scholarly journals Scaling up comprehensive sexuality education in Nigeria: from national policy to nationwide application

Sex Education ◽  
2013 ◽  
Vol 14 (2) ◽  
pp. 191-209 ◽  
Author(s):  
Silvia Huaynoca ◽  
Venkatraman Chandra-Mouli ◽  
Nuhu Yaqub Jr. ◽  
Donna Marie Denno
PLoS ONE ◽  
2018 ◽  
Vol 13 (7) ◽  
pp. e0200513 ◽  
Author(s):  
Sarah C. Keogh ◽  
Melissa Stillman ◽  
Kofi Awusabo-Asare ◽  
Estelle Sidze ◽  
Ana Silvia Monzón ◽  
...  

Health ◽  
2020 ◽  
Vol 12 (11) ◽  
pp. 1428-1444
Author(s):  
Dieudonné Mpunga-Mukendi ◽  
Faustin Mukalenge Chenge ◽  
Mala Ali Mapatano ◽  
Thérèse Nyangi Mondo Mambu ◽  
Gilbert Utshudienyema Wembodinga

2020 ◽  
Vol 79 (7) ◽  
pp. 747-762 ◽  
Author(s):  
Esther Miedema ◽  
Marielle L J Le Mat ◽  
Frances Hague

Background: Comprehensive Sexuality Education (CSE) is increasingly gaining traction within the international community. CSE is regarded as an important means of informing young people about their rights and sexual health, improving public health outcomes and contributing to sustainable development. Context and objective: Considerable variation exists in understandings regarding what makes sexuality education ‘comprehensive’. To gain greater clarity on what CSE is seen to be and entails, and how this form of sexuality education compares with other approaches, a review of existing programmatic and scholarly literatures was conducted. Design: This literature review analyses a range of CSE guidelines and academic sources engaging with the subject of CSE, and sexuality education more broadly. Method: Analysis of stated goals and means of CSE to identify core components of this form of education. Results: Four sets of core CSE components are identified, yet the analysis shows that the intended breadth of this type of sexuality education leaves considerable space for interpretation, with key concepts often remaining abstract. Furthermore, addressing the core elements of CSE and achieving its ‘emancipatory’ goals can work to exclude particular perspectives and subjectivities. Conclusion: The review draws attention to the politics of knowledge production at play in decisions concerning what is deemed ‘comprehensive’, for whom, when and where. It concludes that the notion of ‘comprehensive’ is a matter of degree, and that reaching consensus on a set of universal standards regarding what can be deemed as ‘comprehensive’ may neither be possible nor desirable. The analysis will be useful for those interested in more careful engagement with CSE and, specifically, in examining features that, in practice, may run counter to the original goals.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Elizabeth Kemigisha ◽  
Katharine Bruce ◽  
Olena Ivanova ◽  
Els Leye ◽  
Gily Coene ◽  
...  

Abstract Background Limited research has been conducted on the effectiveness of sexuality education for very young adolescents (VYAs) ages 10–14 years in Sub-Saharan Africa. Furthermore, evaluations of sexuality education programs often report outcomes of risky sexual practices, yet positive aspects of sexuality are hardly studied and rarely reported. This study evaluates the effectiveness of a Comprehensive Sexuality Education (CSE) intervention for VYAs in Uganda, analyzing both positive and negative outcome indicators. Methods We conducted a mixed methods study, incorporating a cluster randomized trial (NCT03669913) among pupils in 33 randomly selected primary schools in Mbarara district. This was followed by a qualitative evaluation of the intervention in 4 schools that included 14 in-depth interviews and 3 focus group discussions distributed among pupils, teachers and parents. Quantitative data were analyzed using ordered logistic regression to compare differences in the change from baseline to endline between the intervention and control arms. We conducted bivariate analysis and multiple regression analysis controlling for key covariates, including age, gender, school location (rural vs urban), truancy, and orphanhood. Qualitative data were analyzed by thematic approach using ATLAS TI. Results Between July 2016 and August 2017, 1096 pupils were recruited. Outcomes were studied among 380 pupils in the intervention arm and 484 pupils in the control arm. The proportion of pupils who ever had sex increased from 9 to 12.1% in intervention compared to 5.2 to 7.4% in the control group between baseline and endline, however the differences between groups were not statistically significant. We found greater improvements in sexual and reproductive health (SRH) knowledge among intervention schools (AOR: 2.18, 95% CI: 1.66–2.86) and no significant differences in self-esteem, body image or gender equitable norms. Qualitative evidence echoes perceived SRH knowledge acquisition, increased their perception of SRH related risks, and intentions to delay sexual intercourse to prevent unwanted pregnancy, HIV and other STIs. Conclusion This study demonstrates that CSE can improve SRH knowledge and behavioral intentions among VYAs in Uganda. These results further emphasize the importance of initiating sexuality education before most adolescents have started engaging in sexual activity, enabling them to make informed decisions in the future. Trial registration NCT03669913, registered retrospectively on September 13th, 2018.


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