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Caretaker-Adolescent Communication on Sexuality and Reproductive Health: My Perceptions Matter; A Qualitative Study on Adolescents’ Perspectives in Unguja-Zanzibar

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This study was conducted to explore the perceptions of adolescents on caretaker-adolescent communication on sexuality. Using an Information-Motivation-Behavioural Skills model, this article highlights areas to emphasise when planning strategies to improve caretaker-adolescent communication on sexuality. Twelve focus group discussions were held with adolescents aged between 15 and 19 years, and data were analysed using content analysis. The participants found it important for caretakers to communicate with adolescents about sexuality to avoid sexual and related health risks. Caretakers were the most preferred communicators, by adolescents, on sexuality matters. It became apparent that information about the use of condoms was the most unpopular topic during the discussions, while information about the use of contraceptives seemed to be more interesting to the majority of the participants. From the adolescents’ point of view, the barriers to communication about sexuality on the caretakers’ side, include, the belief that such information might encourage promiscuity; some caretakers do not find it easy to discuss matters related to sexuality with their children; and others feel that some adolescents know more about sexuality than themselves. On the other hand, barriers on adolescents’ side include, “fear” of the caretakers, some of whom seem harsh, unfriendly, and sometimes unapproachable. Following the findings, it is being suggested that intervention strategies that would help to alleviate communication barriers would consequently facilitate caretaker-adolescent discussions about sexuality and reproductive health.
Cite this paper
Seif, S. and Kohi, T. (2014) Caretaker-Adolescent Communication on Sexuality and Reproductive Health: My Perceptions Matter; A Qualitative Study on Adolescents’ Perspectives in Unguja-Zanzibar. Health, 6, 2904-2917. doi: 10.4236/health.2014.621329.
 

[1] Kirby, D. (2007) Emerging Answers: Research Findings on Programs to Reduce Teen Pregnancy and Sexually Transmitted Diseases. The National Campaign to Prevent Teen and Unplanned Pregnancy, Washington DC.
[2] Lehr, S.T., Dilorio, C., Dudley, W.N. and Lipana, J.A. (2000) The Relationship between Patient-Adolescent Communication and Safer Sex Behaviours in College Students. Journal of Family Nursing, 6, 180-196.
http://dx.doi.org/10.1177/107484070000600206
[3] Markham, C.M., Lormand, D., Gloppen, K.M., Peskin, M.F., Flores, B., Low, B. and House, L.D. (2010) Connectedness as a Predictor of Sexual and Reproductive Health Outcomes for Youth. Journal of Adolescent Health, 46, S23-S41.
http://dx.doi.org/10.1016/j.jadohealth.2009.11.214
[4] DiClemente, R.J., Wingood, G.M., Crosby, R., Cobb, B.K., Harrington, K. and Davies, S.L. (2001) Parent-Adolescent Communication and Sexual Risk Behaviours among African American Adolescent Females. Journal of Pediatrics, 139, 407-412.
http://dx.doi.org/10.1067/mpd.2001.117075
[5] Taffa, N., Bjune, G., Sundby, J., Gaustad, P. and Alestrom, A. (2002) Prevalence of Gonococcal and Chlamydial Infections and Sexual Risk Behaviour among Youth in Addis Ababa, Ethiopia. Sexually Transmitted Diseases, 29, 828-833.
http://dx.doi.org/10.1097/00007435-200212000-00015
[6] Kirby, D., Obasi, A. and Laris, B.A. (2006) The Effectiveness of Sex Education and HIV Education Interventions in Schools in Developing Countries. World Health Organization Technical Report Series, 938, 103-150.
[7] Hubbacher, D., Mavranezouli, I. and McGinn, E. (2008) Unintended Pregnancy in Sub Saharan Africa: Magnitude of the Problem and Potential Role of Contraceptives Implants to Alleviate It. Contraception, 78, 73-78.
http://dx.doi.org/10.1016/j.contraception.2008.03.002
[8] Urassa, W., Moshiro, C., Chalamila, G., Mhalu, F. and Sandstorm, E. (2008) Risky Sexual Practices among Youth Attending a Sexually Transmitted Infection Clinic in Dar es Salaam, Tanzania. BMC Infectious Diseases, 8, 159.
http://dx.doi.org/10.1186/1471-2334-8-159
[9] National AIDS Control Program (NACP) (2002) Report No. 16: Ministry of Health, Dar es Salaam, Tanzania.
[10] UNAIDS/WHO (2010) Epidemiological Fact Sheet on HIV and AIDS. UNAIDS/WHO, Geneva.
[11] United Nation (UN) (2011) HIV and AIDS: Challenges and Opportunities. United Nation, Geneva.
[12] World Health Organization (WHO) (1998) Unsafe Abortion: Global and Regional Estimates of Incidence of and Mortality Due to Unsafe Abortion with a Listing of Available Country Data. World Health Organization, Geneva.
[13] United Nations (UN) (1990) Patterns of First Marriage: Timing and Prevalence. United Nations, Department of International Economic and Social Affairs, New York, ST/ESA/SER.R/111, 7-18.
[14] Bledsoe, C.H. and Cohen, B. (1993) Social Dynamics of Adolescent Fertility in Sub-Saharan Africa. Population Dynamics of Sub-Saharan Africa, National Academy Press, Washington DC, 45-56.
[15] Mensch, B.S., Grant, M.J. and Blanc, A.K. (2006) The Changing Context of Sexual Initiation in Sub-Saharan Africa. Population and Development Review, 32, 699-727.
http://dx.doi.org/10.1111/j.1728-4457.2006.00147.x
[16] Office of Chief Government Statician (2010) Tanzania Demographic Health Survey. Office of Chief Government Statician, Zanzibar.
[17] Taffa, N., Klepp, K., Austveg, B. and Sundby, J. (1999) Adolescent Sexual and Reproductive Health; Review of Current Facts, Programmes and Progress since ICPD. Norwegian Ministry of Foreign Affairs and Norwegian Board of Health.
[18] Biddlecom, A.E., Hessburg, L., Singh, S., Bankole, A. and Darabi, L. (2007) Protecting the Next Generation in Sub-Saharan Africa: Learning from Adolescents to Prevent HIV and Unintended Pregnancy. Guttmacher Institute, New York.
[19] Munguti, K., Grosskurth, H., Newell, J., Senkoro, K., Mosha, F., Todd, J., et al. (1997) Patterns of Sexual Behaviour in a Rural Population in North-Western Tanzania. Social Science & Medicine, 44, 1553-1561.
http://dx.doi.org/10.1016/S0277-9536(97)00014-2
[20] Bankole, A., Ahmed, F., Neema, S., Ouedrago, C. and Konyani, S. (2007) Knowledge of Correct Condom Use and Consistency of Use among Adolescents in Four Countries in Sub-Saharan Africa. African Journal of Reproductive Health, 11, 197-220.
http://dx.doi.org/10.2307/25549740
[21] Rosenthal, D.A. and Feldman, S.S. (1999) The Importance of Importance: Adolescents’ Perceptions of Parental Communication about Sexuality. Journal of Adolescence, 22, 835-851.
http://dx.doi.org/10.1006/jado.1999.0279
[22] Wamoyi, J., Fenwick, A., Urassa, M., Zaba, B. and Stones, W. (2010) Parent-Child Communication about Sexual and Reproductive Health in Rural Tanzania: Implications for Young People’s Sexual Health Interventions. Reproductive Health, 7, 6.
http://dx.doi.org/10.1186/1742-4755-7-6
[23] Bastien, S., Leshabari, M.T. and Klepp, K.I. (2009) Exposure to Information and Communication about HIV/AIDS and Perceived Credibility of Information Sources among Young People in Northern Tanzania. African Journal of AIDS Research, 8, 213-222.
http://dx.doi.org/10.2989/AJAR.2009.8.2.9.861
[24] Mellanby, A.R., Newcombe, R.G., Rees, J. and Tripp, J.H. (2001) A Comparative Study of Peer-Led and Adult-Led School Sex Education. Health Education Research, 16, 481-492.
http://dx.doi.org/10.1093/her/16.4.481
[25] Jaccard, J., Dittus, P.J. and Gordon, V.V. (2000) Parent-Teen Communication about Premarital Sex: Factors Associated with the Extent of Communication. Journal of Adolescent Research, 15, 187-208.
http://dx.doi.org/10.1177/0743558400152001
[26] Guilamo-Ramos, V., Soletti, A.B., Burnette, D., Sharma, S., Leavitt, S. and McCarthy, K. (2012) Parent-Adolescent Communication about Sex in Rural India: US-India Collaboration to Prevent Adolescent HIV. Qualitative Health Research, 22, 788-800.
http://dx.doi.org/10.1177/1049732311431943
[27] Tesso, D.W., Fantahun, M.A. and Enquselassie, F. (2012) Parent-Young People Communication about Sexual and Reproductive Health in E/Wollega Zone, West Ethiopia: Implications for Interventions. Reproductive Health, 9, 13.
http://dx.doi.org/10.1186/1742-4755-9-13
[28] Fisher, J.D. and Fisher, W.A. (1992) Changing AIDS-Risk Behaviour. Psychological Bulletin, 111, 455-474.
http://dx.doi.org/10.1037/0033-2909.111.3.455
[29] Zarani, F., Besharat, M., Sarami, G. and Sadeghian, S. (2012) An Information-Motivation-Behavioural Skills (IMB) Model-Based Intervention for CABG Patients. International Journal of Behavioral Medicine, 19, 543-549.
http://dx.doi.org/10.1007/s12529-011-9193-2
[30] Kaufman, C.E. and Stavrouv, S.E. (2004) “Bus Fare Please”: The Economics of Sex and Gifts among Young People in Urban South Africa. Culture, Health & Sexuality, 6, 377-391.
http://dx.doi.org/10.1080/13691050410001680492
[31] Longfield, K. (2004) Rich Fools, Spare Tyres and Boyfriends: Partner Categories, Relationship Dynamics and Ivorian Women’s Risk for STIs and HIV. Culture, Health & Sexuality, 6, 483-500.
http://dx.doi.org/10.1080/13691050410001701920
[32] Obasi, A.I., Cleophas, B., Ross, D.A., Chima, K.L., Mmassy, G., Gavyole, A., Plummer, M.L., Makokha, M., Mujaya, B., Todd, J., et al. (2006) Rationale and Design of the MEMA kwa Vijana Adolescent Sexual and Reproductive Health Intervention in Mwanza Region, Tanzania. AIDS Care, 18, 311-322.
http://dx.doi.org/10.1080/09540120500161983
[33] Cowan, F.M., Pascoe, S.J., Langhaug, L.F., Diwaro, J., Chidya, S., Jaffar, S., Mbivzo, M., Stephenson, J.M., Johnson, A.M., Power, R.M., et al. (2008) The Regai Dzive Shiri Project: A Cluster Randomized Controlled Trial to Determine the Effectiveness of a Multi-Component Community-Based HIV Prevention Intervention for Rural Youth in Zimbabwe-Study Design and Baseline Results. Tropical Medicine & International Health, 13, 1235-1244.
http://dx.doi.org/10.1111/j.1365-3156.2008.02137.x
[34] Namisi, F.S., Flisher, A.J., Overland, S., Bastien, S., Onya, H., Kaaya, S. and Aaro, L.E. (2009) Socio-Demographic Variations in Communication on Sexuality and HIV/AIDS with Parents, Family Members and Teachers among in School-Adolescents: A Multi-Site Study in Tanzania and South Africa. Scandinavian Journal of Public Health, 37, 65-74.
http://dx.doi.org/10.1177/1403494808086986
[35] World Health Organization (WHO) (2007) Helping Parents in Developing Countries Improve Adolescent’s Health. World Health Organization, Geneva.
[36] Muyinda, H., Nakuya, J., Pool, R. and Whitworth, J. (2003) Harnessing the Senga Institution of Adolescents Sex Education for the Control of HIV and STDs in Rural Uganda. AIDS Care, 15, 159-167.
http://dx.doi.org/10.1080/0954012031000068308              eww141225lx

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