Project of peer education on promoting sexual and reproductive health of F.3 students in Macau
within the official Non-Teritiary Education System (Education and Youth Affairs Bureau, 2010). Research showed that the trend of the age of first sexual attempt of adolescents was going to be younger and the attitudes towards sex were more open. The youngest adolescent who reported to have first sexual experience was only 15.7-year-old. However, they did not have enough knowledge and skills to protect themselves away from sexual infectious diseases and non-planned pregnancy (Leung, 2007; Ieong & Io, 1998).
Scholars believed that if adolescents do not get the proper sexual and reproductive knowledge, they would at the high risks of suffering from sexual Infectious diseases, AIDS/HIV and non-planned pregnancy, etc. In addition, their health would also get adverse affections through the choices either early marriage, abortion or unmarried give birth. And even the burdens from family and social problems would increase (Yu & Gao, 2008; Chung, 2006; Coleman, 2002; World Health Organization, 2003) .
This project were planned to provide a health education around the topics of sexual and reproductive health to a group of F.3 students in one of the high schools in Macau. The average age of the participants was 15.8 years old and had not experienced any sexual behaviors (by self-report). The education was held with the concept of peer education and focused on self protection with the proper sexual and reproductive health knowledge.
Peer education is the approach which based on the same context, culture, common language and experiences of the educators and participants, to share information, attitudes and techniques and to achieve the goals of education (World Health Organization, 1999; Unicef, 2012). Promote sexual health with peer education approach could increase the knowledge of adolescents’ reproductive health, sexual infectious diseases prevention and unsafe sexual behaviors (Cai, et.al. 2006). Adolescents at high school started to develop the abilities of abstract thinking, critical thinking and problem solving (Leifer, 2005). The encouraged participation approach of peer education was fit to these features of adolescents through group discussion, games and role plays, etc. (Gan & Zheng, 2009). Reports showed that the approach of peer education could increase the knowledge of sexual health of adolescents effectively (Chu, Kao & Lee, 2006; Cai, et.al., 2006; Su, et.al, 2010; Hampton, Fahlman, Goertzen & Jeffery, 2005).
The solution of this project was set to apply peer education for a group of F.3 students in one of the high schools in Macau in order to promote the knowledge of reproductive health, preventions of sexual infectious diseases and unsafe sexual behaviors within 5 weeks). The goal of the project was to increase correction rate of the participants’ knowledge at least 30%.
Although the total correction rate of the participants could not achieve the expected goal with at least 30% increases. In comparison with the three classes which had not received the education, the correction rate was raised significantly. Therefore, the project was proved to promote sexual health to adolescents successfully and increased their allied health knowledge efficiently.
Fig.1 shows that the correction rate of targeted participants (F.3 A students) was increased 25.32%, from 59.34% to 84.66%. The classes which did not participate in the project (class F.3 B, C, & D) had remained the correction rate around 60%.