Effectiveness of Peer-Led Intervention on KAP Related to Sexual Reproductive and Mental Health Issues among Adolescents in Low Resource Settings India: A Comparative Study among Participants and Non-Participants  

作　　者：Kavya P Sonali Daniel Shumayla Shumayla Rajesh Sinha Sunil Mehra Kavya P;Sonali Daniel;Shumayla Shumayla;Rajesh Sinha;Sunil Mehra(Mental Health Department, Mamta-Health Institute for Mother and Child, Delhi, India;Chronic Diseases and Adolescent Health Department, Mamta-Health Institute for Mother and Child, Delhi, India;Research Department, Mamta-Health Institute for Mother and Child, Delhi, India;Mamta-Health Institute for Mother and Child, Delhi, India)

机构地区：[1]Mental Health Department, Mamta-Health Institute for Mother and Child, Delhi, India [2]Chronic Diseases and Adolescent Health Department, Mamta-Health Institute for Mother and Child, Delhi, India [3]Research Department, Mamta-Health Institute for Mother and Child, Delhi, India [4]Mamta-Health Institute for Mother and Child, Delhi, India

出　　处：《Health》2020年第9期1151-1168,共18页健康（英文）

摘　　要：<strong>Background:</strong> India being the country with largest adolescent population in the world, needs a special focus on the health services as the status of an adolescent determines the health status in his/her adulthood. Some of the major issues faced by the adolescents include: mental health problems, early pregnancy and childbirth, (HIV/STI) and other infectious diseases, violence, injuries and malnutrition. The present study aims to understand the effectiveness of peer-led intervention on knowledge, attitude and practices related to sexual reproductive and mental health issues in adolescents among participants and non-participants. The study was carried out to improve the health-seeking behaviour of adolescents on sexual reproductive and mental health issues in low resource setting across four states in India. <strong>Methods:</strong> The study adopted a cross-sectional survey which was conducted on 400 adolescents from each of the four districts namely Bangalore, Khagaria-Bihar, Khed-Pune and Sahinganj-Jharkhand. A comparative analysis was conducted between the participants and the non-participants of the intervention to understand the effectiveness of the intervention on the KAP related to sexual reproductive and mental health of adolescents.<strong> Results:</strong> The study shows that the participants from Karnataka and Maharashtra had better knowledge in emergency contraception, HIV awareness, use of contraceptives and consumption of IFA’s than the non-participants;both the participants and the non-participants showed a positive behaviour in help-seeking in case of psychological challenges. <strong>Conclusion:</strong> The peer-led approach was found to be an effective strategy for learning, sharing and monitoring adolescent sexual reproductive and mental health.<strong>Background:</strong> India being the country with largest adolescent population in the world, needs a special focus on the health services as the status of an adolescent determines the health status in his/her adulthood. Some of the major issues faced by the adolescents include: mental health problems, early pregnancy and childbirth, (HIV/STI) and other infectious diseases, violence, injuries and malnutrition. The present study aims to understand the effectiveness of peer-led intervention on knowledge, attitude and practices related to sexual reproductive and mental health issues in adolescents among participants and non-participants. The study was carried out to improve the health-seeking behaviour of adolescents on sexual reproductive and mental health issues in low resource setting across four states in India. <strong>Methods:</strong> The study adopted a cross-sectional survey which was conducted on 400 adolescents from each of the four districts namely Bangalore, Khagaria-Bihar, Khed-Pune and Sahinganj-Jharkhand. A comparative analysis was conducted between the participants and the non-participants of the intervention to understand the effectiveness of the intervention on the KAP related to sexual reproductive and mental health of adolescents.<strong> Results:</strong> The study shows that the participants from Karnataka and Maharashtra had better knowledge in emergency contraception, HIV awareness, use of contraceptives and consumption of IFA’s than the non-participants;both the participants and the non-participants showed a positive behaviour in help-seeking in case of psychological challenges. <strong>Conclusion:</strong> The peer-led approach was found to be an effective strategy for learning, sharing and monitoring adolescent sexual reproductive and mental health.

关 键 词：Adolescent Health Mental Health Peer-Led Approach Sexual Reproductive Health 

分 类 号：R51[医药卫生—内科学]