STRengthening adolescent and young adult friendly primary care service within university clinics in INDOnesia (STRAYA INDO Project): A study protocol for a multicenter study aiming for improving university health services.

Youth friendly health care with a comprehensive assessment of health and wellbeing needs for adolescent and young adults (AYA) within the health-promoting university concept is lacking in Indonesian context. This research aims to comprehensively develop suitable interventions for improving services for AYA in the context of health-promoting universities. Guided by the theoretical framework of Consolidated Framework for Implementation Research (CFIR) and Practical, Robust, Implementation and Sustainability Model (PRISM), our research consist of three phases in 4 years. Phase 1, aims to explore the health needs of the university students, the current utility of the university health clinics, and the stakeholders' perceptions of the current health service. Phase 2 aims to develop suitable interventions through codesigning process for improving the health services at the university. Phase 3 will implement the interventions at three affiliate university clinics in Indonesia: Universitas Indonesia, Universitas Gadjah Mada and Universitas Airlangga. This research fills a gap in evidence on how to improve health care and wellbeing services for AYA within the health-promoting university context in low- and middle-income countries. The phased research design from mapping current capabilities and needs to codesigning solutions with stakeholders and trialing implementation in three different universities, will enable assessment of feasibility, and scalability to other settings. The potential for impact of this research are to enhance the university services and promoting the attention to the needs of AYA in primary care, being undertaken by a unique collaboration between three leading universities in Indonesia.