Design and field methods of the ARISE Network Adolescent
Health Study
Anne Marie Darling
1
, Nega Assefa
2
, Till B€ arnighausen
1,3,4
, Yemane Berhane
5
, Chelsey R. Canavan
1
,
David Guwatudde
6
, Japhet Killewo
7
, Ayoade Oduola
8
, Mary M. Sando
9
, Ali Sie
10
, Christopher Sudfeld
1
,
Said Vuai
11
, Richard Adanu
12
and Wafaie W. Fawzi
1
1 Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, MA, USA
2 School of Public Health, College of Health and Medical Sciences, Haramaya University, Dire Dawa, Ethiopia
3 Heidelberg Institute of Global Health, University of Heidelberg, Heidelberg, Germany
4 Africa Health Research Institute, Somkhele, KwaZulu-Natal, South Africa
5 Addis Continental Institute of Public Health, Addis Ababa, Ethiopia
6 Department of Epidemiology and Biostatistics, Makerere University School of Public Health, Kampala, Uganda
7 Department of Epidemiology and Biostatistics, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
8 University of Ibadan Research Foundation, University of Ibadan, Ibadan, Nigeria
9 Africa Academy for Public Health, Dar es Salaam, Tanzania
10 Nouna Health Research Center, Nouna, Burkina Faso
11 College of Natural and Mathematical Sciences, University of Dodoma, Dodoma, Tanzania
12 Department of Population, Family and Reproductive Health, University of Ghana School of Public Health, Accra, Ghana
Summary The ARISE Network Adolescent Health Study is an exploratory, community-based survey of 8075
adolescents aged 10–19 in 9 communities in 7 countries: Burkina Faso, Eswatini, Ethiopia, Ghana,
Nigeria, Tanzania and Uganda. Communities were selected opportunistically and existing population
cohorts maintained by health and demographic surveillance systems (HDSSs). The study is intended
to serve as a first round of data collection for African adolescent cohorts, with the overarching goal
of generating community-based data on health-related behaviours and associated risk factors in
adolescents, to identify disease burdens and health intervention opportunities. Household-based
sampling frames were used in each community to randomly select eligible adolescents (aged 10–
19 years). Data were collected between July 2015 and December 2017. Consenting participants
completed face-to-face interviews with trained research assistants using a standardised questionnaire,
which covered physical activity, cigarette and tobacco use, substance and drug use, mental health,
sexual behaviours and practices, sexually transmitted infections, pregnancy, food security and food
diversity, teeth cleaning and hand washing, feelings and friendship, school and home activities,
physical attacks and injuries, health care, health status assessment and life satisfaction, as well as
media and cell phone use and socio-demographic and economic background characteristics. Results
from this multi-community study serve to identify major adolescent health risks and disease burdens,
as well as opportunities for interventions and improvements through policy changes.
keywords adolescent health, community-based survey, multi-country study, cohort study, sub-
Saharan Africa
Sustainable Development Goals (SDGs): SDG 2 (zero hunger), SDG 3 (good health and well-being),
SDG 4 (quality education), SDG 5 (gender equity), SDG 10 (reduced inequalities), SDG 17
(partnerships for the goals)
Introduction
Numbering 1.2 billion strong, adolescents comprise the
largest generation in history [1]. The vast majority (90%)
of them reside in low-and middle-income settings. Invest-
ing in the health of this age group has the potential to
transform their lives and generate high economic and
social returns for them and their future offspring. Popula-
tion projections suggest that the number of individuals
aged 10–24 in sub-Saharan Africa will increase to 436
million by 2025 and to 605 million by 2050.[2] Increased
focus on the health risks they encounter during this
© 2019 John Wiley & Sons Ltd 5
Tropical Medicine and International Health doi:10.1111/tmi.13327
volume 25 no 1 pp 5–14 january 2020