Assessing the impact of the journey plus curriculum on sexual and reproductive health and rights and behavioural change among Ugandan youth

Patrick Kagurusi(1), Maureen Nankanja(2), Michael Muyonga(3), Irene Ayanga(4), Arnold Tigaiza(5), David Okimait(6), Mary Ssonko Nabacwa(7),


(1) Amref Health Africa in Uganda, Plot 1 Okurut Road, Kololo Acacia Avenue Adj. Lohana Academy Kampala, Uganda
(2) Amref Health Africa in Uganda, Plot 1 Okurut Road, Kololo Acacia Avenue Adj. Lohana Academy Kampala, Uganda
(3) Amref Health Africa in Uganda, Plot 1 Okurut Road, Kololo Acacia Avenue Adj. Lohana Academy Kampala, Uganda
(4) Amref Health Africa in Uganda, Plot 1 Okurut Road, Kololo Acacia Avenue Adj. Lohana Academy Kampala, Uganda
(5) Amref Health Africa in Uganda, Plot 1 Okurut Road, Kololo Acacia Avenue Adj. Lohana Academy Kampala, Uganda
(6) Amref Health Africa in Uganda, Plot 1 Okurut Road, Kololo Acacia Avenue Adj. Lohana Academy Kampala, Uganda
(7) Amref Health Africa in Uganda, Plot 1 Okurut Road, Kololo Acacia Avenue Adj. Lohana Academy Kampala, Uganda
Corresponding Author

Abstract


The Journeys Plus curriculum was introduced by the Government of Uganda in 2020 to impart knowledge and empower youth to practice positive behaviours. It also focuses on fostering supportive environments for youths in homes, communities, health facilities, and schools. AMREF Uganda implemented the curriculum in the districts of Budaka, Mbale, Kween, Namayingo and Kalangala, Bukwo, Mayunge, Bugiri and Iganga. This paper explores the outcomes and effectiveness of the intervention and examines its impact on learning, behavioural change, and youth empowerment, using a phenomenological study design among 360 purposively selected young people (9 -14 years) and 80 adults. Aided by Atlas ti software, deductive analysis was applied to the study findings. The findings suggest that the Journeys Plus curriculum has proven effective in promoting behavior change, enhancing knowledge of sexual and reproductive health and rights, practical vocational skills, empowering young people against gender-based violence, and fostering meaningful peer relationships.

References


Amuche NJ, Emmanuel EI and Innocent NE. HIV/AIDS in

sub-Saharan Africa: current status, challenges and

prospects. 2017.

WHO. Adolescent pregnancy 2024 [Available from:

https://www.who.int/news-room/fact

sheets/detail/adolescent-pregnancy.

UNICEF. Adolescent HIV 2024 [Available from:

https://data.unicef.org/topic/hivaids/adolescents

young-people/.

Germain A, Sen G, Garcia-Moreno C and Shankar M.

Advancing sexual and reproductive health and rights

in low-and middle-income countries: Implications for

the post-2015 global

development

agenda.

;10(2):137-48.

Global

public

health.

Ravindran TS and Govender V. Sexual and reproductive

health services in universal health coverage: a review

of recent evidence from low-and middle-income

countries. Sexual and reproductive health matters.

;28(2):1779632.

Mohamed S, Chipeta MG, Kamninga T, Nthakomwa L,

Chifungo C, Mzembe T, Vellemu R, Chikwapulo V,

Peterson M and Abdullahi L. Interventions to prevent

unintended pregnancies among adolescents: a rapid

overview of systematic reviews. Systematic Reviews.

;12(1):198.

Naidoo K, Adeagbo O and Pleaner M. Sexual and

reproductive health needs of adolescent girls and

young women in sub-Saharan Africa: research,

policy,

and

practice.

;9(3):2158244019859951.

SAGE

open.

Schweitzer A-M, Dišković A, Krongauz V, Newman J,

Tomažič J and Yancheva N. Addressing HIV stigma

in healthcare, community, and legislative settings in

Central and Eastern Europe. AIDS Research and

Therapy. 2023;20(1):87.

Renzaho AM, Kamara JK, Georgeou N and Kamanga G.

Sexual, reproductive health needs, and rights of

young people in slum areas of Kampala, Uganda: a

cross

sectional

;12(1):e0169721.

study.

PloS

one.

Tumwakire E, Ashaba S, Mubangizi Vand Gavamukulya Y.

Sexual and reproductive health knowledge and

practices among youth with and without mental

illness in Uganda: a comparative study. Tropical

Medicine and Health. 2022;50(1):51.

Amanu A, Birhanu Z and Godesso A. Sexual and

reproductive health literacy among young people in

Sub-Saharan Africa: evidence synthesis and

implications.

Global

;16(1):2279841.

health

action.

MOH. Uganda Country Operational Plan (COP) 2022

Strategic Direction Summary April 27, 2022 2022

[Available

from:

https://www.state.gov/wp

content/uploads/2022/09/Uganda-COP22-SDS.pdf.

RTI. USAID/Uganda Literacy Achievement and Retention

Activity; Facilitator’s Guide: Journeys Plus Activity

Handbook for Pupils 2020 [Available from:

https://ierc

publicfiles.s3.amazonaws.com/public/resources/Shar

Ed_Facilitators%20Guide_Journeys%20Plus%20Ac

tivity%20Handbook%20for%20Pupils_Nov_2020.p

df.

Ross DA, Dick B, Ferguson J and Organization WH.

Preventing HIV/AIDS in young people: a systematic

review of the evidence from developing countries:

World Health Organization; 2006.

MacCarthy S, Saya U, Samba C, Birungi J, Okoboi S and

Linnemayr S. “How am I going to live?”: exploring

barriers to ART adherence among adolescents and

young adults living with HIV in Uganda. BMC public

health. 2018;18(1):1-11.

Bryman A. Social research methods. 4 ed: Oxford

University Press; 2012.

Creswell JW. Qualitative Inquiry and Research Design:

Choosing Among Five Approaches. 3rd edition:

Washington DC: Sage. 2012.

Creswell JW. Research Design: Qualitative, Quantitative

and Mixed Methods Approaches. 4 ed. Thousand

Oaks, CA: Sage publication; 2014.

Creswell JW. Qualitative inquiry and research design:

Choosing among five traditionsfive traditions.1998.

Mason J. Mixing methods in a qualitatively driven way.

Qualitative Research. 2006;6(1):9-25.

Wertz FJ, Charmaz K, McMullen LM, Josselson R,

Anderson R and McSpadden E. Five ways of doing

qualitative analysis : Phenomenological Psychology,

Grounded Theory, Discourse Analysis, Narrative

Research, and Intuitive Inquiry. New York: The

Guilford Press; 2011.

Bryman A. Social research methods. International Edition

ed. United Kingdom: Oxford University Press; 2016.

Abebe T. Multiple methods, complex dilemmas:

negotiating socio-ethical spaces in participatory

research with disadvantaged children. Children's

Geographies. 2009;7(4):451-65.

Punch S. Multiple methods and research relations with

young people in rural Bolivia. In: Limb MandDwyer

C,

editors.

Qualitative

Methodologies

for

Geographers. London2001. p. 165-80.

Alderson P. Ethics. 2014 2019/03/25. In: Understanding

Research with Children and Young People [Internet].

London: SAGE Publications, Inc.; [85-102].

Available

from:

http://sk.sagepub.com/books/understanding

research-with-children-and-young-people.

Alderson P and Morrow V. The ethics of research with

children and young people : a practical handbook.

nd ed. London: Sage Publications Ltd; 2011.

UNICEF. ACTION TO END CHILD SEXUAL ABUSE

AND EXPLOITATION 2020 [Available from:

https://www.unicef.org/media/89106/file/CSAE

Brief-v2.pdf.

Radford L, Allnock DandHynes P. Preventing and

responding to child sexual abuse and exploitation:

Evidence review. Preventing and Responding to

Child Sexual Abuse and Exploitation: Evidence

Review Lorraine. 2015;6(3):1-167.

Wurtele S and Miller-Perrin C. What Works to Prevent the

Sexual Exploitation of Children and Youth. 2017. p.

-97.

Schneider M and Hirsch J. Comprehensive Sexuality

Education as a Primary Prevention Strategy for

Sexual Violence Perpetration. Trauma, Violence, &

Abuse. 2018;21:152483801877285.

Millanzi WC, Osaki KM and Kibusi SM. The effect of

educational intervention on shaping safe sexual

behavior based on problem-based pedagogy in the

field of sex education and reproductive health:

clinical trial among adolescents in Tanzania. Health

psychology and behavioral medicine.

;10(1):262-90.


Full Text: PDF

Article Metrics

Abstract View : 575 times
PDF Download : 269 times

Refbacks

  • There are currently no refbacks.