1. PREPARE Project The intervention Parent-Adolescent Communication on issues relating to sexuality Cape Town Presentation Presentation in Cape Town November 2013

2. Objectives To increase proportion of students with intentions to delay sexual debut To increase knowledge and influence attitudes of adolescents about condoms To increase the frequency and quality of parent-child communication in Kampala and Wakiso

3. Intervention Three main components Learner´s Component Intergration of SRH issues in English and CRE lessons Parent´s Component Parent‘s workshops & Brochure Parent- Child Component homework

4. Learner’s component S1 students –majority aged between 12-14 years Their parents/guardians 11 pairs of government-aided were day- mixed schools - urban, peri-urban, rural March – June, 2012 –14 weeks

5. Aims Behaviors to influence –Intentions to delay sexual debut –Improved attitudes towards condoms

6. Themes, lessons & homework ThemeIntegration in English Integration in CRE No. of lessons (80 min) Homework Healthy relationships X3 DatingX1 Risky BehaviorsX2 Delaying sexual debut X1 Sub Total47 Puberty changesX32 Personal values and social influences X21 Decision making skills X2 Sub Total373 Grand Total14

7. Process evaluation Forms completed by teachers – homework given out and homework received back Forms for parents Forms for learner

8. Parent‘s component 3 one-day workshops –Beginning of the intervention –Middle –End Facilitators –Trained teacher and parent to facilitate the workshops –PREPARE team observed

9. Aims of the workshops Influence 2 behaviors –Increase the frequency and quality of communication about 1.Sex and sexuality with emphasis on delay sexual debut 2.Prevention of risky behaviours focusing on on condom education

10. Objectives of the workshops To increase parents’ knowledge about –adolescent SRH issues –the physical and emotional/mental health developmental changes that occur with onset of puberty, their consequences if not well managed and the community resources available to address these consequences To improve parenting skills and practices by –boosting their self esteem and building self efficacy skills to increase parent’s ability and confidence to discuss with their children issues of sex and sexuality and issues of prevention

11. Content and Methods of delivery Workshop themeContent (8 hours)Methods of delivery 1 – Delay of sexual debut  Facts about adolescent SRH  Adolescent growth and development  Social norms and external influences (peer pressure)  Culturally accepted relationships  Myths about sex and barriers related to talking about sex  Parenting practices & skills  Self-efficacy  Develop action plans to initiate communication with adolescents Mixed  Lectures  Small group work  Individual reflections – barrier identification & value clarification  Role plays  Demonstration  Skills building and rehearsal 2 – Condom education  Condom education  Rumours, misinformation and misconceptions about condoms  Perceived social norms and influences,  self-efficacy and development of action plans related to condoms  Lectures  Small group work  Individual reflections – barrier identification & value clarification  Role plays  Demonstration  Skills building and rehearsal 3 – Skills buildingAssertiveness skills to: resist pressures to have sex Learn how to say “no to sex” Negotiate within relationships Build decision making skills Set goals for their lives Action plans about communicating different skills  Lectures  Small group work  Individual reflections – barrier identification & value clarification  Role plays  Demonstration  Skills building and rehearsal Adapted from: SMART Choices Parenting Workshop Guide for Adult facilitators

12. Parent‘s Brochure Messages –Most young people want information about sex and sexuality from their parents –Parents should accept that it may be awkward and embarrasing to talk to their adolescent child about sex and sexuality –Parents should answer their children‘s questions direcltly, honestly and without jugedment –Parents should communicate values about sex and sexuality honestly –Ultimatums or threats do not work

13. Baseline Students

14. Baseline Data Parents

15. Post-intervention Students

16. Post intervention Parents

17. Makerere University Team Assoc. Prof Anne R. Katahoire Dr Wilson W. Muhwezi Dr Cecily Banura Mr Herbert Mugooda Oslo Shri Bastien Prof Kunt –Inga Klepp