Evaluating a sexual and reproductive health education program in Mozambique: A mixed method study

R. Siemens, Paulo Pires, Jaibo Mucu Mucufo, Celina Bernardo Mualeite, M. Mupueleque, Ha T T Le
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Abstract

Background: Early and inappropriate messages regarding sexuality and marriage taught during adolescent initiation rituals teachings in Mozambique are considered a determinant of high rates of early marriage, adolescent pregnancy, and maternal mortality. The Alert Community for a Prepared Hospital implementation research project in Natikiri, Nampula, Mozambique (2016-2020) identified adolescent initiation rituals counsellors and traditional authorities as pertinent agents to provide sexual and reproductive health education to adolescents during the initiation rituals. Objective: Develop, apply, evaluate, and disseminate a modern, transformative education tool, about sexual and reproductive health and rights, for counselors to use with adolescents during initiation rituals in Northern Mozambique. Methods: This is an exploratory descriptive and intervention study, using mixed method approaches. Findings: Results suggest, the education tool was well accepted by rituals counsellors, community leaders and the adolescents who attended the initiation rituals. It was shown to improve adolescent’s knowledge and lead to a positive behaviour change in sexual and reproductive health and rights. Conclusions: This intervention may be replicated at a national level with a low cost and significantly contribute to reducing adolescent pregnancy and early marriages and improving maternal and child health.
评估莫桑比克的性与生殖健康教育计划:混合方法研究
背景:在莫桑比克,青春期启蒙仪式中过早和不恰当地传授有关性和婚姻的信息,被认为是早婚率、少女怀孕率和孕产妇死亡率居高不下的决定性因素。在莫桑比克楠普拉省纳蒂基里市开展的 "准备就绪的医院警戒社区 "实施研究项目(2016-2020 年)将青少年入会仪式辅导员和传统权威人士确定为在入会仪式期间向青少年提供性健康和生殖健康教育的相关人员。目标开发、应用、评估和传播有关性与生殖健康和权利的现代变革性教育工具,供辅导员在莫桑比克北部的青少年入会仪式期间使用。方法:这是一项探索性描述和干预研究,采用混合方法。研究结果:结果表明,仪式辅导员、社区领袖和参加成人仪式的青少年都非常接受这一教育工具。结果表明,教育工具提高了青少年对性健康和生殖健康及权利的认识,并促成了积极的行为改变。结论:这项干预措施可以在全国范围内推广,而且成本较低,对减少少女怀孕和早婚以及改善妇幼保健做出了重大贡献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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