An assessment of school interventions in protecting adolescent students against risky sexual behaviours in Kampala and Luwero Districts
Abstract
An assessment of school interventions strategies implemented in the last three years to
prevent risky sexual behaviours among adolescents; was conducted in Mazzi and Kalinabiri Secondary Schools in Luwero and Kampala Districts respectively. The study
sought to describe the existing intervention strategies, assess their relevancy, establish the challenges encountered and suggest alternative intervention strategies to protect
adolescents.
Qualitative methods of data collection, analysis and presentation were complemented by
quantitative methods. A total of 102 respondents including 92 students and 10 key
informants; responded to interview schedules, interview guides and participated in focus
group discussions to generate information. Four focus group discussions each composed of 8 students, were conducted to generate additional information and for verification. Secondary data was also reviewed for instance timetables and Presidential Initiative on AIDS Strategy for Communication to Youth (PIASCY) handbooks.
The study revealed that the schools had initiated interventions to protect adolescents
against risky sexual behaviours i.e. they had clubs, class/education sessions, dedicated
teachers and budgets. Students had good knowledge and positive attitudes towards the
ABC approach for instance 88% mentioned that abstinence was the safest method of
protection, though 39% said that it was the easiest to practice. Teachers, literature, peers
and external resource persons and organizations; were mention as main sources of
information. Peer participation and skills acquisition among students were evident and
rewarding in both schools. The interventions seemed to work better in Kalinabiri S.S
because of a proactive school administration, availability of resources (such as reading
materials, teachers trained in adolescent health related issues and external resource
persons), and use of the national framework i.e. the PISACY Program.
The interventions were affected by:- competing school programs limiting resources to
adolescent health programmes, difficulty in sustaining the interests of students especially the boys, inadequate attention to sexually active students, less empowered girls in Mazzi who during the study were visibly timid and unassertive, inadequate role modeling in the rural setting, irregular external support, limited student participation in planning and evaluation of interventions, and inadequate monitoring and assessments by the Ministry of Education and the rural school administration.
The study recommends that interventions targeting adolescents should be aligned to the
national education framework i.e. integrated in a curriculum, consider in the design the
needs of the target group including the minority, vary the content and packaging, and
encourage periodic monitoring and evaluations for improvement. There should be mechanisms to build the capacity and motivate teachers, and to coordinate external
service providers. The PIASCY Programme should be scaled up to other schools
especially those in the rural areas.
Poverty eradication and development of essential infrastructures such as schools, roads,
communication and health facilities should be given priority by Government to improve
access to information and health care, and role modeling particularly in the rural settings.