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Nurture4youth

Nurturing the resilience of mobile youth to navigate health and wellbeing crises in southern Africa. 

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Our research

Our overall aim is to develop and extend a strong research partnership to conduct policy-relevant research to enhance mobile adolescents and young people resilience to navigate access to sexual and reproductive health services thereby contributing to their improved health and wellbeing.

Who we are

Our partnership is led by the London School and Hygiene and Tropical Medicine (LSHTM) and Zambart, and involves Africa Health Research Institute (AHRI) and African centre for migration and society (ACMS) from University of the Witwatersrand (WITS).

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About
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Migration limits mobile adolescent and young people’s (mAYP) access to health services including access to sexual and reproductive health information, rights and quality services. We will address the sexual and reproductive health rights (SRHR) of mAYP by building skills in the co-production of research and creating lasting interventions with young people which improve their access to SRHR, responding to a demand from key stakeholders and drawing on our past work.

Our overall aim is to develop and extend a strong research partnership to conduct policy-relevant research to enhance mAYP resilience to navigate access to SRHR services thereby contributing to their improved health and wellbeing. We also aim to strengthen capacities in the applicant South African, Zambian and UK institutions and the young people we work with, to co-develop and lead an ambitious programme of youth-led work which builds resilient mAYP social networks that enhance visibility and solidarity, as well as informs policy and practice on building responsive SRHR services for mAYP.

Our specific objectives are to:

a) Synthesise evidence that examines causation in youth-led health research to identify effective approaches and emergent processes that enhance health systems responsiveness and improve access to SRHR services for mAYP in southern Africa.

b) Anchored by youth-led social mobilisation, to co-develop and implement interventions with young people that support mAYP to recognise their candidacy and access SRHR services, working with health-care stakeholders to identify ways to make care more responsive to mAYP requirements.

c) Co-produce and use a participatory monitoring and evaluation process in the piloting of the co-developed interventions, assessing their feasibility (including resource needs), acceptability, and equitable reach.

d) Continuously engage and involve communities and other stakeholders to encourage and facilitate youth-led mobilisation to nurture their resilience and support facility/provider responsiveness to the health and well-being needs of mAYP.

e) Consolidate and strengthen South African and Zambian researcher’s skills and agency to navigate the inequitable power dynamics in health research, promoting their visibility and shared intellectual leadership across Zambia, South Africa, and in the UK, to influence practice and policy in relation to the health and wellbeing needs of mAYP.

Who we are
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LSHTM
Prof Janet Seeley

Janet
Seeley

Professor of Anthropology and Health
Prof Tolib Mirzoev

Tolib
Mirzoev

Professor in Global Health Policy
Prof Ginny Bond

Ginny
Bond

Professor of Anthropology Public Health
Emily Liu

Emily Liu

Zambart
Melvin Simuyaba

Melvin Simuyaba

African centre for migration and society (ACMS) from University of the Witwatersrand (WITS)
Africa Health Research Institute (AHRI)
Nondumiso Dlamini

Nondumiso Dlamini

Makhosazane Ntombela

Makhosazane Ntombela

Sinethemba Mabuyakhulu

Sinethemba Mabuyakhulu

Simóne Plüg

Simóne Plüg

Darshini Govindasamy

Darshini Govindasamy

Research
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Work package 1 – Evidence synthesis

Consolidate existing knowledge drawn from research in each country to identify common themes, lessons, and components of an intervention, for discussion with the YPA and service provider stakeholders. Conduct an evidence synthesis (qualitative synthesis or scoping review) on recent research with and on the lives of mAYP in southern Africa, with a particular focus on SRHR and youth-led health research.

Work package 2 – Co-development and implementation of pilot interventions

Building on the evidence base (WP1) and working closely with young people to promote their candidacy, co-develop programme theories and case studies of supportive interventions for SRHR for mAYP and implement those interventions while engaging with health care stakeholders, including non-governmental organisations, identify modifications to practice for SRH to be more responsive to mAYP rights and needs.

Work package 3 – Process and participatory monitoring and evaluation

Co-produce, with mAYP and health care stakeholders, monitoring and evaluation (M&E) indicators and processes, and establish a framework for participatory process monitoring and evaluation across the pilot intervention sites, and evaluate the feasibility (including resources needed), acceptability and equitable reach of those interventions.

Work package 4 – Community engagement and involvement

Engage and involve mAYP in the project. Engage and involve healthcare providers and other stakeholders to work with young people to adapt and develop existing models of peer-led social mobilisation in South Africa and Zambia mobilising existing social resources for mAYP, to establish safe (virtual or physical) spaces and mAYP groups to support sexual health promotion, SRHR for health navigation, and advocacy.

Work package 5 – Consolidation and strengthening of partner’ skills and agency

Plan and deliver research and management capacity development and training for partners, paying particular attention to addressing inequitable power dynamics in health research globally. Build young people’s skills in communications/networking and research engagement and development while delivering skills development for partners and stakeholders in community engagement and involvement with mAYP.

Work package 6 – Consolidate and disseminate findings

Consolidate and disseminate findings locally and engage with researchers, policy and programme implementers nationally and internationally to share what we and the young people learn, and encourage policy change for the adoption of approaches that improve mAYP sexual health and engagement.