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Evaluation of a Sexual and Reproductive Health Education Programme: Students’ Knowledge, Attitude and Behaviour in Bolgatanga Municipality, Northern Ghana

Jolien van der Geugten, Berno van Meijel, Marion H.G. den Uyl, Nanne K de Vries


Evaluation research concerning the impact of sexual and reproductive health (SRH) education in sub-Saharan Africa is scarce. This study obtained more insight into the knowledge, attitudes and behavioural intentions of students concerning SRH in Bolgatanga municipality in northern Ghana, and studied the effects of an SRH programme for this group. This quasi-experimental study used a pre-post-intervention design, with an SRH programme as intervention. A questionnaire was filled in by 312 students before, and by 272 students after the SRH programme. The results showed that before the programme, students answered half of the knowledge questions correctly, they thought positively about deciding for themselves whether to have a relationship and whether to have sex, and their intentions towards SRH behaviour, such as condom use were positive. The SRH intervention led to a small but significant increase in the students’ knowledge. It was also found that the attitude of the students aged 18-20 significantly improved. Finally, it was found that female students aged 18-20 were more positive towards changing their behaviour after following the SRH programme. It can be concluded that the impact of the SRH programme in general was positive. Significant effects were found for gender and age. (Afr J Reprod Health 2015; 19[3]: 126-136).

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Ghana Statistical Service (GSS), Ghana Health Service

(GHS), ICF Macro. Ghana Demographic and Health Survey 2008. Calverton, Maryland, USA: Ghana Statistical Service; Noguchi Memorial Institute for Medical Research (NMIMR); ORC Macro; 2009.

Doyle AM, Mavedzenge SN, Plummer ML, Ross DA.

The sexual behaviour of adolescents in sub-Saharan Africa: patterns and trends from national surveys. Trop Med Int Health 2012;17(7):796-807.

Ghana Aids Commission. Ghana country AIDS progress

report: Reporting period January 2010-December 2011. Accra: Ghana Aids Commission; 2012.

UNICEF. The State of the World's Children Report 2015

Statistical Tables. UNICEF; 2014.

Appiah-Agyekum NN, Suapim RH. Knowledge and

awareness of HIV/AIDS among high school girls in

Ghana. HIV AIDS (Auckl). 2013;5:137-44.

Kuumuori Ganle J, Tagoe-Darko E, Mensah CM. Youth,

HIV/AIDS Risks and Sexuality in Contemporary Ghana: Examining the Gap between Awareness and Behaviour Change. IJHSS. 2012;2(21).

Ghana Statistical Service (GSS), Noguchi Memorial

Institute for Medical Research (NMIMR), ORC Macro. Ghana Demographic and Health Survey 2003. Calverton, Maryland: GSS; NMIMR; ORC Macro; 2004.

Van Der Geugten J, Van Meijel B, Den Uyl M, De Vries

NK. Virginity, Sex, Money and Desire: Premarital Sexual Behaviour of Youths in Bolgatanga Municipality, Ghana. Afr J Reprod Health 2013;17(4):93-106.

Kumi-Kyereme A, Awusabo-Asare K, Biddlecom A.

Adolescents’ Sexual and Reproductive Health: Qualitative Evidence from Ghana. New York: Guttmacher Institute; 2007. Report No.: 30.

Awusabo-Asare K, Abane AM, Kumi-Kyereme K.

Adolescent Sexual and Reproductive Health in Ghana: A Synthesis of Research Evidence. New York: The Alan Guttmacher Institute; 2004.

Picot J, Shepherd J, Kavanagh J, Cooper K, Harden A,

Barnett-Page E, et al. Behavioural interventions for the prevention of sexually transmitted infections in young people aged 13-19 years: a systematic review. Health Educ Res 2012;27(3):495-512.

Michielsen K, Chersich MF, Luchters S, De Koker P,

Van Rossem R, Temmerman M. Effectiveness of HIV prevention for youth in sub-Saharan Africa: systematic review and meta-analysis of randomized and nonrandomized trials. Aids 2010;24(8):1193-202.

Paul-Ebhohimhen VA, Poobalan A, van Teijlingen ER.

A systematic review of school-based sexual health interventions to prevent STI/HIV in sub-Saharan Africa. BMC Public Health 2008;7(8):4.

Kirby D. Emerging Answers 2007. Research Findings on

Programs to Reduce Teen Pregnancy and Sexually Transmitted Diseases. Washington, DC: The National Campaign to Prevent Teen and Unplanned Pregnancy; 2007.

Gallant M, Maticka-Tyndale E. School-based HIV

prevention programmes for African youth. Soc Sci Med 2004;58:1337-51.

Awusabo-Asare K, Biddlecom A, Kumi-Kyereme A,

Patterson K. Adolescent Sexual and Reproductive Health in Ghana: Results from the 2004 National Survey of Adolescents. New York: Guttmacher Institute; 2006. Report No.: 22.

Your research: does it fall under the WMO. Available at: Accessed 08/21, 2014.

The Global Research Ethics Map. Available at: Accessed 08/21, 2014.

Ghana Statistical Service (GSS). 2000 Population and

Housing census. Analysis of district data and implications for planning Upper East Region. Accra: Ghana Statistical Service; 2005 August.

Ghana Statistical Service (GSS). Ghana Multiple

Indicator Cluster Survey with Enhanced Malaria Module and Biomarker, 2011, Final Report. Accra: Ghana Statistical Service; 2012.

Ghana Statistical Service (GSS). 2000 Population and

Housing census. Analysis of district data and implications for planning Upper East Region. 2005 August:1-123.

Ministry of Education. Report on Basic Statistics and

Planning Parameters for Senior High Schools in Ghana 2011/2012. Accra: Ministry of Education, Republic of Ghana; 2012.

UNDP (United Nations Development Programme Ghana

Office Accra). Bolgatanga Municipality. HUMAN DEVELOPMENT REPORT 2010. Ghana: UNDP; 2010.

Rondini S, Kingsley Krugu J. Knowledge, Attitude and

Practices Study on Reproductive Health Among Secondary School Students in Bolgatanga, Upper East Region, Ghana. African Journal of Reproductive Health 2009; December;13(4):51-66.

Adolescent Sexual Reproductive Health programmes.

Available at: Accessed 07/09, 2013.

Maticka-Tyndale E, Wildish J, Gichuru M,. Quasi-

experimental evaluation of a national primary school HIV intervention in Kenya. Eval Program Plann 2007;30:172-86.

Aberese Ako M, Akweongo P. The limited effectiveness

of legislation against female genital mutilation and the role of community beliefs in Upper East Region, Ghana. Reprod Health Matter 2009;17(34):47-54.

Ajzen I. The theory of planned behavior. Organ Behav

Hum Dec 1991;50(2):179-211.

Karim AM, Magnani RJ, Morgan GT, Bond KC.

Reproductive Health Risk and Protective Factors Among Unmarried Youth in Ghana. Int Fam Plan Perspec 2003;29(1):1424.

Van der Geugten J, Dijkstra M, Van Meijel B, Den Uyl

M, De Vries NK. Sexual and reproductive health education: opinions of students and educators in Bolgatanga municipality, northern Ghana. Sex Education: Sexuality, Society and Learning 2014; DOI:10.1080/14681811.2014.968771.

Field A. Discovering statistics using SPSS. 3rd ed. Sage

publications Ltd; 2009.


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