Effect of Short-Film and Peer-Led Sexual and Reproductive Health Education on Knowledge, Perceptions and Self-Efficacy among Adolescents in Informal Urban Settlements of Lagos State, Nigeria: A Quasi-Experimental Study
DOI:
https://doi.org/10.63950/gshh.2026.2.2.50Keywords:
Adolescents; Sexual and reproductive health; Peer-led education; Short-film intervention; Self-efficacy; Risky sexual behaviour; Nigeria; Quasi-experimental studyAbstract
Introduction: Adolescents in informal urban settlements face significant sexual and reproductive health challenges, including risky behaviours and limited access to information. Conventional SRH education often fails to engage them effectively. Short film and peer-led strategies may offer more effective alternatives.
Methods: This quasi-experimental study involved 60 adolescents aged 13–16 years from two informal communities in Lagos State, Nigeria, equally assigned to an experimental group (short film plus peer-led SRH education) or a control group (no intervention). The 10-week intervention included baseline, midline, and end-line assessments using a validated questionnaire. Data were analysed using descriptive statistics, t tests, and two-way mixed ANOVA (α = 0.05).
Results: Baseline characteristics were comparable between groups (n = 30 each). The intervention group showed significant improvements in SRH outcomes. Two-way mixed ANOVA revealed significant time–group interactions for knowledge (F = 19.68, p < .001), perception (F = 17.66, p < .001), and self-efficacy (F = 23.43, p < .001). ANCOVA confirmed higher post-intervention knowledge (F = 31.84, p < .001) and perception scores (F = 26.61, p < .001) in the intervention group. Risky sexual behaviour scores also decreased significantly more in the intervention group (time × group interaction: F(1,58) = 18.96, p < .001, partial η² = .25).
Conclusion: The combined short film and peer-led intervention significantly improved knowledge, perceptions, and self-efficacy among sexually active adolescents. These findings support multimedia and peer-led strategies as scalable approaches for improving adolescent SRH outcomes in informal urban settings, though causal inference is limited by the quasi-experimental design.
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The datasets generated and/or analysed during the current study are available from the corresponding author on reasonable request.
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Copyright (c) 2026 Oyakhilome VO, Dangana J, Ibor GO
This work is licensed under a Creative Commons Attribution 4.0 International License.
