Operational Research on Transformative Education on Sexual and Reproductive Health and Rights During Adolescents’ Initiation Rituals, Nampula, Mozambique, 2022

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INTRODUCTION: teachings during adolescent initiation rituals have been identified in Mozambique as one of the causes of adolescent pregnancy, a determinant of the high maternal and neonatal mortality rates in the country. Those pregnancies cause school dropout and premature marriage. Research developed in Nampula, “Alert Community for a Prepared Hospital”, identified the rite leaders and counsellors as relevant agents to achieve the goals of sexual and reproductive health education for adolescents. Lúrio University's partnership with the University of Saskatchewan in Canada obtained funding for this research. Meetings were held with local partners and with the actors involved in the rites. The organisers of the ceremonies are the resource persons for a transformative education intervention on adolescent sexual and reproductive health and rights. OBJECTIVE: to assess the education provided in the initiation rites of adolescents about sexual and reproductive health and rights. METHODS: exploratory descriptive qualitative study, using the interview, carried out in the premises of the Lúrio University Campus in October 2022. The recommendations of the Declaration of Helsinki were respected, and the study had the approval of the Bioethics Committees for Health at Lúrio University and the University of Saskatchewan. RESULTS: 17 organisers were interviewed, 15 men and 2 women, with an average age of 54 years, mostly with primary schooling and peasants, living in various neighbourhoods of Nampula. The interviewees show significant differences, but also some homogeneity in the teaching given, although limitations are found on sexual and reproductive health, with the subject of contraceptives being scarcely broached. The teaching on interpersonal respect is mentioned; however, this orientation shows gender inequity. CONCLUSION: this group of rite organisers is a traditional class of broad social impact but reveals little knowledge about sexual and reproductive health and rights. Informing this group and educating the rituals counsellors will be necessary to achieve adolescents’ behaviour changes.

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