Community-based strategy for peer education on sexual and reproductive rights in the community of basur㘬 istmina, choc㑬 colombia, 2021-2022
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Research Line on Health Systems, Childhood, Gender, Interculturality and Tropical Diseases, Research Group on Public Health, Medical Education and Medical Professionalism, School of Medicine, Universidad de los Andes, Bogotá DC, Colombia
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A712
Background and Objective:
The Afro-Colombian community of Basurú is in the department of Chocó, Colombia. Several reports show that the Sexual and Reproductive Health (SRH) situation of women in this department is not the best. Knowledge of Sexual and Reproductive Rights (SRHR) has been associated with increased SRH. Peer Training Strategies (PTS) have been shown to be effective in improving SRHR knowledge. The objective of this study was to implement a community-based PTS on SRHR of Basurú, Municipality of Istmina, Chocó, Colombia, 2021-2022.

A study with qualitative methodology and Participatory Action Research design was conducted. We co-worked with the women of the Basurú community. Three phases of work were carried out: research, education and design, and action. In the research phase, the work methodology was contextualized, adjusted, and adapted, community leaders were identified and SRH work topics were prioritized. In phase two, the PTS was designed through various design cycles and iconographic and thematic validation with community. A Before/After evaluation was conducted to assess the increase in knowledge given the PTS through linear regression.

Five workshops, with a participation between 4 and 40 women, were held to co-construct a flip chart based on 14 topics. For each topic, introductory questions, a definition, recommendations, and questions for discussion were developed. These topics were organized along three thematic lines: cross-cutting topics, sexual rights, and reproductive rights. A facilitators guide was created with didactic and playful activities for each practice. The pilot was carried out with a group of 36 women from Istmina. It was shown that the strategy improved knowledge about DSDR by 1.85 correct answers (p=0.001).

The PTS co-constructed in the Basurú community could be used in other similar contexts to train in SRHR as it proved to improve knowledge on this topic.