Implementation evaluation of an iron supplementation programme in high-school students: the crosswise model

2019 ◽  
Vol 22 (14) ◽  
pp. 2635-2642
Author(s):  
Mortaza Banayejeddi ◽  
Sima Masudi ◽  
Sakineh Nouri Saeidlou ◽  
Fatemeh Rezaigoyjeloo ◽  
Fariba Babaie ◽  
...  

AbstractObjective:To evaluate the implementation of the national health promotion programme (through nutritional education and Fe supplementation) among female high-school students in Iran and to assess the application of the crosswise model (CM) for evaluating the programme’s implementation.Design:Two cross-sectional surveys in female high-school students, one using the direct questioning (DQ) method and the other using the CM, were conducted. Two survey questionnaires used to collect the data contained questions about three aspects of the programme: delivering the Fe supplements, consuming them and holding nutritional training sessions.Setting:Female high schools, West Azerbaijan Province, Iran.Participants:A sample of 2180 students, of whom 1740 were surveyed by the CM and 440 were interviewed by DQ.Results:The CM resulted in estimates that were consistently lower than the estimates of the DQ. The proportion of students in the DQ and CM who reported receiving the pills weekly and on a regular basis was 73·2 and 22·5 %, respectively. About 43 and 31 % of students in the DQ and CM surveys reported consuming all pills delivered to them. In the DQ method, only 12 % of students who reported the number of pills consumed had taken the complete dose (sixteen pills).Conclusions:Implementation of the Fe supplementation programme in female high schools was poor and insufficient, so that it seems unsuccessful in reducing Fe-deficiency anaemia in adolescent girls. The CM might be considered for evaluating the health programme’s implementation at high schools.

2020 ◽  
Author(s):  
Amana Erreso ◽  
Aliye Adem ◽  
Abenet Gurara ◽  
Yirga Amare

Abstract BACKGROUND: Unintended pregnancy which ends up majorly with induced abortion is the leading cause of maternal mortality and morbidity around the globe. Youths are more prone to unintended pregnancy because of the rising level of premarital sexual practice across all parts of the world. This raising level of premarital sex can be partly explained by the fact that youths face various problems in regulating fertility through the use of modern contraceptives. Lack of information, socio-cultural, economic barriers in accessing contraceptives, violence as well as socio-cultural beliefs impede major role in preventing unintended pregnancy. OBJECTIVE: To assess the prevalence and determinants of unintended pregnancy among female high school students of Arsi Zone. METHODOLOGY: Institutional based cross-sectional study was conducted between February and August 2018 G. Data was collected using a self-administered questionnaire. A multi-stage sampling procedure was employed to reach 830 respondents. A bivariate analysis was carried out to examine the relationship between unintended pregnancy and explanatory variables. Variables that were statistically significant (with p-value <0.05) at the bivariate level were included in the multivariate logistic regression to control confounding factors and determine the independent determinants of unintended pregnancy among high school students. RESULT: Forthy five (30%) of the respondents reported that they were pregnant at the time of the study period. Of the study participants who had been pregnant, 28(62.22%) students got their pregnancy at the age of 16 and 17; and 6(13.33%) got pregnant at the age of 18 and 19. Age at first sexual intercourse, using contraceptive methods, drinking alcohol, chewing kchat, lack of knowledge, and failure to discuss reproductive health information with families were significant predictors of unintended pregnancy. CONCLUSION: The prevalence of unintended pregnancy among the study participants is high (29.3%), and almost all were ended up with abortion. Most reasons reported for having unwanted pregnancy were that they were still in school and they don’t have money to take care of their baby. Keywords: Prevalence, Untended pregnancy, Arsi Zone


Retos ◽  
2018 ◽  
pp. 196-200
Author(s):  
Jesús José Gallegos-Sánchez ◽  
Francisco Ruiz-Juan ◽  
Mario Alberto Villarreal-Angeles ◽  
Jorge Isabel Zamarripa Rivera

El propósito del estudio fue analizar las etapas de cambio ante la práctica de actividad física en el tiempo libre en estudiantes de educación secundaria de la Ciudad de Victoria de Durango, México. El marco teórico empleado fue el Modelo Transteórico. Se diseñó un estudio cuantitativo, observacional-descriptivo de corte transversal. La muestra fue 1112 estudiantes de secundaria, edades entre los 12 y 15 años (M= 13.52; ±.92); el 52.6% fueron chicas y 47.4% chicos; 37.2% de primer curso, 33.9% segundo, 28.9% de tercero; 69% de turno matutino y 31% vespertino; el 25.5% inscritos en de secundarias Generales Federales, 36.6% Técnicas Federales y 37.9% Estatales; 15.5% en secundarias con índice de marginación urbana alto, 29% medio, 12.2% bajo y 43.4% muy bajo. Se administró el cuestionario de etapas de cambio hacia la práctica del ejercicio físico. El análisis de datos fue realizado por medio de estadística descriptiva y prueba de Chi2. Los principales resultados advierten que la mayoría de los estudiantes(60.4%) están en etapas de cambio poco activas o inactivas (no ofrecen beneficios a la salud); los chicos son más activos (51.7%)que las chicas (29.1%); los estudiantes más activos son los de secundarias Federales Generales así como los de primer curso; cuando el índice de Marginación Urbana bajael porcentaje de estudiantes en etapas más activas o con beneficios para la salud aumenta. Concluyendo que es importante considerar las etapas de cambio de comportamiento para planificar estrategias de modelos educativos. The purpose of the study was to analyze the change stages to practice of physical activity within free time in high school students of the City of Victoria of Durango, México. The theoretical framework used was the trans-theoretical model. It was designed a quantitative, observational-descriptive cross-sectional study. The sample was 1112 high school students, with ages between 12 and 15 years (M = 13.52; ± .92), (52.6% girls and 47.4% boys, 37.2% first, 33.9% second and 28.9% of third deggre 69% morning shift and 31% evening shift, 25.5% Federal General High Schools, 36.6% Federal Techniques and 37.9% Local, 15.5% high urban marginalization index, 29% medium level, 12.2% low and 43.4% very low. The questionnaire of stages of change towards the practice of physical exercise was administered. The data analysis was performed by means of descriptive statistics and proof of Chi2. The main results the majority of students (60.4%) are established in non-active or inactive stages of change that do not offer any health benefits; boys are more active (51.7%) than girls (29.1%); the students of the Federal General High Schools are the most active, as well as those in the first year; In relation to the IMU, as it improves, the percentages of students increases with more active stages or with health benefits. Concluding It is important to consider the stages of behavior change to plan strategies for educational models.


2021 ◽  
Author(s):  
Wassachew Ashebir ◽  
Abiot Ayichew

Abstract Background: Sexual and gender based violence (SGBV) continues to be a concern of health, sexual and reproductive rights, sustainable peace and development issue that cuts across boundaries, cultural backgrounds and socio-economic groups to touch individuals of every sort around the world. SGBV remains one of the greatest inequalities of our time that takes life, violates the right they are entitled with, and seriously endangers women and girl’s mental and physical wellbeing, as well as sexual and economical security. This study aimed to assess the prevalence and associated factors of sexual and gender based violence among female high school students in Debre Markos Town, North West Ethiopia:. Methods: An institutionally based-cross-sectional study was conducted among 309 randomly selected female high school students in Debre Markos Town. Data was collected using self- administered questionnaire. Data was analyzed using multivariate logistic regression with odds ratio and 95% confidence interval to identify factors associated with sexual and gender based violence. Statistical significance was declared at p-value < 0.05.Results: The lifetime prevalence of GBV, sexual violence, and physical violence were found to be 47.0, 23.3, and 39.5%, respectively. The prevalence of sexual violence in the current academic year was 13.2%. Ever drink alcohol (AOR = 0.39; 95% CI: 0.18–0.86), have friends using substances (AOR = 0.26; 95% CI: 0.09–0.82), Grade level (AOR = 3.15; 95% CI: 1.32–7.48), witnessing parental conflict (AOR = 0.29; 95% CI: 0.17–0.52), ever discuss gender related issues (AOR = 2.23; 95% CI: 1.31–3.78) and living condition of students (AOR = 3.53; 95% CI: 1.55–8.07) were significantly associated with gender-based violence.Conclusion: The prevalence of sexual and gender-based-violence was high. This needs further intervention like awareness creation at school and community settings should be strengthened.


Author(s):  
Katie Wittmann ◽  
Beth Savan ◽  
Trudy Ledsham ◽  
George Liu ◽  
Jennifer Lay

This study surveyed attitudes, behaviors, social norms, and perceived control among the populations of students at three high schools in downtown Toronto, Ontario, Canada. The results showed a pattern of hesitancy to cycle on the part of female high school students compared with their male counterparts. Young women reported less access to a bicycle, less comfort or confidence in riding, more fear associated with cycling, and less ability to decide independently how to travel to school. The study identified two important variables that were likely associated with young women's smaller participation in cycling to school: overall cycling mode share and ability to decide their travel mode independently. The former variable tracked findings for the general population, and the latter appeared to have been associated with the proximity of immigration, as families might have brought associations of danger to independent female travelers from their countries of origin or perceived new dangers in Canada. While the former association is well established, the latter hypothesis warrants further research.


2020 ◽  
Vol 2 (2) ◽  
pp. 108-115
Author(s):  
Herpan Syafii Harahap ◽  
Novrita Padauleng ◽  
Nurhidayati Nurhidayati ◽  
Yanna Indrayana

Breast cancer is one of the main women's health problem in the world, including Indonesia. Efforts to control this disease can be increased through education to the women community about the breast examination method named SADARI. This is simple but effective method to be used as a primary breast cancer prevention strategy. This method aims to find breast abnormalities routinely checked every month in women aged 18 and above. Therefore, educational efforts regarding the SADARI method for female high school students are expected to increase their knowledge about this method. The educational effort was carried out by disseminating information about SADARI method using poster media on female high school students in Mataram City. Pre-test and post-test are used to to evaluate the increase of their knowledge about the SADARI method. About 40 participants from SMAN 2, SMAN 3, SMAN 4, and SMAN 7 Mataram have participated in this dissemination activities of SADARI education method. There was an increase in student knowledge in the four high schools based on differences in the total mean pre-test and post-test scores (56 vs 82, p=0,000) as well as the average differences in each of the high schools, namely 58 vs 88 (SMAN 2); 50 vs 82 (SMAN 3); 52 vs 78 (SMAN 4); 64 vs 80 (SMAN 7). As many as 80% of students (32) experienced an increase in knowledge, and 20% did not show an increase in knowledge. This shows that this dedication activity can significantly increase students' knowledge about SADARI methods.


2020 ◽  
Vol 10 (3-s) ◽  
pp. 150-158
Author(s):  
Koyra Hailu ◽  
Argo Mekuanint ◽  
Kara Niguse ◽  
Tufa Efrata

Background: Sexual violence is a major concern of society as physical and mental harm endured by women is extremely destructive. However, little is known about sexual violence within the study area. Therefore, current study aimed to assess the prevalence and associated factors of sexual violence among female high school students in Soddo town, Southern Ethiopia. Methodology: A cross sectional study was conducted using pretested, structured self-administered questionnaire. Data analysis was done using SPSS and the presence of association was assessed using bivariate test. Multivariable logistic regression was used to control confounding effects and the strength of association was estimated in odds ratio with 95% confidence interval. Results: The prevalence of life time rape among female students was found to be 25.8%. The odds of experiencing life time rape was higher among students who had more than one sexual partner (AOR= 9.11; 5.52, 15.04). Substance abuse is significantly associated with life time rape that the chance of experiencing rape among students who were chewing chat was higher (AOR=6.09; 1.57, 23.69) than their counterparts. Conclusion: High level of rape among female high school students was found in Sodo town. Chewing chat and having more than one sexual partner had statistically significant association with life time rape. Keywords: Sexual violence, Wolaita, Ethiopia, Soddo


2019 ◽  
Vol 19 (3&4) ◽  
pp. 136
Author(s):  
Basuki Rachmat ◽  
Andi Susilowati

<p><strong>Background:</strong> Student performance determines learning achievement and how students absorb lessons in class. One of the factors that cause student performance to decline is physical fatigue, which arises because of the classroom’s physical environment that does not support the teaching and learning process. <strong>Purpose:</strong> This study was conducted to determine the relationship between classroom’s physical environmental conditions and fatigue among high school students. <strong>Methods:</strong> The study design used was cross-sectional. Data collection included measurements of physical environmental parameters (humidity, temperature, lighting, noise, air flow, ventilation, temperature control, room capacity, room area ratio per person, and school location) and measurements of fatigue among students using the Subjective Self Rating Test in the form of questionnaire. Total sample was 448 students in 10 private high schools, with inclusion criteria: the students are not sick in the last two weeks and 10th and 11th grade students from 10 private high schools. <strong>Results:</strong> The research showed classroom’s physical environmental factors that affect fatigue among student’s included temperature, relative humidity, air flow, and air conditioner. While the most dominant indicator that was related to the occurrence of students’ fatigue was sex. <strong>Conclusion:</strong> Further research is needed on other factors that may cause fatigue among students in the classroom to support the conclusion of this research.</p>


2018 ◽  
Vol 5 (1) ◽  
pp. 39
Author(s):  
Citra Ahiyanasari Ervina Ahiyanasari ◽  
Ira Nurmala

Teenagers are susceptible to deviant sexual behavior  such as premarital sex behaviors. The number of teens who do  premarital sex tend toincrease every year. Premarital sex is at risk of causing unwanted pregnancy and transmission of sexually transmitted diseases. This research aims to understandrelated factors with the intention to prevent premarital sex among female high school students . This is a analytic study used cross sectional design. Sampling was done randomly with a total sample of 75 respondents. Results of this research were analyzed using Gamma correlation test with significance level (α= 0.05). The results of statistical tests indicate that there is a positive relationship between knowledge (p value = 0.007 < α = 0.05) with the intention of preventing premarital sex.  Other factors such as the knowledge factors, media usage, attitudes,  subjective norms, perceived control is not associated with the intention to prevent premarital sex. The results showed that respondents have a good experience  to prevent premarital sex. Efforts to increase knowledge about preventing  premarital sex and monitoring the use of media is very necessary for adolescent to have intention to prevent premarital sex.  Keyword : premarital sex, high school , prevention


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