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Andrea J. Plautz, MPH, Population Services International, 1120 19th St. NW, Suite 600, Washington, DC 20036, 202-572-4575, aplautz@psi.org and Dominique Meekers, PhD, International Health and Development, Tulane University, 1440 Canal St. Suite 2200, New Orleans, LA 70112.
Objectives: To assess the reach of the TOP Réseau adolescent reproductive health program and evaluate impact on sexual behavior, use of reproductive health services, and predictors of use. Data and Methods: Data were from household surveys conducted in 2000 and 2002 among youth aged 15-24; sample sizes were 1,785 and 1,891, respectively. Logistic regression analyses established trends in reproductive health behavior and its predictors, and determined the effect of program exposure. Results: Although only 7% of youth reported having attended a TOP Réseau clinic, exposure to the program’s communication campaign was much higher. Approximately one-third of youth cited attending at least one peer education session or mobile video unit presentation (31% and 37%, respectively). Forty-one percent of youth report hearing TOP Réseau radio spots and 64% recall seeing television spots. Comparing 2000 and 2002 survey results revealed significant changes in condom use, social support, self-efficacy and access to condoms. Additional analyses show that the program contributed to changes in condom use among males and use of modern family planning methods among females. For example, 31% of males with high program exposure consistently used condoms with their regular partner, compared to 15% among those with low exposure (p=.000). Conclusions: Results emphasize the importance of developing communication campaigns to complement service delivery initiatives. Campaigns should aim to reach youth repeatedly using both mass media and interpersonal channels. Messages should emphasize seeking STI treatment, using condoms or abstinence. Further research is needed to better understand STI-treatment-seeking behavior and related determinants.
Learning Objectives: At the conclusion of the session, the learner will be able to
Keywords: Adolescents, International, Reproductive Health
Presenting author's disclosure statement:
I have a significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.
Relationship: The presenting author is employed by PSI, which manages the Top Reseau program