Does peer education go beyond giving reproductive health information? Cohort study in Bulawayo and Mount Darwin, Zimbabwe

BMJ Open
Aveneni MangombeAjay M V Kumar

Abstract

Peer education is an intervention within the voluntary medical male circumcision (VMMC)-adolescent sexual reproductive health (ASRH) linkages project in Bulawayo and Mount Darwin, Zimbabwe since 2016. Little is known if results extend beyond increasing knowledge. We therefore assessed the extent of and factors affecting referral by peer educators and receipt of HIV testing services (HTS), contraception, management of sexually transmitted infections (STIs) and VMMC services by young people (10-24 years) counselled. A cohort study involving all young people counselled by 95 peer educators during October-December 2018, through secondary analysis of routinely collected data. All ASRH and VMMC sites in Mt Darwin and Bulawayo. All young people counselled by 95 peer educators. Censor date for assessing receipt of services was 31 January 2019. Factors (clients' age, gender, marital and schooling status, counselling type, location, and peer educators' age and gender) affecting non-referral and non-receipt of services (dependent variables) were assessed by log-binomial regression. Adjusted relative risks (aRRs) were calculated. Of the 3370 counselled (66% men), 65% were referred for at least one service. 58% of men were referred for VMMC...Continue Reading

References

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Methods Mentioned

BETA
circumcision
contraception

Software Mentioned

EpiData
ASRH
Smart
EpiData Analysis
STATA

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