Nkurunziza Aimable, Van Endert Nadja, Bagirisano Justine, Hitayezu Jean Bosco, Dewaele Sylvie, Tengera Olive, Jans Goele
School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Arthur Labatt School of Nursing, Faculty of Health Sciences, University of Western Ontario, London, Canada.
Reprod Health. 2020 Sep 7;17(1):137. doi: 10.1186/s12978-020-00986-9.
Despite a variety of mainly school-driven prevention strategies, the number of adolescent pregnancies in Rwanda is worryingly high and is even expected to increase. The aim of this study is to empower Kirehe secondary school students aged 15-19 years old in sexual and reproductive health (SRH) by developing a peer education program.
A combination of quantitative and qualitative research will be used. A pre- and post-survey will examine adolescents' knowledge and attitudes regarding SRH. In addition, six focus group interviews will explore these knowledge, attitudes but also SRH needs more in depth. Based on the obtained information, and after retrieving experts' input, a peer education program is being developed in which Midwifery students obtain training in SRH and educational skills (= first train-the-trainer module). In turn, these students will educate and train a selected group of secondary school students (= second train the trainer module). Finally, these trained in-school students can act as reliable peers for other in-school students in the context of SRH.
The project will contribute to 1) more independent and thoughtful decisions in contraception and sexual behavior, and consequently less adolescent pregnancies, and 2) the reinforcement of the Rwandan Midwifery education.
University of Rwanda, College of Medicine and Health Sciences, Institutional Review Board, Approval No 158/CMHS IRB/2019.
尽管有各种主要由学校推动的预防策略，但卢旺达青少年怀孕的数量高得令人担忧，甚至预计还会增加。本研究的目的是通过开展同伴教育项目，增强基雷赫中学15至19岁学生在性与生殖健康（SRH）方面的能力。
将采用定量和定性研究相结合的方法。一项前后调查将考察青少年对性与生殖健康的知识和态度。此外，六次焦点小组访谈将更深入地探讨这些知识、态度以及性与生殖健康需求。根据获得的信息，并在征求专家意见后，正在制定一个同伴教育项目，其中助产专业学生将接受性与生殖健康及教育技能方面的培训（即第一个培训培训师模块）。反过来，这些学生将对一组选定的中学生进行教育和培训（即第二个培训培训师模块）。最后，这些经过培训的在校学生在性与生殖健康方面可以成为其他在校学生可靠的同伴。
该项目将有助于1）在避孕和性行为方面做出更独立、更慎重的决定，从而减少青少年怀孕，以及2）加强卢旺达的助产教育。
卢旺达大学医学院和健康科学学院机构审查委员会，批准号158/CMHS IRB/2019。
