scholarly journals Impact of peer education on sexual health knowledge among adolescents and young persons in two North Western states of Nigeria

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Selema Akuiyibo ◽  
Jennifer Anyanti ◽  
Omokhudu Idogho ◽  
Sara Piot ◽  
Babatunde Amoo ◽  
...  

Abstract Background Generally, social development among young people is largely influenced by their peers. Peer education is a proven and effective approach for promoting reproductive health among young people, especially HIV/AIDS education. This study was conducted to assess the effectiveness of a peer-led education intervention in addressing sexual and reproductive health related knowledge and concerns among young people in Kaduna and Kano States, northwest Nigeria. Methods A pre and post-test study was conducted among 8930 young people aged 15–24 years who participated in the MTV Shuga Peer Education intervention selected from communities in Kaduna and Kano States. A baseline pre-test was conducted before the education program, and it was followed up with a post-test at the end of the five-day long peer education sessions. Results Majority of the respondents, 7846 (87.9%) were adolescents aged 15–19 years while the rest 1084 (12.1%) were young adults aged 20–24 years. A total of 6099 (68.3%) of the respondents correctly stated that condoms prevent pregnancy during the pre-test compared to 6429 (72.0%) peers during the post test. Lower abdominal pain was correctly indicated as a symptom of STI by 6282 (70.3%) and 6984 (78.2%) of the respondents at pre-test and post-test respectively. More males (58.5%) had good knowledge about condom use compared to the females, 51.9% (χ2 = 24.62, p < 0.001). while more females (79.6%) compared to 74.7% males opined that going for HIV test with their sexual partner is important to them during the pre-test (χ2 = 19.44, p≤ 0.001).However, no significant difference was observed on knowledge of condom use and opinion on going for HIV testing with sexual partner among either gender at post-test. Conclusion Significant positive changes in knowledge, views and opinions regarding STIs and HIV, HIV anti-stigma and the use of condoms were observed following exposure to the peer sessions of the MTV Shuga peer education intervention. Sustained exposure and access to informative and enlightening peer education sessions over time have the potential to comprehensively improve SRH knowledge, influence positive opinion change and in turn adoption of positive behaviours among young people.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tria Astika Endah Permatasari ◽  
Fauza Rizqiya ◽  
Walliyana Kusumaningati ◽  
Inne Indraaryani Suryaalamsah ◽  
Zahrofa Hermiwahyoeni

Abstract Background Almost one-third of children under 5 years old in Indonesia suffer from stunting. Stunting can be prevented optimally during pregnancy as the initial phase of the first 1000 days of life. This study aims to determine the effect of nutrition and reproductive health education of pregnant women in Bogor Regency, Indonesia. Methods A quasi-experimental study was conducted among 194 pregnant women from August to November 2019. The pregnant women were randomly selected from four different villages in Bogor Regency. The intervention group (n = 97) received 2 h of nutrition and reproductive health education in small groups (four or five mothers per group) every 2 weeks for 3 consecutive months. This interactive education was given by facilitators using techniques such as lectures, role-playing, simulation, and games. The control group (n = 97) received regular health care services. A structured questionnaire was applied to collect data consisting of maternal characteristics, nutritional and reproductive health knowledge, attitudes, and practices in the intervention and control groups. Data were analysed using t-test and chi-square analysis. Results Pregnant women in the intervention group indicated a significant increase in knowledge, attitudes, and practices regarding nutrition and reproductive health after receiving education. The pre-test and post-test mean scores in the intervention group were 55.1 and 83.1 for overall knowledge, 40.2 and 49.0 for attitudes, and 36.2 and 40.2 for practices, respectively. In the control group, there was no significant difference between the pre-test and post-test mean scores for these three variables. There was a significant difference (P < 0.001) in the post-test mean between the intervention group and the control group, but the difference was not significant (P > 0.05) in the pre-test. Conclusion Providing nutrition and reproductive health education through small groups with interactive methods improves the knowledge, attitudes, and practices of pregnant women. This intervention has the potential to be replicated and developed for large-scale implementation by optimising collaboration between government, non-governmental organizations, and maternal and child health service providers.


2019 ◽  
Author(s):  
Ucheoma Nwaozuru ◽  
iwelunmor juliet ◽  
Jason J. Ong ◽  
Sawsan Salah ◽  
Chisom Obiezu-Umeh ◽  
...  

Abstract Background Despite high HIV incidence rates among young people in Nigeria, less than 24% of this population have ever tested for HIV. These low HIV testing rates suggest that current testing services may not align with their testing preferences. To address this gap, the objective of this study was to assess preferences for HIV testing options among young people in Nigeria.Methods We conducted a cross-sectional study using survey to assess preferences for HIV testing options among 113 youth aged 14-24 years residing in Nigeria. The survey included a series of hypothetical HIV testing options, comprised of six characteristics centered around HIV testing service (i.e. location of testing, test administrator, mode of pre-test, mode of post-test counseling, type of HIV test, and cost of HIV test). For each characteristic, participants were asked to select one of the options that they prefer or indicate none of the above. A descriptive analysis of the preferences made by participants was conducted, summarizing proportions of participants who selected different options for HIV testing.Results The mean age of study participants was 19.5 years old (SD=2.7). Most youth (73, 64.6%) had at least a secondary school degree. There was pronounced heterogeneity in HIV testing preferences among young people. Although most youth preferred free HIV testing, 14 (16.7%) reported preferring paying a small amount compared to free testing. More youth preferred blood-based HIV self-testing 39(48.8%) compared to facility-based HIV testing and oral HIV self-testing.Conclusions Our finding suggest that young people have a range of HIV testing preferences in Nigeria. This suggests that a “one-size-fits-all” approach to delivering services to youth may be challenging in this context. HIV testing services can be optimized to reach young people if a variety options are provided to meet their unique preferences.


2019 ◽  
Author(s):  
Ucheoma Nwaozuru ◽  
iwelunmor juliet ◽  
Jason J. Ong ◽  
Sawsan Salah ◽  
Chisom Obiezu-Umeh ◽  
...  

Abstract Background Despite high HIV incidence rates among young people in Nigeria, less than 24% of this population have ever tested for HIV. These low HIV testing rates suggest that current testing services may not align with their testing preferences. To address this gap, the objective of this study was to assess preferences for HIV testing options among young people in Nigeria.Methods We conducted a cross-sectional study using survey to assess preferences for HIV testing options among 113 youth aged 14-24 years residing in Nigeria. The survey included a series of hypothetical HIV testing options, comprised of six characteristics centered around HIV testing service (i.e. location of testing, test administrator, mode of pre-test, mode of post-test counseling, type of HIV test, and cost of HIV test). For each characteristic, participants were asked to select one of the options that they prefer or indicate none of the above. A descriptive analysis of the preferences made by participants was conducted, summarizing proportions of participants who selected different options for HIV testing.Results The mean age of study participants was 19.5 years old (SD=2.7). Most youth (73, 64.6%) had at least a secondary school degree. There was pronounced heterogeneity in HIV testing preferences among young people. Although most youth preferred free HIV testing, 14 (16.7%) reported preferring paying a small amount compared to free testing. More youth preferred blood-based HIV self-testing 39(48.8%) compared to facility-based HIV testing and oral HIV self-testing.Conclusions Our finding suggest that young people have a range of HIV testing preferences in Nigeria. This suggests that a “one-size-fits-all” approach to delivering services to youth may be challenging in this context. HIV testing services can be optimized to reach young people if a variety options are provided to meet their unique preferences.


2019 ◽  
Vol 95 (2) ◽  
pp. 102-107 ◽  
Author(s):  
Travis Salway ◽  
Kimberly Thomson ◽  
Darlene Taylor ◽  
Devon Haag ◽  
Elizabeth Elliot ◽  
...  

ObjectiveInternet-based HIV testing offers the potential to address privacy-related barriers to testing and increase frequency of testing but may result in missed opportunities related to sexual health education and prevention that typically occur in face-to-face encounters. In this study, we assessed the HIV test knowledge and sexual risk behaviour of clients testing for HIV through GetCheckedOnline, an internet-based sexually transmitted and bloodborne infection testing platform inclusive of HIV testing, in comparison to clients testing through a large sexual health clinic.MethodsWe concurrently recruited GetCheckedOnline clients and clinic clients from Vancouver, Canada, over the course of a 10-month period during 2015–2016. Participants completed baseline and 3-month questionnaires, anonymous and online. A six-item score was used to estimate knowledge of HIV test concepts typically conveyed during an HIV pretest encounter in a clinic. We used multiple regression to estimate associations between testing modality (online vs clinic based) and two outcomes—HIV test knowledge and change in condom use pre/post-test—with adjustment for relevant background factors.ResultsAmong 352 participants, online testers demonstrated higher HIV post-test knowledge than clinic-based testers (mean score 4.65/6 vs 4.09/6; p<0.05); this difference was reduced in adjusted analysis (p>0.05). Men who have sex with men, clients with a university degree, those who have lived in Canada >10 years and English speakers had higher HIV post-test knowledge (p<0.05). Eighteen per cent of online testers and 10% of clinic-based testers increased condom use during the 3 months post-test (p>0.05).ConclusionsIn this comparative study between online and clinic-based testers, we found no evidence of decreased HIV test knowledge or decreased condom use following HIV testing through GetCheckedOnline. Our findings suggest that with careful design and attention to educational content, online testing services may not lead to missed opportunities for HIV education and counselling.


2001 ◽  
Author(s):  

To assess the effectiveness of youth centers in reaching adolescents with reproductive health information, life skills, and services, the Reproductive Health Research Unit in KwaZulu Natal and the Population Council conducted an assessment of 12 youth centers and their affiliated peer education programs. The centers were run by the KwaZulu Natal Department of Health, the loveLife program, and the Youth and Adolescent Reproductive Health Program. Researchers also examined young people’s use of condoms as protection against pregnancy and HIV/AIDS. Data sources for this study, conducted in 2000, were an inventory of youth center services, interviews with center staff and clients, service statistics, and community surveys of 1,399 young people aged 12–24 and their parents. As noted in this brief, the study found that many sexually active young people in South Africa are knowledgeable about the sexual transmission of HIV/AIDS but do not use condoms consistently. Service providers can do more to promote condom use among youth by placing condom dispensers in private places and counseling youth on correct condom use and safer sexual practices.


Author(s):  
Jamaludin M. Sakung ◽  
Saifuddin Sirajuddin

ABSTRAKAsupan gizi berperan dalam mengendalikan kadar glukosa darah pada pasien diabetes mellitus karena beberapa zat gizi bersumber dari bahan makanan yang dikonsumsi setiap hari. Penelitian ini bertujuan untuk mengevaluasi asupan gizi makro (energi, karbohidrat, lemak, protein dan serat) pada guru prediabetes melalui pemberian labu siam instan dan edukasi gizi. Jenis penelitian ini adalah quasi eksperimen dengan rancangan randomized trial, pre test post test with control group. Guru prediabetes yang memenuhi kriteria inklusi di bagi tiga kelompok secara acak. Asupan gizi makro adalah Jumlah zat gizi yang dikonsumsi dan diukur melalui pengukuran food recall 24 jam menggunakan program nutrisurvey. Analisis data menggunakan uji t dan uji anava. Hasil uji statistik menunjukkan kelompok intervensi labu siam dan kelompok intervensi edukasi gizi serta labu siam secara statistik asupan gizi makro signifikan (p<0,05) artinya terdapatnya perbedaan nyata dari asupan gizi makro sebelum dan sesudah inetervensi. Kelompok intervensi edukasi gizi secara statistik asupan gizi makro tidak signifikan (p>0,05) artinya tidak terdapatnya perbedaan nyata dari asupan gizi makro sebelum dan sesudah inetervensi. Terdapat perbedaan asupan energi, karbohidrat dan serat sesudah intervensi pada ketiga kelompok.Kata-kata kunci: Asupan gizi makro, prediabetes, labu siam, edukasi giziABSTRACTNutritional intake plays a role in controlling blood glucose levels in DM patients because some nutrients that are sourced from food ingredients consumed every day. This study aims to evaluating the intake of macro nutrients (energy, carbohydrates, fats, protein and fiber) in prediabetic teachers through the provision of instant sechium edule and nutritional education. This research type is quasi experiment with randomized trial design, pre test post test with control group. Prediabetic teachers who met the inclusion criteria in the three groups at random. Intake of macro nutrient from food to be measured through 24-hour food recall measurements using nutrisurvey program. Data analysis by using t test and anova test. statistic test result showed The gourd intervention group and nutrition education intervention group and chayote were statistically significant macro nutrient intake (p <0.05) which means there was a marked difference of macro nutrition intake. The nutrition education intervention group of intake of macro nutrition was statistically insignificant (p> 0.05), meaning there was no significant difference in intake of macro nutrition. there was a difference in energy, carbohydrate and fiber intake after intervention in all three groups.Keywords: Intake of macro nutrition, prediabetic, sechium edule, nutrition education


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Papadakaki ◽  
M Plevri ◽  
K Vagionaki ◽  
G Papadomanolakis ◽  
R Androulaki ◽  
...  

Abstract Issue/problem Despite the high prevalence of sexually transmitted diseases(STIs) and abortions among Greek youth, sexuality education is not yet part of the curriculum of Greek schools and the Greek family is not ready to address these issues with comfort. Description of the problem A “one-stop information point” was organized for one week in major cities of Crete Region as part of a community health program, which was funded by the Regional Authority of Crete to address “Gender Equality in the Region of Crete within 2018-2020”. The project aimed at increasing young people’s awareness of sexual health issues using a “peer education” approach and a youth-friendly information package. Undergraduate students from health, mental health and social care professions acted as volunteers upon receiving a rigorous 2-day training by sexual and reproductive health experts. The questions to be answered by the project were: “What are the main concerns of adolescents regarding their sexual health? How much satisfaction could adolescents gain by a “one stop information point” and a youth friendly “information package” offered by peers? Results Serious information gaps regarding contraception and STI’s and a number of stereotypes regarding healthy relations and sexual orientation have been recorded. Gender dysphoria is still an issue that remains unaddressed among young people. A youth-friendly website (LaHeRS Lab) and short videos are now available as part of the project to facilitate young people’s access to information. A large social media network of young people interested in sexual health issues has been formed locally and is growing nationally. The intervention was received with satisfaction. Lessons “One-stop information centres” and “peer education” have been an ideal combination to address sensitive issues among young people. Key messages Knowledge gaps and unsafe sexual practices are prevalent among adolescents. Sexuality education should be offered in early school life.


BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e034436
Author(s):  
Aveneni Mangombe ◽  
Philip Owiti ◽  
Bernard Madzima ◽  
Sinokuthemba Xaba ◽  
Talent M Makoni ◽  
...  

ObjectivePeer education is an intervention within the voluntary medical male circumcision (VMMC)–adolescent sexual reproductive health (ASRH) linkages project in Bulawayo and Mount Darwin, Zimbabwe since 2016. Little is known if results extend beyond increasing knowledge. We therefore assessed the extent of and factors affecting referral by peer educators and receipt of HIV testing services (HTS), contraception, management of sexually transmitted infections (STIs) and VMMC services by young people (10–24 years) counselled.DesignA cohort study involving all young people counselled by 95 peer educators during October–December 2018, through secondary analysis of routinely collected data.SettingAll ASRH and VMMC sites in Mt Darwin and Bulawayo.ParticipantsAll young people counselled by 95 peer educators.Outcome measuresCensor date for assessing receipt of services was 31 January 2019. Factors (clients’ age, gender, marital and schooling status, counselling type, location, and peer educators’ age and gender) affecting non-referral and non-receipt of services (dependent variables) were assessed by log-binomial regression. Adjusted relative risks (aRRs) were calculated.ResultsOf the 3370 counselled (66% men), 65% were referred for at least one service. 58% of men were referred for VMMC. Other services had 5%–13% referrals. Non-referral for HTS decreased with clients’ age (aRR: ~0.9) but was higher among group-counselled (aRR: 1.16). Counselling by men (aRR: 0.77) and rural location (aRR: 0.61) reduced risks of non-referral for VMMC, while age increased it (aRR ≥1.59). Receipt of services was high (64%–80%) except for STI referrals (39%). Group counselling and rural location (aRR: ~0.52) and male peer educators (aRR: 0.76) reduced the risk of non-receipt of VMMC. Rural location increased the risk of non-receipt of contraception (aRR: 3.18) while marriage reduced it (aRR: 0.20).ConclusionWe found varying levels of referral ranging from 5.1% (STIs) to 58.3% (VMMC) but high levels of receipt of services. Type of counselling, peer educators’ gender and location affected receipt of services. We recommend qualitative approaches to further understand reasons for non-referrals and non-receipt of services.


2020 ◽  
Author(s):  
waleed sweileh ◽  
Ahmad Mansour

Abstract Background: Adolescents and youth (young people) are central to the success of the 2030 agenda. Sexual and reproductive health (SRH) knowledge among young people is critical for their well-being. The objective study was to assess and analyze publications on SHR knowledge among young people. Method: This study was a bibliometric descriptive one for publications retrieved from Scopus on SHR knowledge among young people. All relevant terms on young people, SHR, and knowledge were implemented to retrieve relevant publications for the study period from 1900 to 2019. Results: The search found 2544 publications. Publication started on 1951. The number of publications showed two steep phases: one in mid-1980s and one after 2005. Four research themes were identified: human immunodeficiency virus (HIV); human papillomavirus (HPV), condom, and contraception with documents on HPV vaccinations being the most recent. The retrieved publications received an average of 10.9 citations per document and an h -index of 61. The top cited documents published before 2010 focused mainly on HIV, HPV, and condom use while those after 2010 focused on HIV testing technology, HIV prophylaxis and HPV vaccination. The retrieved documents originated mainly from the region of the Americas (n=944). When data were normalized, the South-Eastern Asian region had the highest research activity. At the country level, the USA ranked first (n=701; 27.6%) but when data was normalized, India (91.5 publication per GDP per capita) ranked first followed by Nigeria (53.0) and South Africa (17.9). Journal of Adolescent Health (n=39; 1.5%) ranked first but documents published in AIDS Education and Prevention journal received the highest number of citations per document (34.1). The University of California, San Francisco ranked first (n=33; 1.3%) in this field. The average number of authors per publication was 3.8. Research networking in this field was poor. Conclusion: This was the first analysis of publications on SRH knowledge among a category of people who are most often neglected in their SRH needs. Research on knowledge and awareness on this subject need to be carried out in all world regions to tailor sex education and health policies to the sociocultural and religious situation in each country.


2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
N Santamari. Mollá ◽  
R Núñez ◽  
J A Guijarro ◽  
L De. Águila ◽  
R López ◽  
...  

Abstract Study question What degree of reproductive health knowledge have oocyte donors? Summary answer The results of this study reveal that although oocyte donors are aware of the risks of possible fertility disorders, reproductive health knowledge is insufficient What is known already Sterility affects approximately 15% of the population of reproductive age, that is, young people. However, the information that young people have about fertility is scarce. Gamete donors are a group especially involved in reproductive issues since they help many people to solve their fertility problems and must undergo numerous tests before being accepted as such. However, there are no studies in Spain that deal with the knowledge that young people and, more specifically, donors, have about reproductive health and fertility Study design, size, duration A prospective, cross-sectional multicenter study including oocyte donors at ten fertility clinics performing gamete donation treatment in Spain. During a 2-month period (September-October 2020), 63 donors aged between 19 and 35 years old were recruited consecutively and a total of 63 oocyte donors were included as sample population. Most of them (78%) had not donated before Participants/materials, setting, methods 54% oocyte donors had secondary education and 43% have achieved university studies. Participants anonymously completed a questionnaire containing 41 questions divided into three sections: sociodemographic characteristics (11 items), knowledge on fertility and reproduction (22 items) and with a Likert scale, response to determine general reproductive health information as well as known risks for fertility disorders (8 items). Besides descriptive statistics, statistical analysis was performed with Chi square test. p &lt; 0.05 was considered significant Main results and the role of chance In the survey 96.8% of the participants reported that they had already known the tests for fertility disorders. The increasing age of the women was correctly assessed by the participants of the study as a decisive risk factor for fertility, but it was found that exact knowledge was lacking: the decrease of a woman’s fertility by 39.7% was stated to occur on average at the age of 35–40 and by 30% at 40–45. Nevertheless, 66% of donors considered that fertility preservation should be carried out before the age of 35. 61.1% of the non-university donors reported that fertility can drop as a woman ages due to the decreasing number and quality of the remaining eggs. Among university donors, this percentage increases to 92,6% (p:0,034). Merely 47% of the participants informed what they understood that ovarian reserve is and 47.6% of donors believed that women create new eggs every month. Regarding the known risk factors for fertility, lifestyle was mentioned most frequently by all participants (91,2%), followed by chemo/radiotherapy (83,8%) and smoking, alcohol, and drugs (82,4%). Concerning the influence of the body mass index on fertility, differences were found between non-university (61%) and university donors (88,9%) (p:0,012). Limitations, reasons for caution Financial compensation has been found to be a motivating factor for oocyte donors and therefore one could question the representativeness of the participating oocyte donors. It would be of great interest to explore the significance of the financial compensation further. Wider implications of the findings: The present study reveals an existing requirement for information among oocyte donors, which is not only important for the success of prevention plans but also provides a foundation for possible strategies for the prevention of fertility disorder. Trial registration number Not applicable


Sign in / Sign up

Export Citation Format

Share Document