scholarly journals Effects of mobile health education on sexual and reproductive health information among female school-going adolescents of rural Thailand

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 452
Author(s):  
Premyuda Narkarat ◽  
Surasak Taneepanichskul ◽  
Ramesh Kumar ◽  
Ratana Somrongthong

Background: Adolescent pregnancy is one of the major public health issues globally, as well as in Thailand. Sexual health literacy (SHL) has been a proved effective intervention for preventing teenage pregnancy. The objective of this study was to evaluate the effects of mobile messages to improve sexual and reproductive health literacy among secondary school female students. Methods: A comparative cross-sectional study with pre–post design was conducted in two secondary schools of rural Thailand. 128 respondents were selected through a simple random sampling method; equal number of female secondary school students were selected from each school. Health education through mobile messages on sexual and reproductive health literacy were delivered in one group while the other group was observed through routine care for 24 weeks. Baseline (pre) and endline (post) measurement was taken to compare the effects of mobile messages. Study was ethically approved by the institutional review board of Chulalongkorn University, Thailand. Results: Both groups were same at baseline and found statistically non-significant (p>0.05). After the 24-week health education program, the mean scores of health education groups was found statistically significant (p<0.05), while the mean score in observed group did not show any statistical change (p>0.05) . Level of sexual health literacy scores among female students in the health education group was found statistically significant (p<0.05) in all four domains. While, the observation group was remained same at both measurements pre and post (p=0.521). Conclusion: The study concluded that the mobile messages have proved an effective information method for sexual and reproductive health information among female secondary students of rural Thailand.

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
P Svensson ◽  
K Carlzén ◽  
A Agardh

Abstract Background Migrants constitute a growing share of the European population. Refugees and migrants in Europe have a higher risk for poor sexual and reproductive health than the native-born population. These differences can be explained by limited access to sexual health care, family planning and prevention. Newly arrived migrants in Sweden are offered a programme encompassing civic orientation provided in mother tongue by communicators. MILSA web-based education platform aims to secure a national standard for civic orientation. Over a three-year period, 200 communicators across Sweden will receive training. This study will explore civic orientation as an arena for health communication, and the role of the communicators for delivering sexual health information. It will identify active components for the delivery and uptake of sexual health information. Methods Qualitative in-depth interviews were conducted with nine migrant women during their resettlement, and with twenty communicators participating in MILSA education platform. Preliminary results Receiving information in mother tongue by communicators with cultural competence increases access to information. Shared understandings of shame and stigma associated with sexual health constrain the quality of delivery and uptake. Leadership, pedagogic skills, cultural competence, and responsiveness to target group are important qualifications for the communicators. Communicators need an understanding of both cultures, how they interact, and the influence of migration on cultural identity to deliver SRHR information. Trust among participants, and between the communicator and participants is essential for the delivery and uptake of sexual health information. Conclusions Building competence to deliver sexual health information among professionals who encounter migrants at an early stage in the resettlement has the potential to build sexual health literacy and reduce barriers to accessing sexual and reproductive health. Key messages Civic orientation is an important arena for reaching migrants with SRHR information. To empower the migrants to take control of their sexual and reproductive wellbeing in the new country, this information must be culturally, linguistically appropriate and delivered pedagogically.


2021 ◽  
pp. e20200056
Author(s):  
Salima Meherali ◽  
Bukola Salami ◽  
Philomina Okeke-Ihejirika ◽  
Helen Vallianatos ◽  
Gillian Stevens

Data on immigrant access to sexual and reproductive health (SRH) services in Canada typically focus on adult populations generally but not adolescents specifically. To fill this gap, this study explored South Asian immigrant adolescents’ perceptions of barriers and facilitators for SRH care and services in Edmonton, Alberta, Canada. In this qualitative descriptive study, researchers conducted six focus group semi-structured interviews with South Asian immigrant adolescents who live in Edmonton, Canada. Barriers included fear of stigma and judgment, lack of information about the healthcare system, lack of privacy and youth-friendly SRH services, lack of comprehensive sexuality education, lack of trust of online SRH information, and language barriers. Facilitators included SRH information classes at school, parental support, and provision of free services. South Asian immigrant adolescents expressed their need for more inclusive and relevant sexual health education, more support from parents and teachers with adequate and evidence-based SRH information and effective communication strategies to enhance communication with adolescents, and more youth-driven integrated health promotion programs to allow them to make informed choices. Their voices and perspectives are useful in informing inclusive and youth-centered sexual health education at home, in school, and in the community.


2021 ◽  
Vol 2 (2) ◽  
pp. 49-56
Author(s):  
Hani Sutianingsih ◽  
Rery Kurniawati ◽  
Tutik Iswanti

Women are more vulnerable to reproductive health risks, including sexually transmitted infections, verbal abuse, and physical violence. Good knowledge and attitude regarding gender equality before starting a marriage is vital so that the two brides and grooms are mutually responsible for ensuring the safety and security of the bride and groom. Online social media is designed to facilitate interactive social interactions based on internet technology. Whatsapp is the most popular chat application for Indonesians. This is an opportunity when used for learning activities because WhatsApp can convey messages in text, images, sounds, and videos to deliver news about sexual and reproductive health that can be more relevant. The subject of this research is the bride and groom at KUA Cibadak Kab. Lebak, Banten Province. The design of this research is pre-post with control group design. The control group was given lectures on sexual and reproductive health, and the treatment group was assigned health education through social media WhatsApp with 15 people in each group. Based on the results of statistical tests, it was found that there was an effect of WhatsApp social media health education on the knowledge and attitudes of the bride and groom about sexual and reproductive health with a p-value of 0.001. WhatsApp social media can be used as a medium for reproductive and sexual health education for brides and grooms.


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512515293p1-7512515293p1
Author(s):  
Elizabeth Koss ◽  
Natalie Robek ◽  
Megan Dougherty ◽  
Anna Murray ◽  
Lindy Weaver ◽  
...  

Abstract Date Presented 04/8/21 This study describes the results of usability testing of activities designed to address the gaps and barriers to sexual health education (SHE) for clients with intellectual and developmental disabilities (IDD). Recommendations from stakeholders were incorporated, and the feasibility of a 5-week SHE program was evaluated. OTs can use the results of this study to address significant sexual and reproductive health disparities currently faced by individuals with IDD. Primary Author and Speaker: Elizabeth Koss Additional Authors and Speakers: Yong-Fang Kuo, Kenneth Ottenbacher


2020 ◽  
Author(s):  
Zahra Rakhshaee ◽  
Zohreh Khakbazan ◽  
Saharnaz Nedjat ◽  
Raziyeh Maasoumi

Abstract Background: Promoting sexual- reproductive health literacy is one of the most important strategies for achieving the goals of sexual- reproductive health in different groups of women. Infertile women are one of the most vulnerable groups to the adverse effects of low levels of health literacy. Since no specific instrument exists for assessing the level of sexual- reproductive health literacy, therefore, this study aimed to develop and evaluate the psychometric characteristics of an instrument for measuring sexual and reproductive health literacy among infertile women (Sexual and Reproductive Health Literacy instrument for infertile women: SRH-Life).Methods: This was a mixed method study with exploratory design which conducted from July 2018 to Jan 2020 in northern Iran. Semi structured interviews with infertile women, literature review and, expert panel comments were utilized to generate an item pool. Then, the psychometric properties of the instrument, validity and reliability were assessed. Results: The initial instrument contained 78 items. Next, 10 experts evaluated content validity. Some items were removed and a provisional version of the instrument with 47 items was provided. Then, the face validity was performed by 10 infertile women. Finally, a random sample of 235 infertile women completed the instrument and construct validity were assessed. The exploratory factor analysis was performed, 35 items were loaded, which indicated a 4-factor solution for the instrument including reproductive health information (8 items), infertility and treatment information (9 items), sexual health information (8 items) and functional sexual- reproductive literacy (10 items) that jointly explained 55.3% of the variance observed. For reliability, internal consistency showed satisfactory results with Cronbach’s alpha coefficients ranging from 0.89 to 0.9. Intraclass correlation coefficient (test-retest analysis) showed acceptable stability for the instrument.Conclusion: The results showed that Sexual and Reproductive Health Literacy instrument for infertile women (SRH-Life) is a valid and reliable measure for assessing sexual and reproductive health literacy among women with infertility.


2020 ◽  
Author(s):  
Zahra Rakhshaee ◽  
Zohreh Khakbazan ◽  
Saharnaz Nedjat Saharnaz Nedjat ◽  
Raziyeh Maasoumi

Abstract Background: Promoting sexual- reproductive health literacy is one of the most important strategies for achieving the goals of sexual- reproductive health in different groups of women. Infertile women are one of the most vulnerable groups to the adverse effects of low levels of health literacy. Since no specific instrument exists for assessing the level of sexual- reproductive health literacy, therefore, this study aimed to develop and evaluate the psychometric characteristics of an instrument for measuring sexual and reproductive health literacy among infertile women ( Sexual and Reproductive Health Literacy instrument for infertile women: SRH-Life) .Methods: This was a mixed method study with exploratory design which conducted from July 2018 to Jan 2020 in northern Iran. Semi structured interviews with infertile women, literature review and, expert panel comments were utilized to generate an item pool. Then, the psychometric properties of the instrument, validity and reliability were assessed.Results: The initial instrument contained 78 items. Next, 10 experts evaluated content validity. Some items were removed and a provisional version of the instrument with 47 items was provided. Then, the face validity was performed by 10 infertile women. Finally, a random sample of 235 infertile women completed the instrument and construct validity were assessed. The exploratory factor analysis was performed, 35 items were loaded, which indicated a 4-factor solution for the instrument including reproductive health information (8 items), infertility and treatment information (9 items), sexual health information (8 items) and functional sexual- reproductive literacy (10 items) that jointly explained 55.3% of the variance observed. For reliability, internal consistency showed satisfactory results with Cronbach’s alpha coefficients ranging from 0.89 to 0.9. Intraclass correlation coefficient (test-retest analysis) showed acceptable stability for the instrument.Conclusion: The results showed that Sexual and Reproductive Health Literacy instrument for infertile women (SRH-Life) is a valid and reliable measure for assessing sexual and reproductive health literacy among women with infertility.


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