Plain language summary
Background
Methods
Study design and setting
Sampling and sample size
Data collection
Pre-intervention survey
Intervention/Training programme
Post-intervention survey
Statistical analysis
Results
Background characteristics
Characteristics | Total [N = 145; n (%)] | Intervention [n = 73; n (%)] | Control [n = 72; n (%)] |
p-value |
---|---|---|---|---|
Sex | ||||
Male | 51 (35.2) | 22 (30.1) | 29 (40.3) | 0.201 |
Female | 94 (64.8) | 51 (69.9) | 43 (59.7) | |
Age group | ||||
25–34 | 24 (16.6) | 17 (23.3) | 7 (9.7) | 0.078 |
35–44 | 49 (33.8) | 22 (30.1) | 27 (37.5) | |
45–54 | 56 (38.6) | 24 (32.9) | 32 (44.4) | |
≥ 55 | 16 (11.0) | 10 (13.7) | 6 (8.3) | |
Marital status | ||||
Married/Living together | 91 (62.8) | 39 (53.4) | 52 (72.2) | 0.135 |
Divorced/Separated | 26 (17.9) | 16 (21.9) | 10 (13.9) | |
Widowed | 12 (8.3) | 8 (11.0) | 4 (5.6) | |
Never married | 16 (11.0) | 10 (13.7) | 6 (8.3) | |
Education level | ||||
Middle school/JSS/JHS | 64 (44.1) | 36 (49.3) | 28 (38.9) | 0.375 |
SSS/SHS/Technical/Vocational | 43 (29.7) | 21 (28.8) | 22 (30.6) | |
Tertiary/Training college | 38 (26.2) | 16 (21.9) | 22 (30.6) | |
Ethnicity | ||||
Akans | 50 (34.5) | 26 (35.6) | 24 (33.3) | 0.609 |
Gas/Dangmes | 61 (42.1) | 27 (37.0) | 34 (47.2) | |
Ewes | 18 (12.4) | 10 (13.7) | 8 (11.1) | |
Northerners | 15 (10.3) | 10 (13.7) | 6 (8.3) | |
Religious affiliation | ||||
Catholic | 12 (8.3) | 6 (8.2) | 6 (8.3) | 0.082 |
Anglican | 5 (3.4) | 4 (5.5) | 1 (1.4) | |
Presbyterian | 21 (14.5) | 11 (15.1) | 10 (13.9) | |
Methodist | 19 (13.1) | 9 (12.3) | 10 (13.9) | |
Pentecostal/Charismatic | 79 (54.5) | 35 (48.0) | 44 (61.1) | |
Moslem | 9 (6.2) | 8 (11.0) | 1 (1.4) | |
Occupation | ||||
Trader | 64 (44.1) | 36 (49.3) | 28 (38.9) | 0.05 |
Artisan | 24 (16.6) | 16 (21.9) | 8 (11.1) | |
Public servants | 35 (24.1) | 12 (16.4) | 23 (31.9) | |
Private sector | 22 (15.2) | 9 (12.3) | 13 (18.1) | |
Income level (GHC) | ||||
0–199 | 28 (19.3) | 18 (24.7) | 10 (13.9) | 0.252 |
200–599 | 46 (31.7) | 23 (31.5) | 23 (31.9) | |
600–999 | 35 (24.1) | 19 (26.0) | 16 (22.2) | |
1000–1599 | 26 (17.9) | 9 (12.3) | 17 (23.6) | |
≥1600 | 10 (6.9) | 4 (5.5) | 6 (8.3) |
Parents’ knowledge about adolescents’ sexuality topics
Topics | Pre-intervention (N = 145) | Post intervention (N = 142) | ||||
---|---|---|---|---|---|---|
Intervention (n = 73) | Contro1 (n = 72) |
p-value | Intervention (n = 70) | Control (n = 72) |
p-value | |
Biological development topics | ||||||
Little knowledge | 13 (17.8) | 17 (23.6) | 0.589 | 0 (0.0) | 10 (13.9) | 0.001* |
Good knowledge | 34 (46.6) | 34 (47.2) | 32 (45.7) | 36 (50.0) | ||
Very good knowledge | 26 (35.6) | 21 (29.2) | 38 (54.3) | 26 (36.1) | ||
Sexual risk protection topics | ||||||
No knowledge | 1 (1.4) | 1 (1.4) | 0.358 | 0 (0.0) | 0 (0.0) | 0.002* |
Little knowledge | 17 (23.3) | 12 (16.7) | 0 (0.0) | 10 (13.9) | ||
Good knowledge | 20 (27.4) | 29 (40.3) | 19 (27.1) | 22 (30.6) | ||
Very good knowledge | 35 (47.9) | 30 (41.7) | 51 (72.9) | 40 (55.6) | ||
Contraceptive use topics | ||||||
No knowledge | 27 (37.0) | 17 (23.6) | 0.184 | 1 (1.4) | 15 (20.8) | 0.002* |
Little knowledge | 14 (19.2) | 22 (30.6) | 22 (31.4) | 18 (25.0) | ||
Good knowledge | 13 (17.8) | 17 (23.6) | 30 (42.9) | 22 (30.6) | ||
Very good knowledge | 19 (26.0) | 16 (22.2) | 17 (23.3) | 17 (23.6) | ||
Risky sexual behaviours topics | ||||||
No knowledge | 6 (8.2) | 2 (2.8) | 0.275 | 0 (0.0) | 0 (0.0) | 0.002* |
Little knowledge | 16 (21.9) | 17 (23.6) | 0 (0.0) | 8 (11.1) | ||
Good knowledge | 23 (31.5) | 31 (43.1) | 30 (42.9) | 38 (52.8) | ||
Very good knowledge | 28 (38.4) | 22 (30.6) | 40 (57.1) | 26 (36.1) | ||
Experiential sexual topics | ||||||
No knowledge | 13 (17.8) | 13 (18.1) | 0.221 | 1 (1.4) | 7 (9.7) | 0.009* |
Little knowledge | 18 (24.7) | 27 (37.5) | 10 (14.3) | 22 (30.6) | ||
Good knowledge | 29 (39.7) | 18 (25.0) | 35 (50.0) | 25 (34.7) | ||
Very good knowledge | 13 (17.8) | 14 (19.4) | 24 (34.3) | 18 (25.0) |
Topics | Mothers’ | Fathers’ | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Pre- intervention (N = 94) | Post intervention (N = 92) | Pre- intervention (N = 51) | Post intervention (N = 51) | |||||||||
Intervention (n = 51) | Control (n = 43) |
p- value | Intervention (n = 48) | Control (n = 43) |
p-value | Intervention (n = 22) | Control (n = 29) |
p- value | Intervention (n = 22) | Control (n = 29) |
p-value | |
Biological development topics | ||||||||||||
Little knowledge | 9(17.6) | 7(16.3) | 0.839 | 0(0.0) | 7(15.9) | 0.004 | 5(22.7) | 9(31.0) | 0.747 | 0(0.0) | 6(20.7) | 0.016 |
Good knowledge | 23(45.1) | 22(51.2) | 20(41.7) | 20(46.5) | 10(45.5) | 13(44.8) | 7(31.8) | 13(44.8) | ||||
Very good knowledge | 19(37.3) | 14(32.6) | 28(58.3) | 16(37.2) | 7(31.8) | 7(24.1) | 15(68.2) | 10(34.5) | ||||
Sexual risk protection topics | ||||||||||||
No knowledge | 0(0.0) | 1(2.3) | 0.737 | 0.0 | 0.0 | 0.005 | 1(4.5) | 0(0.0) | 0.161 | 0(0.0) | 0(0.0) | 0.001 |
Little knowledge | 10(19.6) | 6(14.0) | 0(0.0) | 8(18.6) | 6(27.3) | 7(24.1) | 0(0.0) | 10(34.5) | ||||
Good knowledge | 15(29.4) | 14(32.6) | 11(22.9) | 8(18.6) | 5(22.7) | 14(48.3) | 4(18.2) | 8(27.6) | ||||
Very good knowledge | 26(51.0) | 22(51.2) | 37(77.1) | 27(62.8) | 10(45.5) | 8(27.6) | 18(81.8) | 11(37.9) | ||||
Contraceptive use topics | ||||||||||||
No knowledge | 18(35.3) | 12(27.9) | 0.318 | 1(2.1) | 8(18.6) | 0.015 | 8(36.4) | 5(17.2) | 0.374 | 1(4.5) | 7(24.1) | 0.026 |
Little knowledge | 10(19.6) | 11(25.6) | 20(41.7) | 9(20.9) | 5(22.7) | 11(37.9) | 2(9.1) | 9(31.0) | ||||
Good knowledge | 8(15.7) | 12(27.9) | 19(39.6) | 15(34.9) | 5(22.7) | 5(17.5) | 10(45.5) | 7(24.1) | ||||
Very good knowledge | 15(29.4) | 8(18.6) | 8(16.7) | 11(25.6) | 4(18.2) | 8(27.6) | 9(40.9) | 6(20.7) | ||||
Risky sexual behaviours topics | ||||||||||||
No knowledge | 18(35.3) | 12(27.9) | 0.318 | 0(0.0) | 0(0.0) | 0.008 | 2(9.1) | 0(0.0) | 0.374 | 0(0.0) | 0(0.0) | 0.011 |
Little knowledge | 10(19.6) | 11(25.6) | 0(0.0) | 7(15.9) | 6(27.3) | 11(37.9) | 0(0.0) | 7(24.1) | ||||
Good knowledge | 8(15.7) | 12(27.9) | 19(39.6) | 17(39.5) | 7(31.8) | 11(37.9) | 11(50.0) | 16(55.2) | ||||
Very good knowledge | 15(29.4) | 8(18.6) | 29(60.4) | 19(44.2) | 7(31.8) | 7(24.1) | 11(50.0) | 6(20.7) | ||||
Experiencing sex topics | ||||||||||||
No knowledge | 3(5.9) | 2(4.7) | 0.359 | 1(2.1) | 7(16.3) | 0.016 | 3(13.6) | 6(20.7) | 0.159 | 1(4.5) | 8(27.6) | 0.006 |
Little knowledge | 12(23.5) | 6(14.0) | 7(14.6) | 13(30.2) | 5(22.7) | 13(44.8) | 3(13.6) | 11(37.9) | ||||
Good knowledge | 15(29.4) | 20(46.5) | 21(43.8) | 13(30.2) | 11(50.0) | 6(20.7) | 9(40.9) | 6(20.7) | ||||
Very good knowledge | 21(41.2) | 15(34.9) | 19(39.6) | 10(23.3) | 3(13.6) | 4(13.8) | 9(40.9) | 4(13.8) |
Parents’ attitudes towards allowing adolescents to use family planning services
Changes in knowledge and attitudes after parents training
Pre-interventiona
| Post-interventionb
| Differencec
| Difference in differences | |
---|---|---|---|---|
Knowledge of parents on sexual reproductive health of adolescents | ||||
Intervention [70] | 0.6286 (0.058) | 0.9571 (0.024) | 0.3285 (0.069) | 0.287 (0.065) |
Control [72] | 0.5278 (0.0592) | 0.5694 (0.059) | 0.0416 (0.083) |
p < 0.001 |
Attitudes of parents towards use of family planning services by adolescents | ||||
Intervention [70] | 0.4143 (0.059) | 0.8571(0.042) | 0.4428 (0.081) | 0.374 (0.073) |
Control [72] | 0.5556 (0.0590) | 0.6250 (0.058) | 0.0694 (0.082) |
p < 0.001 |
Outcome variables | Post intervention | ||
---|---|---|---|
OR | 95% CI |
p-value | |
Knowledge of parents on sexual reproductive health of adolescents | 16.199 | 4.41–59.48 | <.0001 |
Attitudes of parents approval towards adolescents use of family planning services | 3.717 | 1.53–9.06 | 0.039 |