Family-Based Reproductive Health Education as a Strategy to Prevent Child Marriage: A Literature Review of Its Impact on Adolescents’ Knowledge and Attitudes
DOI:
https://doi.org/10.69855/bidan.v1i1.576Keywords:
Family-based Education, Reproductive Health, Child Marriage Prevention, Adolescents, Knowledge and AttitudesAbstract
Child marriage persists as a major public health and human rights issue, especially in low- and middle-income countries where poor reproductive health literacy and weak family involvement heighten adolescents' risks. While family-based approaches to sexual and reproductive health (SRH) education are gaining traction, evidence on their effects on adolescents' knowledge and attitudes toward preventing child marriage remains unsynthesized. This study synthesizes recent empirical evidence (2021–2024) on family-based SRH education's impact on these outcomes. Using a literature review, we analyzed 15 peer-reviewed articles from Asian and African contexts, focusing on adolescents aged 10–19 and their parents/caregivers. Studies spanned randomized controlled trials, quasi-experimental, cross-sectional, mixed-methods, and qualitative designs, evaluating intervention features, family communication, strategies, and outcomes like knowledge and attitudes. Results show structured family interventions—with open, dialogic communication, parental training, culturally tailored materials, and interactive/digital media—markedly boost adolescents' SRH literacy and promote attitudes favoring marriage delay. Barriers included unidirectional communication and low parental capacity. These insights underscore the need for parental empowerment and multisectoral partnerships in policies. Family-based SRH education offers an evidence-based strategy to combat child marriage. Future studies should emphasize longitudinal, culturally adaptive models for greater sustainability and relevance.
References
Adeosun, I., & Adedini, S. (2022). Barriers to parent–adolescent sexual health communication in Nigeria. African Journal of Reproductive Health, 26(3), 45–56. https://doi.org/10.29063/ajrh2022/v26i3.5
Agyei, Y., et al. (2025). Parent–adolescent sexual and reproductive health information communication in Ghana. Reproductive Health. https://doi.org/10.1186/s12978-025-01961-y
Aliyu, A. A., & Aransiola, J. O. (2023). Parental support and sexual and reproductive health communication among adolescents in Nigeria: A qualitative exploration. African Journal of Reproductive Health, 27(2), 45–56. https://doi.org/10.29063/ajrh2023/v27i2.5
Austrian, K., Soler-Hampejsek, E., Kangwana, B., & Wado, Y. D. (2022). The impact of a family life education intervention on parent–adolescent communication in Kenya: A cluster randomized controlled trial. Journal of Adolescent Health, 70(3), 456–464. https://doi.org/10.1016/j.jadohealth.2021.10.021
Aventin, Á., Lohan, M., Clarke, M., McDowell, C., & McDaid, L. (2021). Engaging parents in digital sexual and reproductive health education: Results from the JACK randomized controlled trial. Journal of Medical Internet Research, 23(4), e23921. https://doi.org/10.2196/23921
Badan Pusat Statistik. (2023). Early Childhood Profile 2023. https://doi.org/4103021
Bailey, J. V., Murray, E., Rait, G., et al. (2021). Evaluating the efficacy of an online, family-based intervention to promote adolescent sexual health: Study protocol for a randomized controlled trial. Trials, 22, 412. https://doi.org/10.1186/s13063-021-05319-4
Barry, E. S., Merkebu, J., & Varpio, L. (2022). State-of-the-art literature review methodology: A six-step approach for knowledge synthesis. Perspectives on Medical Education, 11(5), 281–288. https://doi.org/10.1007/s40037-022-00725-9
Bayley, J., Murray, E., & Lohan, M. (2023). Barriers and facilitators of parent–adolescent communication on sexual health and relationships in the UK: A qualitative study protocol. BMJ Open, 13(5), e069874. https://doi.org/10.1136/bmjopen-2022-069874
Bekele, Y., Mekonnen, H., & Tesfaye, G. (2022). Community-based sexual and reproductive health program and attitudes toward child marriage in Ethiopia. Reproductive Health, 19(1), 178. https://doi.org/10.1186/s12978-022-01478-2
Carmona, C., Baxter, S., & Carroll, C. (2021). Systematic review of the methodological literature for integrating qualitative evidence syntheses into health guideline development. Research Synthesis Methods, 12(4), 491–505. https://doi.org/10.1002/jrsm.1483
Chandra-Mouli, V., & Lane, C. (2015). What does not work in adolescent sexual and reproductive health: A review of evidence on interventions commonly accepted as best practices. Global Health: Science and Practice, 3(3), 333–340. https://doi.org/10.9745/ghsp-d-15-00126
Fernandes, D., Kemigisha, E., Achen, D., Akatukwasa, C., & Ruzaaza, G. N. (2024). Process evaluation of a parent–child communication intervention for adolescent sexual and reproductive health in Uganda. BMC Public Health.
Guthold, R., Baltag, V., Katwan, E., & Ross, D. A. (2023). Family and social determinants in adolescent well-being: Policy implications for sexual and reproductive health. The Lancet Child & Adolescent Health, 7(8), 543–550. https://doi.org/10.1016/S2352-4642(23)00145-7
Harchegani, A. B., et al. (2021). Factors contributing to mother–daughter talk about sexual health education in an Iranian urban adolescent population. Iranian Journal of Nursing and Midwifery Research, 223–229. https://doi.org/10.4103/ijnmr.IJNMR
Irwin, C. E. (2022). The opportunity to end child marriage throughout the world. Journal of Adolescent Health, 70(3), 356–358. https://doi.org/10.1016/j.jadohealth.2021.12.007
Lohan, M., Aventin, Á., Clarke, M., et al. (2021). JACK trial: Engaging parents in digital sexual and reproductive health education—A randomized controlled trial. Journal of Adolescent Health, 69(2), 247–254. https://doi.org/10.1016/j.jadohealth.2021.02.014
Navan, S. B. (2024). Efficacy of digital health interventions used for adolescent sexual health: An umbrella review. Health Science Reports, 7(12), 1–9. https://doi.org/10.1002/hsr2.70212
Ngissa, J. P., Kapologwe, N. A., & Kibusi, S. M. (2023). Effectiveness of a parent-focused sexual and reproductive health curriculum in Tanzania: A pre–post intervention study. Reproductive Health, 20(1), 89. https://doi.org/10.1186/s12978-023-01645-1
Rahman, M., Haque, S. E., & Mostofa, M. G. (2023). Parent engagement and norms related to child marriage in Bangladesh: Mixed-method evidence. Child Abuse & Neglect, 138, 106002. https://doi.org/10.1016/j.chiabu.2023.106002
Ramalepa, T. N., & Netangaheni, T. R. (2024). Gender norms and family dialogue on adolescent sexual and reproductive health in India: A mixed-method study. International Journal of Environmental Research and Public Health, 21(2), 1045. https://doi.org/10.3390/ijerph21021045
Ramos, V., Hernandez, L., & Martinez, A. (2021). Online family-based sexual health intervention to improve adolescent preventive attitudes: A randomized controlled trial. JMIR Pediatrics and Parenting, 4(2), e27536. https://doi.org/10.2196/27536
Shah, P. (2024). Family investment and adolescent sexual and reproductive health outcomes: A multicountry systematic review. BMJ Global Health, 9(1), e013245. https://doi.org/10.1136/bmjgh-2023-013245
Sharma, V., & Gupta, P. (2024). Gender norms and parent–adolescent dialogue on early marriage in India: Mixed-method findings. International Journal of Adolescence and Youth, 29(1), 2234567. https://doi.org/10.1080/02673843.2024.2234567
Singh, S., Karki, K., & Shrestha, R. (2023). Parental knowledge and communication with adolescents on sexual and reproductive health issues in Nepal: A cross-sectional study. PLOS ONE, 18(4), e0284512. https://doi.org/10.1371/journal.pone.0284512
UNICEF. (2023). Is an end to child marriage within reach? https://data.unicef.org/resources/is-an-end-to-child-marriage-within-reach/
World Health Organization. (2023). Adolescent health and well-being: Global framework for action. https://doi.org/10.2471/9789240076868
Yusuf, F., Rahmawati, D., & Prasetyo, A. (2022). Digital family-based sexual and reproductive health education in Indonesia: A quasi-experimental study. Kesmas: Jurnal Kesehatan Masyarakat Nasional, 17(3), 189–197. https://doi.org/10.21109/kesmas.v17i3.5678
Zakaria, M., Rahman, M., & Hossain, M. (2023). Parent engagement and attitudes toward child marriage in Bangladesh: A mixed-method study. Journal of Biosocial Science, 55(4), 623–638. https://doi.org/10.1017/S0021932022000456
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