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Review article

Sexual and reproductive health literacy among young people in Sub-Saharan Africa: evidence synthesis and implications

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Article: 2279841 | Received 27 Apr 2023, Accepted 01 Nov 2023, Published online: 27 Nov 2023

References

  • World Health Organization. Adolescent health in the South-East Asia region. World Health Organization, Regional Office for South-East Asia. 2021.
  • United Nations. Department of economics and social affairs. World population prospects. 2019.
  • Ashford LS. Africa’s youthful population: risk or opportunity. Population Reference Bureau, Washington DC. 2007.
  • Manganello JA. Health literacy and adolescents: a framework and agenda for future research. Health Educ Res. 2008;23:840–15. doi: 10.1093/her/cym069
  • Friedman HL. The health of adolescents: beliefs and behaviour. Soc Sci Med. 1989;29:309–315. doi: 10.1016/0277-9536(89)90279-7
  • Currie C, Zanotti C, Morgan A, Currie D, De Looze M, Roberts C, et al. Social determinants of health and well-being among young people. Health Behav Sch-Aged Child Stud. 2009;2010:271.
  • Sawyer SM, Afifi RA, Bearinger LH, Blakemore S-J, Dick B, Ezeh AC, et al. Adolescence: a foundation for future health. Lancet. 2012;379:1630–1640. doi: 10.1016/S0140-6736(12)60072-5
  • Meng L, Maskarinec G, Lee J, Kolonel LN. Lifestyle factors and chronic diseases: application of a composite risk index. Prev Med. 1999;29:296–304. doi: 10.1006/pmed.1999.0538
  • Mpofu E, Caldwell L, Smith E, Flisher AJ, Mathews C, Wegner L, et al. Rasch modeling of the structure of health risk behavior in South African adolescents. J Appl Meas. 2006;7:323.
  • Jahangard L, Behmanesh H, Ahmadpanah M, Poormoosavi SM, Solitanian A, Highighi M. Risky behaviors and health-promoting behaviors in young adults: an epidemiological study. Iran J Psychiatry. 2019;14:302. doi: 10.18502/ijps.v14i4.1981
  • Vongxay V, Albers F, Thongmixay S, Thongsombath M, Broerse JE, Sychareun V, et al. Sexual and reproductive health literacy of school adolescents in Lao PDR. PLoS One. 2019;14:e0209675.
  • World Health Organization. Early marriages, adolescent and young pregnancies. Geneva: WHO. 2012:1–4.
  • Woog V, Susheela S, Alyssa B, Jesse P. Adolescent womens need for and use of sexual and reproductive health services in developing countries: Citeseer. 2015.
  • Yakubu I, Salisu WJ. Determinants of adolescent pregnancy in sub-Saharan Africa: a systematic review. Reprod Health. 2018;15:1–11. doi: 10.1186/s12978-018-0460-4
  • Ganchimeg T, Mori R, Ota E, Koyanagi A, Gilmour S, Shibuya K, et al. Maternal and perinatal outcomes among nulliparous adolescents in low‐and middle‐income countries: a multi‐country study. BJOG. 2013;120:1622–1630.
  • Smith J. Improving adolescent access to contraception in Sub-Saharan Africa: a review of the evidence. Afr J Reprod Health. 2020;24:152–164. doi: 10.29063/ajrh2020/v24i1.16
  • UNICEF. HIV and AIDS in adolescents. New York: UNICEF. 2021.
  • Melesse DY, Mutua MK, Choudhury A, Wado YD, Faye CM, Neal S, et al. Adolescent sexual and reproductive health in Sub-Saharan Africa: who is left behind? BMJ Global Health. 2020;5:e002231. doi: 10.1136/bmjgh-2019-002231
  • Wado YD, Bangha M, Kabiru CW, Feyissa GT. Nature of, and responses to key sexual and reproductive health challenges for adolescents in urban slums in Sub-Saharan Africa: a scoping review. Reprod Health. 2020;17:1–14. doi: 10.1186/s12978-020-00998-5
  • World Health Organization. Promoting health in the SDGs: report on the 9th Global conference for health promotion, Shanghai, China, 21–24 November 2016: all for health, health for all. World Health Organization. 2017.
  • Sørensen K, Van den Broucke S, Fullam J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: a systematic review and integration of definitions and models. BMC Public Health. 2012;12:1–13. doi: 10.1186/1471-2458-12-80
  • Nutbeam D. Health literacy as a public health goal: a challenge for contemporary health education and communication strategies into the 21st century. Health Promot Int. 2000;15:259–267. doi: 10.1093/heapro/15.3.259
  • Christiansen CS, Gibbs S, Chandra-Mouli V. Preventing early pregnancy and pregnancy-related mortality and morbidity in adolescents in developing countries: the place of interventions in the prepregnancy period. J Pregnancy. 2013;2013:1–5. doi: 10.1155/2013/257546
  • Chandra-Mouli V, McCarraher DR, Phillips SJ, Williamson NE, Hainsworth G. Contraception for adolescents in low and middle income countries: needs, barriers, and access. Reprod Health. 2014;11:1–8. doi: 10.1186/1742-4755-11-1
  • Bröder J, Carvalho GS. Health literacy of children and adolescents: conceptual approaches and developmental considerations. In: International Handbook of Health Literacy. Pristol: Policy Press; 2019. p. 39-52.
  • Brown SL, Teufel JA, Birch DA. Early adolescents perceptions of health and health literacy. J Sch Health. 2007;77:7–15. doi: 10.1111/j.1746-1561.2007.00156.x
  • Bröder J, Okan O, Bollweg TM, Bruland D, Pinheiro P, Bauer U. Child and youth health literacy: a conceptual analysis and proposed target-group-centred definition. Int J Environ Res Public Health. 2019;16:3417. doi: 10.3390/ijerph16183417
  • Paakkari L, Paakkari O, Simovska V. Health literacy as a learning outcome in schools. Health Educ. 2012;112:133–152. doi: 10.1108/09654281211203411
  • Kickbusch I, Pelikan JM, Apfel F, Tsouros AD. The solid facts: health literacy. Denmark: The World Health Organization Regional Office for Europe; 2013.
  • Väisänen H, Moore AM, Owolabi O, Stillman M, Fatusi A, Akinyemi A. Sexual and reproductive health literacy, misoprostol knowledge and use of medication abortion in Lagos State, Nigeria: a mixed methods study. Stud Fam Plann. 2021;52:217–237. doi: 10.1111/sifp.12156
  • Fasoranti A, Onwuama M, Aladesokun T. Accessibility to health-information and family influence on reproductive health literacy amongst adolescent girls. 2018.
  • Hulton LJ. Adolescent sexual decision‐making; an integrative review. Worldviews on evidence‐based nursing presents the archives of online. J Knowl Synth Nurs. 2001;8:48–60. doi: 10.1111/j.1524-475X.2001.00048.x
  • Rababah JA, Al-Hammouri MM, Drew BL, Aldalaykeh M. Health literacy: exploring disparities among college students. BMC Public Health. 2019;19:1–11. doi: 10.1186/s12889-019-7781-2
  • Bröder J, Okan O, Bauer U, Bruland D, Schlupp S, Bollweg TM, et al. Health literacy in childhood and youth: a systematic review of definitions and models. BMC Public Health. 2017;17:1–25. doi: 10.1186/s12889-017-4267-y
  • Manganello JA, DeVellis RF, Davis TC, Schottler-Thal C. Development of the health literacy assessment scale for adolescents (HAS-A). J Commun Healthcare. 2015;8:172–184. doi: 10.1179/1753807615Y.0000000016
  • Evans A-Y, Anthony E, Gabriel G. Comprehensive health literacy among undergraduates: a Ghanaian university-based cross-sectional study. HLRP. 2019;3:e227–e37. doi: 10.3928/24748307-20190903-01
  • Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Chapter 11: scoping reviews (2020 version). In: Aromataris E, and Munn Z, editors. JBI manual for evidence synthesis, JBI. 2020. p. 406–51. doi: 10.46658/JBIMES-20-12
  • Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Int J Surg. 2010;8:336–341. doi: 10.1016/j.ijsu.2010.02.007
  • Barchi F, Ntshebe O, Apps H, Ramaphane P. Contraceptive literacy among school‐going adolescents in Botswana. Int Nurs Rev. 2022;69:86–95. doi: 10.1111/inr.12713
  • Kibret M. Reproductive health knowledge, attitude and practice among high school students in Bahir Dar, Ethiopia. Afr J Reprod Health. 2003;7:39–45. doi: 10.2307/3583212
  • Molla M, Emmelin M, Berhane Y, Lindtjørn B. Readiness of youth in rural Ethiopia to seek health services for sexually transmitted infections. Afr J AIDS Res. 2009;8:135–146. doi: 10.2989/AJAR.2009.8.2.2.854
  • Kassa TA, Luck T, Bekele A, Riedel-Heller SG. Sexual and reproductive health of young people with disability in Ethiopia: a study on knowledge, attitude and practice: a cross-sectional study. Globalization Health. 2016;12:1–11. doi: 10.1186/s12992-016-0142-3
  • Yared A, Sahile Z, Mekuria M. Sexual and reproductive health experience, knowledge and problems among university students in Ambo, central Ethiopia. Reprod Health. 2017;14:1–7. doi: 10.1186/s12978-017-0302-9
  • Rondini S, Krugu JK. Knowledge, attitude and practices study on reproductive health among secondary school students in Bolgatanga, upper east region, Ghana. Afr J Reprod Health. 2009;13:51–66.
  • Van der Geugten J, De Vries NK, Van Meijel B, Den Uyl MH. Evaluation of a sexual and reproductive health education programme: students’ knowledge, attitude and behaviour in Bolgatanga municipality, Northern Ghana. Afr J Reprod Health. 2015;19:126–136.
  • Ejembi C, Otu A. Sexual behaviour, contraceptive practice and reproductive health outcomes among Nigerian university students. J Community Med Prim Health Care. 2004;16:8–16. doi: 10.4314/jcmphc.v16i2.32407
  • Lawal WO, Olawale GS. Preference for and access to media resources as predictors of in-school adolescents knowledge of sexual and reproductive health issues in Lagos State, Nigeria. Inform Impact. 2017;8:24–42. doi: 10.4314/iijikm.v8i4.3
  • Obarisiagbon OE, Ofili AN, Isara AR, Ighedosa SU. Knowledge, attitude, practices and associated factors of HIV/AIDS among adolescents in Ora community, Edo State. Ann Health Res. 2019;5:51–64. doi: 10.30442/ahr.0501-6-36
  • Olaotan T, Omokhodion F. An inquiry into sexual health knowledge and sexual risks among students of tertiary institutions in Ibadan, Southwest Nigeria. Afr J Biomed Res. 2020;23:21–30.
  • Ramathuba DU, Khoza LB, Netshikweta ML. Knowledge, attitudes and practice of secondary school girls towards contraception in Limpopo province. Curationis. 2012;35:1–7. doi: 10.4102/curationis.v35i1.45
  • Mostert K, Sethole KM, Khumisi O, Peu D, Thambura J, Ngunyulu RN, et al. Sexual knowledge and practice of adolescent learners in a rural South African school. Afr Health Sci. 2020;20:28–38.
  • Bankole A, Biddlecom A, Singh S, Guiella G, Zulu E. Sexual behavior, knowledge and information sources of very young adolescents in four Sub-Saharan African countries. Afr J Reprod Health. 2007;11:28–43. doi: 10.2307/25549730
  • Ahinkorah BO, Hagan JE Jr, Seidu A-A, Sambah F, Adoboi F, Schack T, et al. Female adolescents’ reproductive health decision-making capacity and contraceptive use in Sub-Saharan Africa: what does the future hold? PLoS One. 2020;15:e0235601.
  • Manda P. Gender analysis of sexual and reproductive health information access and use: a study of university student communities in Tanzania. Univ Dar es Salaam Lib J. 2008;10. doi: 10.4314/udslj.v10i1-2.43413
  • Mkumbo KA. Young people’s assessment of their sources of information about sexual health in rural and urban Tanzania. Lwati. 2013;10:163–174.
  • Mcharo RD, Mayaud P, Msuya SE. Where and how do young people like to get their sexual and reproductive health (SRH) information? Experiences from students in higher learning institutions in Mbeya, Tanzania: a cross-sectional study. BMC Public Health. 2021;21:1–10. doi: 10.1186/s12889-021-11728-2
  • Jones S, Norton B. On the limits of sexual health literacy: insights from Ugandan schoolgirls. Diaspora Indig Mino Educ. 2007;1:285–305. doi: 10.1080/15595690701563998
  • Kemigisha E, Bruce K, Nyakato VN, Ruzaaza GN, Ninsiima AB, Mlahagwa W, et al. Sexual health of very young adolescents in South Western Uganda: a cross-sectional assessment of sexual knowledge and behavior. Reprod Health. 2018;15:1–8.
  • Ivanova O, Rai M, Mlahagwa W, Tumuhairwe J, Bakuli A, Nyakato VN, et al. A cross-sectional mixed-methods study of sexual and reproductive health knowledge, experiences and access to services among refugee adolescent girls in the Nakivale refugee settlement, Uganda. Reprod Health. 2019;16:1–11.
  • Namukonda ES, Rosen JG, Simataa MN, Chibuye M, Mbizvo MT, Kangale C. Sexual and reproductive health knowledge, attitudes and service uptake barriers among Zambian in-school adolescents: a mixed methods study. Sex Edu. 2021;21:463–479. doi: 10.1080/14681811.2020.1832458
  • Moyo S, Rusinga O. Contraceptives: adolescents’ knowledge, attitudes and practices. A case study of rural Mhondoro-Ngezi district, Zimbabwe. Afr J Reprod Health. 2017;21:49–63. doi: 10.29063/ajrh2017/v21i1.4
  • Gallant M, Maticka-Tyndale E. School-based HIV prevention programmes for African youth. Soc Sci Med. 2004;58:1337–1351. doi: 10.1016/S0277-9536(03)00331-9
  • Finlay JE, Assefa N, Mwanyika‐Sando M, Dessie Y, Harling G, Njau T, et al. Sexual and reproductive health knowledge among adolescents in eight sites across Sub‐Saharan Africa. Trop Med Int Health. 2020;25:44–53. doi: 10.1111/tmi.13332
  • Singh S, Bankole A, Woog V. Evaluating the need for sex education in developing countries: sexual behaviour, knowledge of preventing sexually transmitted infections/HIV and unplanned pregnancy. Sex Educ. 2005;5:307–331. doi: 10.1080/14681810500278089
  • Masemola-Yende J, Mataboge SM. Access to information and decision making on teenage pregnancy prevention by females in Tshwane. Curationis. 2015;38:1–9. doi: 10.4102/curationis.v38i2.1540
  • Bar-On M, Broughton D, Buttross S, Corrigan S, Gedissman A, de Rivas M, et al. Communication Public Education: sexuality, contraception, and the media. Pediatrics. 2001;107:191–194.
  • Hust SJ, Brown JD, L’Engle KL. Boys will be boys and girls better be prepared: an analysis of the rare sexual health messages in young adolescents’ media. Mass Commun Soc. 2008;11:3–23. doi: 10.1080/15205430701668139
  • Miller AN, Gabolya C, Mulwanya R, Nabaseke G, Kiva J, Nalugya E, et al. The relationship between parental mediation of adolescent media use and Ugandan adolescents’ sexual attitudes and behavior. Howard J Commun. 2018;29:165–178.
  • Len-Ríos ME, Hughes HE, McKee LG, Young HN. Early adolescents as publics: a national survey of teens with social media accounts, their media use preferences, parental mediation, and perceived internet literacy. Public Relat Rev. 2016;42:101–108. doi: 10.1016/j.pubrev.2015.10.003
  • Kusheta S, Bancha B, Habtu Y, Helamo D, Yohannes S. Adolescent-parent communication on sexual and reproductive health issues and its factors among secondary and preparatory school students in Hadiya Zone, Southern Ethiopia: institution based cross sectional study. BMC Pediatr. 2019;19:1–11. doi: 10.1186/s12887-018-1388-0
  • Maina BW, Ushie BA, Kabiru CW. Parent-child sexual and reproductive health communication among very young adolescents in Korogocho informal settlement in Nairobi, Kenya. Reprod Health. 2020;17:1–14. doi: 10.1186/s12978-020-00938-3
  • Moustafa N, Muhammad Y. Impact of educational program on reproductive health knowledge of female preparatory school students in Alexandria Governorate. J High Inst Public Health. 2018;48:24–29. doi: 10.21608/jhiph.2018.19954
  • Kyilleh JM, Tabong P-N, Konlaan BB. Adolescents’ reproductive health knowledge, choices and factors affecting reproductive health choices: a qualitative study in the West Gonja District in Northern region, Ghana. BMC Int Health Hum Rights. 2018;18:1–12. doi: 10.1186/s12914-018-0147-5
  • Govender D, Naidoo S, Taylor M. Knowledge, attitudes and peer influences related to pregnancy, sexual and reproductive health among adolescents using maternal health services in Ugu, KwaZulu-Natal, South Africa. BMC Public Health. 2019;19:1–16. doi: 10.1186/s12889-019-7242-y
  • Sajwani RA, Shoukat S, Raza R, Shiekh MM, Rashid Q, Siddique MS, et al. Knowledge and practice of healthy lifestyle and dietary habits in medical and non-medical students of Karachi, Pakistan. J Pak Med Assoc. 2009;59:650.
  • Getaneh A, Tegene B, Belachew T. Knowledge, attitude and practices on cervical cancer screening among undergraduate female students in University of Gondar, Northwest Ethiopia: an institution based cross sectional study. BMC Public Health. 2021;21:1–9. doi: 10.1186/s12889-021-10853-2
  • Kirby DB. The impact of abstinence and comprehensive sex and STD/HIV education programs on adolescent sexual behavior. Sex Res Soc Policy. 2008;5:18–27. doi: 10.1525/srsp.2008.5.3.18