Sexual and reproductive health and rights: implications for comprehensive sex education among young people in Uganda

Sex Education ◽  
2013 ◽  
Vol 13 (4) ◽  
pp. 409-422 ◽  
Author(s):  
Liesbeth E. Rijsdijk ◽  
Rico Lie ◽  
Arjan E.R. Bos ◽  
Joanne N. Leerlooijer ◽  
Gerjo Kok
2020 ◽  
Author(s):  
waleed sweileh ◽  
Ahmad Mansour

Abstract Background: Adolescents and youth (young people) are central to the success of the 2030 agenda. Sexual and reproductive health (SRH) knowledge among young people is critical for their well-being. The objective study was to assess and analyze publications on SHR knowledge among young people. Method: This study was a bibliometric descriptive one for publications retrieved from Scopus on SHR knowledge among young people. All relevant terms on young people, SHR, and knowledge were implemented to retrieve relevant publications for the study period from 1900 to 2019. Results: The search found 2544 publications. Publication started on 1951. The number of publications showed two steep phases: one in mid-1980s and one after 2005. Four research themes were identified: human immunodeficiency virus (HIV); human papillomavirus (HPV), condom, and contraception with documents on HPV vaccinations being the most recent. The retrieved publications received an average of 10.9 citations per document and an h -index of 61. The top cited documents published before 2010 focused mainly on HIV, HPV, and condom use while those after 2010 focused on HIV testing technology, HIV prophylaxis and HPV vaccination. The retrieved documents originated mainly from the region of the Americas (n=944). When data were normalized, the South-Eastern Asian region had the highest research activity. At the country level, the USA ranked first (n=701; 27.6%) but when data was normalized, India (91.5 publication per GDP per capita) ranked first followed by Nigeria (53.0) and South Africa (17.9). Journal of Adolescent Health (n=39; 1.5%) ranked first but documents published in AIDS Education and Prevention journal received the highest number of citations per document (34.1). The University of California, San Francisco ranked first (n=33; 1.3%) in this field. The average number of authors per publication was 3.8. Research networking in this field was poor. Conclusion: This was the first analysis of publications on SRH knowledge among a category of people who are most often neglected in their SRH needs. Research on knowledge and awareness on this subject need to be carried out in all world regions to tailor sex education and health policies to the sociocultural and religious situation in each country.


PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245883
Author(s):  
Niharika Tripathi

Introduction Inadequate efforts towards meeting the sexual and reproductive health needs of adolescents and young people, who disproportionately share the burden of unwanted pregnancies, poor maternal and child health outcomes, risks of RTI/STI and HIV/AIDS, increase the risk of losing much of the progress made towards the Millennium Development Goals over the last decade, particularly in the context of low-and-middle-income countries like India. Data and methods Using the nationally representative data on 160551 unmarried young women aged 15–24 years from the District Level Reproductive and Child Health Survey (DLHS: 2007–2008) in India, this research evaluated the demographic and socioeconomic differentials in the access to family life/sex education (FLE) among youth in India. Using the adjusted multiple logistic regression models, the association between access to family life/sex education and attitudes towards a range of sexual and reproductive health matters among young unmarried Indian women were investigated. Results Less than half of the unmarried young women had received some form of FLE (48 percent) in India. However, there were substantial demographic and socioeconomic variations in their access to FLE, as relatively less educated women from the poorest wealth quintiles, religious and social minorities (Muslims, Scheduled Castes/Scheduled Tribes) were significantly less likely to receive FLE as compared to other women. Importantly, the likelihood of holding favourable/positive attitudes towards reproductive processes, knowledge and discussion of contraceptive methods, precise awareness about the transmission pathways of RTIs/STIs and HIV/AIDS was significantly higher among those women in India who had access to FLE. Conclusion The present research underscores the protective role of family life education towards improving the sexual and reproductive life experiences of young people. It further underscores the vital need to implement a comprehensive and culturally appropriate programme of family life education in order to meet the sexual and reproductive health demands of the adolescents and young people in India.


Author(s):  
Kerstin Sell ◽  
Kathryn Oliver ◽  
Rebecca Meiksin

Abstract Background Delivered globally to promote adolescents’ sexual and reproductive health, comprehensive sex education (CSE) is rights-based, holistic, and seeks to enhance young people’s skills to foster respectful and healthy relationships. Previous research has demonstrated that CSE programmes that incorporate critical content on gender and power in relationships are more effective in achieving positive sexual and reproductive health outcomes than programmes without this content. However, it is not well understood how these programmes ultimately affect behavioural and biological outcomes. We therefore sought to investigate underlying mechanisms of impact and factors affecting implementation and undertook a systematic review of process evaluation studies reporting on school-based sex education programmes with a gender and power component. Methods We searched six scientific databases in June 2019 and screened 9375 titles and abstracts and 261 full-text articles. Two distinct analyses and syntheses were conducted: a narrative review of implementation studies and a thematic synthesis of qualitative studies that examined programme characteristics and mechanisms of impact. Results Nineteen articles met the inclusion criteria of which eleven were implementation studies. These studies highlighted the critical role of the skill and training of the facilitator, flexibility to adapt programmes to students’ needs, and a supportive school/community environment in which to deliver CSE to aid successful implementation. In the second set of studies (n = 8), student participation, student-facilitator relationship-building, and open discussions integrating student reflection and experience-sharing with critical content on gender and power were identified as important programme characteristics. These were linked to empowerment, transformation of gender norms, and meaningful contextualisation of students’ experiences as underlying mechanisms of impact. Conclusion and policy implications Our findings emphasise the need for CSE programming addressing gender and power that engages students in a meaningful, relatable manner. Our findings can inform theories of change and intervention development for such programmes.


2016 ◽  
Vol 9 (2) ◽  
Author(s):  
Katerina Vassilikou ◽  
Elisabeth Ioannidi – Kapolou

The sexual behaviour of Greek adolescents is studied in this paper through a research review. Young people facing sexuality often feel shame, fear and frustration and have strong concerns about contraception and the spread of AIDS. Sex education is still not included as a compulsory course in the school curriculum and adolescents are not well informed about sexual issues with those in the urban centres being better informed. For Greek adolescents accurate and constant information is necessary in order to alter the persisting stereotypes concerning sexuality leading to misconceptions in sexual and reproductive health.


Author(s):  
Ingrid Lynch ◽  
Finn Reygan

Both significant progress and profound backlash have occurred in the inclusion of sexual and gender diversity across eastern and southern Africa. This includes the decriminalization of homosexuality in Mozambique in 2015 and the introduction of the Anti-Homosexuality Act (later annulled) in Uganda in the preceding year. Simultaneously there is increased pressure on Ministries of Education to engage more robustly with sexual and reproductive health and rights (SRHR) education in education systems across the region. Emerging regional research points to a narrow, heteronormative focus in comprehensive sexuality education; access barriers to sexual and reproductive health services; and pervasive school-related gender-based violence, including homophobic and transphobic violence. Civil society organizations (CSOs) play a key role in developing best practice in advancing the SRHR of sexual and gender minority youth and are therefore a valuable resource for government SRHR policies and programmatic responses. The regional SRHR education policy landscape is underpinned by two policy narratives: that of young people’s SRHR as a public health concern and a focus on young people’s human rights. These policy narratives not only underpin SRHR policy in the region but also in many instances are drawn on in CSO advocacy when positioning the SRHR of lesbian, gay, bisexual, transgender, queer, and intersex (LGBTQI) young people as an important policy concern. These two dominant policy narratives, however, have a narrow focus on young people’s risks and vulnerabilities, may inadvertently perpetuate stigma and marginalization of LGBTQI youth, and may limit youth voice and agency. These narratives also do not sufficiently engage local sociocultural and structural conditions that drive negative SRHR outcomes for young people in the region. Research, advocacy, and policy development toward the full realization of the SRHR of sexual and gender minority youth can address some of the limitations of health and rights-based policy narratives by drawing on a sexual and reproductive justice framework. Such a framework expands the policy focus on health risks and individual rights to include engagement with sociocultural and structural constraints on young people’s ability to exercise their rights. A sexual and reproductive justice framework provides a more robust toolkit when working toward full inclusion of sexual and gender diversity in regional school-based SRHR policy and programs.


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