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Parent-adolescent sexual and reproductive health information communication in Ghana
Thesis (PhD)--Stellenbosch University, 2024.
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| Format: | Thesis |
| Language: | English |
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Stellenbosch : Stellenbosch University
2024
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| _version_ | 1867614094159249408 |
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| access_status_str | Open Access |
| author | Agyei, Frank |
| author2 | Bell, Janet |
| author_browse | Agyei, Frank Bell, Janet |
| author_facet | Bell, Janet Agyei, Frank |
| author_sort | Agyei, Frank |
| collection | Thesis |
| dc_rights_str_mv | Stellenbosch University |
| description | Thesis (PhD)--Stellenbosch University, 2024. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/130880 |
| institution | Stellenbosch University (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:46:33.531Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2024 |
| publishDateRange | 2024 |
| publishDateSort | 2024 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/130880 Parent-adolescent sexual and reproductive health information communication in Ghana Agyei, Frank Bell, Janet Kaura, Doreen Kainyu Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Nursing and Midwifery. Interpersonal communication in adolescence -- Ghana Sex instruction for teenagers -- Ghana Reproductive health -- Education -- Ghana Health communication -- Ghana UCTD Thesis (PhD)--Stellenbosch University, 2024. ENGLISH SUMMARY: Background: Adolescents need to make informed sexual and reproductive health decisions which may lead to healthy sexual behaviours. Although adolescents have a great need for information regarding sexual and reproductive health, several factors may constrain their parents from openly communicating with them on the topic. This is particularly challenging in the Ghanaian setting, due to its unique socio-cultural and religious context. Considering the adolescent sexual and reproductive health challenges in Ghana, an intervention such as a sexual and reproductive health information communication intervention become an important means of optimizing positive sexual and reproductive health outcomes among adolescents. There is documented evidence of the value of parent-adolescent sexual and reproductive health information communication interventions in improving communication between parents and adolescents. However, it appears there has been insufficient focus on this. Research Aim: The aim of this study was to explore SRH information communication interventions to inform the adaptation of a culturally sensitive SRH information communication intervention to enhance parent-adolescent communication skills, leading to healthy and safe SRH behaviour among adolescents in Ghana. Methods: This was an explanatory sequential mixed method study. It began with quantitative data collection, through a systematic review of sexual and reproductive health information communication interventions in lower- and middle-income countries. Key findings were used to develop an interview guide for qualitative data collection in phase 2. In phase 2, a qualitative descriptive study was conducted using a semi structured interview guide to gather data from parents and adolescents regarding their sexual and reproductive health information communication. 20 participants were recruited for the study based on saturation. This included 10 parent adolescent (13 to 16 years) dyads; however, parents and adolescents were interviewed separately. Results from the systematic review and the qualitative study were integrated to understand how a culturally sensitive SRH information communication intervention can be adapted in the Ghanaian context. The final phase was the adaptation of a culturally sensitive parent-adolescent sexual and reproductive health information communication intervention using the first two phases of the exploration, preparation, implementation, and sustainability model. Findings: Findings from the systematic review, qualitative and mixed method phases formed the basis of adaptation of a culturally sensitive sexual and reproductive health information communication intervention. The adapted intervention (ɛtwene), which is yet to be implemented, considers the following components: (1) experts to deliver the intervention (2) method of delivery of the intervention (3) venue or place of intervention delivery (4) lessons on SRH information (5) lessons on motivation to communicate SRH information (6) lessons on skills to communicate SRH information. The name of the intervention is ‘3twene’, which means bridge. Conclusions: The study has led to the adaptation of a culturally sensitive sexual and reproductive health information communication intervention. This, when implemented, may lead to improved parent-adolescent sexual and reproductive health information communication, which may lead to informed SRH decisions, to optimize positive SRH outcomes for adolescents. AFRIKAANSE OPSOMMING: Agtergrond: Adolesente moet ingeligte SRG-besluite neem wat tot 'n gesonde seksuele gedrag kan lei. Alhoewel adolesente 'n groot behoefte het aan inligting oor seksuele en reproduktiewe gesondheid, kan verskeie faktore hulle ouers belemmer om ooplik met hulle oor die onderwerp te kommunikeer. Dit is besonder uitdagend in die Ghanese konteks as gevolg van sy unieke sosio-kulturele en godsdienstige konteks. In die lig van die seksuele en reproduktiewe gesondheidsuitdagings van adolessente in Ghana, word 'n intervensie soos 'n seksuele en reproduktiewe gesondheidsinligtingskommunikasie-intervensie 'n belangrike manier om positiewe seksuele en reproduktiewe gesondheidsuitkomste onder adolessente te optimaliseer. Daar is gedokumenteerde bewyse van die waarde van ouer-adolessente seksuele en reproduktiewe gesondheidsinligtingskommunikasie-intervensie om kommunikasie tussen ouers en adolessente te verbeter. Dit lyk egter asof dit nie die fokus in hierdie konteks was nie. Navorsingsdoel: Die doel van hierdie studie was om die SRG-inligtingskommunikasie-intervensies te verken om die aanpassing van 'n kultureel sensitiewe SRG-inligtingskommunikasie-intervensie te informeer om ouer-adolessente kommunikasievaardighede te verbeter, wat kan lei tot 'n gesonde en veilige SRG-gedrag onder adolessente in Ghana. Metodes: Dit was 'n verklarende opeenvolgende gemengde metodes-studie. Die studie het begin met kwantitatiewe dataversameling deur 'n sistematiese oorsig van seksuele en reproduktiewe gesondheid-inligtingskommunikasie-intervensies in laer- en middelinkomstelande. Belangrike bevindinge is gebruik om 'n onderhoudsgids vir kwalitatiewe dataversameling in fase 2 te ontwikkel. Resultate van die sistematiese oorsig en die kwalitatiewe studie is geintegreer om te verstaan hoe 'n kultureel sensitiewe SRG-inligtingskommunikasie-intervensie in die Ghanese konteks aangepas kan word. Die uiteindelike fase was die aanpassing van 'n kultureel sensitiewe ouer-adolessente seksuele en reproduktiewe gesondheidsinligtingskommunikasie-intervensie. Bevindinge: Bevindinge van die sistematiese oorsig, kwalitatiewe en gemengde metodes-fases het die basis gevorm vir die aanpassing van 'n kultureel sensitiewe seksuele en reproduktiewe gesondheidsinligtingskommunikasie-intervensie. Die aangepaste intervensie (ɛtwene), wat nog geimplementeer moet word, hou rekening met die volgende komponente (1) deskundiges om die intervensie te lewer (2) metode van intervensielewering (3) plek of plek van intervensielewering (4) lesse oor SRG-inligting (5)lesse oor motivering om SRG-inligting te kommunikeer (6) lesse oor vaardighedeom SRG-inligting te kommunikeer. Die naam van die intervensie is '3twene,' wat "brug" beteken. Gevolglik: Die studie het gelei tot die aanpassing van 'n kultureel sensitiewe seksuele en reproduktiewe gesondheidsinligtingskommunikasie-intervensie. Wanneer dit geïmplementeer word, kan dit lei tot verbeterde ouer-adolessente seksuele en reproduktiewe gesondheidsinligtingskommunikasie wat tot ingeligte SRG-besluite kan lei om positiewe SRG-uitkomste van adolessente te optimaliseer. Doctoral 2024-01-25T07:30:10Z 2024-05-09T14:00:22Z 2024-01-25T07:30:10Z 2024-05-09T14:00:22Z 2024-03 Thesis https://scholar.sun.ac.za/handle/10019.1/130880 en Stellenbosch University xiv, 270 pages : illustrations, maps, includes annexures application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Interpersonal communication in adolescence -- Ghana Sex instruction for teenagers -- Ghana Reproductive health -- Education -- Ghana Health communication -- Ghana UCTD Agyei, Frank Parent-adolescent sexual and reproductive health information communication in Ghana |
| title | Parent-adolescent sexual and reproductive health information communication in Ghana |
| title_full | Parent-adolescent sexual and reproductive health information communication in Ghana |
| title_fullStr | Parent-adolescent sexual and reproductive health information communication in Ghana |
| title_full_unstemmed | Parent-adolescent sexual and reproductive health information communication in Ghana |
| title_short | Parent-adolescent sexual and reproductive health information communication in Ghana |
| title_sort | parent adolescent sexual and reproductive health information communication in ghana |
| topic | Interpersonal communication in adolescence -- Ghana Sex instruction for teenagers -- Ghana Reproductive health -- Education -- Ghana Health communication -- Ghana UCTD |
| url | https://scholar.sun.ac.za/handle/10019.1/130880 |
| work_keys_str_mv | AT agyeifrank parentadolescentsexualandreproductivehealthinformationcommunicationinghana |