Sexual and reproductive health in schools in Fiji: a qualitative study of teachers' perceptions

2020 ◽  
Vol 120 (1) ◽  
pp. 57-71
Author(s):  
Sharan Ram ◽  
Masoud Mohammadenzhad
Keyword(s):  
Health Education ◽  
Reproductive Health ◽  
Qualitative Study ◽  
Sex Education ◽  
Sexual And Reproductive Health ◽  
Structure Questionnaire ◽  
Content Type ◽  
Teachers Perceptions ◽  
Education Delivery ◽  
Context Specific

PurposeTeachers are a key to success for school-based sex health education programmes; however, they may not be able to consistently implement it due to a myriad of reasons. This study aimed to explore the perceptions of teachers regarding the delivery of sexual and reproductive health (SRH) education in secondary schools in Fiji.Design/methodology/approachA qualitative study design was used to collect the data from SRH education teachers in Suva, Fiji between July and August 2018. This study included teachers who taught sex education for at least two years. Five focus group discussions (FGDs) were run using a semi-structure questionnaire among groups stratified by gender. Data collected were transcribed verbatim and thematically analyzed.FindingsThe study findings reveal that implementation of SRH education is vague, not mandatory and not comprehensive. Teachers acknowledged that SRH was not adequately covered in homes and underscored its importance for young people. Teachers viewed schools as ideal place for delivering sex education, however, could not consistently implement due to a lack of adequate information and skills, feared negative parental reaction, felt uncomfortable delivering sensitive topics and in most cases felt apprehensive to discuss sexuality issues in light of lack of training and resources.Originality/valueTo improve SRH education delivery, there need to be a focus on strengthening capacity building of teachers through pre-service and in-service health education, improved monitoring, evaluation and context–specific resource development and allocation.

scholarly journals Causes of unwanted pregnancy among adolescents in Bali Province: a qualitative study

2017 ◽  
Vol 5 (2) ◽  
pp. 90
Author(s):  
Kadek Anggie Wisandewi Mayun ◽  
Luh Seri Ani ◽  
Ni Luh Putu Suariyani
Keyword(s):  
Health Education ◽  
Reproductive Health ◽  
Qualitative Study ◽  
Self Efficacy ◽  
Teenage Pregnancy ◽  
Sexual And Reproductive Health ◽  
Unwanted Pregnancy ◽  
Teenage Girls ◽  
Reproductive Health Education ◽  
Marital Sex

Background and purpose: Teenage pregnancy is a major contributing factor of high maternal and infant mortality rates in Indonesia. Unwanted pregnancy among adolescents is increasing, therefore an understanding of its causes is essential. This study aims to explore causes of unwanted pregnancy among adolescents.Methods: A qualitative study was conducted in Bali Province. Data were obtained through in-depth interviews with 10 adolescents aged between 12-21 years who experienced unwanted pregnancy. Data were collected between September and October 2016. Data were analysed thematically and presented using a narrative approach.Results: Our study revealed that determinants associated to unwanted pregnancy among adolescents included the lack of systematic education on sexual and reproductive health both at home and school, as well as the lack of self-efficacy of teenage girls to reject pre-marital sex with their partner. Our study found that this pre-marital sex was done as an expression of love, because of being forced by the partner, and due to stressful home environments.Conclusions: The main causes of unwanted pregnancy among adolescents are the lack of sexual and reproductive health education and a weak self-efficacy of teenage girls to reject pre-marital sex demanded by their partner. Given the complexities of teenage pregnancy, overarching policy to facilitate an early comprehensive sexual and reproductive health education program at home, schools, and youth-friendly health facilities is warranted.

scholarly journals Sexual and reproductive health education and its association with ever use of contraception: a cross-sectional study among women in urban slums, Accra

2022 ◽  
Vol 19 (1) ◽  
Author(s):  
Abdul-Aziz Seidu ◽  
Edward Kwabena Ameyaw ◽  
Bright Opoku Ahinkorah ◽  
Leonard Baatiema ◽  
Samuel Dery ◽  
...  
Keyword(s):  
Health Education ◽  
Reproductive Health ◽  
Sex Education ◽  
Sexual And Reproductive Health ◽  
Urban Slums ◽  
P Value ◽  
Odds Ratios ◽  
Cross Sectional ◽  
Contraception Use ◽  
Reproductive Health Education

Abstract Background Sexual and reproductive health education among girls and women has several reproductive health benefits, including improved contraceptive knowledge, contraception use at first intercourse, increased chance of contraceptive use in a lifetime, and effective usage of contraceptives. It is however not clear whether women/girls in urban slums who have had sexual and reproductive health education would likely utilize contraception. This study sets out to test the hypothesis that Accra slum women who have had sex education have higher chances of ever using contraception. Methods A cross-sectional survey was conducted among reproductive aged women in two slums (i.e. Agbogbloshie and Old Fadama) in Accra, Ghana. A sample size of 691, made up of respondents who provided responses to the question on ever used contraception, sex education as well as those with complete information on all the other variables of interest was considered in this study. Binary logistic regression models were fitted to examine association between sexual and reproductive health education and ever use of contraception. Crude odds ratios (cOR) and adjusted odds ratios (aOR) at p-value less than 0.05 were used to assess the strength of the association between the outcome and independent variables. Results More than half (56.73%) of the women have never received sexual and reproductive health education. Most of the respondents (77.28%) had ever used contraceptives. Women who had no form of sexual and reproductive health education had lower odds of ever using contraception (OR = 0.641, 95% CI 0.443, 0.928) and this persisted after controlling for the effect of demographic factors (AOR = 0.652, 95% CI 0.436, 0.975] compared to those who have ever received any form of sex education. Non-married women as well as women who were exposed to media (newspapers/radio/television) were also more likely to use contraceptives in slums in Accra, Ghana. Conclusion The study revealed a relatively low prevalence of sex education among women in urban slums in Accra. However, sex education was found to increase the odds of ever use of contraception. These findings call for intensified sexual and reproductive health education among reproductive aged girls and women in urban slums in Accra using existing informal social networks and local media platforms.

The cultural context of sexual and reproductive health support: an exploration of sexual and reproductive health literacy among female Asylum Seekers and Refugees in Glasgow

2019 ◽  
Vol 16 (1) ◽  
pp. 46-64
Author(s):  
Mari Kaneoka ◽  
William Spence
Keyword(s):  
Health Literacy ◽  
Reproductive Health ◽  
Qualitative Study ◽  
Asylum Seekers ◽  
Sexual And Reproductive Health ◽  
Care Utilization ◽  
Small Scale ◽  
Content Type ◽  
Starting Point ◽  
Asylum Seekers And Refugees

Purpose Sexual and reproductive health (SRH) incorporates prevention of unplanned pregnancies, unsafe abortions, and sexually transmitted infections (STIs). The sourcing, understanding and application of related information are important for health and this defines sexual and reproductive health literacy (SRHL). Health care utilization rates among Asylum Seekers and Refugees (ASRs) may not be high and they are unlikely to seek sufficient SRH information and care in their host countries, leaving some needs unmet. No SRHL research related to Scotland’s Asylum Seeking and Refugee Women (ASRW) exists. In this qualitative study, the purpose of this paper is to explore the SRHL-related views and experiences of adult ASRW living in Glasgow and their views on assistance required to improve their SRHL. Design/methodology/approach In total, 14 semi-structured interviews were audio-recorded and transcribed and qualitative thematic analysis employed. Findings Five themes and 13 sub-themes with four key findings highlighted: experience of unmet SRHL needs, similarities and differences in the source of SRH information, SRH views and behaviours influenced by cultural and religious factors, barriers and facilitators to accessing SRH information/care and developing SRHL. Research limitations/implications This was a small scale qualitative study affording limited transferability. The work addressed a highly sensitive topic among women from conservative home country cultures. Practical implications Routine collection of sexual and reproductive health data by the NHS should be explored for this group. NHS staff should be aware of the rights of asylum seekers, Refugees and failed asylum seekers, to NHS healthcare free at the point of delivery in Scotland (National Health Service, 2019; Scottish Government, 2018), and be well trained in the likely religious and cultural norms of these groups. Host communities should consider improving access to SRH information and care in ASRWs first languages. Social implications The study identified weaknesses in the opportunities for social integration afforded this group and the coordination of existing social opportunities. The stigmatization of immigrants in the UK is well understood and has repercussions for many individuals and societal organizations implicated in the promotion of this. Originality/value This paper addresses a very sensitive topic with women from conservative cultures. With few publications in this area, and none pertaining to Scotland, the paper makes a small but original contribution that might be considered a starting point for researchers and relevant services in Scotland.

scholarly journals Parent’s Perception regarding the Delivery of Sexual and Reproductive Health (SRH) Education in Secondary Schools in Fiji: A Qualitative Study

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Sharan Ram ◽  
Sari Andajani ◽  
Masoud Mohammadnezhad
Keyword(s):  
Reproductive Health ◽  
Qualitative Study ◽  
Secondary Schools ◽  
Sex Education ◽  
Sexual And Reproductive Health ◽  
Group Discussion ◽  
School Based ◽  
Effective Interventions ◽  
Change Policy ◽  
Policy Program

Background. Adolescent Sexual and Reproductive Health (SRH) remains a challenge globally. This study aims to gauge the perceptions of parents towards the delivery of SRH education in mainstream public secondary schools in Fiji. Methods. The qualitative study design was used to collect the data from parents in Suva, Fiji, from July to August 2018. A semistructured questionnaire was developed to run Focus Group Discussion (FGD) among parents residing in Suva who had school-attending children from years 11 to 13. Parents were recruited from five schools with the help of students. Twenty-six parents of which 10 were males, aged between 38 and 65, participated in this study. Consent was obtained from each participant prior to the data collection stage. Data collected were transcribed verbatim and were analyzed thematically. Ethical approvals were obtained before collecting the data. Results. Seven themes emerged which included the provision of school-based sex education, parental involvement with school-based sex education, sex education at home, age-appropriate incremental sex education, ethnic variations regarding sex education, barriers and facilitators for the delivery of school-based sex education, and perceived ideal version of sex education. Conclusions. Findings from this study suggest for policy and programs to match parents, schools, and students’ expectations. Effective interventions need to involve and help parents to take a more active part to change policy, program, and advocacy for relevant SRH education.

scholarly journals PARENTS’ INVOLVEMENT IN SEXUAL AND REPRODUCTIVE HEALTH EDUCATION FOR CHILDREN: A SCOPING REVIEW

2021 ◽  
Vol 1 (1) ◽  
pp. 1-14
Author(s):  
Desi Asih Purwanti ◽  
Menik Sri Daryanti ◽  
Sri Sundari ◽  
Ahsanudin Attamimi
Keyword(s):  
Health Education ◽  
Reproductive Health ◽  
Sex Education ◽  
Scoping Review ◽  
Sexual And Reproductive Health ◽  
Good Communication ◽  
Parents And Children ◽  
Scoping Reviews ◽  
Reproductive Health Education ◽  
Parents Involvement

Background: Parents play important role  for educationg children about sexual and reproductive health. Sexual and reproductive health education is very important to be provided for children in early age, so that they could protect themselves from  sexual violence. However, the information about sexual and reproductive health should be taught by parents so that children do not misstep in their lives. Objective: to review the evidence of parenting involvement in adolescent sexual and reproductive health education. Methods: The method of scoping reviews have adopted the framework of Arksey and O'Malley (2005), the steps of framework are (1) The identification of scoping review questions, (2) The identification of relevant articles, (3) The selection of articles,  (4) Data Charting , (5) Maping, collating and summarizing. The writer searches for articles in 3 databases and selects the original article for review. The article theme focuses on the parents involvement in sexual and reproductive health education against children in developing countries that conducted in 2009-2019.  Findings: Out of the 8 selected articles. Five themes of scoping review are the factors that influence parent and child communication, such as age, gender, education, social, economic, generation and relationship of family gaps. The obstacle of providing reproductive health education and sexual in children due to parents are ashamed, uncomfortable , lack of knowledge , and the influence of culture and norms. HIV/AIDS is a topic that is often discussed by parents. Knowing about sex education is important for children, while parents and teachers are sources of this information. In order to teach sexual and reproductive health education well, parents need good communication and improve their knowledge.  Conclusion: In order to provide sexual and reproductive health education, there are several factors and barriers that affect the communication of parents and children. Parents only discuss sexual and reproductive health issues generally. They also teach their children about the dangers of premarital sex.

scholarly journals Sexual and reproductive health of Syrian refugee adolescent girls: a qualitative study using focus group discussions in an urban setting in Lebanon

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Rayan Korri ◽  
Sabine Hess ◽  
Guenter Froeschl ◽  
Olena Ivanova
Keyword(s):  
Focus Group ◽  
Reproductive Health ◽  
Sexual Harassment ◽  
Qualitative Study ◽  
Adolescent Girls ◽  
Sexual And Reproductive Health ◽  
Urban Setting ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
To Receive

Abstract Background The war in Syria caused the forced displacement of millions of Syrians to neighboring countries. Lebanon is the host country with the largest overall number of Syrian refugees per capita. Adolescent refugee girls experience a unique level of vulnerability during human emergencies and are at increased risk of suffering from poor sexual and reproductive health (SRH) outcomes. We conducted an exploratory qualitative study to learn about the SRH perceptions and experiences of refugee adolescent girls living in Bourj Hammoud, an urban setting in Lebanon. Methods We employed a qualitative design with eight focus group discussions (FGDs) conducted with 40 Syrian Arab and Syrian Kurdish adolescent girls between January and March 2020. Every FGD consisted of five participants aged 13 to 17 years. A semi-structured guide was used covering multiple themes: menstruation, puberty, SRH awareness, and sexual harassment. FGDs were transcribed and analyzed using thematic analysis. Findings The participants discussed adolescent girls’ health and named six elements of good health, such as healthy activities and self-protection. The majority of the FGD participants reported a lack of awareness about menstruation when they experienced it for the first time and the social stigma associated with menstruation. When defining puberty, they indicated its social link to a girl’s readiness for marriage and her need to become cautious about sexual harassment. Most FGD participants had very poor knowledge of the female reproductive system. Mothers were the most approached persons to receive information on SRH issues; however, the girls indicated a wish to receive advice from specialists in a comfortable and private atmosphere. All the girls reported that either they themselves, or an acquaintance, had experienced some type of sexual harassment. The girls rarely reported those incidents due to fear of being blamed or subjected to mobility restrictions, or forced to drop out of school. Conclusions The findings show the refugee girls need for satisfactory knowledge on SRH issues and interventions to prevent sexual and gender-based violence that take into consideration the complexity of urban settings.

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