Community embedded reproductive health interventions for adolescents in Latin America: development and evaluation of a complex multi-centre intervention

BMC Public Health

dc.creatorDecat, Peter
dc.creatorNelson, Erica
dc.creatorDe Meyer, Sara
dc.creatorJaruseviciene, Lina
dc.creatorOrozco, Miguel
dc.creatorSegura, Zoyla
dc.creatorGorter, Anna
dc.creatorVega, Bernardo
dc.creatorCordova, Kathya
dc.creatorMaes, Lea
dc.creatorTemmerman, Marleen
dc.creatorLeye, Els
dc.creatorDegomme, Olivier
dc.date2015-06-11T13:04:50Z
dc.date2015-06-11T13:04:50Z
dc.date2013
dc.date.accessioned2018-03-14T20:12:26Z
dc.date.available2018-03-14T20:12:26Z
dc.identifierhttp://dspace.ucuenca.edu.ec/handle/123456789/22049
dc.identifierdoi: 10.1186/1471-2458-13-31
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1129392
dc.descriptionBackground Adolescents in Latin America are at high risk for unwanted and unplanned pregnancies, which often result in unsafe abortions or poor maternal health outcomes. Both young men and women in the region face an increased risk of sexually transmitted infections due to inadequate sexual and reproductive health information, services and counselling. To date, many adolescent health programmes have targeted a single determinant of sexual and reproductive health. However, recent evidence suggests that the complexity of sexual and reproductive health issues demands an equally multi-layered and comprehensive approach. Methods This article describes the development, implementation and evaluation design of the community-embedded reproductive health care for adolescents (CERCA) study in three Latin American cities: Cochabamba (Bolivia), Cuenca (Ecuador) and Managua (Nicaragua). Project CERCA’s research methodology builds on existing methodological frameworks, namely: action research, community based participatory research and intervention-mapping. The interventions in each country address distinct target groups (adolescents, parents, local authorities and health providers) and seek improvement of the following sexual health behaviours: communication about sexuality, sexual and reproductive health information-seeking, access to sexual and reproductive health care and safe sexual relationships. In Managua, we implemented a randomised controlled study, and in Cochabamba and Cuenca we adopted a non-randomised controlled study to evaluate the effectiveness of Project CERCA interventions, in addition to a process evaluation. Discussion This research will result in a methodological framework that will contribute to the improved design and implementation of future adolescent sexual and reproductive health interventions.
dc.descriptionCuenca
dc.descriptionvol. 13; no. 1
dc.formatapplication/pdf
dc.languageeng
dc.rightsopenAccess
dc.rightshttp://creativecommons.org/licenses/by-nc-sa/3.0/ec/
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightshttp://creativecommons.org/licenses/by-nc-sa/3.0/ec/
dc.sourceinstname:Universidad de Cuenca
dc.sourcereponame:Repositorio Digital de la Universidad de Cuenca
dc.subjectREPRODUCTIVE HEALTH
dc.subjectSEXUAL BEHAVIOUR
dc.subjectADOLESCENTS
dc.subjectLATIN AMERICA
dc.subjectCOMMUNITY BASED PARTICIPATORY RESEARCH
dc.subjectINTERVENTION MAPPING
dc.subjectACTION RESEARCH
dc.subjectRESEARCH DESIGN
dc.titleCommunity embedded reproductive health interventions for adolescents in Latin America: development and evaluation of a complex multi-centre intervention
dc.titleBMC Public Health
dc.typeArtículos de revistas


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