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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. …