Trial reportGlobal health action2023
Effectiveness of peer-led education interventions on contraceptive use, unmet need, and demand among adolescent girls in Gedeo Zone, South Ethiopia. A cluster randomized controlled trial.
Trial report in Global health action, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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Who cites it
14 citing papers in PubMed.
- Article
- From integration to use: a qualitative study of barriers and facilitators to postpartum family planning use in northeast Ethiopia-a multistakeholder perspective.AJOG global reports · 2026Article
- A Qualitative Study on Youth and Healthcare Provider Perspectives on Youth Access to Sexual and Reproductive Health Services in Northern Ghana: Implications for a Peer-Led Intervention.International journal of environmental research and public health · 2026Article
- Article
- Safe spaces enhancing sexual and reproductive health for youth: a scoping review.Reproductive health · 2025Article
- Correlates of long-acting reversible contraceptive (LARC) use among young women in Southern Africa: a secondary analysis from HPTN 082.medRxiv : the preprint server for health sciences · 2025Article
- A qualitative study of peer education experiences and oral pre-exposure prophylaxis use among adolescent girls and young women at high risk of HIV acquisition in Kampala, Uganda.Frontiers in public health · 2025Article
- Risky sexual behaviors and associated factors among adolescent in Gedeo Zone, South Ethiopia: a community based cross-sectional study.Scientific reports · 2024Article
- Implementation outcomes of peer education programme comparing state-led and NGO-facilitated models in two Indian states: qualitative findings.Frontiers in public health · 2024Article
- Determinants of peer education on sexual and reproductive health and rights among in-school adolescents in Ebonyi State, Nigeria.Journal of education and health promotion · 2024Article
- Impact of sexual and reproductive health interventions among young people in sub-Saharan Africa: a scoping review.Frontiers in global women's health · 2024Article
- Feasibility and acceptability of peer-delivered interventions using mHealth for PrEP services among adolescent girls and young women in DREAMS program in Botswana.Global health action · 2023Article
- Barriers to contraceptive use among secondary school adolescents in Gedeo zone, South Ethiopia: a formative qualitative study.BMJ open · 2023Article
- Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeer-led education interventions are assumed to be an effective means of increasing contraceptive utilization and demand in adolescents. However evidence is lacking on whether peer-led education is effective in promoting the demand for and use of contraceptives in adolescent girls, especially in resource-limited settings.
objectiveThe present study evaluated the effectiveness of peer-led education interventions in improving contraceptive use, unmet needs, and demand among sexually active secondary school adolescent girls in Gedeo Zone, South Ethiopia.
methodsA single-blinded cluster randomised controlled trial study was performed in six randomly selected secondary schools in the Gedeo Zone, southern Ethiopia. A total of 224 participants were recruited and randomly assigned to the intervention and control groups. The intervention group received peer-led education intervention for six months. A pre-tested and validated questionnaire was used to measure contraceptive use, unmet need, and contraceptive demand. A generalised estimating equation (GEE) model was used to examine the effectiveness of the intervention.
resultAfter six months of intervention, the Differences-in-difference in contraceptive use, unmet need, and contraceptive demand between the intervention and control groups were 25.1%, 7.4%, and 17.7%, respectively. There was a statistically significant difference in contraceptive use [AOR = 8.7, 95% CI: (3.66, 20.83), unmet need for contraceptives [AOR = 6.2, 95% CI: (1.61, 24.36)] and contraceptive demand [AOR = 6.1, 95% CI: (2.43, 15.11)] between the intervention and control groups.
conclusionsSchool-based peer education intervention effectively improved contraceptive use and unmet needs in a low-resource setting and created demand in sexually active adolescent girls. These results support the potential utility of this approach in similar settings for the promotion of contraception use and demand.
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