Evaluating the Effects of Reproductive Health Training on Provider Behavior - Aim 3

This study will evaluate the real-world effectiveness of a four-day Afrocentric sexual and reproductive health curriculum for health professional students in Tanzania. Medical, nursing, and midwifery students from the State University of Zanzibar, Kilimanjaro Christian University, and the University of Dodoma will receive the curriculum. The curriculum covers sexual health across the lifespan, sexual dysfunctions, key populations, sexual violence, clinical skills training, ethics, policy writing, community resources, and cultural considerations. Student outcomes will be assessed using surveys at baseline, immediately after the curriculum, and at 3-month and 12-month follow-up to examine changes in sexual health knowledge, attitudes, and sexual history and counseling skills.

Inclusion Criteria: * Current pre-final year student at the State University of Zanzibar, Kilimanjaro Christian University, or the University of Dodoma in midwifery, nursing, or medicine * Able to attend the full 4-day training * Fluent in English and Kiswahili * Willing to volunteer to complete all evaluation procedures Exclusion Criteria: * Unable to attend all days of the seminar at SUZA, KCMC, or UDOM * Unable to be on the SUZA, KCMC, or UDOM campus for the follow-up dates * Expresses reservations about attending, including religious objections * Expresses fear of violence due to attending, including fear from a spouse or relative * Prior exposure to the Training for Health Professionals curriculum or either of the previous pilots * Younger than 18 years of age * Non-English speaker * Unable to read * Employee of the researcher * Prisoner * Adult lacking capacity to consent or with diminished capacity to consent * Active member of the military or DoD personnel