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Co-designing Healthcare Interventions with Users: A Discrete Choice Experiment to Understand Young People’s Preferences for Sexual and Reproductive Health Services in Lusaka, Zambia

Author

Listed:
  • Lawrence Mwenge

    (Research Directorate, Zambart
    University of Zambia)

  • Matthew Quaife

    (London School of Hygiene and Tropical Medicine
    Patient-centered Research, Evidera)

  • Lucheka Sigande

    (Research Directorate, Zambart)

  • Sian Floyd

    (London School of Hygiene and Tropical Medicine)

  • Melvin Simuyaba

    (Research Directorate, Zambart)

  • Mwelwa Phiri

    (Research Directorate, Zambart)

  • Chisanga Mwansa

    (Research Directorate, Zambart)

  • Mutale Kabumbu

    (Research Directorate, Zambart)

  • Musonda Simwinga

    (Research Directorate, Zambart)

  • Kwame Shanaube

    (Research Directorate, Zambart)

  • Ab Schaap

    (Research Directorate, Zambart
    London School of Hygiene and Tropical Medicine)

  • Sarah Fidler

    (Imperial College NIHR BRC, Imperial College)

  • Richard Hayes

    (London School of Hygiene and Tropical Medicine)

  • Helen Ayles

    (Research Directorate, Zambart
    London School of Hygiene and Tropical Medicine)

  • Bernadette Hensen

    (The Institute of Tropical Medicine)

  • Peter Hangoma

    (University of Zambia
    Chr. Michelson Institute (CMI)
    University of Bergen)

Abstract

Introduction Like in many countries, coverage of sexual and reproductive health (SRH) services among adolescents and young people (AYP) aged 15–24 remains low in Zambia. Increasing coverage of SRH services requires interventions that are responsive to the needs and preferences of AYP. We conducted a discrete choice experiment (DCE) to elicit AYP’s preferences for SRH service delivery in Lusaka, Zambia. Methods A cross-sectional DCE was conducted with AYP aged 15–24 years. Consenting participants were presented with alternative SRH service delivery strategies represented by six attributes, namely: location, type of provider, type of services, service differentiation by sex, availability of edutainment, and opening hours. Multinomial logit and random parameters logit models were used to analyse the data. All variables were effect coded. Results A total of 423 AYP aged 15–24 years (61% female) completed the DCE. Respondents preferred SRH services that were integrated with other healthcare services (b = 0.65, p

Suggested Citation

  • Lawrence Mwenge & Matthew Quaife & Lucheka Sigande & Sian Floyd & Melvin Simuyaba & Mwelwa Phiri & Chisanga Mwansa & Mutale Kabumbu & Musonda Simwinga & Kwame Shanaube & Ab Schaap & Sarah Fidler & Ric, 2025. "Co-designing Healthcare Interventions with Users: A Discrete Choice Experiment to Understand Young People’s Preferences for Sexual and Reproductive Health Services in Lusaka, Zambia," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 18(4), pages 391-402, July.
    • Handle: RePEc:spr:patien:v:18:y:2025:i:4:d:10.1007_s40271-025-00737-7
    DOI: 10.1007/s40271-025-00737-7
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