Effects of an Educational Program to Enhance Health Literacy on Sexually Transmitted Disease Prevention Behaviors Among 7th-grade Student Leaders in a High School in Savannakhet Province, LAO PDR


  • Lotchana Nonpasith Boromarajonani College of Nursing Nakhon Phanom, Nakhon Phanom University
  • Nutcharat Mangkarakeree Boromarajonani Collge of Nursing Nakhon Phanom, Nakhon Phanom University
  • Decha Tamdee Faculty of Nursing, Chiang Mai University


Educational programs, Health literacy, Preventive behaviors, Sexually transmitted infections, High school student leaders


Sexually transmitted infections among high school students in Laos continue to present a health issue for this group. Therefore, promoting behaviors to prevent them is of great importance. This quasi-experimental research using a two-group pretest–posttest design aimed to study the effects of an educational program to enhance health literacy on sexually transmitted disease prevention behaviors among 7th-grade student leaders in a high school in Savannakhet Province, LAO PDR. The sample group consisted of 126 high school student leaders (Grade 7) divided into an experimental group and a comparison group of 63 people each for a period of 6 weeks. The tools used in the study had two parts. Part 1 was a program to promote health literacy towards sexually transmitted infection prevention behaviors using a teaching model based on the Medagogy theory using PITS teaching principles. Part 2 was the data collection form, which consisted of a behavioral questionnaire for prevention of sexually transmitted infections. Cronbach's alpha coefficient was checked for reliability at .92. Data analysis used descriptive statistics, independent t-test, and paired t-test.

After undergoing the educational program to promote health literacy, the experimental group had a significantly higher mean score (M = 93.11, SD = 18.94) for sexually transmitted infection prevention behaviors than before (M = 65.13, SD = 15.79) receiving the program (p < .001) and their behavior in preventing sexually transmitted infections after the experiment was significantly higher than that of the comparison group (M = 78.32, SD = 16.45) (p < .001).

The study revealed that the educational program can enhance health literacy on sexually transmitted disease prevention behaviors among high school student leaders, and therefore, it could be applied to groups of students in other areas with similar contexts.


Bureau of Reproductive Health, Department of Health, Ministry of Public Health. (2018). Situation of reproductive health in teenagers and youth. http://rh.anamai.moph.go.th/download/all_file/index/situationRH_2561_Website.pdf

Burns, N., & Grove, S. K. (2009). The practice of nursing research: Appraisal, synthesis and generation of evidence (6th ed.). Elsevier.

Chananok, J., Udompoka, T., & Norkaew, J. (2019). The effect of AIDS prevention behavior promotion program sexually transmitted diseases and pregnancy in school among student leaders in a private school in Mueang District, Nakhon Ratchasima Province. Journal of Health and Development Nakhon Ratchasima Public Health Provincial Office, 5(1), 97-104.

Chanthamath, S., Wongkongdech, R., & Intarat, N. (2019). Behavioral intervention for HIV/AIDS prevention program among students in Khammouane Technical- Vocational College, Lao people’s democratic republic. UBRU Journal for Public Health Research, 7(2), 174-184. https://he02.tci-thaijo.org/index.php/ubruphjou/article/view/171109

Department of Disease Control, Ministry of Public Health. (2023). Annual report 2022 division of AIDS and STLs . https://ddc.moph.go.th/das/journal_detail.php?publish=14849

Inthavong, K., Ha, L. T. H., Anh, L. T. K., & Sychareun, V. (2020). Knowledge of safe sex and sexually transmitted infections among high school students, Vientiane Prefecture, Lao PDR. Global Health Action, 13(suppl 2), 1785159. https://doi.org/10.1080/16549716.2020.1785159

Manwong, M., Thongnopakun, S., Rodjarkpai, Y., Wattanaburanon, A., & Visanuyothin, S. (2022). Sexual health literacy and preventive behaviors among middle-school students in a rural area during the COVID-19 situation: A mixed methods study. Health Promotion Perspectives Journal, 12(2), 178-185.

Nakkling, Y., & Tudsri, P. (2017). Effect of self–efficacy enhancement program on health behaviors among older adults with uncontrolled hypertension. Apheit Journal, 6(1), 27-35. https://apheit.bu.ac.th/jounal/science-vol6-1/3_07_formatted%20V6-1.pdf

Nutbeam, D. (2015). Defining, measuring and improving health literacy. Health Evaluation and Promotion, 42(4), 450–456.

Sookrak, N., Srisuriyawate, R., & Homsin, P. (2018). Predicted factors of consistent condom use among men who have sex with men (MSM) undergraduate students in higher education institutions Chonburi Province. Journal of Public Health Nursing, 32(3), 83-100.

Srimeechai, J., Rutchanagul, P., & Kummabutr, J. (2018). The sexual and reproductive healthcare behavior of university students engaging in virtual marital relationships. Journal of Health and Nursing Research (Journal of Boromarajonani College of Nursing, Bangkok), 34(3), 43-54. https://he01.tci-thaijo.org/index.php/bcnbangkok/article/view/168622

UNFPA. (2023). Bright future in 2023 for Lao PDR and UNFPA cooperation 2022. https://lao.unfpa.org/en/news/bright-future-2023-lao-pdr-and-unfpa-cooperation

Vongxay, V., Albers, F., Thongmixay, S., Thongsombath, M., Broerse, J. E. W., Sychareun, V., & Essink, D. R. (2019). Sexual and reproductive health literacy of school adolescents in Lao. PLOS ONE, 14(1), e0209675. https://doi.org/10.1371/journal.pone.0209675

World Health Organization. (2018). Guidance on ethical considerations in planning and reviewing research studies on sexual and reproductive health in adolescents. https://www.who.int/publications/i/item/9789241508414

World Health Organization. (2019). World Health statistics overview 2019: Monitoring health for the SDGs, sustainable development goals. WHO. https://reliefweb.int/report/world/world-health-statistics-2019-monitoring-health-sdgs

World Health Organization. (2021). Sexually transmitted infections (STIs). https://www.who.int/news-room/fact-sheets/detail/sexually-transmitted-infections-(stis)




How to Cite

Nonpasith, L., Mangkarakeree, N., & Tamdee, D. (2024). Effects of an Educational Program to Enhance Health Literacy on Sexually Transmitted Disease Prevention Behaviors Among 7th-grade Student Leaders in a High School in Savannakhet Province, LAO PDR. Nursing Journal CMU, 51(1), 172–185. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/265447



Research Article