July 2003
Because the South Africa life skills initiative aimed to be a full
coverage program, it was not possible to use a randomized control design
to measure program impact. This is because schools initiated life skills
education at different speeds and intensities. The study therefore measured
young people’s recall of topics from their school training and assessed
the differences in sexual and reproductive health knowledge and behaviors,
given that these young people were differentially exposed to the topics.
This is called measuring the dose-response relationship between indicators
of exposure to education and sexual-reproductive health knowledge and
behaviors. All the multivariate models used in this study control for
unmeasured factors using a variable for survey year. A significant
effect for this survey year variable was found for many of the models
and may be interpreted as reflecting the combined effects of maturation
of youth, exposure to sources of information other than life skills
education, and general secular trends.
Exposure to life
skills was measured by respondents’ report of having been taught about
11 key sexual and reproductive health topics during school classes (see
box).
Behavioral outcomes
included:
- Sexual abstinence to either postpone first sex (delay initiation)
or, for those already initiated, reduce risk through secondary abstinence.
- No more than one sex partner in the past 12 months.
- Condom use (i.e., condom use at first sex, condom use at last
sex, and consistency of condom use with all partners).
Separate analyses were conducted by sex, race, and age.
Table of Contents
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See Also
For additional information please contact:
Horizons
Population Council
4301 Connecticut Ave. NW, Suite 280
Washington, DC
20008
Telephone: +1 202 237 9400
Facsimile: +1 202 237 8410
E-mail: horizons@popcouncil.org
This page updated
19 October 2007
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Life Skills Topics
Human growth and development and the life
cycle
Understanding sexuality/relationships with
the opposite sex
Self-esteem, assertiveness, and decision
making
Relationships: communication and negotiation
with your partner
HIV/AIDS transmission and prevention/condom
use
HIV/AIDS: looking after people with AIDS
STDs: prevention and symptoms
Drugs and alcohol
Contraception/preventing unwanted pregnancy
Violence and sexual abuse¾child
abuse, incest, rape, and coercion
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Publications/Resources |
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"Poverty, educational attainment, and livelihoods:
How well do young people fare in KwaZulu Natal, South Africa?"
Horizons Research Update (2004) (PDF,
108KB)
"Transitions to adulthood in the context of
AIDS in South Africa: The impact of exposure to life skills education
on adolescent knowledge, skills, and behavior," Horizons Final
Report. (2004) (PDF,
666KB)
"Programming for HIV prevention in South African
schools," Horizons Research Summary (2003) (document)
"Reducing HIV infection among youth: What can
schools do? Key baseline findings from Mexico, South Africa, and
Thailand," Horizons Baseline Report (2001) (PDF,
489 KB)
"Transitions to adulthood in the context of
AIDS in South Africa: Report of wave I," Horizons Midterm Report
(2001) (PDF, 296 KB)
More Horizons publications on
youth
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