African Occupational Medicine | 18 May 2011

The Impact Of School-Based Sexuality Education On Adolescent Reproductive Health In Ghanaian Cities,

M, o, h, a, m, e, d, M, a, g, a, j, i, ,, A, m, i, n, a, t, a, G, a, r, b, a, ,, A, b, d, u, l, a, z, i, z, D, a, m, b, e

Abstract

School-based sexuality education programmes have been implemented in Ghanaian cities to improve adolescent reproductive health outcomes. A longitudinal cohort study design was employed, with data collected annually from to . A total of 500 participants were recruited at baseline and followed up for three consecutive years. Data collection included self-reported surveys, biological samples, and health check-ups. In the third year of follow-up, a significant decrease in reported unprotected sexual intercourse (64% vs. 78%) was observed among those exposed to the programme compared to non-exposed groups. The school-based sexuality education programmes had a positive effect on reducing risky sexual behaviors and improving reproductive health outcomes. Further research should investigate long-term effects and explore scalable implementation strategies for broader population coverage. Treatment effect was estimated with $\text{logit}(p<em>i)=\beta</em>0+\beta^\top X_i$, and uncertainty reported using confidence-interval based inference.