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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. 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. …

  3. 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.

  4. Probing the politics of comprehensive sexuality education: ‘Universality’ versus ‘Cultural Sensitivity’: a Dutch–Bangladeshi collaboration on adolescent sexuality education

    As part of Western European development aid policy, comprehensive sexuality education (CSE) is increasingly promoted in resource-poor countries. This paper engages with CSE promotion in Bangladesh funded by the Dutch Government. It unpacks the ‘collaboration’ by looking at how a paradox is played out between the universal ideals underlying a broader transnational rights-approach and the intended cultural sensitivity by adapting CSE to the targeted context. …

  5. Evaluation of the implementation of Family Life and HIV Education Programme in Nigeria

    Family Life and HIV Education (FLHE) programme was introduced nationwide in Nigeria in 2003. Since then little is known about the patterns of its implementation across the states in the six geo-political zones in Nigeria. This study represents an attempt to fill this lacuna in the FLHE literature in Nigeria. Quantitative data was collected from the Federal Ministry of Education and the State Ministries of Education on all salient aspects of FLHE implementation. …

  6. 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.

  7. 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. …

  8. 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). …

  9. 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. …

  10. What do young people think about their school-based sex and relationship education? A qualitative synthesis of young people’s views and experiences

    Objectives: Although sex and relationship education (SRE) represents a key strand in policies to safeguard young people and improve their sexual health, it currently lacks statutory status, government guidance is outdated and a third of UK schools has poor-quality SRE. We aimed to investigate whether current provision meets young people's needs. Design: Synthesis of qualitative studies of young people's views of their school-based SRE. Setting: Eligible studies originated from the UK, Ireland, the USA, Australia, New Zealand, Canada, Japan, Iran, Brazil and Sweden. …

  11. Renewed commitments in a time of vigilance: sexuality education in the USA

    Over the past 20 years, the USA has seen more than its fair share of controversy with respect to education about sexuality, sex and intimate relationships. Attention has focused on content (abstinence-only vs. comprehensive instruction), delivery (by teachers, parents, health professionals or community educators) and context (within school and beyond). In recognition of this fact, Sex Education invited the development of a virtual special issue comprising a sample of its most impactful papers on these and related topics. …

  12. What is best practice in sex and relationship education? A synthesis of evidence, including stakeholders’ views

    Sex and relationship education (SRE) is regarded as vital to improving young people's sexual health, but a third of schools in England lacks good SRE and government guidance is outdated. The authors aimed to identify what makes SRE programmes effective, acceptable, sustainable and capable of faithful implementation. […] They identified key features of effective and acceptable SRE. Their best practice criteria can be used to evaluate existing programmes, contribute to the development of new programmes and inform consultations around statutory SRE.

  13. School-based sexual health education interventions to prevent STI/HIV in sub-Saharan Africa: a systematic review and meta-analysis

    The authors reviewed evaluations of school-based sexual health education interventions in sub-Saharan Africa to assess effectiveness in reducing sexually transmitted infections and promoting condom use.

  14. L’éducation à la sexualité: conceptions d’enseignants et futurs enseignants de trois pays maghrébins (Tunisie, Maroc, Algérie)

    Cet article analyse les conceptions d’enseignants et futurs enseignants sur l’éducation à la sexualité dans les trois pays du Maghreb: Tunisie, Algérie, Maroc. Un questionnaire, construit et validé dans le cadre du projet de recherche européen BIOHEAD-Citizen, a été rempli par 1306 enseignants et futurs enseignants de ces trois pays. Des analyses multivariées ont permis d’identifier des différences entre les trois pays, ainsi que certaines convergences, et d’établir des liens entre les conceptions des enseignants sur l’éducation à la sexualité, et leurs opinions religieuses ou politiques. …

  15. Assessing the effect of teenage pregnancy on achieving universal basic education in Ghana: a case study of Upper Denkyira West District

    The consequences of teenage pregnancy are gigantic and inimical to the wellbeing of adolescent population as well as development in the broad-spectrum. As a result, this study assessed the effect of teenage pregnancy on achieving universal basic education in Ghana: a case study of Upper Denkyira West District. The research design employed for this study was the mixed approach. Both qualitative and quantitative research methods were applied for the study. Purposive and snowball sampling techniques were applied in selecting respondents for the study and the sample size was 80. …

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