Assessment of the Implementation of School-Health Program on Prevention of Unsafe Sexual Practices among Students of West Itam Secondary School, Uyo.

Adolescent engagement in unsafe sexual practices remains a public health concern in Nigeria despite the presence of school health programs. This study assessed the implementation of the school-health program in preventing unsafe sexual practices among students of West Itam Secondary School, Uyo. A descriptive design was adopted. A sample of 226 students was selected from a population of 521 using Taro Yamane's formula and stratified random sampling. Structured questionnaires were used for data collection. Findings revealed that 66.4% of students reported the availability of a school health program. Moderate knowledge of sexual health education was most common (44.2%), and 57.5% held a positive attitude. Chi-square analysis showed significant relationships between the prevention of unsafe sexual practices and program availability, knowledge level, program outcomes, and socio-cultural factors. However, no significant relationship was found with student attitude. The study concludes that while implementation is evident, gaps in awareness and delivery persist. Recommendations include improved training for facilitators, enhanced monitoring, peer education, and integration of technology to strengthen program impact.