Umeå University's logo

umu.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Experiences of teachers and community-based health workers in addressing adolescents’ sexual reproductive health and rights problems in rural health systems: a case of the RISE project in Zambia
Department of Health Policy and Education, School of Public Health, University of Zambia, Lusaka, Zambia.
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Department of Health Policy and Education, School of Public Health, University of Zambia, Lusaka, Zambia.
Department of Health Policy and Education, School of Public Health, University of Zambia, Lusaka, Zambia.
Umeå University, Faculty of Medicine, Department of Epidemiology and Global Health. Department of Health Policy and Education, School of Public Health, University of Zambia, Lusaka, Zambia.ORCID iD: 0000-0003-1189-7194
2023 (English)In: BMC Public Health, E-ISSN 1471-2458, Vol. 23, no 1, article id 335Article in journal (Refereed) Published
Abstract [en]

Background: Adolescents in low-and-middle-income countries like Zambia face a high burden of sexual, reproductive, health and rights problems including coerced sex, teenage pregnancies, and early marriages. The Zambia government through Ministry of Education has integrated comprehensive sexuality education (CSE) in the education and school system to contribute towards addressing Adolescents sexual, reproductive, health and rights (ASRHR) problems. This paper sought to explore teachers and community based health workers (CBHWs)’ experiences in addressing ASRHR problems in in rural health systems in Zambia.

Methodology: The study was conducted under Research Initiative to Support the Empowerment of Girls (RISE) community randomized trial that aims to measure the effectiveness of economic and community interventions in reducing early marriages, teenage pregnancies, and school dropout in Zambia. We conducted qualitative 21 in-depth interviews with teachers and CBHWs involved in the implementation of CSE in communities. Thematic analysis was used to analyse teachers and CBHWs´ roles, challenges, and opportunities in promoting ASRHR services.

Results: The study identified teachers and CBHWs roles, and challenges experienced in promoting ASRHR and suggested strategies to enhance delivery of the intervention. The role of teachers and CBHWs in addressing ASRHR problems included mobilizing and sensitizing the community for meetings, providing SRHR counseling services to both adolescents and guardians, and strengthening referral to SRHR services if needed. The challenges experienced included stigmatization associated with difficult experiences such as sexual abuse and pregnancy, shyness among girls to participate when discussing SRHR in the presence of the boys and myths about contraception. The suggested strategies for addressing the challenges included creating safe spaces for adolescents to discuss SRHR issues and engaging adolescents in coming up with the solution.

Conclusion: This study provides significant insight on the important roles that teachers CBHWs can play in addressing adolescents SRHR related problems. Overall, the study emphasizes the need to fully engage adolescents in addressing adolescents SRHR problems.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023. Vol. 23, no 1, article id 335
Keywords [en]
Comprehensive Sexuality Education, Reproductive Health, Rights, RISE, Rural health systems, Sexual
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-205179DOI: 10.1186/s12889-023-15199-5ISI: 000934877600010PubMedID: 36793027Scopus ID: 2-s2.0-85148114600OAI: oai:DiVA.org:umu-205179DiVA, id: diva2:1739942
Available from: 2023-02-28 Created: 2023-02-28 Last updated: 2023-09-05Bibliographically approved

Open Access in DiVA

fulltext(1188 kB)238 downloads
File information
File name FULLTEXT01.pdfFile size 1188 kBChecksum SHA-512
9ec11e00dfea0a2a171c99119f099642fdfe468b6b5a7354e620399751554c57e99053ffa571a55290477eefd3c0da22e46785cb704dbf88dc8a6f9d6a8f5b20
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Mulubwa, ChamaMalizgani, Chavula Paul

Search in DiVA

By author/editor
Mulubwa, ChamaMalizgani, Chavula Paul
By organisation
Department of Epidemiology and Global Health
In the same journal
BMC Public Health
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar
Total: 238 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 206 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf