Table 6 Joint Display of SRH Information Communication Skills

Need for communication skills

There was an increase in self efficacy and actual ability to communicate after the intervention delivery

[F(1, 827) = 10.81, (p ≤ .001) [1]] [(M = 5.0, SD = 1.7)

Likert scale Questionnaire

- Actual ability to communicate

- Nature of SRH information communication

"We are free, we talk, we laugh, so it is normal conversation. It is not something strict, I don’t sit her down strictly, no no no, we just communicate as we have been doing always." (P5, F, 39 years)

“It is difficult for me. Because I have not heard about those things before. I don’t do those things (sex) that is why it is difficult for me, and I don’t really like talking about those things (sex).” (A7, M, 13 years)

The qualitative findings explain the state of parents and adolescents before intervention delivery in the various studies identified in the systematic review. They were not skilled enough to communicate but had the ability to communicate on some topics such as menstruation

[12] [(p < 0.001) [13]

"I have warned you, don’t be walking with women; I’ve told you that this boy I don’t like him coming to my house with you…" (P9, M, 63 years)

“Sometimes when my mother talks, I don’t understand…she normally adds proverbs. She normally will say that when I grow, I will understand.” (A6, M, 16 years)

However, after the interventions, they had improved skills to communicate SRH information on some additional topics