept Analysis Framework","abstract":"<title>Abstract</title>\n        <p><bold>Background<italic>:</italic> </bold>Health Systems Strategies have been key in determining Adolescent Sexual Health outcomes. This study therefore aims to review literature on relationship between Health Systems Strategies and Adolescent Sexual Health issues guided by Rodgers evolutionary concept analysis framework. The study further develops a Conceptual Framework that would guide a study that seeks to “<italic>develop strategies to facilitate safe sexual practices in adolescents through Integrated Health Systems in selected Districts in Zimbabwe</italic>”.<bold>Methods<italic>:</italic></bold> The words Adolescents, Health Systems, Sexual Health and Strategies were used to search for published literature (in English) on Google Scholar, PUBMED, EBSCO and Science Direct. 111 Articles and 04 reports were obtained and their content screened for relevance and 32 articles 01 report were found suitable and relevant and thus were reviewed. Thematic analysis to identify attributes, antecedents and consequences of Health Systems Strategies on Adolescent Sexual Health was done. These findings were then used to inform the development of the Conceptual Framework.<bold>Results<italic>: </italic></bold>Identified attributes were: contextual, dynamic, engaging and advocating, and inefficient Health Systems in addressing Adolescent Sexual Health. Identified antecedents of these Health System Strategies on Adolescent Sexual Health included; adolescent sexual rights, lack of understanding of what sexual health is, need for integrated Adolescent Sexual Health systems, available resources and type of society. Consequences of these Health Systems Strategies on Adolescent Sexual Health were identified to be; weak Adolescent Sexual Health programs, parallel and fragmented Health Systems, vulnerability and heightened risks for poor health outcomes and challenges in interacting with different ethnic groups and gender.<bold>Conclusions<italic>:</italic></bold> Adolescents are very vulnerable and need to be protected at all costs. There is need to have comprehensive Health Systems Strategies that would positively influence Adolescent Sexual Health.</p>","journal":null,"year":null,"id":657267,"datarank":0.13904957004729912,"base_score":0.6931471805599453,"endowment":0.6931471805599453,"self_citation_contribution":0.10397207708399181,"citation_network_contribution":0.03507749296330732,"self_endowment_contribution":0.10397207708399181,"citer_contribution":0.03507749296330732,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":1,"citers_with_citation_signal":1,"citers_with_endowment":1,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1268454,"name":"Lufuno Makhado","orcid":"0000-0003-1689-9308","position":1,"is_corresponding":false},{"id":1715795,"name":"Jabu Tsakani Mabunda","orcid":null,"position":2,"is_corresponding":false},{"id":1715797,"name":"Rachel Tsakani Lebese","orcid":null,"position":3,"is_corresponding":false},{"id":1715794,"name":"Wilfred Njabulo Nunu","orcid":"0000-0001-8421-1478","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Health System Strategies and Adolescent Sexual Health: Systematic review using Rodgers Concept Analysis Framework","abstract":"<title>Abstract</title>\n        <p><bold>Background<italic>:</italic> </bold>Health Systems Strategies have been key in determining Adolescent Sexual Health outcomes. This study therefore aims to review literature on relationship between Health Systems Strategies and Adolescent Sexual Health issues guided by Rodgers evolutionary concept analysis framework. The study further develops a Conceptual Framework that would guide a study that seeks to “<italic>develop strategies to facilitate safe sexual practices in adolescents through Integrated Health Systems in selected Districts in Zimbabwe</italic>”.<bold>Methods<italic>:</italic></bold> The words Adolescents, Health Systems, Sexual Health and Strategies were used to search for published literature (in English) on Google Scholar, PUBMED, EBSCO and Science Direct. 111 Articles and 04 reports were obtained and their content screened for relevance and 32 articles 01 report were found suitable and relevant and thus were reviewed. Thematic analysis to identify attributes, antecedents and consequences of Health Systems Strategies on Adolescent Sexual Health was done. These findings were then used to inform the development of the Conceptual Framework.<bold>Results<italic>: </italic></bold>Identified attributes were: contextual, dynamic, engaging and advocating, and inefficient Health Systems in addressing Adolescent Sexual Health. Identified antecedents of these Health System Strategies on Adolescent Sexual Health included; adolescent sexual rights, lack of understanding of what sexual health is, need for integrated Adolescent Sexual Health systems, available resources and type of society. Consequences of these Health Systems Strategies on Adolescent Sexual Health were identified to be; weak Adolescent Sexual Health programs, parallel and fragmented Health Systems, vulnerability and heightened risks for poor health outcomes and challenges in interacting with different ethnic groups and gender.<bold>Conclusions<italic>:</italic></bold> Adolescents are very vulnerable and need to be protected at all costs. There is need to have comprehensive Health Systems Strategies that would positively influence Adolescent Sexual Health.</p>","is_dataset_classified":null,"base_score":0.6931471805599453,"endowment":0.6931471805599453,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"36284789","pmcid":null,"openalex_id":"https://openalex.org/W3200996817","authors":[],"funders":[{"funder_name":"National Centre for the Replacement, Refinement and Reduction of Animals in Research","grant_id":"NC/P001076/1","title":null},{"funder_name":"Biotechnology and Biological Sciences Research Council","grant_id":"BBS/E/T/000PR9817","title":null},{"funder_name":"Wellcome Trust","grant_id":"209558/Z/17/Z","title":null},{"funder_name":"HCRW_","grant_id":"RFPPB-18-1497(T)","title":null},{"funder_name":"Medical Research Council","grant_id":"MR/S036954/1","title":null},{"funder_name":"Medical Research Council","grant_id":"MR/K010468/1","title":null}],"total_grants":6,"fwci":null,"citation_percentile":null,"influential_citations":0,"citation_trend":[{"year":2023,"count":1}],"oa_status":"gold","license":"cc-by","oa_locations":[{"url":"https://www.researchsquare.com/article/rs-14281/latest.pdf","host_type":""},{"url":"https://www.researchsquare.com/article/rs-14281/latest.pdf","host_type":""},{"url":"https://www.researchsquare.com/article/rs-14281/v1","host_type":"publisher"},{"url":"https://www.researchsquare.com/article/rs-14281/v1.html","host_type":"publisher"},{"url":"https://doi.org/10.21203/rs.2.23715/v1","host_type":""},{"url":"https://www.researchsquare.com/article/rs-14281/v1.pdf","host_type":"Unpaywall"}],"fields_of_study":["Adolescent Sexual and Reproductive Health","Food Security and Health in Diverse Populations","Adolescent and Pediatric Healthcare"],"mesh_terms":[],"keywords":["Reproductive health","Psychology","Adolescent health","Sociology","Medicine","Nursing","Demography","carotid-cavernous fistula","endoscopy","endovascular treatment","transsphenoidal surgery","video"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Gender equality"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-12T00:28:17.686159Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}