Le SIDA au Ghana (serveur d'exploration)

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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 : 000243 ( PubMed/Checkpoint ); précédent : 000242; suivant : 000244

Effects 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 :

RBID : pubmed:25928562

Descripteurs français

English descriptors

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.

DOI: 10.1371/journal.pone.0125267
PubMed: 25928562


Affiliations:


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pubmed:25928562

Le document en format XML

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<div type="abstract" xml:lang="en">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.</div>
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<ArticleTitle>Effects of an adolescent sexual and reproductive health intervention on health service usage by young people in northern Ghana: a community-randomised trial.</ArticleTitle>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">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.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">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.</AbstractText>
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<Affiliation>Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom.</Affiliation>
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<MeshHeading>
<DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
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<DescriptorName UI="D015980" MajorTopicYN="Y">Public Health Practice</DescriptorName>
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<DescriptorName UI="D060728" MajorTopicYN="Y">Reproductive Health</DescriptorName>
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<DescriptorName UI="D012725" MajorTopicYN="Y">Sexual Behavior</DescriptorName>
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<li>Royaume-Uni</li>
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<li>Grand Londres</li>
<li>Région du Grand Accra</li>
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<settlement>
<li>Accra</li>
<li>Londres</li>
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<country name="Ghana">
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<name sortKey="Aninanya, Gifty Apiung" sort="Aninanya, Gifty Apiung" uniqKey="Aninanya G" first="Gifty Apiung" last="Aninanya">Gifty Apiung Aninanya</name>
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<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>
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<country name="Royaume-Uni">
<region name="Angleterre">
<name sortKey="Howard, Natasha" sort="Howard, Natasha" uniqKey="Howard N" first="Natasha" last="Howard">Natasha Howard</name>
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