Main Article Content
Abstract
The study addressed concerns about adolescents' sexual and reproductive health (SRH) by implementing comprehensive sexuality education (CSE) developed by some researchers in the medical women’s association of Nigeria, Rivers State branch and implemented aimed at ascertaining the effect of CBE on knowledge of SRH services among adolescents in secondary schools in Rivers State, Nigeria. The study design is a quasi-experimental design employing pre-post phases. The intervention was CSE with a nine-module training manual, with a sample size of 100 adolescents drawn from 10 secondary schools. Data collection utilized interviewer questionnaires, and analysis was performed using SPSS version 26. The outcome variables were awareness and knowledge of SRH, with the effect size measured as the proportional difference in scores on awareness and knowledge assessment administered before and after the intervention. The mean difference between pre- and post-test scores was determined with the use of a paired t-test. Results showed that 80% of the adolescents were female, it indicated significant improvements in both awareness and knowledge of SRH post-intervention. Awareness of SRH rose from 87% to 94.8%, while knowledge increased from 64% to 87.6%. Mean awareness score increased from 8.3±1.8 to 10.1±1.7, with a statistically significant difference (t = 7.59, df = 96, P < 0.01). Similarly, the mean knowledge score increased from 52.2±7.3 to 57.7±9.3, also with a significant difference (t = 4.59, df = 96, P < 0.01). The findings underscore the effectiveness of CSE in enhancing adolescent SRH knowledge, highlighting its potential for addressing SRH challenges among adolescents in Rivers State and elsewhere.
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Copyright (c) 2024 Vivian Ifeoma Ogbonna
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
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References
Abajobir, A. A., & Seme, A. (2014). Reproductive health knowledge and services utilization among rural adolescents in east Gojjam zone, Ethiopia: A community-based cross-sectional study. BMC Health Services Research, 14(1), 1–11. https://doi.org/10.1186/1472-6963-14-138
Agampodi, S. B., Agampodi, T. C., & Ukd, P. (2008). Adolescents perception of reproductive health care services in Sri Lanka. BMC Health Services Research, 8. https://doi.org/10.1186/1472-6963-8-98
Akinwale, O., Bello, C., Akpor, O., & Elemile, M. (2022). Evaluation of adolescent/youth.friendly sexual and reproductive health services: A 7-year systematic review from January 2016 to April 2022. In Journal of Integrative Nursing (Vol. 4, Issue 4). https://doi.org/10.4103/jin.jin_79_22
Cleland, J. (2001). llustrative questionnaire for interview-surveys with young people. Asking Young People About Sexual and Reproductive Behaviors. Illustrative Core Instruments, Geneva: World Health Organization. Geneva: World Health Organization, 3–55.
Gausman, J., Othman, A., Al-Qotob, R., Shaheen, A., Abu Sabbah, E., Aldiqs, M., Hamad, I., Dabobe, M., & Langer, A. (2021). Health care professionals’ attitudes towards youth-friendly sexual and reproductive health services in Jordan: a cross-sectional study of physicians, midwives and nurses. Reproductive Health, 18(1). https://doi.org/10.1186/s12978-021-01137- 4
Gupta, K. K., Attri, J. P., Singh, A., Kaur, H., & Kaur, G. (2016). Basic concepts for sample size calculation: Critical step for any clinical trials! Saudi Journal of Anaesthesia, 10(3), 328–331. https://doi.org/10.4103/1658-354X.174918
Hasa. (2011). Difference Between Positivism and Interpretivism _ Compare the Difference Between Similar Terms (p. 2).
Ilori, O., Awodutire, P., & Ilori, O. (2020a). Awareness and utilization of adolescent reproductive health services among in-school adolescents in urban and rural communities in Oyo state. Nigerian Medical Journal, 61(2), 67. https://doi.org/10.4103/nmj.nmj_38_19
Ilori, O., Awodutire, P., & Ilori, O. (2020b). Awareness and utilization of adolescent reproductive health services among in-school adolescents in urban and rural communities in Oyo state. Nigerian Medical Journal, 61(2), 67. https://doi.org/10.4103/nmj.nmj_38_19
Inthavong, K., Ha, L. T. H., Anh, L. T. K., & Sychareun, V. (2020). Knowledge of safe sex and sexually transmitted infections among high school students, Vientiane Prefecture, Lao PDR. Global Health Action, 13(sup2). https://doi.org/10.1080/16549716.2020.1785159
Ivanova, O., Rai, M., & Kemigisha, E. (2018). A systematic review of sexual and reproductive health knowledge, experiences and access to services among refugee, migrant and displaced girls and young women in Africa. In International Journal of Environmental Research and Public Health (Vol. 15, Issue 8). https://doi.org/10.3390/ijerph15081583
Lehtimaki, S., & Schwalbe, N. (2019). Adolescent Health. The missing population in Universal Health Coverage.
Melaku, Y. A., Berhane, Y., Kinsman, J., & Reda, H. L. (2014). Sexual and reproductive health communication and awareness of contraceptive methods among secondary school female students, northern Ethiopia: A cross-sectional study. BMC Public Health, 14(1), 1–11. https://doi.org/10.1186/1471-2458-14-252
MN, M., JM, Z., & C, M. (2018). Contraception and abortion knowledge, attitudes and practices among adolescents from low and middle-income countries: a systematic review. BMC Health Services Research, 18(1).
National Population Commission Federal Republic of Nigeria, ICF International Rockville, Maryland, U. (2013). Nigeria Demographic and Health Survey.
Odo, A. N., Samuel, E. S., Nwagu, E. N., Nnamani, P. O., & Atama, C. S. (2018). Sexual and reproductive health services (SRHS) for adolescents in Enugu state, Nigeria : a mixed methods approach. BMC Health Services Research, 18(92), 1–12. https://doi.org/10.1186/s12913-017-2779-x
Olugbenga-Bello, A. I., Adebimpe, W. O., & Abodunrin, O. L. (2009). Sexual risk behaviour among in-school adolescents in public secondary schools in a Southwestern City in Nigeria. International Journal of Health Research, 2(3). https://doi.org/10.4314/ijhr.v2i3.47908
Osaro, N., & Wokekoro, E. (2019). Conditions of Public Secondary Schools in Rivers State, Nigeria. The 18th AFRES ANNUAL CONFERENCE, 349–370. https://doi.org/10.15396/afres2018_147
Oyo-Ita, A. . E., Kalu, Q. N., Mkpanam, N. E., Ikpeme, B. M., & Etuk, S. J. (2004). Knowledge of reproductive health issues among secondary school adolescents in Calabar, Nigeria. Global Journal of Medical Sciences, 3(1), 5–8. https://doi.org/10.4314/gjms.v3i1.10133
Patel, S. H., Muyinda, H., Sewankambo, N. K., Oyat, G., Atim, S., & Spittal, P. M. (2012). In the face of war: Examining sexual vulnerabilities of Acholi adolescent girls living in displacement camps in conflict-affected Northern Uganda. BMC International Health and Human Rights, 12(1). https://doi.org/10.1186/1472-698X-12-38
Patton, G. C., Sawyer, S. M., Santelli, J. S., Ross, D. A., Afifi, R., Allen, N. B., Arora, M., Azzopardi, P., Baldwin, W., Bonell, C., Kakuma, R., Kennedy, E., Mahon, J., McGovern, T., Mokdad, A. H., Patel, V., Petroni, S., Reavley, N., Taiwo, K., … Viner, R. M. (2016). Our future: a Lancet commission on adolescent health and wellbeing. The Lancet, 387(10036), 2423–2478. https://doi.org/10.1016/S0140-6736(16)00579-1
Reproductive health. (n.d.). Retrieved 31 March 2024, from https://www.who.int/westernpacific/health-topics/reproductive-health
Tlaye, K. G., Belete, M. A., Demelew, T. M., & Getu, M. A. (2018). Reproductive health services utilization and its associated factors among adolescents in Debre Berhan town, Central Ethiopia: a community-based cross-sectional study. Reproductive Health, 15(217), 1–11.
United Nations Department of Economic and Social Affiairs Population Division. (2016). Reproductive health policies 2017. Data Booklet (pp. 9–13). https://doi.org/10.18356/5eb5ad13-en
Utaka, E. N., Sekoni, A. O., & Badru, F. A. (2023). Knowledge and utilization of sexual and reproductive health services among young males in a slum area in Nigeria: A cross-sectional study. Heliyon, 9(6). https://doi.org/10.1016/j.heliyon.2023.e16289
WHO. (n.d.). Adolescent pregnancy. World Health Organization. Retrieved 4 June 2021, from https://www.who.int/news-room/fact-sheets/detail/adolescent-pregnancy
WHO Regional office for Africa. (2019). Assessment of barriers to accessing health services for disadvantaged adolescents in Nigeria.