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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Scaling up a school-based sexual and reproductive health intervention in rural Tanzania: A process evaluation describing the implementation realities for the teachers
Health Education Research, Volume 25, No. 6, Year 2010
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Description
Little is known about the nature and mechanisms of factors that facilitate or inhibit the scale-up and subsequent implementation of school-based adolescent sexual and reproductive health (ASRH) interventions. We present process evaluation findings examining the factors that affected the 10-fold scale-up of such an intervention, focussing on teachers' attitudes and experiences. Qualitative interviews and focus group discussions with teachers, head teachers, ward education coordinators and school committees from eight schools took place before, during and after intervention implementation. The results were triangulated with observations of training sessions and training questionnaires. The training was well implemented and led to some key improvements in teachers' ASRH knowledge, attitudes and perceived self-efficacy, with substantial improvements in knowledge about reproductive biology and attitudes towards confidentiality. The trained teachers were more likely to consider ASRH a priority in schools and less likely to link teaching ASRH to the early initiation of sex than non-trained teachers. Facilitating factors included teacher enjoyment, their recognition of training benefits, the participatory teaching techniques, support from local government as well as the structured nature of the intervention. Challenges included differential participation by male and female teachers, limited availability of materials and high turnover of trained teachers. © 2010 Published by Oxford University Press. All rights reserved.
Authors & Co-Authors
Renju, Jenny R.
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Nyalali, Kija
Tanzania, Tanga
National Institute for Medical Research Tanga
Andrew, Bahati
Tanzania, Tanga
National Institute for Medical Research Tanga
Kishamawe, Coleman
Tanzania, Tanga
National Institute for Medical Research Tanga
Kimaryo, Micheal
Tanzania, Mwanza
African Medical and Research Foundation Mwanza
Remes, Pieter
United Kingdom, London
Medical Research Council
Changalucha, John M.
Tanzania, Tanga
National Institute for Medical Research Tanga
Obasi, A. I.N.
United Kingdom, Liverpool
Liverpool School of Tropical Medicine
Statistics
Citations: 31
Authors: 8
Affiliations: 4
Identifiers
Doi:
10.1093/her/cyq041
ISSN:
02681153
e-ISSN:
14653648
Research Areas
Sexual And Reproductive Health
Study Design
Randomised Control Trial
Study Approach
Qualitative
Study Locations
Tanzania
Participants Gender
Male
Female