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      Level of Knowledge on Sexual and Reproductive Health Rights Among the Teenage Mothers and Their Parents in Rwanda: A Comparative Cross-Sectional Study

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          Abstract

          Background

          Parents are the primary caregivers and influential figures in adolescents’ lives. They play a crucial role in shaping their children’s attitudes, beliefs, and behaviors regarding sexual reproductive health. A vast difference in knowledge between adolescents and their parents indicates failure in knowledge translation and is associated with sexual and reproductive consequences, such as teenage pregnancies.

          Methods

          In this cross-sectional study between December 2020 and December 2021, 834 teenage mothers and their parents/guardians (n = 861) were enrolled from all five provinces of Rwanda. Knowledge of sexual reproductive health (SRH) rights was assessed, and the differences between the understanding of parents and their children were analyzed using Chi-square tests.

          Results

          There were statistically significant differences for all the assessed aspects of SRH knowledge rights between parents and their teenagers (ie, on the age of consent,  safe abortion, right to education for teenage mothers, understanding of financial responsibilities, and perceptions of legal consequences).

          Conclusion

          There is a significant knowledge difference between the two generations regarding their understanding of SRH rights. It is recommended that future programming should devise innovative ways that bring together parents and their children to discuss sexual reproductive health rights, which will result in empowered children and teenagers in Rwanda. Also, awareness programs are needed to improve the knowledge gaps regarding SRH in the public by policymakers, NGOs, and educators. 

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          Most cited references28

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          Improving Adolescent Sexual and Reproductive Health: A Systematic Review of Potential Interventions

          Adolescents have special sexual and reproductive health needs (whether or not they are sexually active or married). This review assesses the impact of interventions to improve adolescent sexual and reproductive health (including the interventions to prevent female genital mutilation/cutting [FGM/C]) and to prevent intimate violence. Our review findings suggest that sexual and reproductive health education, counseling, and contraceptive provision are effective in increasing sexual knowledge, contraceptive use, and decreasing adolescent pregnancy. Among interventions to prevent FGM/C, community mobilization and female empowerment strategies have the potential to raise awareness of the adverse health consequences of FGM/C and reduce its prevalence; however, there is a need to conduct methodologically rigorous intervention evaluations. There was limited and inconclusive evidence for the effectiveness of interventions to prevent intimate partner violence. Further studies with rigorous designs, longer term follow-up, and standardized and validated measurement instruments are required to maximize comparability of results. Future efforts should be directed toward scaling-up evidence-based interventions to improve adolescent sexual and reproductive health in low- and middle-income countries, sustain the impacts over time, and ensure equitable outcomes.
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            An updated and expanded meta-analysis of nonresident fathering and child well-being.

            Since Amato and Gilbreth's (1999) meta-analysis of nonresident father involvement and child well-being, nonmarital childbirths and nonresident father involvement both have increased. The unknown implications of such changes motivated the present study, a meta-analytic review of 52 studies of nonresident father involvement and child well-being. Consistent with Amato and Gilbreth, we found that positive forms of involvement were associated with benefits for children, with a small but statistically significant effect size. Amounts of father-child contact and financial provision, however, were not associated with child well-being. Going beyond Amato and Gilbreth, we analyzed the associations between different types of fathering and overall child well-being, and between overall father involvement and different types of child well-being. We found that nonresident father involvement was most strongly associated with children's social well-being and also was associated with children's emotional well-being, academic achievement, and behavioral adjustment. The forms of father involvement most strongly associated with child well-being were involvement in child-related activities, having positive father-child relationships, and engaging in multiple forms of involvement. Moderator analyses demonstrated variation in effect sizes based on both study characteristics and demographic variables. We discuss the implications of these findings for policy and practice. © 2013 American Psychological Association
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              Behavioral interventions to reduce incidence of HIV, STD, and pregnancy among adolescents: a decade in review

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                Author and article information

                Journal
                Risk Manag Healthc Policy
                Risk Manag Healthc Policy
                rmhp
                Risk Management and Healthcare Policy
                Dove
                1179-1594
                16 January 2024
                2024
                : 17
                : 159-169
                Affiliations
                [1 ]Department of Research, Health Development Initiative , Kicukiro District, Kigali City, Rwanda
                [2 ]Department of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology , Mbarara, Uganda
                [3 ]Department of Pediatric, Faculty of Medicine, Mbarara University of Science and Technology , Mbarara, Uganda
                [4 ]Department of Psychiatry and Behavioural Neurosciences, McMaster University , Hamilton, ON, Canada
                [5 ]Forensic Psychiatry Program, St. Joseph Healthcare , Hamilton, ON, Canada
                Author notes
                Correspondence: Dan Lutasingwa, Email dan@hdirwanda.org
                Author information
                http://orcid.org/0000-0002-9609-6021
                http://orcid.org/0000-0002-1596-4318
                http://orcid.org/0000-0002-4733-154X
                Article
                437217
                10.2147/RMHP.S437217
                10799567
                38250218
                46c09768-0788-4cb9-8bd7-9986c8fd2088
                © 2024 Lutasingwa et al.

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                : 26 August 2023
                : 11 January 2024
                Page count
                Figures: 0, Tables: 3, References: 36, Pages: 11
                Funding
                Funded by: was funded by resources from the Lucille and David Packard Foundation;
                Data collection was funded by resources from the Lucille and David Packard Foundation.
                Categories
                Original Research

                Social policy & Welfare
                teenage pregnancies,parents,rwanda,sexual reproductive health,knowledge,adolescent mothers

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