Narratives of most significant change to explore experiences of caregivers in a caregiver-young adolescent sexual and reproductive health communication intervention in rural south-western Uganda

Cecilia Akatukwasa; Elizabeth Kemigisha; Dorcus Achen; Danielle Fernandes; wendo Mlahagwa; Gad Ndaruhutse Ruzaaza; Gily Coene; Godfrey Z. Rukundo; Kristien Michielsen; Viola N. Nyakato; Shakira  Namatovu

doi:10.1371/journal.pone.0286319

Narratives of most significant change to explore experiences of caregivers in a caregiver-young adolescent sexual and reproductive health communication intervention in rural south-western Uganda

Cecilia Akatukwasa, Elizabeth Kemigisha, Dorcus Achen, Danielle Fernandes, wendo Mlahagwa, Gad Ndaruhutse Ruzaaza, Gily Coene, Godfrey Z. Rukundo, Kristien Michielsen, Viola N. Nyakato, Shakira Namatovu

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Abstract

BACKGROUND: This paper presents findings from a qualitative effectiveness evaluation of an intervention aimed at improving caregiver-young adolescent sexual and reproductive health (SRH) communication including training modules for caregivers on parent-child SRH communication.

METHODS: Data was collected (October 2021-November 2021) using a narrative interviewing technique with thirty caregivers (8 males and 22 females), who received the parent-child communication intervention in Mbarara district, south-western Uganda. We explored caregivers' experiences with the intervention based on four domains of change: caregiver-young adolescent communication on SRH issues, knowledge and attitudes towards adolescent SRH, parenting skills, and personal life and family. Thematic analysis was used to code and analyse the data, with attention to gender differences.

RESULTS: Findings highlight positive parenting as a key attribute of SRH communication, along with a transformation of knowledge and attitudes towards the SRH of young adolescents leading to an overall improvement in SRH communication. However, communication is still limited to comfortable topics.

CONCLUSION: Our findings indicate improved caregiver-adolescent SRH communication practices following a community intervention. Programming for adolescent health on broader sexuality topics, comfortability and attitude change among caregivers could promote behaviour change on a long term. Future studies may focus on the long term impacts of interventions of this nature and test interventions aimed at addressing comfortability with discussingSRH issues.

Original language	English
Article number	e0286319
Number of pages	15
Journal	PLoS ONE
Volume	18
Issue number	5
DOIs	https://doi.org/10.1371/journal.pone.0286319
Publication status	Published - 31 May 2023

Bibliographical note

Publisher Copyright:
Copyright: © 2023 Akatukwasa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Copyright:
This record is sourced from MEDLINE/PubMed, a database of the U.S. National Library of Medicine

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Akatukwasa, C., Kemigisha, E., Achen, D., Fernandes, D., Mlahagwa, W., Ruzaaza, G. N., Coene, G., Rukundo, G. Z., Michielsen, K., Nyakato, V. N., & Namatovu, S. (2023). Narratives of most significant change to explore experiences of caregivers in a caregiver-young adolescent sexual and reproductive health communication intervention in rural south-western Uganda. PLoS ONE, 18(5), [e0286319]. https://doi.org/10.1371/journal.pone.0286319

Akatukwasa, Cecilia ; Kemigisha, Elizabeth ; Achen, Dorcus ; Fernandes, Danielle ; Mlahagwa, wendo ; Ruzaaza, Gad Ndaruhutse ; Coene, Gily ; Rukundo, Godfrey Z. ; Michielsen, Kristien ; Nyakato, Viola N. ; Namatovu, Shakira . / Narratives of most significant change to explore experiences of caregivers in a caregiver-young adolescent sexual and reproductive health communication intervention in rural south-western Uganda. In: PLoS ONE. 2023 ; Vol. 18, No. 5.

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title = "Narratives of most significant change to explore experiences of caregivers in a caregiver-young adolescent sexual and reproductive health communication intervention in rural south-western Uganda",

abstract = "BACKGROUND: This paper presents findings from a qualitative effectiveness evaluation of an intervention aimed at improving caregiver-young adolescent sexual and reproductive health (SRH) communication including training modules for caregivers on parent-child SRH communication.METHODS: Data was collected (October 2021-November 2021) using a narrative interviewing technique with thirty caregivers (8 males and 22 females), who received the parent-child communication intervention in Mbarara district, south-western Uganda. We explored caregivers' experiences with the intervention based on four domains of change: caregiver-young adolescent communication on SRH issues, knowledge and attitudes towards adolescent SRH, parenting skills, and personal life and family. Thematic analysis was used to code and analyse the data, with attention to gender differences.RESULTS: Findings highlight positive parenting as a key attribute of SRH communication, along with a transformation of knowledge and attitudes towards the SRH of young adolescents leading to an overall improvement in SRH communication. However, communication is still limited to comfortable topics.CONCLUSION: Our findings indicate improved caregiver-adolescent SRH communication practices following a community intervention. Programming for adolescent health on broader sexuality topics, comfortability and attitude change among caregivers could promote behaviour change on a long term. Future studies may focus on the long term impacts of interventions of this nature and test interventions aimed at addressing comfortability with discussingSRH issues.",

author = "Cecilia Akatukwasa and Elizabeth Kemigisha and Dorcus Achen and Danielle Fernandes and wendo Mlahagwa and Ruzaaza, {Gad Ndaruhutse} and Gily Coene and Rukundo, {Godfrey Z.} and Kristien Michielsen and Nyakato, {Viola N.} and Shakira Namatovu",

note = "Publisher Copyright: Copyright: {\textcopyright} 2023 Akatukwasa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Copyright: This record is sourced from MEDLINE/PubMed, a database of the U.S. National Library of Medicine",

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Akatukwasa, C, Kemigisha, E, Achen, D , Fernandes, D, Mlahagwa, W, Ruzaaza, GN, Coene, G, Rukundo, GZ, Michielsen, K, Nyakato, VN & Namatovu, S 2023, 'Narratives of most significant change to explore experiences of caregivers in a caregiver-young adolescent sexual and reproductive health communication intervention in rural south-western Uganda', PLoS ONE, vol. 18, no. 5, e0286319. https://doi.org/10.1371/journal.pone.0286319

Narratives of most significant change to explore experiences of caregivers in a caregiver-young adolescent sexual and reproductive health communication intervention in rural south-western Uganda. / Akatukwasa, Cecilia; Kemigisha, Elizabeth; Achen, Dorcus ; Fernandes, Danielle; Mlahagwa, wendo; Ruzaaza, Gad Ndaruhutse; Coene, Gily; Rukundo, Godfrey Z.; Michielsen, Kristien; Nyakato, Viola N.; Namatovu, Shakira .

In: PLoS ONE, Vol. 18, No. 5, e0286319, 31.05.2023.

Research output: Contribution to journal › Article › peer-review

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AU - Kemigisha, Elizabeth

AU - Achen, Dorcus

AU - Fernandes, Danielle

AU - Mlahagwa, wendo

AU - Ruzaaza, Gad Ndaruhutse

AU - Coene, Gily

AU - Rukundo, Godfrey Z.

AU - Michielsen, Kristien

AU - Nyakato, Viola N.

AU - Namatovu, Shakira

N1 - Publisher Copyright: Copyright: © 2023 Akatukwasa et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Copyright: This record is sourced from MEDLINE/PubMed, a database of the U.S. National Library of Medicine

PY - 2023/5/31

Y1 - 2023/5/31

N2 - BACKGROUND: This paper presents findings from a qualitative effectiveness evaluation of an intervention aimed at improving caregiver-young adolescent sexual and reproductive health (SRH) communication including training modules for caregivers on parent-child SRH communication.METHODS: Data was collected (October 2021-November 2021) using a narrative interviewing technique with thirty caregivers (8 males and 22 females), who received the parent-child communication intervention in Mbarara district, south-western Uganda. We explored caregivers' experiences with the intervention based on four domains of change: caregiver-young adolescent communication on SRH issues, knowledge and attitudes towards adolescent SRH, parenting skills, and personal life and family. Thematic analysis was used to code and analyse the data, with attention to gender differences.RESULTS: Findings highlight positive parenting as a key attribute of SRH communication, along with a transformation of knowledge and attitudes towards the SRH of young adolescents leading to an overall improvement in SRH communication. However, communication is still limited to comfortable topics.CONCLUSION: Our findings indicate improved caregiver-adolescent SRH communication practices following a community intervention. Programming for adolescent health on broader sexuality topics, comfortability and attitude change among caregivers could promote behaviour change on a long term. Future studies may focus on the long term impacts of interventions of this nature and test interventions aimed at addressing comfortability with discussingSRH issues.

AB - BACKGROUND: This paper presents findings from a qualitative effectiveness evaluation of an intervention aimed at improving caregiver-young adolescent sexual and reproductive health (SRH) communication including training modules for caregivers on parent-child SRH communication.METHODS: Data was collected (October 2021-November 2021) using a narrative interviewing technique with thirty caregivers (8 males and 22 females), who received the parent-child communication intervention in Mbarara district, south-western Uganda. We explored caregivers' experiences with the intervention based on four domains of change: caregiver-young adolescent communication on SRH issues, knowledge and attitudes towards adolescent SRH, parenting skills, and personal life and family. Thematic analysis was used to code and analyse the data, with attention to gender differences.RESULTS: Findings highlight positive parenting as a key attribute of SRH communication, along with a transformation of knowledge and attitudes towards the SRH of young adolescents leading to an overall improvement in SRH communication. However, communication is still limited to comfortable topics.CONCLUSION: Our findings indicate improved caregiver-adolescent SRH communication practices following a community intervention. Programming for adolescent health on broader sexuality topics, comfortability and attitude change among caregivers could promote behaviour change on a long term. Future studies may focus on the long term impacts of interventions of this nature and test interventions aimed at addressing comfortability with discussingSRH issues.

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Narratives of most significant change to explore experiences of caregivers in a caregiver-young adolescent sexual and reproductive health communication intervention in rural south-western Uganda

Abstract

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IRPCOE1-B: Interdisciplinary Research Programme: Centre of Expertise in Gender, Diversity and Intersectionality

Process evaluation of a parent-child communication intervention for adolescent sexual and reproductive health in Uganda

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Narratives of most significant change to explore experiences of caregivers in a caregiver-young adolescent sexual and reproductive health communication intervention in rural south-western Uganda

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Bibliographical note

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IRPCOE1-B: Interdisciplinary Research Programme: Centre of Expertise in Gender, Diversity and Intersectionality

Research output

Process evaluation of a parent-child communication intervention for adolescent sexual and reproductive health in Uganda

Cite this