Hodges' Model: Welcome to the QUAD: Are concepts of adolescence from the Global North appropriate for Africa? A debate

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Saturday, January 04, 2025

Are concepts of adolescence from the Global North appropriate for Africa? A debate

'The proponents for the motion argued that adolescence is indeed a distinct developmental phase when puberty is achieved and the neurocognitive development that occurs shapes behaviours that impact health outcomes. This occurs universally, is marked by cultural rites, and recognised in legal frameworks and therefore geographical distinctions in understanding are unnecessary.'

'The opponents argued that adolescence is more than a biological or legally recognised transition to adulthood: instead, concepts, including that of adolescence, are shaped by beliefs, values and expectations founded within a cultural milieu. The concept is dissonant to Africa as it prioritises individualism over communalism, and attributes gender and social roles as accepted in the Global North.'

'Thus, many interventions targeted at adolescents in Africa have remained ineffective. The notion that the concept of adolescence, which originated in the Global North but is universally applied, is a consequence of colonialism giving less value to the lived realities and understandings of peoples from the Global South.

For achieving both epistemic justice and effective health policy and programmes in global health, acknowledgement and centralisation of context are critical. However, in a more interlinked and open world, there is a massive potential for cross-learning and collaboration across geographies to develop a concerted approach to improve the health of adolescents and for a more equitable global health practice.

However, adolescence is also a social entity shaped by beliefs and values within different cultural contexts. A move away from universal, often western-defined concepts of adolescence, to centring the distinct sociocultural factors that shape adolescence in different societies will enable more effective policies and programming.' (Summary box) 

INDIVIDUAL
|
   INTERPERSONAL : SCIENCES              
humanistic ------------------------------- mechanistic
 SOCIOLOGY : POLITICAL   
|
GROUP
debate (argumentation)


mental space, mindset

my beliefs

values
expectations

ENCULTURATION

Not just NORTH - SOUTH 
but WEST - EAST
philosophy of mind
belief systems

"I DID IT MY WAY"

individualism
[Hodges' model] 'Health career' - 'life chances'

 2018 - scientific symposium
Mwanza, Tanzania

'Adolescence is widely defined as a distinct phase in the life-course during which an individual completes their biological development and transitions from childhood to adulthood.'

Appropriate for Africa - health interventions and global health policy that are shaped by such concepts can be universally applicable and relevant?

geographical distinctions

physical place, space, locale

biology - neurocognitive - puberty
communalism

universal - cultural rites

adolescence - global north culture
but applied universally

'adolescence is also a social entity shaped by beliefs and values within different cultural contexts'

ETHNOLOGY - SOCIO-CULTURAL

Gender - social roles

The rise of POPULAR CULTURE:
Arts - music, film, drama, literature ...
media, technology

"WE DO IT OUR WAY"?!

"Comme d'habitude"

legal - policy

Is there a universal conceptual model to critique*:

UNIVERSALITY
'GLOBAL HEALTH'
UNIVERSAL HEALTH COVERAGE
HEALTH FOR ALL
HEALTH INFORMATION FOR ALL
'COLLECTIVE EMPATHY'
EQUITY - EQUALITY ...?

In policy can you ignore LONG-LAT?

epistemic justice 
effective health policy
programmes in global health
- aimed at adolescents

acknowledgement
centralisation of context 

glocal/global - WHO - national/local


Many thanks to the authors:

Nothando Ngwenya, Chido Dziva Chikwari, Janet Seeley, Rashida Abbas Ferrand - Are concepts of adolescence from the Global North appropriate for Africa? A debate: BMJ Global Health 2023;8:e012614. https://gh.bmj.com/content/8/12/e012614

My source:
https://x.com/chidodc/status/1735564926423277571?s=20

Reminded of 'My Way' :: 'American Graffiti'

*I have long wondered what models of care, models of nursing, nursing and care theories may be found in Africa, across Europe, Asia, South America, Native North America, Australasia and Oceania?  
Is Hodges' model truly global and universal - is it (can a model of care be) culturally neutral? Perhaps, this is another conference debate, or might constitute a special journal issue?