To assess the effect of advocacy, communication, training and social mobilisation (ACTS) on ‘Adolescent Reproductive and Sexual Health’ (ARSH) among adolescent girls in tribal areas of Panvel Taluka, Dist. Raigad
Journal Title: Medpulse International Journal of Community Medicine - Year 2017, Vol 4, Issue 3
Abstract
Objective: To understand the level of existing knowledge about reproductive and sexual health and the measures required in ameliorating their condition. Furthermore, to further encourage involvement of more people towards the education and awareness of adolescent girls in rural and tribal areas of India. Design: Community based interventional study. Setting: 4 villages namely, Tara, Dolghar, Kalhe and Barapada were identified for the study. The data was collected over a period of 2 months (May-June 2014). Participants: A sample size of 160 was chosen. Any adolescent girls residing in the village during the period of the study were included. They were selected via random sampling technique. Intervention: Sessions regarding male and female anatomy, menstruation and pregnancy, STDs and contraception were conducted, and its impact was assessed with the help of pre and post questionnaires. Outcome Measure: The following null hypothesis (H0) was formulated prior to data collection, i.e., “there is no significant difference in the pre-test and post-test knowledge scores in all domains.” The pre and post test scores were analysed using paired t test, and the p-values were determined. Results: Data collected in the pre-test showed a mean score of 8.351 out of a possible score of 40. The total percentage increase in the mean after the sessions were conducted was 89.216% (SD=53.172%), which proves the effectiveness of the intervention. This was further confirmed by p-values below 0.05 for most topics. Conclusion: The data obtained in the post-test displayed a considerable percentage increase in the mean scores of the girls, which rejects the null hypothesis (H0) and illustrates the beneficial effect of the intervention. Also, the low pre-test scores emphasizes the lack of knowledge and the need for such interventions.
Authors and Affiliations
Aalia Thingna, Pradeep N Sawardekar, Seema Anjenaya, Madhavi Mankar, Rupali Gujar
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