1. Is the Minimum Package of Prevention Intervention Working? Outcome of Combined Prevention Intervention among In-School Youths in Kwara State, Nigeria Omoloja, Abiodun 1 ; Omotoso Olukunle 1 ; Chioma Nwuba 1 ; Faromoju Sam 1 ; Nwokedi Ndulue 1 ; Jonathan Alayande 2 1 Management Sciences for Health (MSH), Nigeria 2 Government Secondary School, Bode Sa’adu, Nigeria Presenter: Abiodun Omoloja

2. Introduction Nigerian Context  Teenage pregnancy prevalence = 5.7%  HIV among youth = 3.3% Study used Combined Prevention Intervention  Package of individual, community, and structural interventions  Designed to improved health outcomes among target audience  Interventions included  Peer education  Community awareness activities  School-based activities  Vulnerability education  Sexually transmitted infection prevention education 2 ProACT trained students as peer educators using the Family Life HIV Education training package

3. Methods Studied impact of Combined Prevention Intervention on health and academic outcomes among students at Government Secondary School Bode Sa’adu Trained 30 students as peer educators  13 males, 17 females; 11-17 years old  Used Family Life HIV Education (FLHE) training package  Primary focus on sexual and reproductive health knowledge and HIV prevention (abstinence and life skills) Peer educators used the Minimum Package of Prevention Intervention (MPPI)  3 different strategies, 3 times/month, for 12 months  Each peer educator worked with 10 – 15 students April, 2011 – March, 2012 Peer educators reached 1,267 students (605 male, 662 female) School had 1,500 students so reached 85% of the student population 3

4. Results 4 # of Teen Pregnancies Year Pre-intervention Post-intervention

5. Results (cont.) Pre-intervention (2006 – 2010)  10 – 15 unintended teenage pregnancies each year  Pregnancies had caused school dropouts, unsafe abortions, deaths Post-intervention  Teenage pregnancy incidence had dropped to 0  April, 2011 = 11 pregnancies  March, 2012 = 0 pregnancies Conclusion 5 Implementing the Combined Prevention Intervention approach through peer education contributed to improve sexual and reproductive health behaviors among youth, as indicated by reduced incidence of teenage pregnancy Peer educators used drama to reach their classmates with sexual and reproductive health messages.

6. 6 Thank you!!! Abiodun Omoloja, HIV Prevention Specialist aomoloja@msh.org Management Sciences for Health (MSH) Prevention & Organizational Systems AIDS Care and Treatment (ProACT) Project