Process evaluation of a comprehensive sexuality education intervention in primary schools in South Western Uganda

2019 ◽  
Vol 21 ◽  
pp. 51-59 ◽  
Author(s):  
Elizabeth Kemigisha ◽  
Olena Ivanova ◽  
Gad N. Ruzaaza ◽  
Anna B. Ninsiima ◽  
Ruth Kaziga ◽  
...  
Keyword(s):  
Process Evaluation ◽  
Primary Schools ◽  
Sexuality Education ◽  
Education Intervention ◽  
Comprehensive Sexuality Education ◽  
Western Uganda

scholarly journals Evaluation of a school based comprehensive sexuality education program among very young adolescents in rural Uganda

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Elizabeth Kemigisha ◽  
Katharine Bruce ◽  
Olena Ivanova ◽  
Els Leye ◽  
Gily Coene ◽  
...  
Keyword(s):  
Primary Schools ◽  
Sexuality Education ◽  
Unwanted Pregnancy ◽  
Qualitative Evaluation ◽  
Sub Saharan Africa ◽  
Sexual Practices ◽  
Bivariate Analysis ◽  
Control Group ◽  
Young Adolescents ◽  
Comprehensive Sexuality Education

Abstract Background Limited research has been conducted on the effectiveness of sexuality education for very young adolescents (VYAs) ages 10–14 years in Sub-Saharan Africa. Furthermore, evaluations of sexuality education programs often report outcomes of risky sexual practices, yet positive aspects of sexuality are hardly studied and rarely reported. This study evaluates the effectiveness of a Comprehensive Sexuality Education (CSE) intervention for VYAs in Uganda, analyzing both positive and negative outcome indicators. Methods We conducted a mixed methods study, incorporating a cluster randomized trial (NCT03669913) among pupils in 33 randomly selected primary schools in Mbarara district. This was followed by a qualitative evaluation of the intervention in 4 schools that included 14 in-depth interviews and 3 focus group discussions distributed among pupils, teachers and parents. Quantitative data were analyzed using ordered logistic regression to compare differences in the change from baseline to endline between the intervention and control arms. We conducted bivariate analysis and multiple regression analysis controlling for key covariates, including age, gender, school location (rural vs urban), truancy, and orphanhood. Qualitative data were analyzed by thematic approach using ATLAS TI. Results Between July 2016 and August 2017, 1096 pupils were recruited. Outcomes were studied among 380 pupils in the intervention arm and 484 pupils in the control arm. The proportion of pupils who ever had sex increased from 9 to 12.1% in intervention compared to 5.2 to 7.4% in the control group between baseline and endline, however the differences between groups were not statistically significant. We found greater improvements in sexual and reproductive health (SRH) knowledge among intervention schools (AOR: 2.18, 95% CI: 1.66–2.86) and no significant differences in self-esteem, body image or gender equitable norms. Qualitative evidence echoes perceived SRH knowledge acquisition, increased their perception of SRH related risks, and intentions to delay sexual intercourse to prevent unwanted pregnancy, HIV and other STIs. Conclusion This study demonstrates that CSE can improve SRH knowledge and behavioral intentions among VYAs in Uganda. These results further emphasize the importance of initiating sexuality education before most adolescents have started engaging in sexual activity, enabling them to make informed decisions in the future. Trial registration NCT03669913, registered retrospectively on September 13th, 2018.

scholarly journals Effect of a health education intervention on intestinal parasitic infections in Bolivian children

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Lastrucci ◽  
M Spinicci ◽  
F Macchioni ◽  
S Gabrielli ◽  
A L Villagran ◽  
...  
Keyword(s):  
Health Education ◽  
Primary Schools ◽  
Parasitic Infections ◽  
Education Intervention ◽  
Intestinal Parasitic Infections ◽  
School Year ◽  
School Based ◽  
Sanitation And Hygiene ◽  
Health Education Intervention ◽  
Key Events

Abstract Backgrounds Intestinal parasitic infections (IPI) are a major health issue for children of low- and middle-income countries. Water, sanitation and hygiene (WASH) practices are crucial for preventing IPI. The aim of the study was to evaluate the effects of a school-based health education intervention on handwashing behavior and IPI prevalence in children Methods This is a randomized intervention trial in 8 primary schools in rural communities over the course of 3 school years; preliminary results from the first two years of the trial are here presented. Schools were randomly selected and assigned in a 1:1 ratio to intervention or control (no intervention) groups. For each school year, the intervention included 14 school-based educational sessions and 2 skit events, involving children aged 8-12 years. Knowledge, attitude and practice questionnaire and handwashing at key events was assessed at the beginning and end of each school year. IPI prevalence was assessed with repeated cross-sectional parasitology surveys 12 months apart, involving a minimum of 50 children for each school Results At baseline, no significant differences between intervention and control schools were present in the proportion of children who washed their hands at key events (7.2% vs 9.3%, p = 0.28), in IPI (79.4% vs 75.3%, p = 0.3) and multiple parasitic infections (MPI) prevalences (47.6 vs. 38.6; p = 0.051). At the end of the second year, the percentage of children who washed their hands at key events was significantly higher in the intervention schools (75.4% vs 12.1%, p < 0.001), and the prevalence of IPI and MPI in the intervention schools were respectively about 25% and 15% lower than in the control schools (respectively, 42.9% vs 67.8%, p < 0.001; 16.1% vs 31.6%, p < 0.001) Conclusions A school-based health education intervention could achieve significant changes in hand-washing behaviors and reduction in the prevalence of IPI in children. The third year survey results are needed to confirm these findings Key messages An health education intervention on water, sanitation and hygiene (WASH) practices can reduce the risk of IPI infection in children. An health education intervention on water, sanitation and hygiene (WASH) practices could be configured as a sustainable long-term approach to intestinal parasitic infections control in children.

scholarly journals Scaling up comprehensive sexuality education in Nigeria: from national policy to nationwide application

Sex Education ◽  
2013 ◽  
Vol 14 (2) ◽  
pp. 191-209 ◽  
Author(s):  
Silvia Huaynoca ◽  
Venkatraman Chandra-Mouli ◽  
Nuhu Yaqub Jr. ◽  
Donna Marie Denno
Keyword(s):  
Sexuality Education ◽  
National Policy ◽  
Scaling Up ◽  
Comprehensive Sexuality Education

scholarly journals A Combined Impact-Process Evaluation of a Program Promoting Active Transport to School: Understanding the Factors That Shaped Program Effectiveness

2013 ◽  
Vol 2013 ◽  
pp. 1-14 ◽  
Author(s):  
S. Crawford ◽  
J. Garrard
Keyword(s):  
Mixed Methods ◽  
Process Evaluation ◽  
Active Transport ◽  
Primary Schools ◽  
Quantitative Data ◽  
Program Effectiveness ◽  
Primary School Children ◽  
Second Phase ◽  
Program Staff ◽  
Impact Process

This mixed methods study was a comprehensive impact-process evaluation of the Ride2School program in metropolitan and regional areas in Victoria, Australia. The program aimed to promote transport to school for primary school children. Qualitative and quantitative data were collected at baseline and followup from two primary schools involved in the pilot phase of the program and two matched comparison schools, and a further 13 primary schools that participated in the implementation phase of the program. Classroom surveys, structured and unstructured observations, and interviews with Ride2School program staff were used to evaluate the pilot program. For the 13 schools in the second phase of the program, parents and students completed questionnaires at baseline (N= 889) and followup (N= 761). Based on the quantitative data, there was little evidence of an overall increase in active transport to school across participating schools, although impacts varied among individual schools. Qualitative data in the form of observations, interviews, and focus group discussions with students, school staff, and program staff provided insight into the reasons for variable program impacts. This paper highlights the benefits of undertaking a mixed methods approach to evaluating active transport to school programs that enables both measurement and understanding of program impacts.

scholarly journals Challenges to implementing national comprehensive sexuality education curricula in low- and middle-income countries: Case studies of Ghana, Kenya, Peru and Guatemala

PLoS ONE ◽  
2018 ◽  
Vol 13 (7) ◽  
pp. e0200513 ◽  
Author(s):  
Sarah C. Keogh ◽  
Melissa Stillman ◽  
Kofi Awusabo-Asare ◽  
Estelle Sidze ◽  
Ana Silvia Monzón ◽  
...  
Keyword(s):  
Case Studies ◽  
Sexuality Education ◽  
Middle Income ◽  
Comprehensive Sexuality Education ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Assessing Comprehensive Sexuality Education Programs in the Democratic Republic of the Congo: Adolescents’ and Teachers’ Knowledge, Attitudes and Practices towards Contraception

Health ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 1428-1444
Author(s):  
Dieudonné Mpunga-Mukendi ◽  
Faustin Mukalenge Chenge ◽  
Mala Ali Mapatano ◽  
Thérèse Nyangi Mondo Mambu ◽  
Gilbert Utshudienyema Wembodinga
Keyword(s):  
Sexuality Education ◽  
Democratic Republic ◽  
Education Programs ◽  
Comprehensive Sexuality Education ◽  
Attitudes And Practices ◽  
Republic Of The Congo ◽  
Knowledge Attitudes And Practices

Sexuality Education Intervention for Parents of Children With Disabilities: A Pilot Training Program

2020 ◽  
Vol 31 (3) ◽  
Author(s):  
Kristen Clatos ◽  
Matthew Asare
Keyword(s):  
Sexuality Education ◽  
Children With Disabilities ◽  
Sexual Communication ◽  
Pilot Training ◽  
Control Group ◽  
Education Intervention ◽  
Post Intervention ◽  
Paired Samples ◽  
Significant Difference ◽  
Within Subjects

The purpose of the study is to evaluate pilot sexuality education intervention for parents of children with disabilities between ages between 6 and 25 years old. A within subjects design was utilized and 15 parents of children with disabilities were recruited to receive a two-week sexuality education without a control group. A paired-samples t-test results showed that there was a significant difference between the participants’ pre-test and post intervention scores in their attitude and beliefs, sexual communication, knowledge, and self-efficacy of sexuality education among children with disabilities (all p<.001). The intervention change the participants sexual communication behavior and increased knowledge about sexuality education among parents of children with disabilities.

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