Process evaluation of a comprehensive sexuality education intervention in primary schools in South Western Uganda.
Adolescents
Africa
Process evaluation
School
Sexuality education
Uganda
Journal
Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives
ISSN: 1877-5764
Titre abrégé: Sex Reprod Healthc
Pays: Netherlands
ID NLM: 101530546
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
22
01
2019
revised:
13
06
2019
accepted:
26
06
2019
entrez:
10
8
2019
pubmed:
10
8
2019
medline:
31
1
2020
Statut:
ppublish
Résumé
We present findings of a process evaluation of a Comprehensive Sexuality Education (CSE) program for young adolescents in 15 schools in South-Western Uganda. Using the Medical Research Council (UK) framework for process evaluation and the European Expert Group guidance on evaluation of sexuality education programs, we conducted a mixed methods study comprised of a review of relevant implementation documents, qualitative interviews(16), and focus group discussions(4) distributed among 50 participants including pupils, teachers, student educators and parents. Delivery of the anticipated 11 CSE lessons occurred in all target schools with moderate to high pupil attendance, however the duration of sessions was often shorter than planned. Facilitating factors for implementation included establishment of a community advisory board, use of multiple interactive delivery methods and high acceptance of the program by key stakeholders. Socio-cultural norms, geographical access, time constraints and school related factors were barriers. It was feasible to implement a contextually adapted CSE program for young adolescents in schools successfully with overall high acceptance by key stakeholders. Proper coordination of school activities with the program, ensuring linkages of the school based CSE program with community support systems for adolescent SRH and addressing socio-cultural impedances could be beneficial.
Sections du résumé
BACKGROUND
BACKGROUND
We present findings of a process evaluation of a Comprehensive Sexuality Education (CSE) program for young adolescents in 15 schools in South-Western Uganda.
METHODS
METHODS
Using the Medical Research Council (UK) framework for process evaluation and the European Expert Group guidance on evaluation of sexuality education programs, we conducted a mixed methods study comprised of a review of relevant implementation documents, qualitative interviews(16), and focus group discussions(4) distributed among 50 participants including pupils, teachers, student educators and parents.
RESULTS
RESULTS
Delivery of the anticipated 11 CSE lessons occurred in all target schools with moderate to high pupil attendance, however the duration of sessions was often shorter than planned. Facilitating factors for implementation included establishment of a community advisory board, use of multiple interactive delivery methods and high acceptance of the program by key stakeholders. Socio-cultural norms, geographical access, time constraints and school related factors were barriers.
CONCLUSIONS
CONCLUSIONS
It was feasible to implement a contextually adapted CSE program for young adolescents in schools successfully with overall high acceptance by key stakeholders. Proper coordination of school activities with the program, ensuring linkages of the school based CSE program with community support systems for adolescent SRH and addressing socio-cultural impedances could be beneficial.
Identifiants
pubmed: 31395234
pii: S1877-5756(19)30021-7
doi: 10.1016/j.srhc.2019.06.006
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
51-59Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.