{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T08:49:26Z","timestamp":1789116566197,"version":"build-2803163510"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T00:00:00Z","timestamp":1714348800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T00:00:00Z","timestamp":1714348800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Reprod Health"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Secondary school students are vulnerable to risky sexual behaviors (RSBs) which may lead to adverse health consequences, such as teenage pregnancies and sexually transmitted diseases (STDs), including HIV\/AIDS. In Tanzania, the burden of teenage pregnancy was reported to be 27% in 2016. The integration of sexual and reproductive health (SRH) education into the school curriculum is one of the proven crucial interventions. However, there is limited information on the extent to which curriculum-based SRH education is relevant for fostering good practices for coping with RSBs. This study sought to describe students\u2019 and teachers\u2019 perceptions of the relevance of curriculum-based SRH education.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A qualitative study was conducted from May to June 2020 (involving 5 secondary schools in Ilemela district, Mwanza, Tanzania). In-depth interviews (30) were conducted among secondary school students and 10 interviews for teachers. The data were collected in Swahili and then transcribed and translated into English after which thematic content analysis was performed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The majority (56%) of secondary school students were revealed to have a limited understanding of curriculum-based SRH education, which was limited to a few aspects of health that involved married people and pregnant women. Teachers of different subjects had different perceptions about the relevance of curriculum-based SRH education. Civics teachers had the perception that it was relevant and enough, while Biology teachers thought that it was not enough. Students reported utilizing the information taught in class to manage and navigate RSBs. Moreover, they expressed a need for additional delivery strategies to be used for a comprehensive understanding of sexual and reproductive health.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Despite the identified gaps in providing a comprehensive knowledge that builds on the appropriate attitudes and skills, the existing curriculum-based SRH education in secondary schools was utilized to help students in addressing and managing RSBs. However, there is a need for more comprehensive information and an improved delivery approach for SRH to equip students with the necessary skills when faced with RSBs.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12978-024-01798-x","type":"journal-article","created":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T13:03:32Z","timestamp":1714395812000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Curriculum-based sexual and reproductive health education: revealing its relevance for risky sexual behaviors among secondary school students in Mwanza, Tanzania"],"prefix":"10.1186","volume":"21","author":[{"given":"Ng\u2019wamba Sitta","family":"Ngissa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Sanga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mussa Kelvin","family":"Nsanya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belinda","family":"Kweka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evangelista","family":"Malindisa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosemarie","family":"Mwaipopo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,4,29]]},"reference":[{"issue":"5","key":"1798_CR1","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1136\/sti.78.5.315","volume":"78","author":"FM Cowan","year":"2002","unstructured":"Cowan FM. Adolescent reproductive health interventions. Sex Transm Infect. 2002;78(5):315\u20138. Available from: https:\/\/sti.bmj.com\/content\/78\/5\/315. Cited 2023 Jul 31.","journal-title":"Sex Transm Infect"},{"issue":"1","key":"1798_CR2","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1186\/s12978-022-01429-3","volume":"19","author":"BO Thepthien","year":"2022","unstructured":"Thepthien BO, Celyn. Risky sexual behavior and associated factors among sexually-experienced adolescents in Bangkok, Thailand: findings from a school web-based survey. Reprod Health. 2022;19(1):127. https:\/\/doi.org\/10.1186\/s12978-022-01429-3. Cited 2024 Mar 18.","journal-title":"Reprod Health"},{"issue":"1","key":"1798_CR3","first-page":"228","volume":"12","author":"W Rangi","year":"2012","unstructured":"Rangi W, Mwageni E. The role of sexual reproductive health education in adolescents: sexual behaviours in secondary schools in Morogoro municipality, Tanzania. Huria. 2012;12(1):228\u201342. https:\/\/www.ajol.info\/index.php\/huria\/article\/view\/110782. Cited 2024 Mar 18.","journal-title":"Huria"},{"key":"1798_CR4","unstructured":"UNICEF DATA. Adolescents Statistics.\u00a0https:\/\/data.unicef.org\/topic\/adolescents\/overview\/.\u00a0Cited 2023 Jul 31."},{"key":"1798_CR5","unstructured":"Ministry of Health. Community development, gender, elderly and children national adolescent health and development strategy 2018 - 2022. 2018."},{"key":"1798_CR6","unstructured":"For Tanzania\u2019s most vulnerable adolescents | UNICEF United. Republic of Tanzania. https:\/\/www.unicef.org\/tanzania\/stories\/tanzanias-most-vulnerable-adolescents. Cited 2023 Jul 24."},{"key":"1798_CR7","volume-title":"World urbanization prospects: the 2014 revision","author":"DESA U","year":"2017","unstructured":"DESA U. World urbanization prospects: the 2014 revision. 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Additionally, the Ilemela District municipality provided a permit to conduct this study in the selected secondary schools. Legal guardians\/parents of participants below the age of 18 were given written informed consent. Assent was obtained from participants below the age of 18 before interviews. Verbal and written consent from all study participants was sought and participants consented to the publishing of their responses anonymously.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"58"}}