hi, I’m Basia
Journey Mapping Adolescent Sexual Health Needs in Lusaka, Zambia: A Human-Centered Design Perspective
The CHoNGeTSa study, a collaboration between Zambart, the Institute of Tropical Medicine, and the London School of Hygiene and Tropical Medicine, aimed to estimate the prevalence of curable sexually transmitted infections (STIs) among 15-24-year-olds in a high-density, peri-urban community of Lusaka. As part of the qualitative research unit, we used interviews, focus groups, and journey mapping to develop user archetypes and outline the care-seeking pathways of adolescents, as well as the roles of medical and community-based providers along these pathways.
Following the completion of data collection, preliminary research findings detailing AYP care pathways, preferences and care seeking journey maps were presented to stakeholders for data validation and member checking to ensure data accuracy and resonance.
Stakeholders in attendance included male and female aCAB members, as well as a high ranking official from the First Level Hospital. A THP CAB member representing THAPAZ was invited but unable to attend.
Key Findings & Insights
- Adolescent Girls and Boys (15-17 years): The Youth-Friendly Space within health facilities emerged as their primary—and often only—point of care.
- Young Women (18-24 years): Their care-seeking journeys are notably complex. These women often start with self-medication and consult various sources, including peers, community elders, family, and NGO-supported initiatives, before turning to pharmacies or traditional healers. Health facilities are typically viewed as a last resort, highlighting a reliance on self-management and community networks.
- Young Men (18-24 years): This group’s pathways commonly begin with self-medication, followed by visits to pharmacies or health facilities, with traditional healers also playing a role.
So, what’s next?
Journal: BMJ Journal - Sexually Transmitted Infections
Authors: Basia M. Diagne, Gracious Witola, Bernadette Hensen, Mwelwa Phiri, Gideon Phiri, Steve Belemu