Evaluation of a school-based Reproductive Health Education Program in rural South Western, Nigeria
), William R. Brieger(2),
(1)
(2)
Corresponding Author
Abstract
This quasi-experimental study compared the relative efficacy of teacher instructions alone, peer education alone, and a combination of these two on reproductive health knowledge, attitude, perceived self-efficacy and sexual practices among secondary schools students in the Ibarapa district of Southwestern Nigeria. A baseline questionnaire was administered to a systematic sample of students in four schools that were randomized into four treatment arms: teacher instructions alone (E1), peer education alone (E2), combination of teacher instruction and peer education (E3), and control. The results were used to design the contents of the interventions, which were implemented for one academic session. A follow-up survey using the same sampling procedures as baseline was conducted to measure the outcome of the intervention. The control group had superior reproductive health knowledge at baseline. By follow-up survey however, all three intervention schools showed significant knowledge gains, while the control school students' mean score increased slightly. Increase in knowledge was greatest among E3 (+5.0 points), followed by E2 (+3.4), E1 (+1.4) and C (0.3). The intervention schools showed a significant positive shift in attitude towards use of contraceptives with mean increase of 0.6, 0.5, and 0.9 points in E1, E2 and E3 respectively. Scores that measured the students' perceived self-efficacy for safe sex increased significantly among E1 (from 10.8 to 11.8) and E3 (from 10.4 to 12.6). Reported condom use was significantly higher among E2 (from 16.7 % to 62.8%) (p<0.05) and E3 (from 22.8% to 53%) (p<0.05) compared to E1 (28.6% to 47.4%) (p>0.05) and control (from 25% to 45.8%) (p>0.05). Overall, the students from E3 showed more improvement in knowledge, attitude and self-efficacy, than their counterparts from E2 and E3 and control. Multiple intervention strategies have greater potential of improving reproductive health of students. (Afr J Reprod Health 2007; 11[2]:47-59).
References
Makinwa-Adebusoye, P Sexual behavior, reproductive knowledge and contraceptive use among young urban Nigerians. Inter Fam Plan Pers 1993; 18, 66-70
National Population Commission (2007). 2006 Provisional Census figures
Jinadu, MK, Odesanmi, WO. Adolescent sexual behavior and condom use in Ile-Ife, Nigeria. Clin Nurs Res, 1993; 3 (2): 111- 118.
Amazigo U, Silva N, Kaufman J and Obikeze DS. Sexual activity and contraceptive knowledge and use among in-school adolescents in Nigeria. Inter Fam Plan Pers, 1998; 23(1): 28-33
Ajuwon AJ, McFarland W, Hudes ES, Adedapo S, Okikiolu T and Lurie P. HIV risk-related behavior, sexual coercion, and implications for prevention strategies among female apprentice tailors in Ibadan, Nigeria. AIDS and Behavior 2002; 6 (3): 229-235
Ekweozor CC, Olaleye OD, Tomori O, Saliu I, Essien EM, Bakare RA, Oni AA, Oyewo OO, Okesola AO and Oyemenen IN. Clinical epidemiology of STD patients seen in Ibadan. Afr J. of Med Med Sci, 1995, 24: 321-7.
Federal Ministry of Health (2000). Summary of 1999 findings for HIV/syphilis surveillance, Lagos, Nigeria.
Fawole, OI (1996) The effectiveness of a school based AIDS/HIV education programme on the knowledge, attitude and sexual behavior of students in Ibadan North Local Government Area. FWACP dissertation, Faculty of Public Health, West African College of Physicians.
Osowole, OA (1998) Effectiveness of AIDS education using sign language among deaf secondary school students in Ibadan, Nigeria. PhD Thesis of the University of Ibadan.
Association for Reproductive and Family Health (1998) The West African Youth Initiative: Promoting change in adolescent health through peer education
Oladepo O and Brieger WR (2003). Evaluation of a reproductive health program among out-of-school youths in Oyo state, Nigeria. Unpublished Report of Rockefeller Foundation Project.
Oladepo O (1999). Use of male peer education to promote reproductive health of secondary school students in rural Oyo State, Nigeria. Report of a project on MacArthur Fund for Leadership Development
National Primary Health Development Agency. Federal Ministry of Health, Lagos, Nigeria
Ososanya, OO, Brieger, WR. Rural-urban mobility in southwestern Nigeria: implications for HIV/AIDS transmission from urban to rural communities. Health Edu Res,1994; 9 (4): 507-518
Olusanya PO. The barriers to family planning among the Yoruba. Stud Fam Plan, 1969; 37: 13-16
Brieger WR, Delano GE, Lane C, Oladepo O and Oyediran K. West African Youth Initiative: outcome of reproductive health education program. J Adoles, 2001; 29; 436-446 17.
Coates T (1991). Principles of behaviour change. Network. Family Health International, 12 (1): 3-5,
Oladapo, O and Brieger, WR. Reproductive Knowledge, attitudes and behaviour of secondary school students in Akure, Nigeria. Int Quart Comm Health Edu, 1997;16 (4): 341-358 19.
Rickert, VI, Jay, MS and Gottlieb A. Effects of a per-counselled AIDS education programme on knowledge, attitudes and satisfaction of adolescents. J Adoles Health 1991; 12 (1): 38-43
Akpan, E. The efficacy of peer education on knowledge and attitudes towards use of psychoactive substances among secondary school students in Igbo-ora, Nigeria. MPH dissertation of the University of Ibadan
Fishbein, M and Middlestadt.. Using the theory of reasoned action to develop educational interventions: applications to illicit drug use. Health Edu Res 1987; 2 (4): 361-372
Aral, SO (1992) Sexual behavior as a risk factor for sexually transmitted diseases. In: Reproductive tract infections: global impact and priorities for women's reproductive health (Ed) Germain K. K, Piot P and Wasserhelt Plenum press, New York, 185-198
Howard, M, McCable, JB. Helping teenagers postpone sexual involvement. Inter Fam Plan Pers 1992; 22: 21-26.
Brieger, WR, Ramakrishna, J, Adeniyi, JD and Lekwa, MU. Primary schools: making teaching relevant to local issues. Educ Health 1985; 2 (1): 39-46
Ekeh, HE (1987) intervening in social and behavioural dimensions of tropical diseases control among secondary schools children: An extra curricular approach. Ph. D. thesis of the University of Ibadan
Article Metrics
Abstract View
: 598 times
Download : 226 times
Refbacks
- There are currently no refbacks.
