Knowledge, attitudes and risk behaviours regarding sexually transmitted infections among learners at a selected high school in Collins Chabane Municipality

Abstract

The prevalence of sexually transmitted infections (STIs) among High Schools has reached an epidemic level, calling for public health intervention. The study purpose was to investigate the knowledge, attitudes and risk behaviours related to STIs among learners at a selected high school in Collins Chabane Municipality. A quantitative-descriptive study was carried among 2018 officially registered high school learners in Malamulele. Malamulele West was conveniently selected because of the accessibility and Photani High School was selected purposefully. A simple-random sampling technique was used to select 252 respondents. Data collected with self-administered questionnaires was analysed using SPSS software version 25.0, the response rate was 100%. Chi-square test was used to determine the relationships between more categorical variables. Statistical significance level was set at p<0.05. Majority (63.1%) of the respondents never knew of STIs. Majority of respondents (31%) incorrectly identified the types and causative organisms of STIs. Poor knowledge on the modes of transmission was found amongst 73% of the population. Majority of the respondents (67%) did now know that STIs are infections. A large proportion (54%) had a positive attitude on STIs as they emphasised the importance of STI screening. Misconceptions regarding STIs is rife, 61% and 59.9% of the respondents believed preventing STIs by going to church every Sunday and sleeping with virgins respectively. 95.6%) were sexual active and 29% of the respondents had poor knowledge on risk sexual behaviours. Respondents had adequate knowledge regarding treatment as 56% of the respondents reported knowing where to seek treatment. However, 92.1% respondents reported bad treatment by nurses. Each high school should be allocated a social worker and a nurse for the coordination of awareness campaigns on STIs. Churches should offer formal programs regarding STIs to their congregants in collaboration with universities and clinics.