On-Site Comprehensive Curriculum to Teach Reproductive Health to Female Adolescents in Kenya

Gaughran, Margaret; Asgary, Ramin

doi:10.1089/jwh.2013.4523

Cited by 11 publications

(13 citation statements)

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“…However, such programs to enhance reproductive health knowledge would require a different approach to ensure participation of both men and women. Educational programs targeting women’s health education were found to be effective in improving their knowledge and reproductive health behaviour [38, 39]. Studies have found that SRH educational programs had greater impact on maternal health behaviors when both spouses are involved compared to when only women participated the program [40].…”

Section: Discussion and Policy Recommendationsmentioning

confidence: 99%

Factors associated with male involvement in reproductive care in Bangladesh

et al. 2017

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BackgroundMen’s active involvement in reproductive healthcare has shown to be positively associated with maternal and child health outcomes. Bangladesh has made appreciable progress in its pursuance of maternal mortality related goals in the framework of the MDGs. However, there remains a lot to be accomplished to realise the long-term goals for which active participation of male counterparts in reproductive care is crucial. Therefore, the objective of the present study was to investigate factors associated with male involvement in reproductive health among Bangladeshi men.MethodsWe used data from Bangladesh Demographic and Health Survey (BDHS) conducted in 2011. Study participants were 1196 married men, aged between 15 and 69 years and living in both urban and rural households. Level of male involvement (outcome variable) was measured based on the responses on knowledge, awareness and practice regarding reproductive health. Chi-square tests and multivariable logistic regression models were performed for data analysis.ResultsOut of 1196 participants, only 40% were found to be active about partners’ reproductive healthcare. Chi-square test showed significant association between active involvement and ever hearing about family planning (FP) in television, learning about FP through community health events, community health workers and poster/billboard. Results from logistic regression analysis revealed that type of residency [p = 0.004, AOR = 0.666, 95% CI = 0.504–0.879], literacy [secondary/higher education- p = 0.006. AOR = 0.579, 95% CI = 0.165–0.509], learning about family planning from Newspaper [p < 0.001. AOR = 1.952, 95% CI = 1.429–2.664], and television [p = 0.017. AOR = 1.514 95% CI = 1.298–1.886], and having been communicated about family planning by community health workers [p = 0.017. AOR = 1.946, 95% CI = 1.129–3.356] were significantly associated with active involvement of men in reproductive health issues.ConclusionsLevel of male involvement was associated with schooling experience, type of residency and exposure to electronic media. National health policy programs aimed at promoting male involvement in reproductive care should focus on improving knowledge and awareness of reproductive health though community health education programs with a special focus in the rural areas.

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Section: Discussion and Policy Recommendationsmentioning

confidence: 99%

Factors associated with male involvement in reproductive care in Bangladesh

et al. 2017

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“…Thus far, efforts towards improving HIV-related knowledge in Sub-Saharan Africa have encompassed a wide variety of intervention types and methods of disseminating HIV-related information, such as peer education [ 7 – 9 ], game-based education [ 10 ], skill-building interventions [ 11 , 12 ], and mass media campaigns [ 13 ]. Many such interventions have drawn on various theoretical frameworks, such as social cognitive theory [ 8 , 14 ], the theory of planned behaviour [ 12 ], and the theory of reasoned action [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

The effect of HIV educational interventions on HIV-related knowledge, condom use, and HIV incidence in sub-Saharan Africa: a systematic review and meta-analysis

Faust

Yaya

2018

BMC Public Health

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BackgroundAs high stigmatization of HIV and relatively low knowledge of HIV transmission and prevention measures persist in Sub-Saharan Africa, the improvement of HIV-related knowledge, and the evaluation of which types of interventions are most effective in this regard, is an important aspect of further prevention efforts. In addition, it is of interest to assess whether improvements in HIV-related knowledge may actually lead to increased engagement in preventive behaviours and ultimately lower HIV transmission. This study therefore aims to systematically review and meta-analyse the evidence for the effect of HIV-related knowledge interventions on 1) the improvement of HIV-related knowledge, 2) subsequent risk reduction behaviour (condom use), 3) lower incidence of HIV infection.MethodsA literature search was conducted using the Embase and Medline databases, returning 746 after duplicate removal. Following abstract and full-text screening, 36 studies were ultimately included in the final review. Meta-analyses were conducted in R, using random-effects models, for the HIV-related knowledge, condom use, and HIV incidence outcomes, where sufficient data were available.ResultsInterventions assessed in the reviewed studies varied, including computer-based interventions, mass media campaigns, and peer education interventions. The interventions were generally found to be effective at improving HIV-related knowledge in the target population, with 10 studies reporting improved knowledge of risk reduction through condom use in the intervention group (out of 11 studies reporting data for this outcome), with 6 reporting these differences as significant (p < 0.05). Regarding knowledge of transmission routes, studies assessing peer education interventions often reported significant improvements in the intervention group. Meta-analysis results showed significantly higher odds among the intervention groups of correct knowledge of: risk reduction through condom use (OR: 3.09, 95%CI: 1.83–5.22, p < 0.0001), sexual transmission of HIV (OR: 5.86, 95%CI: 2.65–12.97, p < 0.001) and transmission through sharps (OR: 4.35, 95%CI = 3.21–5.90, p < 0.001), but non-significantly lower odds of HIV infection (OR: 0.97, 95%CI: 0.66–1.41, p = 0.854).ConclusionPeer-education-based interventions appear to be particularly effective in facilitating the uptake of HIV-related knowledge, particularly pertaining to transmission routes. There is some evidence that improved knowledge of HIV transmission and prevention facilitates increased subsequent engagement in preventive measures, although this requires further exploration.Trial registrationPROSPERO Number: CRD42018090600Electronic supplementary materialThe online version of this article (10.1186/s12889-018-6178-y) contains supplementary material, which is available to authorized users.

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“…From the 455 identified records, 20 studies met the inclusion criteria [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37][38][39].…”

Section: Resultsmentioning

confidence: 99%

“…The majority of interventions (n = 13) targeted adolescents 10-19 years old, and two also included youths of 20-24 years old. Adolescents benefited from sexuality education were of both sexes; however, three studies targeted only girls [29,35,39]. One program provided sexuality education to students with learning disabilities [27] and one to orphan adolescent girls [35].…”

Section: General Description Of Included Interventionsmentioning

confidence: 99%

How Sexuality Education Programs Have Been Evaluated in Low- and Lower-Middle-Income Countries? A Systematic Review

Ivanova

Rai

Michielsen

et al. 2020

IJERPH

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Background: Complex sexual and reproductive health interventions, such as sexuality education (SE), contain multiple components and activities, which often requires a comprehensive evaluation design and adaptation to a specific context. In this review, we synthetize available scientific literature on types of evaluation designs used for SE programs in low- and lower-middle-income countries. Methods: Two databases yielded 455 publications, from which 20 articles met the inclusion criteria. Narrative synthesis was used to summarize the findings. Evaluation approaches were compared to recommended evaluation frameworks. The quality of articles was assessed by using MMAT 2018. Results: A total of 15 interventions employed in 10 countries were evaluated in the 20 selected articles, with the quality of publications being moderate to high. Randomized controlled trial was the predominant study design, followed by quasi-experimental design. There were seven process evaluation studies, using mixed methods. Main outcomes reported were of public health or behavioral nature—condom use, sexual debut or delay, and number of sexual partners. By comparing evaluation designs to recommended frameworks, few studies fulfilled at least half of the criteria. Conclusions: Evaluations of SE are largely dominated by quantitative (quasi-)experimental designs and use of public health outcomes. To improve understanding of SE program effectiveness, it is important to assess the quality of the program development, its implementation, and its impact, using existing evaluation frameworks and recommendations.

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On-Site Comprehensive Curriculum to Teach Reproductive Health to Female Adolescents in Kenya

Cited by 11 publications

References 13 publications

Factors associated with male involvement in reproductive care in Bangladesh

Factors associated with male involvement in reproductive care in Bangladesh

The effect of HIV educational interventions on HIV-related knowledge, condom use, and HIV incidence in sub-Saharan Africa: a systematic review and meta-analysis

How Sexuality Education Programs Have Been Evaluated in Low- and Lower-Middle-Income Countries? A Systematic Review

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