Health institutions and schools: can they interact in sexual and reproductive health education? A Portuguese innovative project
ESC Congress Library. Rodrigues C. May 10, 2018; 208239; ESC148
Carla Susana Tovim Rodrigues
Carla Susana Tovim Rodrigues
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Abstract
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Introduction: Evidence shows that it is vital to encourage the youngest to acquire skills and knowledge about sexuality in order to make informed choices. Considering that school is a learning place, a partnership between schools and health institutions may facilitate the promotion of healthy sexual knowledge and behaviors. Objective: Evaluate the contribution and impact of health institutions on sexual and reproductive health education in schools. Material and methods: A project was created with a school involving 15 year-old students. A questionnaire was applied to evaluate their base knowledge about ​​sexuality, followed by a distribution of training materials specially made for the project. Two months later, an inter-group interactive quiz game was held with these students, where some key-concepts were emphasized. The initial questionnaire was then re-applied one week after the game activity. Base-knowledge (group 1) and post-activity knowledge (group 2) based on questionnaires were analyzed using SPSS (statistic program). Results: Of an n = 74 students (group 1, 37♀, 37♂, mean age 14.68), 75% assumed the need of better knowledge about the topic. N = 63 participated in the activity (group 2, 31♂, 32♀, mean age 14.51). In group 1, mean knowledge of contraceptive methods (CM) was 4.18 ± 1.91 vs 6.27 ± 1.52 in group 2 (p < 0 .01) and 83.6% vs 95.2% considered double CM with condom as ideal (p < 0 .03). At the first sexual intercourse, 78.1% vs 100% stated that it was possible to conceive (p < 0 .01) and 78.6% vs 85.7% considered that only condom protects against sexually transmitted diseases (p = 0.285). The morning after pill (MAP) was known in 91.9% vs 100% (p=0.021) and 25.4% vs 68.3% knew how to use it correctly (p < 0 .01). Conclusion: After the project implementation, knowledge about contraceptive methods increased, with more students considering dual contraception with condom more safe and effective. There was also a better recognition about the possibility of becoming pregnant at the first sexual intercourse. It was verified an increased knowledge of the MAP and its correct use. These results support the importance of "health-school institutions" interaction in promoting knowledge about sexuality.
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