Methodology and Baseline Results From the Evaluation of a Sexuality Education Activity in Mpumalanga and KwaZulu-Natal, South Africa.

Autor:	Speizer IS; Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill., Mandal M; MEASURE Evaluation Project, Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill., Xiong K; MEASURE Evaluation Project, Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill., Hattori A; MEASURE Evaluation Project, Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill., Makina-Zimalirana N; MEASURE Evaluation Project, Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill., Kumalo F; South Africa Department of Basic Education, Pretoria, South Africa., Taylor S; South Africa Department of Basic Education, Pretoria, South Africa., Ndlovu MS; South Africa Department of Basic Education, Pretoria, South Africa., Madibane M; United States Agency for International Development, Pretoria, South Africa., Beke A; School of Health Systems and Public Health, University of Pretoria, Pretoria, South Africa.
Jazyk:	angličtina
Zdroj:	AIDS education and prevention : official publication of the International Society for AIDS Education [AIDS Educ Prev] 2018 Apr; Vol. 30 (2), pp. 152-168.
DOI:	10.1521/aeap.2018.30.2.152
Abstrakt:	In South Africa, adolescents and young adults (ages 15-24) are at risk of HIV, sexually transmitted infections, and unintended pregnancies. Recently, the Department of Basic Education has revised its sexuality education content and teaching strategies (using scripted lessons plans) as part of its life orientation curriculum. This paper presents the methodology and baseline results from the evaluation of the scripted lesson plans and supporting activities. A rigorous cluster-level randomized design with random assignment of schools as clusters is used for the evaluation. Baseline results from grade 8 female and male learners and grade 10 female learners demonstrate that learners are at risk of HIV and early and unintended pregnancies. Multivariable analyses demonstrate that household-level food insecurity and living with an HIV-positive person are associated with sexual experience and pregnancy experience. Implications are discussed for strengthening the current life orientation program for future scale-up by the government of South Africa.
Databáze:	MEDLINE
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