Effects of an Adolescent Sexual and Reproductive Health Intervention on Health Service Usage by Young People in Northern Ghana: A Community-Randomised Trial
Identifieur interne : 000360 ( Main/Exploration ); précédent : 000359; suivant : 000361Effects of an Adolescent Sexual and Reproductive Health Intervention on Health Service Usage by Young People in Northern Ghana: A Community-Randomised Trial
Auteurs : Gifty Apiung Aninanya [Ghana] ; Cornelius Y. Debpuur [Ghana] ; Timothy Awine [Ghana] ; John E. Williams [Ghana] ; Abraham Hodgson [Ghana] ; Natasha Howard [Royaume-Uni]Source :
- PLoS ONE [ 1932-6203 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- psychologie : Comportement sexuel.
- Adolescent, Femelle, Ghana, Humains, Mâle, Pratique en santé publique, Santé reproductive.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- MESH :
- geographic : Ghana.
- psychology : Sexual Behavior.
- Adolescent, Female, Humans, Male, Public Health Practice, Reproductive Health.
Abstract
While many Ghanaian adolescents encounter sexual and reproductive health problems, their usage of services remains low. A social learning intervention, incorporating environment, motivation, education, and self-efficacy to change behaviour, was implemented in a low-income district of northern Ghana to increase adolescent services usage. This study aimed to assess the impact of this intervention on usage of sexual and reproductive health services by young people.
Twenty-six communities were randomly allocated to (i) an intervention consisting of school-based curriculum, out-of-school outreach, community mobilisation, and health-worker training in youth-friendly health services, or (ii) comparison consisting of community mobilisation and youth-friendly health services training only. Outcome measures were usage of sexually-transmitted infections (STIs) management, HIV counselling and testing, antenatal care or perinatal services in the past year and reported service satisfaction. Data was collected, at baseline and three years after, from a cohort of 2,664 adolescents aged 15–17 at baseline.
Exposure was associated with over twice the odds of using STI services (AOR 2.47; 95%CI 1.78–3.42), 89% greater odds of using perinatal services (AOR 1.89; 95%CI 1.37–2.60) and 56% greater odds of using antenatal services (AOR 1.56; 95%CI 1.10–2.20) among participants in intervention versus comparison communities, after adjustment for baseline differences.
The addition of targeted school-based and outreach activities increased service usage by young people more than community mobilisation and training providers in youth-friendly services provision alone.
Url:
DOI: 10.1371/journal.pone.0125267
PubMed: 25928562
PubMed Central: 4415997
Affiliations:
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Debpuur</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Navrongo Health Research Centre, Navrongo, Ghana</addr-line></nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Navrongo Health Research Centre, Navrongo</wicri:regionArea><wicri:noRegion>Navrongo</wicri:noRegion></affiliation></author><author><name sortKey="Awine, Timothy" sort="Awine, Timothy" uniqKey="Awine T" first="Timothy" last="Awine">Timothy Awine</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Navrongo Health Research Centre, Navrongo, Ghana</addr-line></nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Navrongo Health Research Centre, Navrongo</wicri:regionArea><wicri:noRegion>Navrongo</wicri:noRegion></affiliation></author><author><name sortKey="Williams, John E" sort="Williams, John E" uniqKey="Williams J" first="John E." last="Williams">John E. Williams</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Navrongo Health Research Centre, Navrongo, Ghana</addr-line></nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Navrongo Health Research Centre, Navrongo</wicri:regionArea><wicri:noRegion>Navrongo</wicri:noRegion></affiliation></author><author><name sortKey="Hodgson, Abraham" sort="Hodgson, Abraham" uniqKey="Hodgson A" first="Abraham" last="Hodgson">Abraham Hodgson</name><affiliation wicri:level="3"><nlm:aff id="aff003"><addr-line>Research and Development Division, Ghana Health Service, Accra, Ghana</addr-line></nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Research and Development Division, Ghana Health Service, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Howard, Natasha" sort="Howard, Natasha" uniqKey="Howard N" first="Natasha" last="Howard">Natasha Howard</name><affiliation wicri:level="3"><nlm:aff id="aff004"><addr-line>Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Female</term><term>Ghana</term><term>Humans</term><term>Male</term><term>Public Health Practice</term><term>Reproductive Health</term><term>Sexual Behavior (psychology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Comportement sexuel (psychologie)</term><term>Femelle</term><term>Ghana</term><term>Humains</term><term>Mâle</term><term>Pratique en santé publique</term><term>Santé reproductive</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Comportement sexuel</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Sexual Behavior</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Female</term><term>Humans</term><term>Male</term><term>Public Health Practice</term><term>Reproductive Health</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Femelle</term><term>Ghana</term><term>Humains</term><term>Mâle</term><term>Pratique en santé publique</term><term>Santé reproductive</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>While many Ghanaian adolescents encounter sexual and reproductive health problems, their usage of services remains low. A social learning intervention, incorporating environment, motivation, education, and self-efficacy to change behaviour, was implemented in a low-income district of northern Ghana to increase adolescent services usage. This study aimed to assess the impact of this intervention on usage of sexual and reproductive health services by young people.</p></sec><sec id="sec002"><title>Methods</title><p>Twenty-six communities were randomly allocated to (i) an intervention consisting of school-based curriculum, out-of-school outreach, community mobilisation, and health-worker training in youth-friendly health services, or (ii) comparison consisting of community mobilisation and youth-friendly health services training only. Outcome measures were usage of sexually-transmitted infections (STIs) management, HIV counselling and testing, antenatal care or perinatal services in the past year and reported service satisfaction. Data was collected, at baseline and three years after, from a cohort of 2,664 adolescents aged 15–17 at baseline.</p></sec><sec id="sec003"><title>Results</title><p>Exposure was associated with over twice the odds of using STI services (AOR 2.47; 95%CI 1.78–3.42), 89% greater odds of using perinatal services (AOR 1.89; 95%CI 1.37–2.60) and 56% greater odds of using antenatal services (AOR 1.56; 95%CI 1.10–2.20) among participants in intervention versus comparison communities, after adjustment for baseline differences.</p></sec><sec id="sec004"><title>Conclusions</title><p>The addition of targeted school-based and outreach activities increased service usage by young people more than community mobilisation and training providers in youth-friendly services provision alone.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Mbizvo, Mt" uniqKey="Mbizvo M">MT Mbizvo</name></author><author><name sortKey="Zaidi, S" uniqKey="Zaidi S">S 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Binka</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Goicolea, I" uniqKey="Goicolea I">I Goicolea</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gloppen, Km" uniqKey="Gloppen K">KM Gloppen</name></author><author><name sortKey="David Ferdon, C" uniqKey="David Ferdon C">C David-Ferdon</name></author><author><name sortKey="Bates, J" uniqKey="Bates J">J Bates</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adu Mireku, S" uniqKey="Adu Mireku S">S Adu-Mireku</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zabin, Ls" uniqKey="Zabin L">LS Zabin</name></author><author><name sortKey="Emerson, Mr" uniqKey="Emerson M">MR Emerson</name></author><author><name sortKey="Nan, L" uniqKey="Nan L">L Nan</name></author><author><name sortKey="Chaohua, L" uniqKey="Chaohua L">L Chaohua</name></author><author><name sortKey="Ersheng, G" uniqKey="Ersheng G">G Ersheng</name></author><author><name sortKey="Minh, Nh" uniqKey="Minh N">NH Minh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Madise, N" uniqKey="Madise N">N Madise</name></author><author><name sortKey="Zulu, E" uniqKey="Zulu E">E Zulu</name></author><author><name sortKey="Ciera, J" uniqKey="Ciera J">J Ciera</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li><li>Région du Grand Accra</li></region><settlement><li>Accra</li><li>Londres</li></settlement></list><tree><country name="Ghana"><noRegion><name sortKey="Aninanya, Gifty Apiung" sort="Aninanya, Gifty Apiung" uniqKey="Aninanya G" first="Gifty Apiung" last="Aninanya">Gifty Apiung Aninanya</name></noRegion><name sortKey="Aninanya, Gifty Apiung" sort="Aninanya, Gifty Apiung" uniqKey="Aninanya G" first="Gifty Apiung" last="Aninanya">Gifty Apiung Aninanya</name><name sortKey="Awine, Timothy" sort="Awine, Timothy" uniqKey="Awine T" first="Timothy" last="Awine">Timothy Awine</name><name sortKey="Debpuur, Cornelius Y" sort="Debpuur, Cornelius Y" uniqKey="Debpuur C" first="Cornelius Y." last="Debpuur">Cornelius Y. Debpuur</name><name sortKey="Hodgson, Abraham" sort="Hodgson, Abraham" uniqKey="Hodgson A" first="Abraham" last="Hodgson">Abraham Hodgson</name><name sortKey="Williams, John E" sort="Williams, John E" uniqKey="Williams J" first="John E." last="Williams">John E. Williams</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Howard, Natasha" sort="Howard, Natasha" uniqKey="Howard N" first="Natasha" last="Howard">Natasha Howard</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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