International articleWest African youth initiative: outcome of a reproductive health education program
Section snippets
The West African youth initiative project
The West African Youth Initiative (WAYI) was developed to improve knowledge of sexuality and reproductive health, and promote safer sex behaviors and contraceptive use among sexually active adolescents in Nigeria and Ghana. The WAYI project had two broad goals:
- 1.
To determine whether or not adolescent reproductive health peer education programs could be successfully implemented in Nigeria and Ghana; and,
- 2.
To assess the overall impact of such programs on adolescent knowledge, attitudes, and
Methods
The WAYI evaluation was designed and implemented from the outset of the project using a fairly rigorous quasi-experimental operations research design. The evaluation was intended to document the process of developing peer education programs and to quantitatively and qualitatively assess the outcomes of the peer education approach.
A cross-sectional baseline survey was developed from focus group discussions (FGDs) that were held with youth at each project site in mid-1994. Baseline data were
Results
At baseline, respondents were asked to select from among seven choices (parents, friends, older siblings, teachers, health workers, religious leaders, and indigenous healers) with whom they would feel most comfortable discussing 11 issues related to sexuality and reproductive health. Friends were most often mentioned for seven of the issues (menstruation, body changes, sexual feelings, dating, kissing, when to start having sex, and how pregnancy occurs). Health care workers were the next more
Discussion
When conducting the final analysis, several limitations to the data became apparent. Owing to increasing awareness of adolescent reproductive health in both Nigeria and Ghana, youth in both intervention and control communities were routinely exposed to extra-project educational messages from the mass media and other sources. For example, there was an ongoing national social marketing effort specifically targeted to youth to provide low-cost condoms through small-scale retailers. There were also
Acknowledgements
Funding for program implementation in Nigeria was provided by the Ford Foundation. The Public Welfare Foundation provided assistance for program activities in Ghana. The Rockefeller Foundation funded the evaluation component of the total project. Wallace Global Fund supported the implementation activities and technical assistance provided by Advocates for Youth.
The authors also wish to acknowledge Dr. Asha Mohamud, former Director of the International Division at Advocates for Youth, Ms. Susan
References (28)
- et al.
Reproductive tract infections and abortion among adolescent girls in rural Nigeria
Lancet
(1995) - et al.
Effects of a peer-counseled AIDS education program on knowledge, attitudes, and satisfaction of adolescents
J Adolesc Health
(1991) - et al.
Adolescent knowledge, values, and coping strategiesimplications for health in sub-Saharan Africa
J Adolesc Health
(1997) The World’s Youth
(1996)- Federal Office of Statistics (Nigeria) and IRD/Macro International. Nigeria Demographic and Health Survey 1990....
- Ghana Statistical Service. Ghana Demographic and Health Survey, 1993. Accra: The Service; Calverton, MD: Macro...
- et al.
Introduction and overview
Stud Fam Plann
(1998) - et al.
Premarital sexual activity in urban Nigeria
Stud Fam Plann
(1989) - UNAIDS/WHO Working Group on Global HIV/AIDS and STD Surveillance. Report on the global HIV/AIDS epidemic. Available at:...
It’s even worse than they thought
AIDS Analysis Africa
(1997)
HIV/AIDS surveillance database
Assessment of Adolescent Reproductive Health in Ghana
Sexual behaviour, reproductive health knowledge and contraceptive use among young urban Nigerians
Intern Fam Plann Perspect
Factors Associated With Adolescent Pregnancy in Rural Nigeria
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2016, Journal of Adolescent HealthCitation Excerpt :We identified 1,123 titles from the search conducted in all databases. After screening the titles and abstracts, 84 studies were identified that met the inclusion criteria [41–83] [84–109] [110–124]; 51 studies were RCTs while 29 were quasi-experimental design and four were pre–post studies. Fifty four of 84 studies focused on adolescent age group alone (11–19 years) while the rest had overlapping age groups.