A school-based study of sexual health knowledge among sexually active adolescent girls in Calabar, Nigeria


  • Ademola M. Amosu Department of Public Health, Babcock University, Ilishan-Remo, Ogun State, Nigeria
  • Saratu O. Ajike Department of Public Health, Babcock University, Ilishan-Remo, Ogun State, Nigeria
  • Ogban E. Omoronyia International Research Center of Excellence, Institute of Human Virology Nigeria
  • Titilayo F. Olaoye Department of Public Health, Babcock University, Ilishan-Remo, Ogun State, Nigeria




Sexual health, Knowledge, Adolescents, Girls, Calabar, Nigeria


Background: There is high burden of sexually transmitted infections (STIs) and unwanted pregnancy among young people. In many developing countries including Nigeria, there is paucity of literature on sexual health knowledge among sexually active adolescent girls, as key vulnerable population. This study aimed at assessing level of sexual health knowledge among adolescent secondary school girls in Calabar, Nigeria.

Methods: Cross-sectional study design was used, with recruitment of randomly selected sexually active adolescent girls in three public secondary schools in Calabar. Sexual health knowledge was assessed using structured, pre-tested questionnaire, knowledge scores were converted to percentage, and 50% or greater was considered satisfactory. Factors associated with level of knowledge was assessed using Chi-square test, with p value set at 0.05.

Results: One hundred and eight (180) respondents were studied, with mean age of 17.4±1.2 years (14-19 years). Mean age at sexual debut was 15.0±2.1 years, ranging from 11 to 19 years. Mean knowledge score (out of maximum of 62) was 25.4±4.2 (9-49), corresponding to 41.0±7.8% (14.5 to 79.0%). Sixty respondents (33.3%) had satisfactory level of knowledge on sexual health. Higher level of paternal and maternal education, married parental status, were associated with satisfactory level of knowledge.

Conclusions: There is suboptimal level of sexual health knowledge among sexually active school girls in Calabar. There is urgent need to provide sexual health educational interventions. The school-based family life HIV education (FLHE) program, should be revived, to mitigate sourcing of false sexual health information from peers.



Newton-Levinson A, Leichliter JS, Chandra-Mouli V. Help and care seeking for sexually transmitted infections among youth in low-and middle-income countries. Sexually transmitted diseases. 2017;44(6):319-32.

Dessie Y, Berhane Y, Worku A. Parent-adolescent sexual and reproductive health communication is very limited and associated with adolescent poor behavioral beliefs and subjective norms: evidence from a community based cross-sectional study in eastern Ethiopia. PloS One. 2015;10(7):239-51.

Sommer M, Mmari K. Addressing structural and environmental factors for adolescent sexual and reproductive health in low-and middle-income countries. American journal of public health. 2015;105(10):1973-81.

Mirzaei M, Ahmadi K, Saadat SH, Ramezani MA. Instruments of high risk sexual behavior assessment: A systematic review. Materia Socio-medica. 2016;28(1):46-59.

Olanrewaju S, Olafioye S, Oguntade E. Modelling Nigeria population growth: A trend analysis approach. Int J Innovative Sci Res Technol. 2020;5(4):52-64.

Sani AS, Abraham C, Denford S, Ball S. School-based sexual health education interventions to prevent STI/HIV in sub-Saharan Africa: a systematic review and meta-analysis. BMC Public Health. 2016;16(1):1-26.

Huaynoca S, Chandra-Mouli V, Yaqub Jr N, Denno DM. Scaling up comprehensive sexuality education in Nigeria: from national policy to nationwide application. Sex Educ. 2014;14(2):191-209.

Okonofua F. Advancing the ICPD Agenda on sexual and reproductive health and rights in Africa: A call for action. Afr J Reprod Health. 2020;24(3):11-7.

George A, Jacobs T, Ved R, Jacobs T, Rasanathan K, Zaidi SA. Adolescent health in the Sustainable Development Goal era: are we aligned for multisectoral action? BMJ Global Health. 2021;6(3):448-62.

Berhan Y, Berhan A. A meta-analysis of risky sexual behaviour among male youth in developing countries. AIDS Res Treatment. 2015;7(2):187-201.

Folayan MO, Adebajo S, Adeyemi A, Ogungbemi KM. Differences in sexual practices, sexual behavior and HIV risk profile between adolescents and young persons in rural and urban Nigeria. PloS One. 2015;10(7):129-39.

Zakaria M, Karim F, Mazumder S, Cheng F, Xu J. Knowledge on, attitude towards, and practice of sexual and reproductive health among older adolescent girls in Bangladesh: An institution-based cross-sectional study. Int J Env Res Public Health. 2020;17(21):772-92.

Sutan R. Knowledge on Sexual and Reproductive Health among Adolescents in a College at Seremban, Negeri Sembilan. Int J Public Health Res. 2014;4(2):501-9.

Bobhate PS, Shrivastava SR. A cross sectional study of knowledge and practices about reproductive health among female adolescents in an urban slum of Mumbai. J Fam Rep Health. 2011;5(4):119-31.

Mittal K, Goel MK. Knowledge regarding reproductive health among urban adolescent girls of Haryana. Indian J Comm Med. 2010;35(4):529-41.

Kemigisha E, Bruce K, Nyakato VN, Ruzaaza GN, Ninsiima AB, Mlahagwa W. Sexual health of very young adolescents in South Western Uganda: a cross-sectional assessment of sexual knowledge and behavior. Reproductive Health. 2018;15(1):1-8.

Osakinle EO, Akeredolu SA. Reproductive Health Knowledge and Unsafe Abortion Practices among Female Adolescents in Secondary Schools in Ekiti State, Nigeria. Int J Life Sci. 2019;8(3):86-91.

Udoh SB, Idung AU. Sexual practices, knowledge and prevention of sexually transmitted diseases among upper grade secondary school adolescent students in Uyo, Nigeria. IOSR J Dent Med Sci. 2015;14(4):9-15.

NDHS. 2018. National Demographic Health Survey. Available at: https://dhsprogram.com/pubs/pdf/ SR264/SR264.pdf. Accessed on 02 May 2022.

National Population Commission. Nigeria Census Report. 2006. Available at: https://national population.gov.ng/. Accessed on 02 May 2022.

Obisesan KO, Oladoja OM, Lawal AO. Mathematical Projection of Population Census in Nigeria. Royal Statistical Society Nigeria Local Group Annual Conference Proceedings: 2020; 295-304.

Ebingha EE, Eni JS, Okpa JT. Population growth and socio-economic development of Cross River state, Nigeria. Eur J Econom Financial Res. 2019;5(4):56-71.

Obong LB, Etim OE. Socio-Economic Analysis of Tourism: Evidence from Calabar Metropolis, Cross River State, Nigeria. J Tourism Management Res. 2019;6(2):184-94.

Kish L. Survey Sampling. New York: John Wiley and Sons, Inc. 1965.

Gough HG. A 24-item version of the Miller-Fisk Sexual Knowledge Questionnaire. J Psychol. 1974;87(2):183-92.

Clark CA, Baldwin KL, Tanner AE. An exploratory study of selected sexual knowledge and attitudes of Indiana adults. Am J Sexuality Educ. 2007;2(3):39-58.

Seidu AA, Ahinkorah BO, Dadzie LK, Tetteh JK, Agbaglo E, Okyere J. A multi-country cross-sectional study of self-reported sexually transmitted infections among sexually active men in sub-Saharan Africa. BMC Public Health. 2020;20(1):1-15.

Gunawardena N, Fantaye AW, Yaya S. Predictors of pregnancy among young people in sub-Saharan Africa: a systematic review and narrative synthesis. BMJ Global Health. 2019;4(3):499-512.

Reynolds GL, Nguyen HH, Singh‐Carlson S, Fisher DG, Odell A, Xandre P. Application of the extended health control belief model to predict hepatitis A and B vaccinations. Public Health Nurs. 2016;33(5):430-9.

Gerend MA, Shepherd JE. Predicting human papillomavirus vaccine uptake in young adult women: comparing the health belief model and theory of planned behavior. Ann Behav Med. 2012;44(2):171-80.

Akpama EG. Parental Percetion of the Teaching of Sex Education to Adolescent in Secondary School in Cross River State, Nigeria. Himalayan J Sociol Anthropol. 2014;(6):134-45.

Price MN, Hyde JS. When two isn’t better than one: Predictors of early sexual activity in adolescence using a cumulative risk model. J Youth Adolescence. 2009;38(8):1059-71.

Pop MV, Rusu AS. The Role of Parents in shaping and improving the sexual health of children–lines of developing parental sexuality education programmes. Procedia-Social Behav Sci. 2015;209(2):395-401.

Achen D, Nyakato VN, Akatukwasa C, Kemigisha E, Mlahagwa W, et al. Gendered Experiences of Parent–Child Communication on Sexual and Reproductive Health Issues: A Qualitative Study Employing Community-Based Participatory Methods among Primary Caregivers and Community Stakeholders in Rural South-Western Uganda. Int J Environ Res Public Health. 2022;19(9):505-19.

Juma M, Alaii J, Bartholomew LK, Askew I, Van den Born B. Understanding orphan and non-orphan adolescents’ sexual risks in the context of poverty: a qualitative study in Nyanza Province, Kenya. BMC Int Health Human Rights. 2013;13(1):1-8.




How to Cite

Amosu, A. M., Ajike, S. O., Omoronyia, O. E., & Olaoye, T. F. (2022). A school-based study of sexual health knowledge among sexually active adolescent girls in Calabar, Nigeria. International Journal Of Community Medicine And Public Health, 9(6), 2341–2348. https://doi.org/10.18203/2394-6040.ijcmph20221504



Original Research Articles