Evidence map›Paper›PMID 31660918›Full record

Trial reportBMC public health2019

Evaluation of a school based comprehensive sexuality education program among very young adolescents in rural Uganda.

Elizabeth Kemigisha, Katharine Bruce, Olena Ivanova, Els Leye, Gily Coene, Gad N Ruzaaza, Anna B Ninsiima, Wendo Mlahagwa, Viola N Nyakato, Kristien Michielsen

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03669913 (Mitigating Adverse Sexual and Reproductive Health Outcomes Through a Comprehensive Primary School Sexuality Education Program in South-Western Uganda), which is not on this map. Cited by 39 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 8 pooled it
10.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03669913 naunknown statusnot on this map

Mitigating Adverse Sexual and Reproductive Health Outcomes Through a Comprehensive Primary School Sexuality Education Program in South-Western Uganda

TypeinterventionalSponsorMbarara University of Science and TechnologyRan2015 to 2018Enrolled1,100ConditionsRelationship Problems Specific to Childhood and AdolescenceArmsLessons on comprehensive sexuality education
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 8 syntheses or guidelines pooled it, 86 citations in OpenAlex.

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  8. Girls' Empowerment and Adolescent Pregnancy: A Systematic Review.International journal of environmental research and public health · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 4 countries.

Elizabeth KemigishaMbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda. ekemigisha@must.ac.ug.ORCID http://orcid.org/0000-0001-9137-8014
Katharine BruceMbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda.
Olena IvanovaDivision of Infectious Diseases and Tropical Medicine, Medical Centre of the University of Munich (LMU), 80802, Munich, Germany.
Els LeyeInternational Centre for Reproductive Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Gily CoeneCentre of Expertise on Gender, Diversity and Intersectionality, Vrije universiteit Brussels, Brussels, Belgium.
Gad N RuzaazaMbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda.
Anna B NinsiimaCentre of Expertise on Gender, Diversity and Intersectionality, Vrije universiteit Brussels, Brussels, Belgium.
Wendo MlahagwaMbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda.
Viola N NyakatoMbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda.
Kristien MichielsenInternational Centre for Reproductive Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium.
Mbarara University of Science and Technology · UGVrije Universiteit Brussel · BEGhent University · BELudwig-Maximilians-Universität München · DE

Funding

VLIR UOS ZEIN2015PR411
6 · The paper itself

Abstract

backgroundLimited research has been conducted on the effectiveness of sexuality education for very young adolescents (VYAs) ages 10-14 years in Sub-Saharan Africa. Furthermore, evaluations of sexuality education programs often report outcomes of risky sexual practices, yet positive aspects of sexuality are hardly studied and rarely reported. This study evaluates the effectiveness of a Comprehensive Sexuality Education (CSE) intervention for VYAs in Uganda, analyzing both positive and negative outcome indicators.

methodsWe conducted a mixed methods study, incorporating a cluster randomized trial (NCT03669913) among pupils in 33 randomly selected primary schools in Mbarara district. This was followed by a qualitative evaluation of the intervention in 4 schools that included 14 in-depth interviews and 3 focus group discussions distributed among pupils, teachers and parents. Quantitative data were analyzed using ordered logistic regression to compare differences in the change from baseline to endline between the intervention and control arms. We conducted bivariate analysis and multiple regression analysis controlling for key covariates, including age, gender, school location (rural vs urban), truancy, and orphanhood. Qualitative data were analyzed by thematic approach using ATLAS TI.

resultsBetween July 2016 and August 2017, 1096 pupils were recruited. Outcomes were studied among 380 pupils in the intervention arm and 484 pupils in the control arm. The proportion of pupils who ever had sex increased from 9 to 12.1% in intervention compared to 5.2 to 7.4% in the control group between baseline and endline, however the differences between groups were not statistically significant. We found greater improvements in sexual and reproductive health (SRH) knowledge among intervention schools (AOR: 2.18, 95% CI: 1.66-2.86) and no significant differences in self-esteem, body image or gender equitable norms. Qualitative evidence echoes perceived SRH knowledge acquisition, increased their perception of SRH related risks, and intentions to delay sexual intercourse to prevent unwanted pregnancy, HIV and other STIs.

conclusionThis study demonstrates that CSE can improve SRH knowledge and behavioral intentions among VYAs in Uganda. These results further emphasize the importance of initiating sexuality education before most adolescents have started engaging in sexual activity, enabling them to make informed decisions in the future.

trial registrationNCT03669913 , registered retrospectively on September 13th, 2018.

Indexed as

Health Knowledge, Attitudes, PracticeRural PopulationSchool Health ServicesSex EducationAdolescentChildFemaleHumansMalePregnancyProgram EvaluationStudentsUgandaComprehensive sexuality educationEvaluationSexual and reproductive healthUgandaVery young adolescents

Identifiers

PMID31660918
PMCPMC6819440
OpenAlexW2981541374

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.