Knowledge, Perceptions and Acceptability to Strengthening Adolescents’ Sexual and Reproductive Health Education amongst Secondary Schools in Gulu District

Adolescents in Northern Uganda are at risk of teenage
pregnancies, unsafe abortions and sexually transmitted infections
(STIs). There is silence on sex both at home and school. This cross
sectional descriptive analytical study interviews a random sample of
827 students and 13 teachers on knowledge, perception and
acceptability to a comprehensive adolescent sexual and reproductive
health education in “O” and “A” level secondary schools in Gulu
District. Quantitative data was analyzed using SPSS 16.0. Directed
content analysis of themes of transcribed qualitative data was
conducted manually for common codes, sub-categories and
categories. Of the 827 students; 54.3% (449) reported being in a
sexual relationship especially those aged 15-17 years. Majority
96.1% (807) supported the teaching of a comprehensive ASRHE,
citing no negative impact 71.5% (601). Majority 81.6% (686) agreed
that such education could help prevention of STIs, abortions and
teenage pregnancies, and that it should be taught by health workers
69.0% (580). Majority 76.6% (203) reported that ASRHE was not
currently being taught in their schools. Students had low knowledge
levels and misconceptions about ASRHE. ASRHE was highly
acceptable though not being emphasized; its success in school
settings requires multidisciplinary culturally sensitive approaches
amongst which health workers should be frontiers.

• Lule Herman
• E. Ovuga
• M. Mshilla
• S. Ojara
• G. Kimbugwe
• A. P. Adrawa
• N. Mahuro

• Acceptability
• ASRHE
• Knowledge
• Perception.

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