How do social norms influence the sexual and reproductive health of very young adolescents in sub-Saharan Africa? A scoping review protocol

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Abstract

Introduction

Younger adolescents (aged 10–14 years) in sub-Saharan Africa (SSA) have disproportionate sexual and reproductive health (SRH) outcomes due to structural, behavioural, socioeconomic and other factors. Social and gender norms have important consequences for the SRH and wellbeing of younger adolescents both now and over their life course. SRH programming often focuses on older adolescents (aged 15–19 years), overlooking younger ones. This scoping review sets out to explore how gender and social norms influence younger adolescents’ SRH in SSA, to inform tailored interventions.

Methods

The Arksey and O'Malley strategy will be used to review the available literature. Online databases (PubMed/MEDLINE, CINHAL, EMBASE, PsycINFO, Cochrane Library, and African Index Medicus) will be searched for original studies published between 1 January 2000 and 30 September 2024. Further, a manual search to include relevant grey literature will be performed. The steps in the review are: 1) defining the research question, 2) identifying relevant studies, 3) selecting studies, 4) charting the data, and 5) collating, summarising, and reporting the results.

Results

Findings will be reported in accordance with the guidance provided in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P) statement.

Discussion

The review will generate the most up-to-date evidence and identify gaps in literature in addition to informing future research on how gender and social norms influence younger adolescents’ SRH in SSA. Findings will inform and influence future interventions and evaluations in this area.

Original languageEnglish
Article number670
JournalWellcome Open Research
Volume9
DOIs
Publication statusPublished - 28 Feb 2025

Keywords

  • Scoping review protocol
  • Sexual and reproductive health
  • Social and gender norms
  • Sub-Saharan Africa
  • Very young adolescents

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