15th International AIDS Conference


Bangkok, Thailand - July 11-16, 2004

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LIMITS OF TEACHER DELIVERED SEX EDUCATION: INTERIM BEHAVIOURAL OUT COMES FROM RANDOMIZED TRIAL

Int Conf AIDS 2004 Jul 11-16; 15:(abstract no. A10005)

Matovu M
Kampala, Uganda

OBJECTIVE: To determine whether a theoretically based sex education programme for adolescents (SHARE) delivered by teachers reduced un safe Sexual intercourse compared withy current practice.

DESIGN: Cluster randomized trial with follow up two years ago after baseline (six months after intervention). A process evolution investigated the delivery of Sex education and broader features of each school.

SETTING: Twenty-five secondary schools in east rural Masaka District where the first victim of HIV/AIDS was announced in Uganda.

PARTICIPANTS: 8430 pupils aged 13-15 years: 7616 completed the two-year follow up questionnaire

INTERVENTION: SHARE programme (intervention group) versus existing sex education (control Programme).

MAIN OUT COME MEASURES: Self reported exposure to sexual Transmitted disease, use of condom and contraceptives at first and most recent sexual intercourse and unwanted pregnancies.

RESULTS: When the intervention group was compared with the convectional sex education group in an intention to treat analysis there were no differences in sexual activity or sexual risk taking by age of 16 years. How ever, those in the intervention group reported less regret of the first sexual intercourse with most recent partner (young men 9.9% differences,95% confidence interval -18.7 to -1.0; young women intervention programme more positively, and their knowledge of sexual health improved.lack of behavioural effect could not be linked to differential quality of delivery of intervention.

CONCLUSIONS: Compared with conventional sex education this specially designed intervention didn't reduce sexual risk taking in adolescents.

Keywords: Sex Education, Coitus, Sexual Behavior, Risk-Taking, Condoms, Teaching, Acquired Immunodeficiency Syndrome, Schools, Health Education, Questionnaires, Uganda, Humans, Female, Male, Adolescence, education

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040711
A10005

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