Using Peer Education to Increase Sexual Health Knowledge Among West African Refugees in Western Australia

Drummond, Peter D.; Mizan, Ayse; Brocx, Katie; Wright, Bernadette

doi:10.1080/07399332.2010.529215

Cited by 35 publications

(58 citation statements)

References 28 publications

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“…Similarly, a few young women regarded use of condoms by male partners as evidence of distrust and lack of respect. These findings are aligned with those of Drummond et al (2011), who report that resettled African women said they would feel 'insulted' if their partner wanted to use condoms. This highlights the cultural barriers to contraceptive uptake and use, particularly condoms.…”

Section: Discussionsupporting

confidence: 70%

“…Parents' belief that premarital sex is unacceptable and that their children should not engage in sex was a barrier to contraception uptake and use. Indeed, within resettled African communities, preventative health behaviours are not common (Lemoh et al 2008;Drummond et al 2011). Service providers working with these groups of refugee migrants should encourage and support families to use a proactive rather than a reactive approach to their children's sexual health and contraception use.…”

Section: Discussionmentioning

confidence: 99%

“…This highlights the cultural barriers to contraceptive uptake and use, particularly condoms. Low male participation in contraception use coupled with the higher status awarded to males within relationships affects women's decision to use contraception regardless of their level of knowledge (Arowojolu et al 2002;Tensou et al 2008; World Health Organisation and United States Agency for International Development 2008; Drummond et al 2011).…”

Section: Discussionmentioning

confidence: 99%

“…Many African refugees continue to live in low socioeconomic situations with comparatively large families averaging six children or more (Khawaja and Milner 2012 Lemoh et al 2008;Drummond et al 2011;Ngum Chi Watts et al 2013), with teenage pregnancy perceived to be problematic within this population (McMichael 2008). Additionally, inadequate knowledge and low uptake of contraception among African Australians have been variously attributed to limited education, poor attitudes and beliefs about contraception, and gender imbalances (Arowojolu et al 2002;Asamoah-Odei et al 2004;Tensou et al 2008).…”

Section: Introductionmentioning

confidence: 99%

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Factors Influencing Contraception Awareness and Use: The Experiences of Young African Australian mothers

Watts

McMichael

Liamputtong

2015

Journal of Refugee Studies

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The aim of this study was to examine contraception awareness and use among African Australian women in Melbourne, Australia, who have experienced teenage pregnancy, and to explore the social contexts that shape these women's attitudes towards contraception. Among young immigrant and refugee women living in sites of settlement, knowledge and use of contraception are a public health concern. The study used a qualitative research approach and was informed by anthropology, public health and human rights frameworks. Between June 2009 and November 2010, in-depth interviews were conducted in Melbourne, Australia, with 16 African Australian teenagers and women who had experienced teenage pregnancy. In addition, two focus group discussions were held with service providers and African women and five key informant interviews were conducted. Data were transcribed verbatim, coded, and key themes identified and analysed using thematic analysis. The findings revealed that attitudes towards and use of contraception are influenced by parental sexual health literacy and attitudes, gender roles and culturally informed attitudes around motherhood. Service providers should consider the value of whole-of-family and community approaches in order to improve knowledge and decision-making around contraception among young African Australian women.

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Section: Discussionsupporting

confidence: 70%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Factors Influencing Contraception Awareness and Use: The Experiences of Young African Australian mothers

Watts

McMichael

Liamputtong

2015

Journal of Refugee Studies

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“…Peer health education programs in conflict and crisis settings have long been a mainstay of health-related programming, including programs dedicated to hygiene, tobacco use, and SRH issues, although the evidence of impact on behaviour change and community empowerment has been mixed (Ehiri et al, 2014;Drummond et al, 2011;Tanaka et al, 2008). However, the importance of ensuring that peer health educators are qualified, trained, and dedicated has been identified as important factors in influencing adolescent target populations (Women's Refugee Commission et al, 2012).…”

Section: Discussionmentioning

confidence: 99%

Snakes, Ladders, and Information about Sexually Transmitted Infections: Evaluation of a Peer Educator Training on the Thailand-Burma Border

Gedeon¹,

Hkum

Hsue³

et al. 2016

GJHS

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The longstanding conflict and civil strife in Burma has had significant consequences on the sexual and reproductive health (SRH) of ethnic minority groups, including adolescents. The Adolescent Reproductive Health Zone in Chiang Mai, Thailand promotes adolescent SRH rights and access to services by having peer educators travel to their hometowns in Burma and lead intensive youth-focused trainings on a variety of topics and issues. In order to evaluate the impact of an intensive three-day workshop dedicated to improving knowledge of sexually transmitted infections (STIs) among peer educators through didactic, experiential, and skill-building exercises, we administered a pre-, post-, and longitudinal assessment. All 13 participants completed both the pre-test and post-test; 11 of 13 participants (85%) completed the longitudinal evaluation administered three months after the training. Our results indicate that both individual and aggregate STI knowledge increased from baseline and that this knowledge was retained. Moreover, the training increased participants' confidence in their outreach abilities, informed changes in the curricular modules, and led to the implementation of new teaching and learning techniques, especially the incorporation of games and activities. Our findings showcase a successful initiative and suggest similar adolescent peer health educator programs could be undertaken in this protracted crisis and conflict setting.

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Effectiveness of a peer education gender and health project for men in Timor‐Leste

Smith

Botfield

Soares

et al. 2020

Health Prom J of Aust

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Issue Addressed: In response to high rates of gender-based violence and poor sexual and reproductive health indicators in Timor-Leste, a 'Men's Health Project' was implemented in two rural communities in 2013. A peer education model was utilised to engage men in issues regarding health, relationships and well-being.Methods: Community-based baseline and endline surveys were undertaken to evaluate the project in the two communities.Results: In 2013, 401 men and boys completed a baseline survey, and 400 completed an endline survey in 2016. Significant differences were found in a number of areas, with more men in the endline survey aware of the negative impacts of alcohol, safe pregnancy practices, family planning and sexually transmitted infections. Many men reported making the major decisions in their family in both surveys. Conclusions:The peer education approach engaged men in health awareness and contributed to increasing knowledge of sexual and reproductive health and other health issues. However, while education and positive attitudes are an important foundation for change, other enabling mechanisms including vital infrastructure, services and health personnel must be in place to facilitate change and increase access to information and healthcare. Findings highlight the importance of engaging both women and men in processes of challenging behaviours and structures that reinforce gender inequalities.So What? Peer education appears to be an effective model for engaging community members in gender and health issues in Timor-Leste. The Men's Health Project enabled men to participate in health awareness and issues regarding health, relationships and well-being.

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Using Peer Education to Increase Sexual Health Knowledge Among West African Refugees in Western Australia

Cited by 35 publications

References 28 publications

Factors Influencing Contraception Awareness and Use: The Experiences of Young African Australian mothers

Factors Influencing Contraception Awareness and Use: The Experiences of Young African Australian mothers

Snakes, Ladders, and Information about Sexually Transmitted Infections: Evaluation of a Peer Educator Training on the Thailand-Burma Border

Effectiveness of a peer education gender and health project for men in Timor‐Leste

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