Parental perceptions on education of children about sex and reproductive health -A qualitative study at the University Teaching Hospital of Kigali

Abstract

Background and objective: Sex and reproductive health (SRH) education to children is one of the protective factors against sexually transmitted infections (STIs), and unintended pregnancies. Rwanda is facing challenges of teen pregnancies and related consequences that seriously affect the future of young generations. However, many parents do not educate children about SRH. The goal of this study was to find out perceptions of parents regarding SRH education to children in Rwandan context. Methods: Convenient sampling was applied to recruit participants among parents, caregivers and health care personnel at the University Teaching Hospital of Kigali paediatric department. Fifteen in-depth interviews were conducted using a semi-structured questionnaire and data were thematically analyzed using Microsoft Excel 2007. Results: Participants favored sex and reproductive health (SRH) education to children as it is beneficial for the future sexual behaviors. Majority revealed that the primary responsibility for this education belongs to parents. Puberty is the appropriate age to start this education while the topics are diverse and include pubertal changes, sexual abuse, and homosexuality among others. Family based discussion is the favorable approach while unavailability of parents, fear and lack of adequate knowledge in addition to the influence of technology were the main challenges. Proposed solutions were specialized centers, children’s forums for SRH education to children, and use of media in parental mobilization among others. Conclusion: Age appropriate SRH education to children can have protective benefits especially when provided by parents. However, this study revealed many challenges especially unavailability of parents that need to be addressed to ensure children are getting enough knowledge about SRH for a better adulthood.