Sexual Health

Assessing the impact of the journey plus curriculum on sexual and reproductive health and rights and behavioural change among Ugandan youth.

TL;DR

The Journeys Plus curriculum has proven effective in promoting behavior change, enhancing knowledge of sexual and reproductive health and rights, practical vocational skills, empowering young people against gender-based violence, and fostering meaningful peer relationships among Ugandan youth.

Key Findings

The Journeys Plus curriculum was effective in enhancing knowledge of sexual and reproductive health and rights (SRHR) among Ugandan youth aged 9-14 years.

  • Study used a phenomenological design with 360 purposively selected young people aged 9-14 years and 80 adults
  • Implementation occurred across nine districts: Budaka, Mbale, Kween, Namayingo, Kalangala, Bukwo, Mayunge, Bugiri, and Iganga
  • AMREF Uganda implemented the curriculum, which was introduced by the Government of Uganda in 2020
  • Deductive analysis was applied using Atlas.ti software
  • The curriculum focused on fostering supportive environments in homes, communities, health facilities, and schools

The Journeys Plus curriculum promoted behavioral change among participating youth.

  • The intervention was designed to impart knowledge and empower youth to practice positive behaviours
  • Findings were drawn from 360 young participants and 80 adult participants selected purposively
  • The curriculum addressed behavioral change as one of its core outcome domains
  • The phenomenological study design captured lived experiences and perceived changes in behavior

The curriculum empowered young people against gender-based violence (GBV).

  • GBV empowerment was identified as one of the key outcomes of the Journeys Plus curriculum
  • Participants included youth aged 9-14 years across nine Ugandan districts
  • The curriculum targeted both individual youth and their broader support environments including families and communities
  • This finding emerged through deductive thematic analysis of qualitative data using Atlas.ti software

The Journeys Plus curriculum fostered meaningful peer relationships among participating youth.

  • Peer relationship building was identified as a distinct outcome of the curriculum
  • The study included 360 young people aged 9-14 as primary participants
  • The curriculum was designed to create supportive social environments for youth
  • Peer relationships were captured as part of the phenomenological inquiry into youth empowerment and social outcomes

The curriculum imparted practical vocational skills to youth participants.

  • Vocational skills development was identified as one of the curriculum's effective components
  • This outcome extends beyond SRHR knowledge to encompass broader life skills
  • The finding was identified among the 360 youth participants aged 9-14 years across nine districts
  • Vocational skills were part of the broader youth empowerment focus of the Journeys Plus curriculum

What This Means

This research suggests that the Journeys Plus curriculum, introduced by the Ugandan government in 2020 and implemented by AMREF Uganda across nine districts, had positive effects on young people aged 9 to 14 years. The study involved 360 young participants and 80 adults and used in-depth qualitative methods to understand how the program affected youth knowledge, behavior, and empowerment. Researchers found that young people gained improved knowledge about sexual and reproductive health and rights, developed practical vocational skills, built stronger peer relationships, and felt more empowered to recognize and resist gender-based violence. This research suggests that structured, community-based educational curricula can address multiple dimensions of youth well-being simultaneously — including health knowledge, safety from violence, and life skills — rather than focusing on a single issue. The program's reach into homes, schools, health facilities, and communities may have contributed to creating supportive environments that reinforced what youth learned. These findings are relevant for policymakers and implementers considering how to design and scale adolescent health and empowerment programs in similar low-resource or rural settings across sub-Saharan Africa. It is worth noting that this study used a qualitative, phenomenological design based on purposive sampling, meaning the findings reflect participants' reported experiences and perceptions rather than statistically measured outcomes from a controlled trial. The results therefore provide rich descriptive evidence of the curriculum's perceived impact, but further research using comparison groups or quantitative measures would help confirm and quantify these effects.

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Citation

Kagurusi P, Nankanja M, Muyonga M, Ayanga I, Tigaiza A, Okimait D, et al.. (2025). Assessing the impact of the journey plus curriculum on sexual and reproductive health and rights and behavioural change among Ugandan youth.. African journal of reproductive health. https://doi.org/10.29063/ajrh2025/v29i4.6