Girl-only clubs' influence on SRH knowledge, HIV risk reduction, and negative SRH outcomes among very young adolescent girls in rural Malawi.
Girl-only clubs' influence on SRH knowledge, HIV risk reduction, and negative SRH outcomes among very young adolescent girls in rural Malawi.
复制标题
DOI：
10.1186/s12889-021-10874-x
复制
发表时间：
2021-04-27
影响因子：
4.5
通讯作者：
Sikweyiya Y
中科院分区：
文献类型：
--
作者：
Manda WC;Pilgrim N;Kamndaya M;Mathur S;Sikweyiya Y
青春期早期是为积极的性健康发展奠定基础的一个重要时期，这种发展可以克服低龄青少年在进入青春期和初次性行为时面临的性健康和生殖健康挑战。在本研究中，我们探讨了以下问题：第一，什么是VYA女孩的经验，对梦想的围棋女孩俱乐部的参与？第二，俱乐部的参与如何影响VYAs的性健康和生殖健康知识，以减少他们感染艾滋病毒的风险和消极的性健康结果？这是一项定性研究，对12至14岁的VYA女孩进行了23次深入访谈。这些女孩在马拉维南部两个农村地区的女孩俱乐部注册。这些俱乐部是称为DREAMS（坚定、有韧性、有能力、无艾滋病、有指导和安全）的更大的艾滋病毒综合预防项目的一部分，该项目为VYAs提供了一套基于证据的核心干预措施，以预防艾滋病毒。干预措施包括改善获得关键保健服务的机会、教育支助、社会技能、资产建设和加强经济。叙述性调查被用来产生第一手资料的女孩的经验与俱乐部的参与。主题分析用于从转录的故事中生成主题。研究共提出六个主题：（1）加入俱乐部的原因，希望了解性健康和生殖健康，以此作为加入俱乐部的动机; 2)对性别规范和角色的影响，参与者描述了家庭中性别角色和规范的变化; 3）对虐待儿童做法的影响，参与者报告了家庭中虐待儿童做法的减少;4）对生活技能和社交网络的影响，参与者描述了学习网络的情况; 5）支持重返校园，失学女童讲述了增强其监护人的经济权能如何帮助她们重返校园;俱乐部对性健康和生殖健康知识获取和行为的影响，参与者描述了获取性健康问题知识的情况。仅针对女孩的艾滋病毒和性健康和生殖健康方案，加上增强其家庭的经济权能，可以有效地使VYA女孩留在学校，改善性健康和生殖健康知识和寻求健康的行为。在线版本包含补充材料，可通过10.1186/s12889-021-10874-x获得。
Early adolescence is an important period to lay the foundation for positive sexual health development that can overcome sexual and reproductive health (SRH) challenges faced by very young adolescents (VYAs) as they reach puberty and sexual debut. In this study, we explored the following questions: first, what are the experiences of VYA girls on DREAMS’ Go Girl club participation? Second, how does club participation influence the VYAs SRH knowledge to reduce their risk for HIV and negative sexual health outcomes? This was a qualitative study in which twenty-three in-depth interviews were conducted with VYA girls aged 12–14 years. These girls were enrolled in girl-only clubs in two rural southern districts in Malawi. The clubs were a part of larger comprehensive HIV prevention project called DREAMS (Determined, Resilient, Empowered, AIDS-free, Mentored, and Safe) which provided an evidence-based core package of interventions to VYAs to prevent HIV. Interventions included improved access to key health services, education support, social skills, asset building, and economic strengthening. Narrative inquiry was used to generate first-hand accounts of the girls’ experiences with club participation. Thematic analysis was used to generate themes from the transcribed stories. Six main themes were generated: 1) reasons for joining the clubs with desire to learn about SRH as a motivation for joining the clubs.; 2) influence on gender norms and roles whereby participants described a change of gender roles and norms at home; 3) influence on child abuse practices whereby participants reported a decline in child abusive practices at home;4) influence on life skills and social networks whereby participants described learning about networking; 5) support to go back to school whereby out-of-school girls described how economic empowerment of their guardians facilitated their return to school; and 6) influence of clubs on SRH knowledge acquisition and behaviours whereby participants described acquiring knowledge on sexual health issues. Girls-only HIV and SRH programs coupled with economic empowerment for their families can be effective in keeping VYA girls in school and improving SRH knowledge and health seeking behavior. The online version contains supplementary material available at 10.1186/s12889-021-10874-x.
登录
查看更多内容
影响因子：
3.8
作者：
Boislard, Marie-Aude P.;Poulin, Francois
通讯作者：
Poulin, Francois
影响因子：
3.8
作者：
Goodrum, Nada M.;Armistead, Lisa P.;Skinner, Donald
通讯作者：
Skinner, Donald
影响因子：
3.3
作者：
Igras SM;Macieira M;Murphy E;Lundgren R
通讯作者：
Lundgren R
影响因子：
7.6
作者：
Gipson, Jessica D.;Hicks, Andrew L.;Gultiano, Socorro A.
通讯作者：
Gultiano, Socorro A.
影响因子：
4.6
作者：
Dupere, Veronique;Lacourse, Eric;Tremblay, Richard E.
通讯作者：
Tremblay, Richard E.