Community embedded reproductive health interventions for adolescents in Latin America: development and evaluation of a complex multi-centre intervention

BMC Public Health

Olivier Degomme⁵  Els Leye⁵  Marleen Temmerman⁵  Lea Maes³  Kathya Cordova¹  Bernardo Vega⁴  Anna Gorter²  Zoyla Segura²  Miguel Orozco⁷  Lina Jaruseviciene⁸  Sarah De Meyer⁵  Erica Nelson⁶  Peter Decat⁵ 

[1] South Group (SG), Calle Ecuador O-138, Cochabamba, Bolivia;Instituto CentroAmericano de Salud (ICAS), postal 2234, Managua, Nicaragua;Department of Public Health, Ghent University, Watersportlaan 2, Gent, 9000, Belgium;University of Cuenca (UC), 12 of April, Cuenca, Ecuador;International Centre for Reproductive Health (ICRH), Ghent University, De Pintelaan 185 UZP 114, Gent 9000, Belgium;Amsterdam University, Spui 21, Amsterdam, 1012WX, Netherlands;Centro de Investigación y Estudios de la Salud (CIES), postal 3507, Managua, Nicaragua;Lithuanian University of Health Sciences (LUHS), Eiveniu str. 2, Kaunas, Lithuania

关键词: Research design;    Action research;    Intervention mapping;    Community based participatory research;    Latin America;    Adolescents;    Sexual behaviour;    Reproductive health;   

Others  :  1162648
DOI  :  10.1186/1471-2458-13-31

 received in 2012-12-13, accepted in 2013-01-08,  发布年份 2013

【 摘 要 】

Background

Adolescents in Latin America are at high risk for unwanted and unplanned pregnancies, which often result in unsafe abortions or poor maternal health outcomes. Both young men and women in the region face an increased risk of sexually transmitted infections due to inadequate sexual and reproductive health information, services and counselling. To date, many adolescent health programmes have targeted a single determinant of sexual and reproductive health. However, recent evidence suggests that the complexity of sexual and reproductive health issues demands an equally multi-layered and comprehensive approach.

Methods

This article describes the development, implementation and evaluation design of the community-embedded reproductive health care for adolescents (CERCA) study in three Latin American cities: Cochabamba (Bolivia), Cuenca (Ecuador) and Managua (Nicaragua). Project CERCA’s research methodology builds on existing methodological frameworks, namely: action research, community based participatory research and intervention-mapping.

The interventions in each country address distinct target groups (adolescents, parents, local authorities and health providers) and seek improvement of the following sexual health behaviours: communication about sexuality, sexual and reproductive health information-seeking, access to sexual and reproductive health care and safe sexual relationships.

In Managua, we implemented a randomised controlled study, and in Cochabamba and Cuenca we adopted a non-randomised controlled study to evaluate the effectiveness of Project CERCA interventions, in addition to a process evaluation.

Discussion

This research will result in a methodological framework that will contribute to the improved design and implementation of future adolescent sexual and reproductive health interventions.

Trial registration

ClinicalTrials.gov (NCT01722084)

【 授权许可】

   
2013 Decat et al; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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