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Effects of Educational Intervention Programmes on Reproductive Health-Behavioural Intentions among Sickle-Cell Disease Population in South-West Nigeria

Youths with Sickle Cell Disease (SCD) are sexually active and at higher risk of uncertain reproductive health outcomes because of their health status. This study was a theory-grounded quasi-experimental design to evaluate the effects of two Reproductive Health-Information (RHI) Education intervention programmes with counseling among youths with SCD in South-west Nigeria. Seventy five participants were purposively assigned to control (CG) and two intervention groups that were randomly selected. All groups completed pretest of Behavioural-Intentions (BI) measures by questionnaire, however, only intervention group one (IG-1) received Reproductive Health-Information (RHI) Education while intervention group two (IG-2) received both (RHI) Education with counseling. At 13 week follow-up, post-test BI was measured for all groups. Data were analyzed using descriptive statistics and ANOVA to compare preand post-test measures for all groups at p=0.05. There was no significant difference in measures among the three groups at baseline in respect of RHI (19.16±6.61; 16.40±9.35; 16.68±6.31), Motivation (15.08±4.13; 11.88 ±5.26; 12.80±3.81), Behavioural Skills/Self-Efficacy (14.88±4.79; 15.20±7.80; 16.40±7.16) and Behavioural Intentions (18.04±7.96; 16.68±9.04; 16.32±8.04) respectively. However, at 13 week follow-up, Intervention group 2 demonstrated significantly higher scores in respect of RHI (17.20±4.38; 16.68±6.33; 32.32±18.87), Motivation (14.80±3.37; 14.96±4.39; 17.40±2.84), Behavioural Skills/Self-Efficacy (19.24±5.83; 16.28±4.74; 21.04±4.95) and BI (18.88±6.68; 23.40 ±5.61; 26.68±7.42) than Intervention group 1 and Control respectively. Intervention 2 combining RHI -Education with counseling had the most significant impact on youth reproductive health behavioural-Intentions. It is therefore recommended that reproductive health information for the SC youths should strategically be accompanied with counseling to achieve behavioural change.