Discussion
WEST
There is a growing demand for sexual and reproductive health programs for adolescents in developing countries. However, there is not sufficient evidence on whether peer-led education effectively promotes the demand for and use of contraceptives among adolescent girls, especially in resource-limited settings. Therefore, rigorous contextual evaluations are needed to assess whether this behaviour is changed [Different systematic review study findings showed that school-based peer-led intervention increased contraceptive use after five and 17 months of intervention [The application of peer education in out-of-school communities is also statistically significantly associated with better knowledge and use of modern contraceptives. Without a peer-education program, contraceptive use in the intervention community would have been significantly lower according to a studies from west Africa, Cameroon, rural Indonesia, and Spain [Many quasi-experimental studies that included female and male adolescents from West Africa, south western Nigeria, and Cameron showed a positive effect after peer education intervention on the willingness to buy contraceptives, knowledge of contraceptives, attitudes toward contraceptives, and self-efficacy in contraception [However, other studies indicated that educational intervention alone may not increase contraceptive use among adolescents. An intervention focusing on reproductive health services, including comprehensive post-abortion family planning services and financial incentives, produced positive changes in contraceptive utilisation and demand [According to a review from low- and middle-income countries, the proportion of unmet needs for contraceptive use was reduced in an intervention group compared to a control group [Similar to different systematic reviews, the difference in contraceptive demand between the intervention and control groups increased significantly after peer education intervention in the current study [