Training guidelines for promoting adolescents' knowledge and perceptions on sexual and reproductive health rights and services in rural Arsi Zone, Ethiopia
Loading...
Authors
Daniel Bekele Wakjira
Issue Date
2021-11
Type
Thesis
Language
en
Keywords
Adolescents , Knowledge , Perceptions , Promotion , Sexual and reproductive health rights , Training guidelines
Alternative Title
Abstract
Adolescents face various challenges regarding sexual and reproductive health rights
(SRHRs) and services, mainly due to lack of knowledge and misperceptions. Therefore,
the purpose of the study was to develop training guidelines for promoting adolescents’
knowledge and perceptions on SRHRs and services in rural Arsi Zone, Ethiopia. The study
was conducted at five secondary schools and two health centres in the Zone. The
justification of this study was to contribute a complete and comprehensive picture of the
adolescents’ SRHRs and services at rural schools. The information generated would
contribute to identifying potential areas of intervention and equip policymakers with
evidence to support focused interventions.
The researcher used a mixed methods approach of sequential explanatory design to
collect, analyse, and integrate quantitative and qualitative data. The study was conducted
in three phases. The first phase was conducted to investigate the knowledge, perceptions
and service utilisation among 800 adolescents on SRHRs and service. Data were collected
by pre-tested and structured self-administered questionnaires and analysed by Statistical
Package for Social Sciences (SPSS) version 25 software. Bivariate and multivariate
logistic regressions were done to identify the association of factors with sexual and
reproductive health service utilisation. The statistical significance level was determined by
odds ratios at 95% confidence interval and p-value less than 5%. For the second phase, purposely selected 24 adolescents and 12 key informants participated. The qualitative
data analysis was done by thematic analysis using Atlas ti version 8. For the third phase,
based on the findings of Phases 1 and 2, training guidelines for promotion of adolescents’
knowledge and perceptions on SRHRs and services were developed. Finally, the
developed training guidelines were validated by experts and literature. During data
collection at each phase the ethical principles were briefly described and implemented.
Validity and reliability of the quantitative tools were assured before and during data
collection procedures. To ensure the trustworthiness of the qualitative study, the four
measuring (credibility, transferability, dependability and conformability) points were
implemented.
Overall, the study found limited knowledge, low-level services utilisation and
misperceptions of adolescents on SRHRs and services. The findings also revealed that
training curriculum didn’t include adolescents’ SRHRs and services. Based on the study
findings and literature support, the training guidelines were developed. The developed
training guidelines for promoting adolescents’ knowledge and perceptions on SRHRs and
services recommended to incorporate SRHRs and services in Ethiopian education
system. The developed training guidelines cover eight major topics. It is expected that the
developed final training guidelines will address most of the challenges encountered by
rural school going adolescents on the issues of SRHs utilisation. These guidelines are
valuable resources that should always be easily accessible and available.