Delivering an Integrated Sexual Reproductive Health and Rights and HIV Programme to High-School Adolescents in a Resource-Constrained Setting

Autor/inn/en	Shaikh, Najma; Grimwood, Ashraf; Eley, Brian; Fatti, Geoffrey; Mathews, Catherine; Lombard, Carl; Galea, Sandro
Titel	Delivering an Integrated Sexual Reproductive Health and Rights and HIV Programme to High-School Adolescents in a Resource-Constrained Setting
Quelle	In: Health Education Research, 36 (2021) 3, S.349-361 (13 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0268-1153
DOI	10.1093/her/cyab013
Schlagwörter	Foreign Countries; Sex Education; High School Students; Acquired Immunodeficiency Syndrome (AIDS); Rural Areas; Adolescents; Access to Health Care; Civil Rights; Program Effectiveness; Knowledge Level; Sexuality; Health Behavior; Pregnancy; Clinics; Africa + Suchen Sie Ihr Suchwort? Ausland; Sex instruction; Sexualaufklärung; Sexualerziehung; Sexualkunde; High school; High schools; Student; Students; Oberschule; Schüler; Schülerin; Studentin; Rural area; Ländlicher Raum; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Bürgerrechte; Grundrechte; Zivilrecht; Wissensbasis; Sexualität; Health behaviour; Gesundheitsverhalten; Schwangerschaft; Afrika
Abstract	Southern Africa remains the epicentre of the human immunodeficiency virus (HIV) epidemic with AIDS the leading cause of death amongst adolescents. Poor policy translation, inadequate programme implementation and fragmentation of services contribute to adolescents' poor access to sexual and reproductive health and rights (SRHR) services. This study assessed an integrated, school-based SRHR and HIV programme, modelled on the South African Integrated School Health Policy in a rural, high HIV-prevalence district. A retrospective cohort study of 1260 high-school learners was undertaken to assess programme uptake, change in HIV knowledge and behaviour and the determinants of barrier-methods use at last sexual intercourse. Programme uptake increased (2%-89%; P<0.001) over a 16-month period, teenage-pregnancy rates declined (14%-3%; P<0.050) and accurate knowledge about HIV transmission through infected blood improved (78.3%-93.8%; P<0.050), a year later. Post-intervention, attending a clinic perceived as adolescent-friendly increased the odds of barrier-methods use during the last sexual encounter (aOR=1.85; 95% CI: 1.31-2.60), whilst being female (aOR=0.69; 95% CI: 0.48-0.99), <15 years (aOR=0.44; 95% CI: 0.24-0.80), or having >5 sexual partners in the last year (aOR=0.59; 95% CI: 0.38-0.91) reduced the odds. This study shows that the unmet SRHR needs of under-served adolescents can be addressed through integrated, school-based SRHR programmes. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01