Health Education, Health Knowledge, Attitudes, Practice, Provider Behavior, Sexual and Reproductive Health, Sexual Health
Conditions
Keywords
THP-2, Sexual and reproductive health, Training for Health Professionals, Medical students, Afrocentric curriculum, Sexual health curriculum
Brief summary
This study will evaluate the real-world effectiveness of a four-day Afrocentric sexual and reproductive health curriculum for health professional students in Tanzania. Medical, nursing, and midwifery students from the State University of Zanzibar, Kilimanjaro Christian University, and the University of Dodoma will receive the curriculum. The curriculum covers sexual health across the lifespan, sexual dysfunctions, key populations, sexual violence, clinical skills training, ethics, policy writing, community resources, and cultural considerations. Student outcomes will be assessed using surveys at baseline, immediately after the curriculum, and at 3-month and 12-month follow-up to examine changes in sexual health knowledge, attitudes, and sexual history and counseling skills.
Detailed description
Training for Health Professionals 2 Aim 3 is designed to evaluate the real-world effectiveness and feasibility of disseminating an Afrocentric sexual and reproductive health curriculum for health professional students in Tanzania. The study builds on prior Training for Health Professionals work, including a previous randomized controlled trial that showed improvements in sexual and reproductive health knowledge, attitudes, and clinical skills among health care students. This Phase IV implementation study will be conducted at three institutions in Tanzania: the State University of Zanzibar, Kilimanjaro Christian University, and the University of Dodoma. The study will enroll medical, nursing, and midwifery students who are current pre-final year students at one of the participating institutions. Participants will receive a four-day Afrocentric comprehensive sexual and reproductive health curriculum. The curriculum covers sexual health across the lifespan and male and female sexual dysfunctions on Day 1; key populations, including LGBT persons and sex workers, and sexual violence on Day 2; clinical skills training, ethics, and policy writing on Day 3; and community resources and cultural considerations on Day 4. Participants will complete study surveys at baseline, immediately after the intervention, and at 3-month and 12-month follow-up. The surveys will assess sexual health knowledge, attitudes, and sexual history and counseling skills. Faculty involved in delivering the curriculum will also complete post-training evaluations assessing their knowledge, comfort, and skills in teaching the curriculum. The study will evaluate whether participants increase and retain sexual health knowledge, attitudes, and skills after participating in the curriculum in a real-world educational setting. The study will also assess implementation fidelity and faculty training outcomes to inform future dissemination of the curriculum.
Interventions
BEHAVIORALAfrocentric Sexual and Reproductive Health Curriculum
The intervention is a four-day Afrocentric comprehensive sexual and reproductive health curriculum. It covers sexual health across the lifespan, male and female sexual dysfunctions, key populations including LGBT persons and sex workers, sexual violence, clinical skills training, ethics, policy writing, community resources, and cultural considerations.
Sponsors
University of Minnesota
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
OTHER
Masking
NONE
Intervention model description
All participants will receive a four-day Afrocentric sexual and reproductive health curriculum at one of three participating institutions in Tanzania. Student outcomes will be assessed at baseline, immediately post-intervention, and at 3- and 12-month follow-up to evaluate changes in sexual health knowledge, attitudes, and sexual history/counseling skills over time.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Current pre-final year student at the State University of Zanzibar, Kilimanjaro Christian University, or the University of Dodoma in midwifery, nursing, or medicine * Able to attend the full 4-day training * Fluent in English and Kiswahili * Willing to volunteer to complete all evaluation procedures
Exclusion criteria
* Unable to attend all days of the seminar at SUZA, KCMC, or UDOM * Unable to be on the SUZA, KCMC, or UDOM campus for the follow-up dates * Expresses reservations about attending, including religious objections * Expresses fear of violence due to attending, including fear from a spouse or relative * Prior exposure to the Training for Health Professionals curriculum or either of the previous pilots * Younger than 18 years of age * Non-English speaker * Unable to read * Employee of the researcher * Prisoner * Adult lacking capacity to consent or with diminished capacity to consent * Active member of the military or DoD personnel
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Sexual and Reproductive Health Knowledge | Baseline, immediately post-intervention, 3 months, and 12 months | Change in sexual and reproductive health knowledge will be assessed using participant survey responses collected before the curriculum, immediately after the curriculum, and at 3-month and 12-month follow-up. |
| Change in Sexual and Reproductive Health Attitudes | Baseline, immediately post-intervention, 3 months, and 12 months | Change in attitudes related to sexual and reproductive health care will be assessed using participant survey responses collected before the curriculum, immediately after the curriculum, and at 3-month and 12-month follow-up. |
| Change in Sexual History Taking and Counseling Skills | Baseline, immediately post-intervention, 3 months, and 12 months | Change in sexual history taking and counseling skills will be assessed using participant survey responses collected before the curriculum, immediately after the curriculum, and at 3-month and 12-month follow-up. |
Countries
Tanzania
Contacts
CONTACTKoua A
CONTACTB. R. Simon Rosser, PhD
PRINCIPAL_INVESTIGATORB. R. Simon Rosser, PhD
University of Minnesota
Outcome results
None listed