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Breaking barriers in the prevention of adolescent pregnancies for in-school children in Kirehe district (Rwanda): a mixed-method study for the development of a peer education program on sexual and reproductive health

BACKGROUND: 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...

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Autores principales: Nkurunziza, Aimable, Van Endert, Nadja, Bagirisano, Justine, Hitayezu, Jean Bosco, Dewaele, Sylvie, Tengera, Olive, Jans, Goele
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7487597/
https://www.ncbi.nlm.nih.gov/pubmed/32894150
http://dx.doi.org/10.1186/s12978-020-00986-9
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author Nkurunziza, Aimable
Van Endert, Nadja
Bagirisano, Justine
Hitayezu, Jean Bosco
Dewaele, Sylvie
Tengera, Olive
Jans, Goele
author_facet Nkurunziza, Aimable
Van Endert, Nadja
Bagirisano, Justine
Hitayezu, Jean Bosco
Dewaele, Sylvie
Tengera, Olive
Jans, Goele
author_sort Nkurunziza, Aimable
collection PubMed
description BACKGROUND: 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. METHODS: 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. DISCUSSION: 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. TRIAL REGISTRATION: University of Rwanda, College of Medicine and Health Sciences, Institutional Review Board, Approval No 158/CMHS IRB/2019.
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spelling pubmed-74875972020-09-15 Breaking barriers in the prevention of adolescent pregnancies for in-school children in Kirehe district (Rwanda): a mixed-method study for the development of a peer education program on sexual and reproductive health Nkurunziza, Aimable Van Endert, Nadja Bagirisano, Justine Hitayezu, Jean Bosco Dewaele, Sylvie Tengera, Olive Jans, Goele Reprod Health Study Protocol BACKGROUND: 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. METHODS: 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. DISCUSSION: 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. TRIAL REGISTRATION: University of Rwanda, College of Medicine and Health Sciences, Institutional Review Board, Approval No 158/CMHS IRB/2019. BioMed Central 2020-09-07 /pmc/articles/PMC7487597/ /pubmed/32894150 http://dx.doi.org/10.1186/s12978-020-00986-9 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Study Protocol
Nkurunziza, Aimable
Van Endert, Nadja
Bagirisano, Justine
Hitayezu, Jean Bosco
Dewaele, Sylvie
Tengera, Olive
Jans, Goele
Breaking barriers in the prevention of adolescent pregnancies for in-school children in Kirehe district (Rwanda): a mixed-method study for the development of a peer education program on sexual and reproductive health
title Breaking barriers in the prevention of adolescent pregnancies for in-school children in Kirehe district (Rwanda): a mixed-method study for the development of a peer education program on sexual and reproductive health
title_full Breaking barriers in the prevention of adolescent pregnancies for in-school children in Kirehe district (Rwanda): a mixed-method study for the development of a peer education program on sexual and reproductive health
title_fullStr Breaking barriers in the prevention of adolescent pregnancies for in-school children in Kirehe district (Rwanda): a mixed-method study for the development of a peer education program on sexual and reproductive health
title_full_unstemmed Breaking barriers in the prevention of adolescent pregnancies for in-school children in Kirehe district (Rwanda): a mixed-method study for the development of a peer education program on sexual and reproductive health
title_short Breaking barriers in the prevention of adolescent pregnancies for in-school children in Kirehe district (Rwanda): a mixed-method study for the development of a peer education program on sexual and reproductive health
title_sort breaking barriers in the prevention of adolescent pregnancies for in-school children in kirehe district (rwanda): a mixed-method study for the development of a peer education program on sexual and reproductive health
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7487597/
https://www.ncbi.nlm.nih.gov/pubmed/32894150
http://dx.doi.org/10.1186/s12978-020-00986-9
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