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- W1544133608 abstract "Reproductive health is a state of physical, mental and social well-being in all matters relating to the reproductive system at all stages of life. In East Africa including Eritrea, adolescents comprise more than a quarter of the population. The region holds the highest rates of sexually transmitted diseases, HIV, unwanted pregnancy and unsafe abortion and its complications among young girls. The study aimed to test the effectiveness of peer reproductive health education in improving knowledge, attitude, and health service use of high school adolescent girls in Zoba Debub Eritrea. Community-based, randomized, controlled pretest/posttest intervention study was designed in this research. Zoba Debub (southern state) was randomly selected out of the six zobas in Eritrea. The four high schools out of the 26 in Zoba Debub were randomly selected and assigned one intervention and three controls as study target schools. The target population was randomly selected female students attending grade nine. The protocol was reviewed and approved by the Scientific and Ethics Committees. Consent of the study participants was obtained. Data was collected using predesigned and pretested questionnaire emphasizing on reproductive health knowledge, attitude and practice. Sample size was calculated using proportion formula (α 0.01, power of 95%, & effect size of 20%). Measures used were scores and proportions. Descriptive and inferential statistics t-test and chi square at (α .01), 99% confidence interval were used to compare changes of pre and post-intervention scores using SPSS soft ware. Seventeen students were selected for peer educators and trained. The results show that Six hundred twenty seven (627) students (164 in intervention and 463 in the control group} with a ratio of 1 to 3, were enrolled in the study. The mean age for the total study population was 15.4±1.0 years. Reproductive knowledge scores which was calculated out of a total 61 grade points: intervention group (pretest 6.7%, post-test 33.6%; p= 0.0001); control group (pretest 7.3%, posttest 7.3%, p= 0.92). Proportion difference in attitude: intervention group (pretest 42.3% post test 54.7% p= 0.001); controls group (pretest 45%, post test 44.8 p= 0.7). Proportion in Practice: intervention group (pretest 15.4%, post test 80.4% p= 0.0001); control group (pretest 16.8%, posttest 16.9% p= 0.8). Reproductive health knowledge and use of health facilities was poor among adolescent girls in Eretria but significantly increased after intervention. School-based peer reproductive health education is effective and is the best strategy to improve reproductive health knowledge and attitudes." @default.
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- W1544133608 date "2015-04-29" @default.
- W1544133608 modified "2023-09-23" @default.
- W1544133608 title "Peer Reproductive Health Education Trial in Eritrea" @default.
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