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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. 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. …

  3. 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. …

  4. 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.

  5. 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. …

  6. Informing the future of the sex and relationships education curriculum in Wales

    The report supports the recommendations of the Sex and Relationships Education Expert Panel which was presented to the Cabinet Secretary for Education on 13 December 2017. …

  7. HIV and education: Guaranteeing lessons for all. Research into the provision of relationships and sexual health education in Scotland

    There is now consensus among Scotland's third sector children's rights, women's rights and young people's and equality organisations that RSHP lessons urgently need to be improved. Comprehensive sexuality education is essential for young people to be able to protect themselves from unwanted pregnancy, HIV and sexually transmitted infections, to Evidence emonstrates that young gay and bisexual men in Scotland are at higher risk of HIV as a consequence of having poor knowledge about HIV risk. …

  8. A model for the delivery of evidence-based PSHE (personal wellbeing) in secondary schools

    Personal Social Health and Economic (PSHE) education is a non-statutory school subject designed to facilitate the delivery of a number of key competencies relevant to health, safety and wellbeing. As well as contributing to learning objectives in regards to these topics PSHE education has been ascribed with weighty expectations for outcomes well beyond the classroom relating to physical, mental, sexual and emotional health and safety. …

  9. How effective is comprehensive sexuality education in preventing HIV?

    This brief discusses the effectiveness of comprehensive sexuality education (CSE) in preventing HIV, and lists key findings and recommendations. It concludes that CSE is effective in decreasing HIV risk factors in adolescents and young people, and improving sexual and reproductive health (SRH) in general, including creating demand for SRH services. …

  10. The future of the Sex and Relationships Education Curriculum in Wales

    This report outlines the key findings and recommendations of the Sex and Relationships Education Expert Panel. This panel was established by the Cabinet Secretary for Education to help inform the development of the future Sex and Relationships Education (SRE) curriculum in Wales.

  11. Picture that: supporting sexuality educators in narrowing the knowledge/practice gap

    Teaching about sex and relationships is one of the greatest challenges in not only the combating of HIV and AIDS, but also in preparing the youth for responsible sexual behaviour. Although it seems as if teachers to some extent do feel comfortable with the teaching of sexuality education at school, the question however remains as to whether youth get the information they require. In this article, I present drawings produced by teacher participants in order to investigate the beliefs that teachers hold regarding young people’s needs from sexuality education. …

  12. Short-term effects of a rights-based sexuality education curriculum for high-school students: a cluster-randomized trial

    An emerging model for sexuality education is the rights-based approach, which unifies discussions of sexuality, gender norms, and sexual rights to promote the healthy sexual development of adolescents. A rigorous evaluation of a rights-based intervention for a broad population of adolescents in the U.S. has not previously been published. This paper evaluates the immediate effects of the Sexuality Education Initiative (SEI) on hypothesized psychosocial determinants of sexual behavior.

  13. Picture that: supporting sexuality educators in narrowing the knowledge/practice gap

    Teaching about sex and relationships is one of the greatest challenges in not only the combating of HIV and AIDS, but also in preparing the youth for responsible sexual behaviour. Although it seems as if teachers to some extent do feel comfortable with the teaching of sexuality education at school, the question however remains as to whether youth get the information they require. In this article, are presented drawings produced by teacher participants in order to investigate the beliefs that teachers hold regarding young people’s needs from sexuality education. …

  14. Parents’ and teachers’ views on sexual health education and screening for sexually transmitted infections among in-school adolescent girls in Kenya: a qualitative study

    Background: To successfully develop and implement school-based sexual health interventions for adolescent girls, such as screening for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis, it is important to understand parents’ and teachers’ attitudes towards sexual health education and acceptability of sexually transmitted infection (STI) screening interventions. Methods: In this qualitative study, we approached parents and teachers from three high schools to participate in in-depth interviews (IDIs) and focus-group discussions (FGDs). …

  15. Integrating gender and rights into sexuality education: field reports on using It's All One

    International policy agreements, along with emerging evidence about factors influencing programme effectiveness, have led to calls for a shift in sexuality education toward an approach that places gender norms and human rights at its heart. Little documentation exists, however, about the degree to which this shift is actually taking place on the ground or what it entails. Field experiences in using new curriculum tools, such as It's All One, offer one lens onto these questions. To gain a sense of practitioners' experience with this tool, a two-part exercise was conducted. …

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