Economic evaluation of health education programs: The case of adolescent reproductive health in Vietnam

Author(s):  
Nguyen Quynh Anh ◽  
Nicholas Graves ◽  
Michael Dunne ◽  
Nguyen Thanh Huong
2019 ◽  
Vol 120 (11/12) ◽  
pp. 723-742 ◽  
Author(s):  
Hussein Haruna ◽  
Zamzami Zainuddin ◽  
Robin R. Mellecker ◽  
Samuel K.W. Chu ◽  
Xiao Hu

Purpose Digital technology has great potential for educating today’s digitally oriented adolescents on health. In particular, digital health gamified learning can make the promotion of the sexual well-being of adolescents more effective. Although venereal diseases such as HIV/AIDS have become a greater problem in Sub-Saharan African (SSA) countries than in any country outside of Africa, little is publicly known about the development of gamified learning for use in counter-measures. This paper aims to address that deficit by presenting the process of developing one such game. The paper highlights how the “My Future Begins Today” game for sexual health education was developed, evaluated and refined in the real-world of low-tech settings and made improvements based on the response of users. Design/methodology/approach Design-based research (DBR) was used to guide the design, develop, test and refine the digital game in iterative cycles. The evaluation of the effectiveness of iterations of the game was done using adolescent sexual health literacy tests and the validated Motivation, Attitude, Knowledge and Engagement framework, the authors developed based on existing approaches. That framework combines the elements of motivation, attitude, knowledge and engagement, effectiveness was evaluated based on the game’s ability to motivate students, improve their attitudes, increase their acquisition of knowledge and engage them in learning self-rating surveys and interviews. The whole process of game design, testing, evaluation and refinement were underpinned by the activity theory, DBR and participatory design (PD) research. Findings Participants in the gamified learning platforms demonstrated higher average scores on their post-tests than their counterparts subjected to the traditional teaching classroom. Also, gamified learning groups commented positively on the effectiveness of their instructional approach than their counterparts in the traditional learning group. The stakeholders’ involvement in developing gamified learning provided a good understanding of the importance of the game to the adolescent students and how it was going to be used to address the problem identified. The application of PD contributed to the effectiveness of the game. It involved various actors from various fields who were relevant to the game. Also, engaging targeted users from the beginning resulted in the creation of a better correspondence with the preferences of end-users. Practical implications This study has contributed to a better understanding of sex education and knowledge in the area of adolescent reproductive health issues, using developed innovative game mechanics features and its applicability in low-tech settings. Originality/value The study will be a recommendation for future researchers in applying this gamified learning concept and its suitability in their teaching practice, particularly regarding sexual health education and adolescent reproductive health issues in low-tech settings of SSA.


2021 ◽  
Vol 4 (5) ◽  
pp. 1034-1042
Author(s):  
Veronica Silalahi

ABSTRAK Kesehatan reproduksi remaja adalah suatu kondisi sehat yang menyangkut sistem, fungsi dan proses reproduksi yang dimiliki oleh remaja. Masalah kesehatan reproduksi yang bisa terjadi akibat perilaku berisiko  seperti ketidaksiapan menghadapi konflik perkawinan atau aborsi, seks pranikah, kekerasan seksual, penyimpangan perilaku seksual, gangguan kesehatan, penyakit kelamin, kematian yang disebabkan oleh organ reproduksi yang belum matang. Masih tingginya masalah kesehatan reproduksi tersebut dapat dipengaruhi oleh masih kurangnya pengetahuan/pemahaman remaja mengenai kesehatan reproduksi. Pengabdian masyarakat melalui kegiatan pendidikan kesehatan dilakukan secara daring atau online melalui zoom meeting pada 20 responden remaja di Taruna Swastika Yuwana Desa Laban Kulon Kecamatan Menganti, Kabupaten Gresik. Kegiatan pendidikan kesehatan diawali dengan pemberian pre test dan setelah diberikan pendidikan kesehatan, responden diberikan post test melalui google form. Terdapat peningkatan pengetahuan setelah diberikan pendidkan kesehatan. Peningkatan pengetahuan dan pemahaman remaja tentang kesehatan reproduksi, dapat membantu remaja berperilaku sehat dan dapat merubah perilaku menjadi lebih baik. Kata kunci : Pendidikan Kesehatan, Kesehatan Reproduksi Remaja, Remaja  ABSTRACTAdolescent reproductive health is a health condition that concerns the reproductive systems, functions, and processes of adolescents. Reproductive health problems can occur due to risky behavior such as unpreparedness to face marital conflicts or abortion, premarital sex, sexual violence, sexual behavior deviations, health problems, venereal diseases, death caused by immature reproductive organs. The high rate of reproductive health problems can be influenced by the lack of knowledge or understanding of adolescents about reproductive health. Community service through health education activities is online by zoom meetings on 20 teenage respondents at Taruna Swastika Yuwana, Laban Kulon Village, Kec. Menganti District, Kab. Gresik. Health education activities begin with giving a pre-test and after being given health education, respondents are given a post-test by a google form. There is an increase in knowledge after being given health education. Increased knowledge and understanding of adolescents about reproductive health, can help adolescents behave healthily and can change behavior for the better  Keywords: Health Education, Adolescent reproductive health, Adolescent


EMBRIO ◽  
2021 ◽  
Vol 13 (1) ◽  
pp. 71-79
Author(s):  
Eko Winarti ◽  
Fauziah Laili ◽  
Teguh Pramono ◽  
Sondang Sidabuntar

Adolescent Reproductive Health (ARH) problems are currently increasingly concerning, this is due to the low knowledge of adolescents about ARH. Increasing knowledge of adolescents about ARH can be done through adolescent health education. Research objectives to see the needs of students about adolescent health education. Research design using cross-sectional. Consists of all students at the Kota Kediri. The sample of some students was 35 respondents using the cluster random sampling technique. Data were collected by questionnaires and interviews. Data analysis using the statistical test of rank spearman. The results showed that almost all respondents had low knowledge (85.7%), mostly good psychological conditions (71.4%), almost all of the level needs assessment of ARH education was high (82.9%). The ARH education method attracted the most questions and answers (88%). ARH media education is the most popular video (86%). The most popular ARH education material was how to care for organs (95%). Almost all of the presenters of ARH education chose health workers (92%). There is a significant relationship between knowledge and the need level of the ARH education assessment, but there is no relationship between psychological conditions and the assessment of the needs of the ARH education level at Kota Kediri in 2021. Based on this research it can be denied that ARH education is needed by students and in delivering the program. ARH education in higher education is adjusted based on student needs.


2014 ◽  
Vol 6 (2) ◽  
pp. 98-100 ◽  
Author(s):  
Neema Acharya ◽  
Sabiha LNU ◽  
Shaveta Gupta ◽  
Rutuja Athavale

ABSTRACT This study assessed the effect of training program on teachers’ knowledge of and attitude toward reproductive health education/ sexuality education (RHE/SE) in five randomly selected rural schools in rural area of Wardha district, Maharashtra, India. All the 40 teachers in the selected were recruited for the study. They (40 teachers) were all given training in RHE/SE for 1 month. Their knowledge and attitude toward RHE/SE were assessed pre-and post-training program. The results show a significant increase in percentage of those who had good knowledge in general areas of RHE/SE at post-training assessment compared with pretraining assessment [from 14.3% to 53.6%, p = 0.0001). Also, pre-post attitudinal disposition assessments show that there was an increase in percentage of those who were favorably disposed to the teaching of RHE/SE. The study suggests that RHE/SE should be included and made compulsory in all training program for all teachers in india. How to cite this article Acharya N, Sabiha, Hariharan C, Gupta S, Athavale R. Study of Change in Knowledge and Attitude of Secondary School Teachers toward Adolescent Reproductive Health Education after Training Program in Rural Schools of Wardha District, Maharashtra. J South Asian Feder Obst Gynae 2014;6(2):98-100.


2018 ◽  
pp. 235-240
Author(s):  
Zulkifli Rahman ◽  
Muhammad Ikhtiar ◽  
Sitti Patimah

Adolescent reproductive health from 60 students acquired knowledge about reproductive health is still less well because it required the intervention of reproductive health education for adolescents. This research aims to analyze the influence of educational interventions to change the behavior of adolescents about the reproductive health of teenagers. The methods used in this research was Quasi-Experimental Designs using's draft One Group Pretest-Posttest Design. This research was conducted 11 South Regency Sinjai SMAN Sinjai this research was conducted in March 2018, the instrument of this research material, reproduction health education questionnaire, and pieces of inform consent. The population in this research as much as 342 students with a large sample of the minimum required were 55 people. The results of this study found that there is an influence of knowledge about adolescent reproductive health adolescents before and after the educational intervention is given with a value p-value = 0.000. There is the influence of teen attitudes about adolescent reproductive health before and after the educational intervention provided p-value = 0.000. There is the influence the actions of teenagers on teenage reproductive health before and after the educational intervention provided p-value = 0.000. There is the influence the behavior of adolescents about reproductive health adolescents before and after the educational intervention provided p-value = 0.000. Adolescent reproductive health education interventions provide a significant influence on the behavior of adolescent reproductive health in 11 Southern Sinjai SMAN. Emotional support from related parties is expected to be able to form a positive attitude. Health education is expected to be a routine monthly agenda implemented into schools.


2010 ◽  
Vol 49 (177) ◽  
Author(s):  
S Roy

INTRODUCTION: The study was done to assess the educational needs of the adolescent girl students regarding their reproductive health. METHODS: The data were collected by administering an open-ended self-administered questionnaire to the participating students seeking their opinion on several issues related to adolescent reproductive health. RESULTS: The students preferred their teachers next only to doctors as health educator. Their health problems included menstrual problems, weakness, eye problems, headache and weight gain. Other problems were tension with studies, inability to concentrate, depression and irritability. Two most important areas of their concern are safe motherhood and AIDS. CONCLUSIONS: Need exists for reproductive health education. Keywords: adolescent, reproductive health education, school.


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