对纳米比亚年轻人性健康和生殖健康培训方案的前后评估

Karine Talbot, P. Talavera, F. Schütz, Mónica Ruiz-Casares
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摘要

在纳米比亚第一次COVID-19封锁期间(2020年3月至9月),卫生和社会服务部报告称,2020年估计有14,983名少女怀孕,比前一年估计的13,552人有所增加。卡万戈东部和西部地区受到的影响尤其严重。针对这些数字,以青年为重点的纳米比亚非政府组织Ombetja Yehinga组织(OYO)于2021年推动了一次课后干预活动,讨论关键的性健康和生殖健康知识。在测试前和测试后都使用了一份相同的问卷,以便为评估以学校为基础的促进安全性行为的干预措施的有效性提供基线信息。在2021年5月至9月期间,Kavango东部和西部地区共有18所学校参与了干预,638名13-25岁的学习者在完成前测试和后测试后被纳入数据分析。在进行干预之前,关于性健康和生殖健康,包括安全性行为和获取避孕药具的知识有限。测试后获得的结果表明,在测试前和测试后,参与者的知识水平显著提高,这表明以学校为基础的干预措施(如OYO计划)可能有效地向高危人群传播这一关键信息。
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Pre-/Post- Assessment of a Sexual and Reproductive Health Training Program for Young People in Namibia
During the first COVID-19 lockdown in Namibia (March-September 2020), the Ministry of Health and Social Services reported there were an estimated 14,983 teenage pregnancies in 2020, an increase from the prior year’s estimated 13,552. The regions of Kavango East and West were particularly impacted. In response to these figures, the Ombetja Yehinga Organisation (OYO), a youth-focused Namibian non-governmental organization, facilitated an after-school intervention in 2021 to discuss key sexual and reproductive health knowledge. An identical questionnaire was administered at both pre- and post-test, in order to provide baseline information for assessing the effectiveness of a school-based intervention to promote safe sexual behaviours. A total of 18 schools in the regions of Kavango East and West participated in the intervention between May-September 2021, and 638 learners aged 13-25 were included in data analysis after completing both the pre- and post-tests. Prior to the intervention, knowledge on sexual and reproductive health, including safe sexual behaviours and accessing contraceptives was limited. Results obtained at post-test indicate there were significant increases in participants’ level of knowledge between pre- and post-test, suggesting that school-based interventions (such as the OYO program) may be effective in disseminating this crucial information to at-risk populations.
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