Scaling up a school-based sexual and reproductive health intervention in rural Tanzania: a process evaluation describing the implementation realities for the teachers

Renju, Jenny, Bahati, Andrew, Lemmy, Medard, Obasi, Angela ORCID: https://orcid.org/0000-0001-6801-8889, Kishamawe, Coleman, Kimaryo, Michael and Changalucha, John (2010) 'Scaling up a school-based sexual and reproductive health intervention in rural Tanzania: a process evaluation describing the implementation realities for the teachers'. Health Education Research, Vol 25, Issue 6, pp. 903-916.

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Abstract

Little is known about the nature and mechanisms of factors that facilitate or inhibit the scale-up and subsequent implementation of school-based adolescent sexual and reproductive health (ASRH) interventions. We present process evaluation findings examining the factors that affected the 10-fold scale-up of such an intervention, focussing on teachers' attitudes and experiences. Qualitative interviews and focus group discussions with teachers, head teachers, ward education coordinators and school committees from eight schools took place before, during and after intervention implementation. The results were triangulated with observations of training sessions and training questionnaires. The training was well implemented and led to some key improvements in teachers' ASRH knowledge, attitudes and perceived self-efficacy, with substantial improvements in knowledge about reproductive biology and attitudes towards confidentiality. The trained teachers were more likely to consider ASRH a priority in schools and less likely to link teaching ASRH to the early initiation of sex than non-trained teachers. Facilitating factors included teacher enjoyment, their recognition of training benefits, the participatory teaching techniques, support from local government as well as the structured nature of the intervention. Challenges included differential participation by male and female teachers, limited availability of materials and high turnover of trained teachers

Item Type:	Article
Subjects:	W General Medicine. Health Professions > Professional practice > W88 Administrative work. Teaching. Research WA Public Health > WA 100 General works WA Public Health > WA 30 Socioeconomic factors in public health (General) WC Communicable Diseases > Sexually Transmitted Diseases > WC 142 Public health control measures WQ Obstetrics > Pregnancy > WQ 200 General works
Faculty: Department:	Groups (2002 - 2012) > Clinical Group
Digital Object Identifer (DOI):	https://doi.org/10.1093/her/cyq041
Depositing User:	Helen Rigby
Date Deposited:	15 Oct 2012 14:31
Last Modified:	09 Nov 2019 10:59
URI:	https://archive.lstmed.ac.uk/id/eprint/1790

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