Table 1 Outline of Concurrent Triangulation Mixed Method Research Process

Phase 1

(Concurrent Triangulation Mixed Method)

a) Systematic Literature review

1. Review literature on the relationship between Health Systems Strategies and Adolescent Sexual Health issues guided by Rodgers evolutionary concept analysis framework.

2. Develop a Conceptual Framework that would guide a study that seeks to “Develop strategies to facilitate safe sexual practices in adolescents through Integrated Health Systems in Umguza and Mberengwa Districts in Zimbabwe”.

Quantitative and qualitative studies and reports that are published in English up to December 2018 in peer reviewed journals and are obtainable from Google Scholar, PUBMED, EBSCO and Science Direct.

Developed Data collection form guided by Rodgers Evolutionary Conceptual Analysis Framework

Thematic Analysis

b) Qualitative study

3. Explore Indigenous Knowledge that influences sexual experiences;

4. Assess the role played by different stakeholders in communities that influence adolescent development and sexual experiences

Community Leaders / herbalists / Traditional Attendants, Health Service Providers (Doctors, Nurses and Environmental Health Practitioners involved in adolescent sexual health issues), Adolescents parents / legal guardians,

Interviews

Focus Group Discussions

Thematic Analysis in MAXQDA

c) Quantitative study

5. Establish the extent of influence of IHSs and MHS on adolescent sexual behaviours

Adolescents

Questionnaire with both open ended and closed questions

Cross Tabulations and Multiple Logistic Regressions in STATA Version 13 SE