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Co-developing a framework to guide school-based substance use prevention (SSUP) interventions in Ghana.

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A new framework was co-developed to guide school-based substance use prevention interventions in Ghana. This framework supports culturally relevant planning and engagement for effective youth substance use prevention programs.

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Area of Science:

  • Public Health
  • Behavioral Science
  • Implementation Science

Background:

  • Substance use among young people presents a significant global public health challenge, particularly in African nations like Ghana.
  • Effective school-based behavioral interventions for preventing youth substance use are currently lacking in Ghana.
  • Culturally and contextually relevant frameworks are crucial for designing and implementing successful school-based interventions.

Purpose of the Study:

  • To co-develop a framework that guides the design and adaptation of school-based substance use prevention interventions in Ghana.
  • To ensure interventions are evidence-based, culturally sensitive, and contextually appropriate for Ghanaian schools.

Main Methods:

  • A five-step multi-method approach was employed, including scope definition, evidence review, mixed-methods social network analysis, stakeholder consultation, and framework iteration.
  • Deliberative dialogue with 12 key stakeholders in Berekum, Ghana, was conducted to gather recommendations.
  • The study synthesized existing research and local input to create a practical framework.

Main Results:

  • The developed framework outlines ideal components for school-based substance use prevention interventions.
  • It specifies intervention content, delivery agents, key stakeholders, and the application of relevant theories and models.
  • The framework, named the School Substance Use Prevention (SSUP) framework, is designed to be practical and flexible.

Conclusions:

  • The SSUP framework offers a practical and adaptable tool for designing and implementing school-based substance use prevention interventions in Ghana and similar settings.
  • It facilitates context-specific planning, stakeholder engagement, and integration into existing school health structures.
  • The framework provides a foundation for advancing locally relevant prevention efforts across Africa, with future research needed on its feasibility and effectiveness.