Learners’ perspectives on the provision of condoms in South African public schools

Bruin, Willemijn E de; Panday-Soobrayan, S.

doi:10.1080/09540121.2017.1327647

Cited by 7 publications

(10 citation statements)

References 6 publications

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“…Moderate youth engagement was identified in six interventions (8%) whereby youth, under supervision, were empowered to decide how to deliver intervention components, implying shared decision making with adults (Video S1 abstract) [22‐27]. Most interventions (48, 65%) had minimal engagement, with youth having no decision‐making power [28‐65,67‐72,75,87,90,130], and some interventions (17, 23%) had no engagement at any phase of research [66,73,74,76‐86,88,89,129].…”

Section: Resultsmentioning

confidence: 99%

“…Following our secondary search for studies that described the interventions identified, we found 27 additional manuscripts. Thus, the total number of manuscripts reviewed was 112 [19‐130]. These manuscripts described 74 unique intervention research studies (Table 1) […”

Section: Resultsmentioning

confidence: 99%

“…There were 32 interventions (43%) with no youth engagement approach used at the intervention phase [21,[35][36][37][38]40,41,48,50,54,55,60,66,73,74,[76][77][78][79][80][81][82][83][84][85][86][87][88][89][90]129,130].…”

Section: Intervention Phasementioning

confidence: 99%

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Youth engagement in HIV prevention intervention research in sub‐Saharan Africa: a scoping review

Asuquo

Tahlil

Muessig

et al. 2021

J. Intern. AIDS Soc.

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Introduction Youth engagement in HIV research is generally recognized as essential, but often neglected or minimally implemented in practice. Engagement is a process of working collaboratively with diverse groups of people to address common issues. We conducted a scoping review of youth HIV prevention interventions in sub‐Saharan Africa to identify and categorize forms and levels of youth engagement across the lifespan of intervention research. Methods We followed Arksey and O'Malley's framework for organizing a scoping review. We searched seven databases for related articles on identified intervention studies through May 28 th 2020. Included studies focused on youth (10 to 24 years old) HIV prevention interventions in sub‐Saharan Africa. Two reviewers independently examined citations and full manuscripts for inclusion. Data were extracted on study characteristics, location, description of youth engagement and extent of engagement. Youth engagement approaches were categorized based on Hart’s ladder as substantial engagement (strong youth decision‐making power), moderate engagement (shared decision making with adults), minimal engagement (no youth decision‐making power) or no engagement. Results We identified 3149 citations and included 112 studies reporting on 74 unique HIV interventions. Twenty‐two interventions were in low‐income countries, 49 in middle‐income countries, and three were in both. Overall, only nine interventions (12%) had substantial or moderate youth engagement, two‐thirds (48, 65%) had minimal youth engagement and 17 interventions (23%) had no youth engagement. We also identified specific engagement strategies (e.g. youth‐led research, crowdsourcing) that were feasible in multiple settings and resulted in substantial engagement. Conclusions We found limited youth engagement in youth HIV prevention intervention studies in sub‐Saharan Africa. However, several activities resulted in substantial youth engagement and could be relevant in many low‐and‐middle‐income‐country (LMIC) settings.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Youth engagement in HIV prevention intervention research in sub‐Saharan Africa: a scoping review

Asuquo

Tahlil

Muessig

et al. 2021

J. Intern. AIDS Soc.

View full text Add to dashboard Cite

show abstract

“…Another issue was that confidentiality would be difficult to maintain and girls making use the service would be stigmatized. A recent study conducted in 33 South African public schools looking at condom distribution at schools found that teenagers expressed the same concerns regarding confidentiality, privacy, stigmatization and increased promiscuity (de Bruin and Panday-Soobrayan, 2017). The promotion of promiscuity through the presence of an SBCC is not a uniquely held view, as a US-based study explored this issue to dispel US parent fears.…”

Section: Discussionmentioning

confidence: 99%

Acceptability and feasibility of a school-based contraceptive clinic in a low-income community in South Africa

Khoza

Zulu

Shung-King

2019

Prim Health Care Res Dev

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AimTo investigate how acceptable and feasible a school-based contraceptive clinic (SBCC) would be in a low-income South African community.BackgroundTeenage pregnancy is an important issue in South Africa, with significant health and social consequences. Issues regarding lack of confidentiality in an intimate community, unwelcoming health workers, long distances to clinics and perceptions of contraceptive side effects may all inhibit contraceptive use by adolescents. Although SBCC has been initiated and investigated in other countries, this approach is inadequately researched in South Africa.MethodsA mixed method study was conducted to assess the attitudes of one community towards establishment of an SBCC in their area. Methods of data collection included: focus group discussions (FGDs) with teenage girls from a local high school; a key informant interview with the school principal; a structured survey, including open-ended questionnaires with randomly selected parents of teenage girls from the same community; and a documentary analysis to explore relevant legal and policy considerations.FindingsTeenage girls, the school principal and parents with teenage daughters largely supported the idea of an SBCC, but with concerns about confidentiality, the possibility of increased promiscuity and contraceptive side effects. While legal statutes and policies in South Africa do not pose any barriers to the establishment of an SBCC, some logistical barriers remain.

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“… 25 Similar concerns have arisen in other countries, 28 and in South Africa fears about risk compensation and sexual permissiveness have surfaced as a popular response to condom provision and other sexual and reproductive health services in schools. 29 To preempt possible opposition to HPV vaccination, policy experts advised a strategy of marketing the vaccine as preventing cervical cancer rather than an STI. 25 But in South Africa, visibility of cervical cancer is low, and—as in much of sub-Saharan Africa in general 30 —there is little knowledge about the impact of cervical cancer on female morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

Human Papillomavirus Vaccine Introduction in South Africa: Implementation Lessons From an Evaluation of the National School-Based Vaccination Campaign

Delany‐Moretlwe

Kelley

James

et al. 2018

Glob Health Sci Pract

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Learners’ perspectives on the provision of condoms in South African public schools

Cited by 7 publications

References 6 publications

Youth engagement in HIV prevention intervention research in sub‐Saharan Africa: a scoping review

Youth engagement in HIV prevention intervention research in sub‐Saharan Africa: a scoping review

Acceptability and feasibility of a school-based contraceptive clinic in a low-income community in South Africa

Human Papillomavirus Vaccine Introduction in South Africa: Implementation Lessons From an Evaluation of the National School-Based Vaccination Campaign

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