Perspectives of Adolescents, Parents, Service Providers, and Teachers on Mobile Phone Use for Sexual Reproductive Health Education

Ochieng, Beverly Marion; Smith, L. A.; Orton, Bev; Hayter, Mark; Kaseje, Margaret; Wafula, Charles; Ocholla, Penina; Onukwugha, Franklin; Kaseje, Dan

doi:10.3390/socsci11050196

Cited by 10 publications

(11 citation statements)

References 49 publications

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“…This indicates the need to engage families, particularly parents, as active agents in adolescent CSE programs. One such study, the Family Matter Project in Tanzania worked with caretakers of adolescents to promote SRH communication [ 35 ]. The intervention utilized the information–motivation–behavioral (IBM) model to provide targeted content [ 35 ].…”

Section: Resultsmentioning

confidence: 99%

“…One such study, the Family Matter Project in Tanzania worked with caretakers of adolescents to promote SRH communication [ 35 ]. The intervention utilized the information–motivation–behavioral (IBM) model to provide targeted content [ 35 ]. The study demonstrated significant improvements in communication between caretakers and adolescents which could indicate the intervention’s capacity to break down cultural barriers that previously limited sexuality discussions [ 35 ].…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Trends and Challenges in Comprehensive Sex Education (CSE) Research in Sub-Saharan Africa: a Narrative Review

Achen

Fernandes

Kemigisha

et al. 2023

Curr Sex Health Rep

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Purpose of the Review Adolescent sexual and reproductive health remains a major public health challenge in Sub-Saharan Africa (SSA). Comprehensive sex education (CSE) has been hailed as a key strategy to inform young people about sexual health and wellbeing and prevent negative health outcomes. This paper presents an overview of the trends and challenges around sex education in SSA and puts forth key recommendations for future research and policy initiatives. Recent Findings This review employed a narrative approach to synthesize evidence on the implementation of comprehensive sex education in SSA. The literature review elicited four key themes: (i) comprehensiveness of CSE curricula, (ii) gender norms in CSE, (iii) prominence of ‘fear’ narratives in CSE implementation, and (iv) CSE delivery methods. Additionally, the authors propose a fifth theme—‘Future-proofing CSE programs’, based on their learnings from implementing sex education interventions during the COVID-19 pandemic. These five themes are presented through a narrative description of current research accompanied by reflections from the authors on the implementation of a parent-focused sex education program in Uganda. Summary Based on the insights from the literature review and the authors’ reflections, three recommendations are put forward to guide the design of further CSE initiatives: (i) stakeholder engagement in determining CSE priorities and strategies, (ii) diverse delivery pathways for CSE programs, and (iii) active engagement of both boys and girls to challenge gender norms in CSE.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Trends and Challenges in Comprehensive Sex Education (CSE) Research in Sub-Saharan Africa: a Narrative Review

Achen

Fernandes

Kemigisha

et al. 2023

Curr Sex Health Rep

View full text Add to dashboard Cite

show abstract

“…This review qualitatively explored the experiences and perceptions of young peoples’ use of mobile phone platforms for SRH information and services in rural settings in LMICs using the GRADE-CERQual approach. Evidence has shown that mHealth technology platforms have the potential to address numerous SRH information and services access barriers for young people in rural contexts in LMICs (16, 18, 56-59). The study findings reported preferences and barriers for use of mHealth-based platforms for SRH information and services among rural young people across rural LMICs.…”

Section: Discussionmentioning

confidence: 99%

“…Whiles mobile phone-based platforms are becoming increasingly popular among young people for SRH services in rural contexts in LMICs, platforms such as WhatsApp, Facebook and Twitter are less used and preferred by young people (42, 51, 52). Few young people had used these platforms due to the requirement for smart phones and their associated high cost and lack of technological skills (16, 86, 87). Some participants also felt that these platforms were not familiar among them in their settings and hence their low usage.…”

Section: Discussionmentioning

confidence: 99%

Views and experiences of young people on using mHealth platforms for sexual and reproductive health services in rural low- and middle-income countries: a qualitative systematic review

Laar,

Harris,

Khan

et al. 2023

Preprint

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In low- and middle-income countries (LMICs), reproductive health programs use mobile health (mHealth) platforms to deliver a broad range of SRH information and services to young people in rural areas. However, young people’s experiences of using mobile phone platforms for SRH services in the rural contexts of LMICs remains unexplored. This review qualitatively explored the experiences and perceptions of young people’s use of mobile phone platforms for SRH information and services. This qualitative evidence synthesis was conducted through a systematic search of online databases: Medline, Embase, CINAHL, PsycInfo and Scopus. We included peer reviewed articles that were conducted between 2000 and 2020 and used qualitative methods. The methodological quality of papers was assessed by two authors using Grading of Recommendations, Assessment, Development and Evaluation (GRADE) and Confidence in Evidence from Reviews of Qualitative research (CERQual) approach with the identified papers synthesized using a narrative thematic analysis approach. The 26 studies included in the review were conducted in a wide range of LMIC rural settings. The studies used seven different types of mHealth platforms in providing access to SRH information and services on contraception, family planning, sexually transmitted infections (STIs) and human immunodeficiency virus (HIV) education. Participant preferences for use of SRH service platforms centred on convenience, privacy and confidentiality, as well as ease and affordability. High confidence was found in the studies preferencing text messaging, voice messaging, and interactive voice response services while moderate confidence was found in studies focused on phone calls. The overall constraint for platforms services included poor and limited network and electricity connectivity (high confidence in the study findings), limited access to mobile phones and mobile credit due to cost, influence from socio-cultural norms and beliefs and community members (moderate confidence in the study findings), language and literacy skills constraints (high confidence in the study findings). The findings provide valuable information on the preferences of mHealth platforms for accessing SRH services among young people in rural settings in LMICs and the quality of available evidence on the topic. As such, the findings have important implications for health policy makers and implementers and mHealth technology platform developers on improving services for sustainable adoption and integration in LMIC rural health systems.

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“…Personal cost of providing health delivery services in rural settings in LMICs constitutes a disproportionate share of cost for HCPs and poor young people with low incomes [39]. HCPs said that subsidizing the cost of mobile phones and call credit for rural health workers and the creation of a hotline dedicated to mHealth SRH services [65] in rural areas of LMICs is critical for delivery of SRH information and services among rural and remote populations [66][67][68].…”

Section: Discussionmentioning

confidence: 99%

Perspectives of health care professionals’ on delivering mHealth sexual and reproductive health services in rural settings in low-and-middle-income countries: a qualitative systematic review

Laar

Harris

Shifti

et al. 2022

BMC Health Serv Res

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Background In low to middle income countries (LMICs) with limited health care providers (HCPs) and health infrastructure, digital technologies are rapidly being adopted to help augment service delivery. In this sphere, sexual and reproductive health (SRH) services are increasingly leveraging mobile health (mHealth) technologies to improve service and information provision in rural areas. This systematic review aimed to identify HCPs perspectives on barriers to, and facilitators of, mobile phone based SRH services and information in rural areas of LMICs from current literature. Methods Searches were conducted using the following databases: Medline, Scopus, PsychINFO, CINAHL and Cochrane Library. Based on the inclusion and exclusion criteria, twelve full text qualitative studies published in English between January 2000 and December 2020 were included. The methodological quality of papers was assessed by two authors using the critical skills appraisal programme and synthesized using the narrative thematic analysis approach. Results Positive HCPs experiences surrounding the provision of mHealth based SRH services in LMICs included saving consultation time, ability to shift tasks, reduction in travel costs, easy referrals and follow up on clients, convenience in communicating health information confidentially, and the ability to consult groups of clients remotely rather than face-to-face. Barriers to the provision of mHealth reported by HCPs included lack of technological infrastructure, unreliable networks, limited power, the cost of mobile airtime/data and mobile phones and limited technological literacy or skills. Conclusions Implementing innovative mHealth based SRH services could bridge a service provision and access gap of SRH information and services in rural areas of LMICs. Despite the advantages of this technology, several challenges associated with delivering mHealth SRH services need to be urgently addressed to enable scale-up and integration of sexual and reproductive mHealth into rural health systems.

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Perspectives of Adolescents, Parents, Service Providers, and Teachers on Mobile Phone Use for Sexual Reproductive Health Education

Cited by 10 publications

References 49 publications

Trends and Challenges in Comprehensive Sex Education (CSE) Research in Sub-Saharan Africa: a Narrative Review

Trends and Challenges in Comprehensive Sex Education (CSE) Research in Sub-Saharan Africa: a Narrative Review

Views and experiences of young people on using mHealth platforms for sexual and reproductive health services in rural low- and middle-income countries: a qualitative systematic review

Perspectives of health care professionals’ on delivering mHealth sexual and reproductive health services in rural settings in low-and-middle-income countries: a qualitative systematic review

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