Scaling up, Sustaining, and Enhancing School-Based Sexuality Education Programs in Resource Constrained and Conservative Contexts: Replicable Lessons from Positive-Deviant Countries

被引：1

作者：

Chandra-Mouli, V. ^{[1
]}

Michielsen, K. ^{[2
]}

Gogoi, A. ^{[3
]}

Nair, V. ^{[3
]}

Ziauddin, M. ^{[3
]}

Hadi, S. ^{[4
]}

Ijaz, A. ^{[4
]}

Esiet, U. ^{[5
]}

Chau, K. ^{[6
]}

Corona, E. ^{[7
]}

Rubio-Aurioles, E. ^{[8
]}

Garbero, L. Gomez ^{[9
]}

Gomez, P. Lopez ^{[10
]}

Temmerman, M. ^{[11
]}

机构：

[1] WHO, Sexual & Reprod Hlth & Res, Geneva, Switzerland

[2] Univ Leuven, Interfac Inst Family & Sexual Studies, Leuven, Belgium

[3] Ctr Catalyzing Change, New Delhi, India

[4] Aahung, Karachi, Pakistan

[5] Act Hlth Inc, Lagos, Nigeria

[6] UNESCO, Paris, France

[7] World Assoc Sexual Hlth, Mexico City, Mexico

[8] Asociac Mexicana La Salud Sexual AC, Mexico City, Mexico

[9] Univ Catolica Uruguay, Fac Hlth Sci, Montevideo, Uruguay

[10] Univ Republ Uruguay, Montevideo, Uruguay

[11] Univ Ghent, Fac Med & Hlth Sci, Ghent, Belgium

来源：

AMERICAN JOURNAL OF SEXUALITY EDUCATION | 2024年

关键词：

Scaling up sustaining enhancing school-based sexuality education; low-and-middle-income countries; resource-constrained contexts; conservative contexts; political prioritization and stakeholder engagement; REPRODUCTIVE HEALTH; ADOLESCENT;

D O I：

10.1080/15546128.2024.2377071

中图分类号：

G40 [教育学];

学科分类号：

040101 ; 120403 ;

摘要：

Despite considerable efforts, progress in the implementation of sexuality education (SE) has been uneven. This study identified six "positive-deviant" low- and middle-income countries, i.e., countries that had scaled up, sustained and enhanced their SE programs when many others-in similar social, cultural and economic circumstances-were not able to do so. In other words, they were significantly and consistently more successful than the norm. Countries were shortlisted using a validated framework and were analyzed using three other validated frameworks on political priority setting, scaling up, and stakeholder engagement. The study found that India, Pakistan, Nigeria, Senegal, Mexico, and Uruguay had scaled up (either nationwide or in some states/provinces), sustained and enhanced their SE programs in very different contexts. In all six, SE was a political priority, the national or state/province level SE scale up effort had been carefully planned and managed, and a mix of methods were used to build support and/or to overcome resistance. The study points to what needs to be done better/more energetically/differently in research, program support-tool development, and policy and program support to change the status quo.

引用

页数：53