基于学校模块的友好健康教育对埃塞俄比亚古吉地区青少年性与生殖健康知识的影响——整群随机对照试验

The Effect of School-Linked Module-Based Friendly-Health Education on Adolescents' Sexual and Reproductive Health Knowledge, Guji Zone, Ethiopia - Cluster Randomized Controlled Trial.

作者信息

Boku Gobena Godana, Garoma Abeya Sileshi, Ayers Nicola, Abera Wordofa Muluembet

机构信息

Population and Family Health Department, Faculty of Public Health, Jimma University, Jimma, Oromia, Ethiopia.

Medical Services Lead Executive Office, Federal Ministry of Health, Addis Ababa, Ethiopia.

出版信息

Adolesc Health Med Ther. 2024 Jan 23;15:5-18. doi: 10.2147/AHMT.S441957. eCollection 2024.

DOI:10.2147/AHMT.S441957

PMID:38282688

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10821730/

Abstract

BACKGROUND

Although access to sexual and reproductive health information is the right and a critical component of health policy, it is not well addressed in pastoral communities. This study assessed the effect of School-Lined Module-based friendly health education on adolescents' sexual and reproductive health knowledge in the pastoral community of Guji Zone, Ethiopia.

METHODS

A two-arm cluster Randomized control trial study with pre-post evaluation was conducted among interventions (n=375) compared with control (n=384) in Gorodola and Wadara high schools. Comparing an intervention to a control group, pre-posttests, and post-posttests were used to evaluate the effectiveness of the intervention. The data was collected using 25 Self-administered questionnaires and analyzed using paired-sample independent t-tests and linear regressions to study the relationship between the outcome and independent variables.

RESULTS

We collected the data from 759 adolescents among 15 intervention and 15 control clusters. The results have shown that as compared to control arms, the mean sexual and reproductive health Knowledge score was significant higher in the intervention clusters (375) 73.3%, vs (384) 66.5%%, p<0.001, 95% CI, (0.05395-0.08347). Information (β: 0.038, 95% CI: 0.028-0.052), confidence (β: 0.045, 95% CI: 0.033-0.057), knowledge (β: 0.05, 95% CI: 0.035-0.066), and compassionate care (β: 0.107, 95% CI: 0.092-0.122) were significantly associated with SRH knowledge prediction. The proportion of SRH knowledge increased from 168(44%) baseline to 244(65%) end line in the intervention versus 235(60% to 238(62%) in control arms.

CONCLUSION

The execution of school-linked module-based friendly health education has proved to have a significant effect on mean SRH knowledge. Individual-level and behavioral-level factors significantly explain variability in enhancing SRH knowledge in the pastoral community. We recommend scaling up the School-Linked Module-based friendly health education intervention.

TRIAL REGISTRATION

We registered clinical trial PACTR202107905622610 on 16 July 2021.

摘要

背景

尽管获取性与生殖健康信息是一项权利，也是卫生政策的关键组成部分，但在牧民社区中并未得到很好的落实。本研究评估了基于学校模块的友好型健康教育对埃塞俄比亚古吉地区牧民社区青少年性与生殖健康知识的影响。

方法

在戈罗多拉和瓦达拉高中开展了一项双臂整群随机对照试验研究，并进行前后评估，干预组（n = 375）与对照组（n = 384）进行比较。通过将干预组与对照组进行比较、前后测以及后后测来评估干预的有效性。使用25份自填式问卷收集数据，并使用配对样本独立t检验和线性回归分析来研究结果与自变量之间的关系。

结果

我们从15个干预组和15个对照组的759名青少年中收集了数据。结果表明，与对照组相比，干预组的性与生殖健康知识平均得分显著更高（375人，73.3%），而对照组为（384人，66.5%），p < 0.001，95%置信区间为（0.05395 - 0.08347）。信息（β：0.038，95%置信区间：0.028 - 0.052）、信心（β：0.045，95%置信区间：0.033 - 0.057）、知识（β：0.05，95%置信区间：0.035 - 0.066）和关爱护理（β：0.107，95%置信区间：0.092 - 0.122）与性与生殖健康知识预测显著相关。干预组中性与生殖健康知识的比例从基线时的168人（44%）增加到结束时的244人（65%），而对照组从235人（60%）增加到238人（62%）。