| Autor: |
Fikree FF; Evidence to Action/PATH., Abshiro WK; Pathfinder International, Ethiopia., Mai MM; Evidence to Action/Pathfinder International., Hagos KL; Pathfinder International, Ethiopia., Asnake M; Pathfinder International, Ethiopia. |
| Jazyk: |
angličtina |
| Zdroj: |
African journal of reproductive health [Afr J Reprod Health] 2018 Sep; Vol. 22 (3), pp. 90-99. |
| DOI: |
10.29063/ajrh2018/v22i3.10 |
| Abstrakt: |
Robust evidence, including systematic reviews and recommendations from the 2016 Lancet Commission on Adolescent Health and Wellbeing, does not wholly support the unambiguous endorsement of peer-led community-based interventions. This study evaluated the effectiveness of an intensive three-day training for peer educators (PE) on dispelling myths and misconceptions about long-acting reversible contraceptives (LARCs) among Ethiopian youth. Post-training, PEs conducted demand-generation activities with their peers to encourage LARCs referrals. A convenience purposive sampling technique was used to select 20 health centers where peer educators referred clients: 10 each in Amhara and Tigray regions. The health centers were randomly allocated to the intervention (five) and non-intervention (five) study arms. Data were abstracted from the peer educators' monthly reporting forms over an 11-month period: 5 months pre-intervention and 6 months post-intervention. Analysis of family planning and LARCs referrals and chi-square tests of association were conducted. Odds of LARCs referrals at pre-intervention (0.96), fell to 0.83 for the post-intervention phase (p-value <0.6). Challenges, largely with data collection and reporting, may have exposed the study to Type II errors. We recommend focused and rigorous data collection in a multi-country 2X2 factorial design cluster randomized holistic intervention (service providers/clinic and PEs/community) trial to comprehensively determine effectiveness on demand for and uptake of LARCs among youth. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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