Impact Assessment of School-Based Sexuality Education Programmes on Adolescent Reproductive Health Knowledge in Tanzania

Adolescents in Tanzania face significant challenges related to sexual health education, with limited access to comprehensive programmes that cover reproductive health knowledge. A mixed-methods approach was employed, including pre- and post-intervention surveys and focus group discussions with students and educators. Data were analysed using descriptive statistics and thematic content analysis. Among the surveyed adolescents (n=200), there was a statistically significant increase in knowledge scores from baseline to follow-up ($t(198) = -3.45, p < 0.05$; 95% CI: -0.62 to -0.45). Themes emerged around enhanced understanding of sexual health rights and prevention strategies. The school-based sexuality education programmes demonstrated positive impacts on adolescents' reproductive health knowledge but highlighted the need for more comprehensive, culturally sensitive curricula. Educators should integrate a broader range of topics into existing curricula to ensure comprehensive coverage of sexual health issues. School administrators and policymakers must collaborate to provide necessary resources and support.