Skip to main content
Top
Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | Human Immunodeficiency Virus | Research

Effect of peer health education intervention on HIV/AIDS knowledge amongst in-school adolescents in secondary schools in Imo State, Nigeria

Authors: Chinelo Judith Ezelote, Nkechi Joy Osuoji, Adaku Joy Mbachu, Chikadibia Kizito Odinaka, Ogochukwu Mildred Okwuosa, Chinaemelum Juliet Oli, Chimburuoma Georgina Ignatius

Published in: BMC Public Health | Issue 1/2024

Login to get access

Abstract

Background

Peer education is an approach to health promotion in which community members are supported to promote health-enhancing change among their peers. The study assessed the effect of peer health education on HIV/AIDS knowledge amongst in-school adolescents in secondary schools in Imo State.

Methods

This was an intervention study carried out among 296 and 287 in-school adolescents aged 15 to 19 years attending Akwakuma Girls Secondary School and Federal Government Girls College Owerri Imo State respectively. The study was in three stages: before intervention, intervention, and after intervention. The impact of peer education was evaluated twelve weeks after intervention. Data were collected using semi-structured questionnaires. The study utilized a quasi-experimental study design. The chi-square test and McNemar’s test were used to test the hypothesis with a significance level of p ≤ 0.05.

Results

The result from the study revealed that the majority (73%) of the respondents at Akwakuma Girls Secondary School (test group) had poor knowledge of HIV/AIDS mode of transmission and prevention at baseline. The overall good knowledge of respondents in the test group improved from 27 to 81% after the intervention. 36% of the respondents in the control group had good knowledge at baseline, the knowledge of 64% of them with poor knowledge at baseline were compared post-test to those in the test group who also had poor knowledge at baseline. The knowledge of only 27.7% of those in the control group increased post-test while the remaining 72.3% still had poor knowledge. The result of the inter-school comparison using Chi-square revealed that the p-value was statistically significant. Intra-school comparison using McNemar’s test revealed a statistical significance for all questions in the test group, while none was positively significant in the control group.

Conclusions

Peer health education improved the knowledge of the students at Akwakuma Girls Secondary School which was very low at the baseline. The knowledge of the students in the control group with poor knowledge at baseline didn’t increase post-study. Peer health education should be strengthened and expanded as one of the tools for behavior change among adolescents. There should be more focus on adolescents for HIV-targeted prevention.
Appendix
Available only for authorised users
Literature
5.
go back to reference Adeomi AA, Adeoye OA, Asekun-Olarinmoye EO, Abodunrin OL, Olugbenga-Bello AI, Sabageh AO. Evaluation of the Effectiveness of Peer Education in Improving HIV Knowledge, Attitude, and Sexual Behaviours among In-School Adolescents in Osun State, Nigeria. AIDS Res Treat. 2014;2014:131756. https://doi.org/10.1155/2014/131756. Adeomi AA, Adeoye OA, Asekun-Olarinmoye EO, Abodunrin OL, Olugbenga-Bello AI, Sabageh AO. Evaluation of the Effectiveness of Peer Education in Improving HIV Knowledge, Attitude, and Sexual Behaviours among In-School Adolescents in Osun State, Nigeria. AIDS Res Treat. 2014;2014:131756. https://​doi.​org/​10.​1155/​2014/​131756
9.
go back to reference Abdi F, Simbar M. The peer education approach in adolescents—Narrative review article. Iran J Public Health. 2013;42(11):1200–6 Return to ref 1 in article. PubMed PubMed Central Google Scholar.PubMedPubMedCentral Abdi F, Simbar M. The peer education approach in adolescents—Narrative review article. Iran J Public Health. 2013;42(11):1200–6 Return to ref 1 in article. PubMed PubMed Central Google Scholar.PubMedPubMedCentral
10.
go back to reference Pillitteri A. Growing fetus. In: Pillitteri A, editor. Study guide to accompany maternal and child health nursing: care of the childbearing and childrearing family. Philadelphia: Lippincott Williams & Wilkins; 2009. p. 191–216. Pillitteri A. Growing fetus. In: Pillitteri A, editor. Study guide to accompany maternal and child health nursing: care of the childbearing and childrearing family. Philadelphia: Lippincott Williams & Wilkins; 2009. p. 191–216.
13.
go back to reference Stehlik, Thomas. Educational Philosophy for 21st Century Teachers. Springer. p. 131. ISBN 978–3319759692. "Adolescent health"; 2018. www.who.int. Stehlik, Thomas. Educational Philosophy for 21st Century Teachers. Springer. p. 131. ISBN 978–3319759692. "Adolescent health"; 2018. www.​who.​int.
19.
go back to reference UNICEF. UNICEF Data: Monitoring the situation of children and women. 2023. UNICEF. UNICEF Data: Monitoring the situation of children and women. 2023.
20.
go back to reference Adefuye AS, Abiona TC, Balogun JA, Lukobo-Durrell M. HIV sexual risk behaviours and perception of risk among college students: Implications for planning intervention. BMC Public Health. 2009;9:281.CrossRefPubMedPubMedCentral Adefuye AS, Abiona TC, Balogun JA, Lukobo-Durrell M. HIV sexual risk behaviours and perception of risk among college students: Implications for planning intervention. BMC Public Health. 2009;9:281.CrossRefPubMedPubMedCentral
21.
go back to reference Ajala AS. Socio-cultural factors influencing the prevalence, care and support in HIV/AIDS among the Yoruba of Southwestern Nigeria. Afr J Health Sci. 2007;14:61–9. Ajala AS. Socio-cultural factors influencing the prevalence, care and support in HIV/AIDS among the Yoruba of Southwestern Nigeria. Afr J Health Sci. 2007;14:61–9.
22.
go back to reference Monasch R, Mahy M. Young people: the centre of the HIV epidemic. In: Ross DA, Dick B, Ferguson J, editors. Preventing HIV/AIDS in Young People: A Systematic Review of the Evidence in Developing Countries. Geneva: WHO; 2006. (World Health Organization Technical Report Series 938). Monasch R, Mahy M. Young people: the centre of the HIV epidemic. In: Ross DA, Dick B, Ferguson J, editors. Preventing HIV/AIDS in Young People: A Systematic Review of the Evidence in Developing Countries. Geneva: WHO; 2006. (World Health Organization Technical Report Series 938).
23.
go back to reference Reynolds NR, Sun J, Nagaraja HN, Gifford AL, Wu AWW, Chesney MA. Optimizing Measurement of Self-Reported Adherence with the ACTG Adherence Questionnaire. J Acquire Immune Defic Syndr. 2008;46(4):402–9 3.6 Validity of Instrument.CrossRef Reynolds NR, Sun J, Nagaraja HN, Gifford AL, Wu AWW, Chesney MA. Optimizing Measurement of Self-Reported Adherence with the ACTG Adherence Questionnaire. J Acquire Immune Defic Syndr. 2008;46(4):402–9 3.6 Validity of Instrument.CrossRef
27.
go back to reference Adeomi AA, Adeoye OA, Asekun-Olarinmoye EO, Abodunrin OL, Olugbenga-Bello AI, & Sabegeh AO. Evaluation of the effectiveness of peer education in improving HIV knowledge, attitude, and sexual behaviors among in-school adolescents in Osun state, Nigeria. AIDS Res Treat. 2014;131756. https://doi.org/10.1155/2014/131756. Adeomi AA, Adeoye OA, Asekun-Olarinmoye EO, Abodunrin OL, Olugbenga-Bello AI, & Sabegeh AO. Evaluation of the effectiveness of peer education in improving HIV knowledge, attitude, and sexual behaviors among in-school adolescents in Osun state, Nigeria. AIDS Res Treat. 2014;131756. https://​doi.​org/​10.​1155/​2014/​131756.
29.
go back to reference Minaya J, Owen SA, Herold J. The Impact of sex education on HIV knowledge and condom use among adolescent females in the Dominican Republic. Int J Adolesc Med Health. 2008;20(3):275–82.CrossRefPubMed Minaya J, Owen SA, Herold J. The Impact of sex education on HIV knowledge and condom use among adolescent females in the Dominican Republic. Int J Adolesc Med Health. 2008;20(3):275–82.CrossRefPubMed
30.
go back to reference Hassan AO, Oladeji AO, Osinowo K, Ajuwon AJ, Atibioke OP, Ojomo OA, Ehimatie B and Ladipo OA. Effects of peer education on AIDS knowledge and sexual behavior among youths on national service and secondary school students in Nigeria. International Journal of Public Health and Epidemiology ISSN: 2326–7291 Vol. 3 (7), pp. 035–047, July, 2014. Available online at www.internationalscholarsjournals.org © International Scholars Journals Hassan AO, Oladeji AO, Osinowo K, Ajuwon AJ, Atibioke OP, Ojomo OA, Ehimatie B and Ladipo OA. Effects of peer education on AIDS knowledge and sexual behavior among youths on national service and secondary school students in Nigeria. International Journal of Public Health and Epidemiology ISSN: 2326–7291 Vol. 3 (7), pp. 035–047, July, 2014. Available online at www.​internationalsch​olarsjournals.​org © International Scholars Journals
31.
go back to reference Ursula Chigozie Nnabueze, Liesl Nydegger, Ijeoma Ogwe Onuoha, Tochi Emmanuel Iwuagwu. Impact of a Peer Public Health Education Programme on Adolescent Students’ Knowledge of HIV/AIDS and Attitude Towards People Living with HIV/AIDS in Abia State, South East Nigeria. J Health Med Nurs. 2021;93:37-43. https://doi.org/10.7176/JHMN/93-06. Ursula Chigozie Nnabueze, Liesl Nydegger, Ijeoma Ogwe Onuoha, Tochi Emmanuel Iwuagwu. Impact of a Peer Public Health Education Programme on Adolescent Students’ Knowledge of HIV/AIDS and Attitude Towards People Living with HIV/AIDS in Abia State, South East Nigeria. J Health Med Nurs. 2021;93:37-43. https://​doi.​org/​10.​7176/​JHMN/​93-06.
Metadata
Title
Effect of peer health education intervention on HIV/AIDS knowledge amongst in-school adolescents in secondary schools in Imo State, Nigeria
Authors
Chinelo Judith Ezelote
Nkechi Joy Osuoji
Adaku Joy Mbachu
Chikadibia Kizito Odinaka
Ogochukwu Mildred Okwuosa
Chinaemelum Juliet Oli
Chimburuoma Georgina Ignatius
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-18536-4

Other articles of this Issue 1/2024

BMC Public Health 1/2024 Go to the issue