BACKGROUND The youths in Zambia have limited access to information concerning Sexual Reproductive Health (SRH) and this puts them at risk of unwanted pregnancies. Talking about other methods of preventing pregnancy or sexually transmitted infections than abstinence is regarded as culturally unacceptable. The Research Initiative to Support the Empowerment of Girls (RISE) is a cluster randomised controlled trial testing the effectiveness of different support packages on teenage pregnancies, early marriages and school drop-out rates. One of the support packages included youth clubs focusing on Comprehensive Sexual and Reproductive Health Education (CSRHE). Although similar interventions have been implemented in other settings, their integration process has been complex and comprehensive assessments of factors shaping acceptability of CSRHE are lacking. This article qualitatively aimed at identifying factors that shaped the acceptability of CSRHE youth clubs in rural schools in Central Province. METHOD A qualitative case study was conducted after the youth clubs had been running for a year. Data were gathered through eight focus group discussions with grade eight pupils and eight individual interviews with teachers. Data were analysed using thematic analysis. RESULTS The perceived advantage and simplicity of the clubs related to the use of participatory learning methods, films and role plays to communicate sensitive reproductive health information made the learners like the youth clubs. Further, the perceived compatibility of the content of the sessions with the science curriculum increased the learners' interest in the youth clubs as the meetings also helped them to prepare for the school examinations. However, cultural and religious beliefs among teachers and parents regarding the use of contraceptives complicated the delivery of reproductive health messages and the acceptability of youth clubs' information among the learners. CONCLUSION The study indicated that CSRHE youth clubs may be acceptable in rural schools if participatory learning methods are used and head-teachers, teachers as well as parents appreciate and support the clubs.

中文翻译：

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赞比亚农村学校侧重于全面的性健康和生殖健康教育的青年俱乐部的接受度：以中部省为例。

背景技术赞比亚的年轻人获得有关性生殖健康（SRH）信息的机会有限，这使他们处于意外怀孕的风险中。在饮食上谈论其他预防怀孕或性传播感染的方法在文化上是不可接受的。支持女孩赋权研究倡议（RISE）是一项随机分组的随机对照试验，测试了不同支持方案对青少年怀孕，早婚和辍学率的有效性。其中的一揽子支持包括专注于全面性健康和生殖健康教育（CSRHE）的青年俱乐部。尽管在其他环境中也实施了类似的干预措施，它们的整合过程非常复杂，并且缺乏对影响CSRHE可接受性的因素的全面评估。本文定性地旨在确定影响中部乡村学校中CSRHE青年俱乐部的可接受性的因素。方法在青年俱乐部运营了一年之后，进行了定性案例研究。数据是通过与八年级学生进行的八次焦点小组讨论以及与教师的八次单独访谈而收集的。使用主题分析对数据进行分析。结果与使用参与式学习方法，电影和角色扮演来传达敏感的生殖健康信息有关，俱乐部的感知优势和简单性使学习者像青年俱乐部一样。进一步，会议内容与科学课程之间的可感知兼容性增加了学习者对青年俱乐部的兴趣，因为这些会议还帮助他们为学校考试做准备。然而，教师和家长之间关于使用避孕药具的文化和宗教信仰使生殖健康信息的传递以及学习者对青年俱乐部信息的接受度变得复杂。结论该研究表明，如果使用参与式学习方法，并且校长，老师和父母赞赏并支持俱乐部，那么CSRHE青年俱乐部在农村学校中是可以接受的。老师和父母之间关于使用避孕药具的文化和宗教信仰使生殖健康信息的传递以及学习者对青年俱乐部信息的接受度变得复杂。结论该研究表明，如果使用参与式学习方法，并且校长，老师和父母赞赏并支持俱乐部，那么CSRHE青年俱乐部在农村学校中是可以接受的。老师和父母之间关于使用避孕药具的文化和宗教信仰使生殖健康信息的传递以及学习者对青年俱乐部信息的接受度变得复杂。结论该研究表明，如果使用参与式学习方法，并且校长，老师和父母赞赏并支持俱乐部，那么CSRHE青年俱乐部在农村学校中是可以接受的。