scholarly journals Challenges to a Rights-Based Approach in Sexual Health Policy: A Comparative Study of Turkey and England

Societies ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 33
Author(s):  
Volkan Yilmaz ◽  
Paul Willis

Politics around sexual health have been polarised in recent years, but the policy implications of this polarisation have not yet been examined in depth. Therefore, this article explores political challenges to a rights-based approach in sexual health policies in Turkey and England. Its focus is on two domains: The prevention and treatment of sexually transmitted infections (STI), and sexual health education. Drawing on an interpretive documentary analysis, this article reveals that although social attitudes to sexuality and the levels of overall alignment with a rights-based framework within the selected countries do differ, both face significant political challenges in putting a rights-based approach to sexual health into practice. While common political challenges include heightened domestic controversy regarding sexual health, the specific challenges take the forms of a broader conservative turn that undermines the autonomy of sexual health policy in Turkey (similar to the cases of Hungary and Poland), and neoliberal policy preferences coupled with local discretion and service fragmentation that create access inequities in England (similar to the case of Germany). This study concludes that implementing a rights-based approach is a complex political task requiring a nuanced approach that incorporates the political dimension.

2016 ◽  
Vol 33 (2) ◽  
pp. 109-115 ◽  
Author(s):  
India D. Rose ◽  
Daniela B. Friedman

Sexual and gender minority (SGM) youth are at disproportionate risk for HIV. Schools play an integral role in educating young people about sexual health in addition to providing sexual health services. This qualitative study examined SGM youths’ perception of school sexual health education and services. A total of 42 self-identified African American SGM males participated in focus groups or in an in-depth interview. Qualitative findings revealed that schools are missing the opportunity to educate SGM youth about sexual health. Youth participants noted several barriers to accessing sexual health education and services at schools including limited, targeted health information and school nurses not being knowledgeable of health issues that impact SGM youth. Participants noted that school sexual health services are not adequately marketed to students and sometimes do not include testing for HIV and other sexually transmitted diseases. Suggestions for future research and implications for school nurses and sexual health services are discussed.


2019 ◽  
Vol 14 (6) ◽  
pp. 271-276
Author(s):  
Deborah Louise Duncan

Rates of teenage pregnancy and sexually diseases in the UK are high compared to other Western European countries ( Avery and Lazdane, 2008 ). School nurses are key contributors to sexual health education in the UK in younger women due to their access to the school-age population ( Wainwright et al, 2000 ). Research has suggested, however, that although their general knowledge of the topic was adequate, school nurses have insufficient knowledge to effectively teach about some topics such as sexually transmitted infections or emergency contraception (EC) ( Westwood and Mullan, 2007 ). School nurses can play an important role in providing EC to adolescents by streamline accessibility and distribution of EC, while maintaining adolescent privacy ( Lindberg, 2003 ). Certainly, they can have a subtantial role in promoting sexual health services.


2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
David Satcher ◽  
Martha Okafor ◽  
LeConté J. Dill

Research related to the intersection of the built environment and health has particularly flourished in the last decade. The authors highlight the theoretical and policy insights that have been made while also noting paucity in this literature as specifically related to mental and sexual health. Overall, the authors discuss policy implications of aspects of the built environment on both mental and sexual health behaviors and outcomes and suggest avenues for future research, program implementation, and policymaking for advancing health equity in these areas.


2017 ◽  
Vol 45 (4) ◽  
pp. 581-590 ◽  
Author(s):  
Kerstin M. Kalke ◽  
Tamar Ginossar ◽  
Sayyed Fawad Ali Shah ◽  
Andrew J. West

Mobile applications (“apps”) designed for sexual health education have the potential to reach teens and young adults that are hard to reach through traditional platforms; however, little is known about availability of these apps and their adherence to existing guidelines. Following a search on the two major app stores, data from 2,693 apps were analyzed. Only 697 (25%) addressed sexual health, and only 15 (1%) of apps met inclusion criteria for comprehensive programs and their content was further analyzed. The content of most of these apps narrowly focused on sexually transmitted infections and pregnancy prevention and lacked information on puberty, sexual identity, and personal safety. Theoretically grounded strategies including self-efficacy and modeling behavior to strengthen behavior change efforts were largely absent. Last, we identified significant shortcomings in the literate design of these apps, including limited use of interactive features, such as videos, quizzes, or games. These findings indicate that the potential of apps as sexual health promotion tools has not yet been fully realized. We outline recommendations for developing theory- and evidence-based sexual education apps and provide suggestions for health educators on how to select relevant apps when working for youth.


2018 ◽  
Vol 35 (1) ◽  
pp. 27-38 ◽  
Author(s):  
Maureen Rabbitte ◽  
Maithe Enriquez

Teen pregnancy and sexually transmitted infections are leading public health problems in the United States. While abstaining from sexual intercourse is the best way to avoid these conditions, abstinence only education (AOE) programs in schools have been shown ineffective in delaying sexual initiation or decreasing the teen pregnancy rate. Conversely, comprehensive sex education (CSE) programs have demonstrated the ability to decrease teen pregnancy and delay initiation into sex. However, federal funding continues to primarily support AOE programs, and a majority of states favor AOE in schools, rather than CSE. The purpose of this review was to examine the role of policy on sexual health education, which can have an impact on the health and well-being of adolescents. The review provides school nurses with information to help them educate parents and administrators to the negative repercussions of AOE, so they can advocate for policy change.


2006 ◽  
Vol 22 (6) ◽  
pp. 352-357 ◽  
Author(s):  
Jo Westwood ◽  
Barbara Mullan

In the U.K., a current government health strategy indicates that school nurses should be key contributors to sexual health education because they have access to the school-age population. However, there appears to be little research that investigates whether school nurses are the most appropriate health care professionals or indeed have sufficient knowledge to contribute to this topic in the schools. The purpose of this study was to examine the sexual health knowledge of school nurses, using a survey to assess school nurses employed in a large central region of the U.K. The results suggest that although their general knowledge of the topic was adequate, school nurses have insufficient knowledge to effectively teach about sexually transmitted infections or emergency contraception. This has implications for school nursing because it appears that school nurses may have inadequate knowledge about sexual health to contribute to sex education in schools.


2000 ◽  
Vol 55 (7) ◽  
pp. 740-749 ◽  
Author(s):  
Ralph Swindle ◽  
Kenneth Heller ◽  
Bernice Pescosolido ◽  
Saeko Kikuzawa

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