Strengths and challenges of a school-based sexual and reproductive health program for adolescents in Chile

• DOI: 10.1371/journal.pone.0265309
• Publication Date: 2022-03-23T17:36:21Z
• Authors: Alexandra Obach; Michelle Sadler; Báltica Cabieses; Pascale Bussenius; Patricia Muñoz; Claudia Pérez; Carla Urrutia
• Keywords: Thematic Analysis

Background Adolescent sexual and reproductive health services in Chile have been primarily provided through centers. Although some school-based initiatives implemented, to date, these not assessed. This study aims identify strengths challenges of the affectivity sexuality component 3A Program, a program which seeks prevent risk behaviors promote healthy lifestyle habits within public schools (addressing topics Spanish begin with letter ‘A’, hence ‘3A’), implemented municipality Lo Prado, city Santiago. Methods We carried out qualitative descriptive-interpretative approach three schools. conducted in-depth interviews students, teachers, professionals, school principals (N = 44); focus groups students 3), teachers personnel 3). The were analyzed using thematic analysis. Results Participants highlight integrative promoted is enhanced by collaboration interdisciplinary teams. Permanent expedited student access care achieved, affectional bonds are developed between Program’s staff. Program assists female participants imagine form identities that inherently tied motherhood. It also boys LGBTQ+ adolescents feeling included as relevant actors decision making. delivery contraception highly valued. most significant challenge identified ensuring effective ongoing staff teachers. Conclusion value effectivity an initiative improve adolescents’ care. Our findings suggest this could be replicated throughout region country quality accessibility for adolescents.