Trends and Challenges in Comprehensive Sex Education (CSE) Research in Sub-Saharan Africa: a Narrative Review.

Autor: Achen D; Centre of Expertise on Gender, Diversity and Intersectionality, Vrije Universiteit Brussel, Pleinlaan 2, 1050 Brussels, Belgium.; Faculty of Interdisciplinary Studies, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda., Fernandes D; Centre of Expertise on Gender, Diversity and Intersectionality, Vrije Universiteit Brussel, Pleinlaan 2, 1050 Brussels, Belgium., Kemigisha E; Faculty of Interdisciplinary Studies, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda.; African Population and Health Research Center, Nairobi, Kenya., Rukundo GZ; Department of Psychiatry, Faculty of Medicine, Mbarara University of Science and Technology, Mbarara, P.O. Box 1410, Uganda., Nyakato VN; Faculty of Interdisciplinary Studies, Mbarara University of Science and Technology, P.O. Box 1410, Mbarara, Uganda.; The Nordic Africa Institute, Uppsala, Sweden., Coene G; Centre of Expertise on Gender, Diversity and Intersectionality, Vrije Universiteit Brussel, Pleinlaan 2, 1050 Brussels, Belgium.
Jazyk: angličtina
Zdroj: Current sexual health reports [Curr Sex Health Rep] 2023 May 06, pp. 1-9. Date of Electronic Publication: 2023 May 06.
DOI: 10.1007/s11930-023-00362-1
Abstrakt: Purpose of the Review: Adolescent sexual and reproductive health remains a major public health challenge in Sub-Saharan Africa (SSA). Comprehensive sex education (CSE) has been hailed as a key strategy to inform young people about sexual health and wellbeing and prevent negative health outcomes. This paper presents an overview of the trends and challenges around sex education in SSA and puts forth key recommendations for future research and policy initiatives.
Recent Findings: This review employed a narrative approach to synthesize evidence on the implementation of comprehensive sex education in SSA. The literature review elicited four key themes: (i) comprehensiveness of CSE curricula, (ii) gender norms in CSE, (iii) prominence of 'fear' narratives in CSE implementation, and (iv) CSE delivery methods. Additionally, the authors propose a fifth theme-'Future-proofing CSE programs', based on their learnings from implementing sex education interventions during the COVID-19 pandemic. These five themes are presented through a narrative description of current research accompanied by reflections from the authors on the implementation of a parent-focused sex education program in Uganda.
Summary: Based on the insights from the literature review and the authors' reflections, three recommendations are put forward to guide the design of further CSE initiatives: (i) stakeholder engagement in determining CSE priorities and strategies, (ii) diverse delivery pathways for CSE programs, and (iii) active engagement of both boys and girls to challenge gender norms in CSE.
Competing Interests: Conflict of InterestThe authors do not have any conflict of interest to declare.
(© The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.)
Databáze: MEDLINE
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