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.

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.

Trends in adolescent sexual behavior, health, and education

2018 ◽  
Vol 100 (2) ◽  
pp. 35-39
Author(s):  
Rafael Heller
Keyword(s):  
Sexual Behavior ◽  
Reproductive Health ◽  
Sex Education ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Pregnancy Rates ◽  
Adolescent Sexual Behavior ◽  
School Based ◽  
Behavior Health

Kappan editor Rafael Heller talks with the Guttmacher Institute’s Laura Lindberg, one of the nation’s leading researchers in the field of adolescent sexual and reproductive health, about recent data and trends related to teens’ sexual behavior, contraceptive use, pregnancy rates, and more, including their experiences with school-based sex education.

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.

scholarly journals Are rhetorical commitments to adolescents reflected in planning documents? An exploratory content analysis of adolescent sexual and reproductive health in Global Financing Facility country plans

2021 ◽  
Vol 18 (S1) ◽  
Author(s):  
Asha S. George ◽  
Tanya Jacobs ◽  
Mary V. Kinney ◽  
Annie Haakenstad ◽  
Neha S. Singh ◽  
...  
Keyword(s):  
Content Analysis ◽  
Reproductive Health ◽  
Health Services ◽  
Adolescent Health ◽  
Teenage Pregnancy ◽  
Sexual And Reproductive Health ◽  
Democratic Republic Of Congo ◽  
Social Determinant ◽  
Project Appraisal ◽  
School Based

Abstract Background The Global Financing Facility (GFF) offers an opportunity to close the financing gap that holds back gains in women, children’s and adolescent health. However, very little work exists examining GFF practice, particularly for adolescent health. As momentum builds for the GFF, we examine initial GFF planning documents to inform future national and multi-lateral efforts to advance adolescent sexual and reproductive health. Methods We undertook a content analysis of the first 11 GFF Investment Cases and Project Appraisal Documents available on the GFF website. The countries involved include Bangladesh, Cameroon, Democratic Republic of Congo, Ethiopia, Guatemala, Kenya, Liberia, Mozambique, Nigeria, Tanzania and Uganda. Results While several country documents signal understanding and investment in adolescents as a strategic area, this is not consistent across all countries, nor between Investment Cases and Project Appraisal Documents. In both types of documents commitments weaken as one moves from programming content to indicators to investment. Important contributions include how teenage pregnancy is a universal concern, how adolescent and youth friendly health services and school-based programs are supported in several country documents, how gender is noted as a key social determinant critical for mainstreaming across the health system, alongside the importance of multi-sectoral collaboration, and the acknowledgement of adolescent rights. Weaknesses include the lack of comprehensive analysis of adolescent health needs, inconsistent investments in adolescent friendly health services and school based programs, missed opportunities in not supporting multi-component and multi-level initiatives to change gender norms involving adolescent boys in addition to adolescent girls, and neglect of governance approaches to broker effective multi-sectoral collaboration, community engagement and adolescent involvement. Conclusion There are important examples of how the GFF supports adolescents and their sexual and reproductive health. However, more can be done. While building on service delivery approaches more consistently, it must also fund initiatives that address the main social and systems drivers of adolescent health. This requires capacity building for the technical aspects of adolescent health, but also engaging politically to ensure that the right actors are convened to prioritize adolescent health in country plans and to ensure accountability in the GFF process itself.

Understanding sexual and reproductive health needs of immigrant adolescents in Canada: A scoping review

2021 ◽  
pp. e20210006
Author(s):  
Samantha Louie-Poon ◽  
Mehnaz Rehmani ◽  
Megan Kennedy ◽  
Shannon Scott ◽  
Bukola Salami ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Scoping Review ◽  
Cultural Sensitivity ◽  
Information Needs ◽  
Sexual And Reproductive Health ◽  
Careful Consideration ◽  
Future Research ◽  
Immigrant Adolescents ◽  
School Based ◽  
Strength Based

Despite the large number of immigrant adolescents in Canada, research on their knowledge of sexual and reproductive health and rights (SRHR) and information needs is nearly nonexistent. A scoping review was undertaken following the PRISMA-ScR statement to identify and assess the existing literature regarding SRHR needs of immigrant adolescents in Canada. Of the 1514 articles retrieved from our search strategy, 15 studies met our inclusion criteria. The results from our review identifies three unique themes related to immigrant adolescents’ SRHR needs: knowledge needs, access to SRHR education and services, and approaches to SRHR education and services. Immigrant adolescents’ knowledge needs includes needs on HIV/STI transmission and protection, unintended pregnancy, sexual activity, family planning, pubertal education, navigating the health care system, and confidentiality legislations. Our results revealed that immigrant adolescents’ access SRHR education and services through both school-based and community-based settings. Lastly, approaches to SRHR education and services for immigrant adolescents should include cultural sensitivity, an intersectional approach, interactive learning, a strength-based approach, and reassuring confidentiality rights. The multi-faceted SRHR needs of immigrant adolescents in Canada demonstrates that future research, program development, and policymaking requires careful consideration of these intersecting forces. Inclusive SRHR education and services can be achieved through the employment of a critical cultural approach and intersectional strategies.

scholarly journals Sexual behavior among Brazilian adolescents, National Adolescent School-based Health Survey (PeNSE 2012)

2014 ◽  
Vol 17 (suppl 1) ◽  
pp. 116-130 ◽  
Author(s):  
Maryane Oliveira-Campos ◽  
Marília Lavocart Nunes ◽  
Fátima de Carvalho Madeira ◽  
Maria Goreth Santos ◽  
Silvia Reise Bregmann ◽  
...  
Keyword(s):  
Substance Use ◽  
Sexual Behavior ◽  
Reproductive Health ◽  
Sexual Intercourse ◽  
Risky Sexual Behavior ◽  
Sexual And Reproductive Health ◽  
Social Inequalities ◽  
Unprotected Sex ◽  
Psychoactive Substances ◽  
School Based

OBJECTIVE: This study describes the sexual behavior among students who participated in the National Adolescent School-based Health Survey (PeNSE) 2012 and investigates whether social inequalities, the use of psychoactive substances and the dissemination of information on sexual and reproductive health in school are associated with differences in behavior. METHODOLOGY: The response variable was the sexual behavior described in three categories (never had sexual intercourse, had protected sexual intercourse, had unprotected sexual intercourse). The explanatory variables were grouped into socio- demographic characteristics, substance use and information on sexual and reproductive health in school. Variables associated with the conduct and unprotected sex were identified through multinomial logistic regression, using "never had sexual intercourse" as a reference. RESULTS: Over nearly a quarter of the adolescents have had sexual intercourse in life, being more frequent among boys. About 25% did not use a condom in the last intercourse. Low maternal education and work increased the chance of risky sexual behavior. Any chance of protected and unprotected sex increased with the number of psychoactive substances used. Among those who don't receive guidance on the prevention of pregnancy in school, the chance to have sexual intercourse increased, with the largest magnitude for unprotected sex (OR = 1.41 and OR = 1.87 ). CONCLUSION: The information on preventing pregnancy and STD/AIDS need to be disseminated before the 9th grade. Social inequalities negatively affect risky sexual behavior. Substance use is strongly associated with unprotected sex. Information on the prevention of pregnancy and STD/AIDS need to be disseminated early.

scholarly journals School-Based Health Clinics: Improving Adolescent Sexual and Reproductive Health in British Columbia – An Integrative Literature Review

2020 ◽  
Author(s):  
◽  
Carmen Schalles
Keyword(s):  
British Columbia ◽  
Reproductive Health ◽  
Health Services ◽  
Literature Review ◽  
Sexual Health ◽  
Sexual And Reproductive Health ◽  
Societal Implications ◽  
Health Clinics ◽  
School Based ◽  
Reproductive And Sexual Health

This integrative literature review strives to determine if the delivery of reproductive and sexual health services provided through high school-based primary care clinics can improve BC adolescent sexual and reproductive health. Adolescent sexual and reproductive health not only impacts life-long health; it also has significant societal implications. Although BC has begun to focus on adolescent health, innovative health service solutions are needed to improve adolescents’ health. Systematic search through the University of Northern British Columbia online library databases and Google scholar and the evaluation of the literature using CASP analysis tools resulted in the inclusion of 10 articles. Findings suggest school-based health clinics (SBHCs) decrease barriers that adolescents experience when accessing health services as well as public health system costs. Moreover, SBHCs are an effective mechanism to support adolescent reproductive and sexual health needs, especially in those populations with elevated levels of sexual and reproductive risk factors. However, for SBHCs to be effective, sustainable funding needs to be sourced, and barriers adolescents experience when accessing services need to be evaluated and addressed. SBHCs can complement current adolescent-friendly services to meet this unique population’s needs; however, further research is needed. More robust research on various demographics, health outcomes, and Canadian-based examination is required to strengthen SBHC implementation recommendations.

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