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This publication is part of an ongoing programme of work initiated by UNESCO in 2008 to provide technical guidance and implementation support for sexuality education programmes, as a platform for HIV prevention, treatment and care. It emphasizes the challenges and opportunities for scaling up comprehensive sexuality education in school settings. Building on indepth interviews with key informants involved in past and ongoing work on sexuality education, this publication provides conceptual and practical guidance on definitions and strategies for scaling-up. …
Policy-makers who are making decisions on sexuality education programs face important economic questions: what are the costs of developing sexuality education programs; and what are the costs of implementing and scaling them up? This study responds to these questions by assessing the costs of six school-based sexuality education programs (Nigeria, Kenya, Indonesia, India, Estonia and the Netherlands). Cost analyses were carried out in schools that were fully implementing a SE program, as this best reflects the resources needed to run an effective program. …
Costing and cost-effectiveness data for HIV prevention programmes are important tools for decision-makers. In many countries, HIV prevention efforts for young people have increasingly focused on schools, with many ministries of education in the process of scaling up school-based sexuality education programmes. However, most ministries of education are implementing programmes without an adequate understanding of how much the programmes cost per learner or per HIV/STIs or unintended pregnancy averted. …
A growing body of evidence exists to demonstrate what constitutes an effective school-based sexuality education programme. The factors that contribute to successful implementation of effective school-based sexuality education at regional, country or local levels - so-called "levers of success" - are less clear. These are the focus of this publication. The term levers of success is used to describe the conditions and actions that have been found to be conducive to the introduction or implementation of sexuality education. Such levers are both general and specific. …
