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Improving sexual and reproductive health knowledge in young people through community health worker home visits: a cohort-nested randomized controlled trial in four communities in Ethiopia, Nigeria, South Africa and Uganda

Improving sexual and reproductive health knowledge in young people through community health worker home visits: a cohort-nested randomized controlled trial in four communities in Ethiopia, Nigeria, South Africa and Uganda

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
DRKS
Registry ID
DRKS00037645
Enrollment
6500
Registered
2025-08-14
Start date
2025-08-24
Completion date
Unknown
Last updated
2026-03-02

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Sexual and reproductive health knowledge

Interventions

Group 1: Receipt of two home visits (each to last approximately 1 hour) from a community health worker over a time period of 3-6 months. These visits will include face-to-face conversations between t
- Understanding and managing menstruation - Healthy and unhealthy relationships - Prevention of HIV, sexually transmitted infections and unplanned pregnancy NOTE: this intervention was initially deve

Sponsors

Heidelberg Institute of Global Health (HIGH)
Lead Sponsor

Eligibility

Sex/Gender
All
Age
10 Years to 24 Years

Inclusion criteria

Inclusion criteria: - 10-17 years old [only for Ethiopia] - Minors under 18 years old: Parents or guardians must provide written informed consent, and the minor participant must provide informed assent. - Adults (18 years of age and above) must provide written informed consent. - Study participants must be residents of the study area.

Exclusion criteria

Exclusion criteria: Participants who do not meet the above-listed criteria will be excluded.

Design outcomes

Primary

MeasureTime frame
Sexual and Reproductive Health Literacy: This is measured using a 39-item instrument; response options for each item comprise a four-point likert scale ranging from "very difficult" (1 point) to "very easy" (4 points). A participant's literacy is represented by an overall score, with a higher score indicating higher literacy. The score is the sum of the points from each item, thus the score can range from 39-156.

Secondary

MeasureTime frame
1. Sexual and reproductive health-related communication (1) 7 items assessing how comfortable the participant would be reaching out to each of the following individuals with a question regarding sexual and reproductive health: mother, father, sibling, other family member, friend, teacher or counselor, community health worker. Response options to each item are a Likert scale ranging from "very uncomfortable" (1 point) to "Comfortable" (4 points). A participant's overall score will represent the sum across items. 2. Sexual and reproductive health-related communication (2) 7 items assessing whether the participant has talked to any of the following individuals about sexual and reproductive health in the past 6 months: mother, father, sibling, other family member, friend, teacher or counselor, community health worker Scoring will be analogous to Secondary outcome 1 3. Sexual and reproductive health-related communication (3) 2 items assessing whether, if the participant had questions related to sexual and reporductive health, they would know how to reach out to i) a community health worker and ii) a healthcare provider. Response options include "No" and "Yes". 4. Menstruation-related knowledge 1 item assessing the participant's agreement with the following statement: "It is normal for girls to menstruate". Response options to each item are a Likert scale ranging from "Strongly disagree" to "Strongly agree". These will be operationalized in a binary manner, with "Strongly agree" and "Agree" coded as a 1, and "Strongly disagree" and "Disagree" coded as a 0. 5. Menstruation-related communication 1 item assessing the participant's agreement with the following statement: "It is uncomfortable for me to talk about periods". Response options to each item are a Likert scale ranging from "Strongly disagree" to "Strongly agree". These will be operationalized in a binary manner, with "Strongly agree" and "Agree" coded as a 1, and "Strongly disagree" and "Disagre

Countries

Ethiopia, Nigeria, South Africa, Uganda

Contacts

Public ContactDavid Guwatudde

Makerere University School of Public Health

dguwatudde@musph.ac.ug+256 414543872

Outcome results

None listed

Source: DRKS (via WHO ICTRP) · Data processed: Mar 14, 2026