A Mixed-Methods Feasibility Evaluation of a Sexual and Reproductive Health Peer Education Program for Women Experiencing Incarceration [ID 853]

INTRODUCTION: Women experiencing incarceration often face health care inequities related to their sexual and reproductive health. Despite the proven benefits of peer education in carceral settings, there is minimal research on its application to women’s health education. This study assesses the feasibility of a peer health education program that empowers women to make informed decisions regarding their obstetric and gynecologic health during incarceration and upon reentry to the community. METHODS: Over 4 years, the curriculum was developed using evidence-based recommendations, focus groups, and pilot programs, in collaboration with a state correctional institution. Implementation began in June 2024 with seven preselected incarcerated peer educators. Knowledge retention was evaluated with pre- and post-program assessments and analyzed using paired t-tests, with significance at a value of P <.05. After 1 month of peer-to-peer education, educators participated in a focus group to discuss their experiences. Qualitative data were analyzed thematically. RESULTS: The study involved seven women, and 28.6% identified as Black and 71.4% identified as White. Pre-program, participants scored an average of 82.8% on knowledge assessments. Post-program scores increased to 90.2%, demonstrating a statistically significant improvement ( P =.015). Focus group discussions highlighted the challenges faced by incarcerated women, the value of the program, and advocacy for peer education. CONCLUSIONS/IMPLICATIONS: Peer education, although underutilized in corrections, demonstrates significant potential. This unique study reveals notable improvements in health knowledge and the vested engagement of peer educators. Expanding peer education could be pivotal in empowering women experiencing incarceration to make informed decisions regarding their health.