College of Health Sciences and Medicine, Department of Health, Behavior, and Society, Dilla University, Dilla, Ethiopia.
Institute of Health, Faculty of Public Health, Department of Population and Family Health, Jimma University, Jimma, Ethiopia.
Glob Health Action. 2023 Dec 31;16(1):2160543. doi: 10.1080/16549716.2022.2160543.
Peer-led education interventions are assumed to be an effective means of increasing contraceptive utilization and demand in adolescents. However evidence is lacking on whether peer-led education is effective in promoting the demand for and use of contraceptives in adolescent girls, especially in resource-limited settings.
The present study evaluated the effectiveness of peer-led education interventions in improving contraceptive use, unmet needs, and demand among sexually active secondary school adolescent girls in Gedeo Zone, South Ethiopia.
A single-blinded cluster randomised controlled trial study was performed in six randomly selected secondary schools in the Gedeo Zone, southern Ethiopia. A total of 224 participants were recruited and randomly assigned to the intervention and control groups. The intervention group received peer-led education intervention for six months. A pre-tested and validated questionnaire was used to measure contraceptive use, unmet need, and contraceptive demand. A generalised estimating equation (GEE) model was used to examine the effectiveness of the intervention.
After six months of intervention, the Differences-in-difference in contraceptive use, unmet need, and contraceptive demand between the intervention and control groups were 25.1%, 7.4%, and 17.7%, respectively. There was a statistically significant difference in contraceptive use [AOR = 8.7, 95% CI: (3.66, 20.83), unmet need for contraceptives [AOR = 6.2, 95% CI: (1.61, 24.36)] and contraceptive demand [AOR = 6.1, 95% CI: (2.43, 15.11)] between the intervention and control groups.
School-based peer education intervention effectively improved contraceptive use and unmet needs in a low-resource setting and created demand in sexually active adolescent girls. These results support the potential utility of this approach in similar settings for the promotion of contraception use and demand.
同伴教育干预被认为是增加青少年避孕措施使用率和需求的有效手段。然而，目前缺乏证据表明同伴教育是否能有效促进青春期少女对避孕措施的需求和使用，尤其是在资源有限的环境下。
本研究评估了同伴教育干预在改善埃塞俄比亚盖多地区性活跃的中学少女避孕措施使用、未满足需求和需求方面的有效性。
在埃塞俄比亚南部盖多地区的六所随机选定的中学进行了一项单盲集群随机对照试验研究。共招募了 224 名参与者，并将其随机分配到干预组和对照组。干预组接受了为期六个月的同伴教育干预。使用经过预测试和验证的问卷来衡量避孕措施的使用、未满足的需求和避孕需求。使用广义估计方程（GEE）模型来检验干预的效果。
干预六个月后，干预组和对照组在避孕措施使用、未满足的需求和避孕需求方面的差异分别为 25.1%、7.4%和 17.7%。在避孕措施使用方面存在统计学显著差异[比值比（AOR）=8.7，95%置信区间（CI）：（3.66，20.83）]、未满足的避孕需求[AOR=6.2，95%CI：（1.61，24.36）]和避孕需求[AOR=6.1，95%CI：（2.43，15.11）]。
基于学校的同伴教育干预在资源有限的环境下有效地提高了避孕措施的使用和未满足的需求，并在性活跃的青春期少女中创造了需求。这些结果支持在类似环境下采用这种方法促进避孕措施的使用和需求的潜力。
