Effects of Educational Intervention Programmes on Reproductive Health-Behavioural Intentions among Sickle-Cell Disease Population in South-West Nigeria

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DOI: 10.21522/TIJPH.2013.05.04.Art039

Authors : Elizabeth O. Oyeneye, Nnodimele O. Atulomah


Youths with Sickle Cell Disease (SCD) are sexually active and at higher risk of uncertain reproductive health outcomes because of their health status. This study was a theory-grounded quasi-experimental design to evaluate the effects of two Reproductive Health-Information (RHI) Education intervention programmes with counseling among youths with SCD in South-west Nigeria.

Seventy five participants were purposively assigned to control (CG) and two intervention groups that were randomly selected. All groups completed pretest of Behavioural-Intentions (BI) measures by questionnaire, however, only intervention group one (IG-1) received Reproductive Health-Information (RHI) Education while intervention group two (IG-2) received both (RHI) Education with counseling. At 13th week follow-up, post-test BI was measured for all groups. Data were analyzed using descriptive statistics and ANOVA to compare pre- and post-test measures for all groups at p=0.05.

There was no significant difference in measures among the three groups at baseline in respect of RHI (19.16±6.61; 16.40±9.35; 16.68±6.31), Motivation (15.08±4.13; 11.88 ±5.26; 12.80±3.81), Behavioural Skills/Self-Efficacy (14.88±4.79; 15.20±7.80; 16.40±7.16) and Behavioural Intentions (18.04±7.96; 16.68±9.04; 16.32±8.04) respectively. However, at 13th week follow-up, Intervention group 2 demonstrated significantly higher scores in respect of RHI (17.20±4.38; 16.68±6.33; 32.32±18.87), Motivation (14.80±3.37; 14.96±4.39; 17.40±2.84), Behavioural Skills/Self-Efficacy (19.24±5.83; 16.28±4.74; 21.04±4.95) and BI (18.88±6.68; 23.40 ±5.61; 26.68±7.42) than Intervention group 1 and Control respectively.

Intervention 2 combining RHI -Education with counseling had the most significant impact on youth reproductive health behavioural-Intentions. It is therefore recommended that reproductive health information for the SC youths should strategically be accompanied with counseling to achieve behavioural change.

Keywords: Reproductive Health, Information, Motivation, Behaviour, Behavioural Intentions, Sickle Cell youths.


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