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UNESCO HIV and Health Education Clearinghouse

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  1. Measuring the quality of sexuality education implementation at the school level in low- and middle-income countries

    Comprehensive sexuality education (CSE) is a key component of efforts to improve sexual and reproductive outcomes for young people. While many governments have established policies and curricula for CSE, there are no quantitative measures of the quality of their implementation in schools. This article describes the construction of a school-level index to measure CSE implementation quality using data from Peru, Guatemala, Kenya and Ghana for validation. …

  2. Facing the facts: the case for comprehensive sexuality education

    Comprehensive sexuality education is an essential part of a good quality education that helps prepare young people for a fulfilling life in a changing world.

  3. Seeing the invisible: sexuality-related knowledge, attitudes and behaviour of children and youth with disabilities in China

    The Convention on the Rights of Persons with Disabilities (CRPD) clearly states the need to protect and promote Sexual and Reproductive Health and Rights (SRHR) of persons with disabilities and to provide quality and free or affordable access to SRH information and services.

  4. School-based relationships and sexuality education (RSE): lessons for policy and practice

    There is clear evidence that school-based sex education programmes can improve sexual health outcomes. Women who have experienced sex education in schools are less likely to have experienced rape, abortion or distress about sex. Many factors combine to affect health and sex education will not override the determinants of health in general. …

  5. Comprehensive sexuality education: Evidence and promising practices in West and Central Africa

    This brochure documents the key elements for the implementation of Comprehensive Sexual Education (CSE). Using concrete examples from four countries in West Africa (Benin, Côte d’Ivoire, Senegal and Togo), the brochure documents promising practices, challenges and lessons learned, and makes key recommendations to be shared with all countries in the region.

  6. Evaluation of a school-based sexuality and HIV prevention activity in South Africa. Midline qualitative report

    With support from the United States Agency for International Development (USAID) and in partnership with the South African National Department of Basic Education (DBE), the MEASURE Evaluation project is conducting an impact evaluation of the implementation of scripted lesson plans (SLPs) and supporting activities that were developed to increase the rigor and uniformity of a life skills program for in-school youth. …

  7. Review of comprehensive sexuality education in Thailand

    This review of comprehensive sexuality education (CSE) in Thai educational institutions collected data from students, teachers, guardians, school directors and national policy advocacy stakeholders. Standard international data collection tools were used, with the hope that important information could be gathered to guide the development of school-based CSE implementation in Thailand.

  8. Do information technologies improve teenagers' sexual education? Evidence from a randomized evaluation in Colombia

    Across public junior high schools in 21 Colombian cities, we conducted a randomized evaluation of a mandatory six-month internet-based sexual education course. Six months after finishing the course, we find a 0.4 standard deviation improvement in knowledge, a 0.2 standard deviation improvement in attitudes, and a 55% increase in the likelihood of redeeming vouchers for condoms as a result of taking the course. …

  9. Implementation of sexuality education in middle schools in China

    China boasts one of the largest adolescent populations in the world, with 165 million in total (United Nations, 2017). In recent decades, Chinese adolescents have reached sexual maturity at increasingly early ages, and more and more young people in China are open to premarital sex while at the same time they generally lack sexual and reproductive health knowledge and awareness of safe sex. …

  10. Information note: sexuality education

    Information Notes are compiled for Members and Committees of the Legislative Council of Hong Kong. The Research Office has prepared this information note aiming to provide background information on (a) the International Technical Guidance developed by UNESCO; (b) the development of sexuality education in Hong Kong; and (c) the salient features of sexuality education in Singapore and Taiwan where different approaches have been adopted for implementing the related programmes. …

  11. Towards comprehensive sexuality education: a comparative analysis of the policy environment surrounding school-based sexuality education in Ghana, Peru, Kenya and Guatemala

    The successful implementation of comprehensive sexuality education (CSE) programmes in schools depends on the development and implementation of strong policy in support of CSE. This paper offers a comparative analysis of the policy environment governing school-based CSE in four low- and middle-income countries at different stages of programme implementation: Ghana, Peru, Kenya and Guatemala. …

  12. Coming of age in the classroom: religious and cultural barriers to comprehensive sexuality education

    This paper elucidates evidence which underscores anxieties and panic about sexuality and sexual behaviour of young people influenced by movements advancing a distinct religious identity, and the implications for advocacy on advancing Sexual and Reproductive Health and Rights (SRHR). Synthesised in this document is evidence from two countries - Bangladesh and India - on Comprehensive Sexuality Education (CSE), an area of controversy (to varying degree) in both countries. Evidence from each country stem from national studies on the influence of religion on CSE, and are qualitative in nature. …

  13. Challenges to implementing national comprehensive sexuality education curricula in low- and middle-income countries: case studies of Ghana, Kenya, Peru and Guatemala

    School-based comprehensive sexuality education (CSE) can help adolescents achieve their full potential and realize their sexual and reproductive health and rights. This is particularly pressing in low- and middle-income countries (LMICs), where high rates of unintended pregnancy and STIs among adolescents can limit countries’ ability to capitalize on the demographic dividend. While many LMICs have developed CSE curricula, their full implementation is often hindered by challenges around program planning and roll-out at the national and local level. …

  14. Sexual and reproductive health outcomes are positively associated with comprehensive sexual education exposure in Mexican high-school students

    This paper provides evidence of the potential beneficial effects of CSE on attitudes, knowledge, and behaviors regarding sexual and reproductive health among adolescents. In addition, it identifies areas that should be strengthened to increase the positive impact of CSE.

  15. Policy outcome and challenges of sexual and reproductive health and rights in Ghana: what is the role of parliament?

    While considerable progress has been made in the development of policies, legislations and outcome, significant gaps in ensuring universal access to reproductive health and rights still remain. The inconsistency in the Children's Act which stipulates the marriage age at 18 and the Criminal Code which also specifies the legal age of consent regarding sex at age 16 may be a reflection of the increasing numbers of early pregnancies, infant and child mortalities, and high prevalence of HIV among girls and women among others. …

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