The World Starts With Me: A multilevel evaluation of a comprehensive sex education programme targeting adolescents in Uganda
2011

The World Starts With Me: Evaluating a Sex Education Program in Uganda

Sample size: 1986 publication 10 minutes Evidence: moderate

Author Information

Author(s): Rijsdijk Liesbeth E, Bos Arjan E R, Ruiter Robert A C, Leerlooijer Joanne N, de Haas Billie, Schaalma Herman P

Primary Institution: Windesheim University of Applied Sciences

Hypothesis

Following the intervention, students in the intervention group would score significantly better than students in the comparison groups on the main socio-cognitive determinants of safe sex behaviour.

Conclusion

The study showed an intervention effect on several socio-cognitive determinants, but effectiveness could be improved by addressing the context of implementation.

Supporting Evidence

  • Students in the intervention group showed improved beliefs about pregnancy prevention.
  • Intervention group students had a stronger intention to delay sexual intercourse.
  • Self-efficacy in dealing with sexual coercion increased among intervention group students.

Takeaway

This study looked at a program teaching safe sex to teenagers in Uganda and found it helped them understand safe sex better, but it needs to be done more completely to be really effective.

Methodology

A quasi-experimental design with pre- and post-test measures among intervention and comparison groups.

Potential Biases

Potential bias due to the non-randomized selection of schools and reliance on self-reported measures.

Limitations

The study had a non-randomized design and relied on self-reported data, which may introduce bias.

Participant Demographics

Mean age of students was 16.1 years, with 55.2% girls and 44.8% boys; majority identified as Christian.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2458-11-334

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