PREPARE Project The intervention

Parent-Adolescent Communication on issues relating to sexuality

Cape Town Presentation

Presentation in Cape Town November 2013

Objectives

• To increase proportion of students with intentions to delay sexual debut

• To increase knowledge and influence attitudes of adolescents about condoms

• To increase the frequency and quality of parent-child communication in Kampala and Wakiso

Intervention

Three main components

Learner´s ComponentIntergration of

SRH issuesin English and CRE lessons

Parent´s ComponentParent‘s workshops

&Brochure

Parent-Child

Componenthomework

Learner’s component

• S1 students – majority aged between 12-14 years

• Their parents/guardians

• 11 pairs of government-aided were day- mixed schools - urban, peri-urban, rural• March – June, 2012– 14 weeks

Aims

• Behaviors to influence– Intentions to delay sexual debut– Improved attitudes towards condoms

Themes, lessons & homeworkTheme Integration

in EnglishIntegration in

CRENo. of lessons

(80 min)Homework

Healthy relationships

X 3

Dating X 1

Risky Behaviors X 2

Delaying sexual debut

X 1

Sub Total 4 7

Puberty changes X 3 2

Personal values and social influences

X 2 1

Decision making skills

X 2

Sub Total 3 7 3

Grand Total 14

Process evaluation

• Forms completed by teachers – homework given out and homework received back

• Forms for parents

• Forms for learner

Parent‘s component• 3 one-day workshops

– Beginning of the intervention– Middle – End

• Facilitators– Trained teacher and parent to facilitate the

workshops– PREPARE team observed

Aims of the workshops

• Influence 2 behaviors– Increase the frequency and quality of

communication about1. Sex and sexuality with emphasis on delay

sexual debut

2. Prevention of risky behaviours focusing on on condom education

Objectives of the workshops• To increase parents’ knowledge about

– adolescent SRH issues– the physical and emotional/mental health

developmental changes that occur with onset of puberty, their consequences if not well managed and the community resources available to address these consequences

• To improve parenting skills and practices by– boosting their self esteem and building self efficacy

skills to increase parent’s ability and confidence to discuss with their children issues of sex and sexuality and issues of prevention

Content and Methods of deliveryWorkshop theme Content (8 hours) Methods of delivery

1 – Delay of sexual debut Facts about adolescent SRH Adolescent growth and developmentSocial norms and external influences (peer pressure)Culturally accepted relationshipsMyths about sex and barriers related to talking about sex Parenting practices & skillsSelf-efficacy Develop action plans to initiate communication with adolescents

MixedLecturesSmall group workIndividual reflections – barrier identification & value clarificationRole playsDemonstrationSkills building and rehearsal

2 – Condom education Condom educationRumours, misinformation and misconceptions about condomsPerceived social norms and influences, self-efficacy and development of action plans related to condoms

LecturesSmall group workIndividual reflections – barrier identification & value clarificationRole playsDemonstrationSkills building and rehearsal

3 – Skills building Assertiveness skills to: resist pressures to have sex Learn how to say “no to sex” Negotiate within relationships Build decision making skills Set goals for their lives Action plans about communicating different skills

LecturesSmall group workIndividual reflections – barrier identification & value clarificationRole playsDemonstrationSkills building and rehearsal

Adapted from: SMART Choices Parenting Workshop Guide for

Adult facilitators

Parent‘s Brochure

Messages– Most young people want information about sex

and sexuality from their parents– Parents should accept that it may be awkward

and embarrasing to talk to their adolescent child about sex and sexuality

– Parents should answer their children‘s questions direcltly, honestly and without jugedment

– Parents should communicate values about sex and sexuality honestly

– Ultimatums or threats do not work

Baseline Students

5263 students in 22 schools

Comparison arm 2630 Intervention arm - 2633

851 students sampled 849 students sampled

767 completed questionnaire

735 completed questionnaire

Sampled 1700 students

Baseline DataParents

5263 students in 22 schools

Comparison arm 2630 Intervention arm - 2633

853 parents sampled 855 parents sampled

779 completed questionnaire

753 completed questionnaire

Sampled 1708 students

Post-intervention Students

1502 students

Comparison arm - 767 Intervention arm - 735

687 completed questionnaire

694 completed questionnaire

648 paired with parents

46 unpaired students

597 paired with parents students

90 unpaired

Post interventionParents

1506 Parents

Comparison arm - 767 Intervention arm - 73 9

681 completed questionnaire

7 18 completed questionnaire

689 original parents

29 new parents

58 9 original parents

92 new parents

Makerere University Team

• Assoc. Prof Anne R. Katahoire

• Dr Wilson W. Muhwezi

• Dr Cecily Banura

• Mr Herbert Mugooda

• Oslo

• Shri Bastien

• Prof Kunt –Inga Klepp