Effectiveness of adolescent health education among secondary and senior secondary school girls in rural Bangalore

Dharini Kishor, Madhusudan Madaiah, Santhosh Munipapanna, Suresha Doddasabbenahalli Sonnappa


Background: Adolescence is a phase of transition from childhood to adulthood. It is during this period that the adolescents acquire sexual and reproductive maturity. Health education given to adolescent girls helps build their knowledge, motivates them to improve and maintain their health, prevent diseases and reduce risky behaviors among them hence the study was done to assess the effectiveness of health education among rural adolescent girls.

Methods: An educational interventional study was carried out among adolescent girls in one secondary and one senior secondary school in Hoskote, rural Bangalore. Initial survey was done to assess the baseline knowledge regarding adolescent health issues using semi structured, self-administered questionnaire. Health educational sessions were conducted using audio-visual aids such as slide presentations, charts, posters and handouts. The education was followed by an interactive session with the students to clarify doubts and the impact of intervention was assessed.

Results: The study comprised of 150 students (75 secondary and 75 senior secondary school girls). It was found that overall general knowledge regarding adolescent changes, menstruation and menstrual hygiene, pregnancy, contraception and sexually transmitted infections including HIV/AIDS was poor among the study participants. Following educational session statistically significant improvement was observed among the students as detected by improved correct response rates.

Conclusions: Study successfully proved that adolescent health education was effective in improving the knowledge among adolescent girls in rural area.


Adolescent health, Adolescent girls, Health education, Menstrual hygiene, Contraception, HIV/AIDS

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WHO Adolescence Health. Available at: Accessed on 5 August 2018.

UNICEF, 2011. Adolescence- an age of opportunity. Available at: Releases/87/Adolescence-An-Age-of-Opportunity. Accessed on 20 August 2018.

WHO definition of health education. Available at: Accessed on 18 August 2018.

Ministry of Health and Family Welfare. Implementation guide on RCH II Adolescent Reproductive Sexual Health strategy. National Rural Health Mission. May 2006. Available at: Accessed on 21 August 2018.

UNICEF (2008). Sharing simple facts, useful information about menstrual health and hygiene. UNICEF India. Available at: https://www.susana. org/_resources/documents/default/2-1151mhmbook.pdf. Accessed on 18 August 2018.

National AIDS Control Programme. Youth and Adolescent: Working Group Report. May 2011.

National Aids Control Organisation. Adolescence education programme, life skills dvelopment- Facilitators guide. New Delhi. Available at: Accessed on 18 August 2018.

Ghongdemath JS, Sidhmalswamy A, Mallapur AA, Shindholimath VV. Impact of adolescent health education on adolescent girls in rural schools and colleges. Int J Reprod Contracept Obstet Gynecol. 2016;5:53-7.

Mittal K, Goel MK. Knowledge regarding reproductive health among urban adolescent girls of Haryana. Indian J Community Med. 2010;35:529-30.

Tawfik MM, El-Sharkawy OG, Abdelbaqy MA, Hanafy SA, Shehata SF, Malek A, et al. Reproductive Health Education Among Adolescent Girls in Alexandria, Egypt. Population Reference Bureau, MENA Working Paper Series. March 2013. Available at: Accessed on 18 August 2018.

Tork HMM, Al hosis KF. Effects of Reproductive Health Education on Knowledge and Attitudes Among Female Adolescents in Saudi Arabia. J Nurs Res. 2015;23(3):236–42.

Parwej S, Kumar R, Walia I, Aggarwal AK. Reproductive health education intervention trial. Indian J Pediatr. 2005;72(4):287–91.

Vanusha A, Parvathavarthini K. Assessment of present awareness on reproductive health and evaluation of a tool designed for reproductive health education among school going adolescent girls. Int J Reprod Contracept Obstet Gynecol. 2018;7:2381-7.

Gandhi AB, Raval. The role of audio visual programme in creating awareness about reproductive health in adolescent girls. J Obstet Gynaecol India. 1993;43:257-61.

Malathy S. Menstrual and gynecological disorders in 500 school girls in Madras city. J Obstet Gynaecol India. 1993;43:940-5.

Grover NP. Awareness and practices of menstruation and pubertal changes amongst unmarried female adolescents in a rural area of East Delhi. Indian J Community Med. 2007;32:156-7.

Rao RSP, Lena A, Nair NS, Kamath V, Kamath A. Effectiveness of reproductive health education among rural adolescent girls: a school based intervention study in Udupi Taluk, Karnataka. Indian J Med Sci. 2008;62(11):439–43.

Malleshappa K, Krishna S. Knowledge and attitude about reproductive health among rural adolescent girls in Kuppam mandal: An intervention study. Biomed Res. 2011;22(223):305–10.

Lawan UM, Yusuf NW, Musa AB. Menstruation and menstrual hygiene amongst adolescent school girls in Kano, Northwestern Nigeria. Afr J Reprod Health. 2010;14(3):201-7.

Nwankwo TO, Aniebue UU, Aniebue PN. Menstrual disorders in adolescent school girls in Enugu, Nigeria. J Pediatr Adol Gynecol. 2010;23(6):358-63.

Werven IV. Health and hygiene school program initiative for adolescents in Dhaka, Bangladesh. J Gender Water. 2012;1(1):34-6.

Sapkota D, Sharma D, Budhathoki SS, Khanal VK, Pokharel HP. Knowledge and practices regarding menstruation among school going adolescents of rural Nepal. J Kathmandu Med Coll. 2013;2(5):122-7.

Haque SE, Rahman M, Itsuko K, Mutahara M, Sakisaka K. The effect of a school-based educational intervention on menstrual health: an intervention study among adolescent girls in Bangladesh. BMJ Open. 2014;4:e004607.