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DOI: 10.1055/s-0042-1742336
School-Based Education: An Opportunity to Promote Equitable Access to Sexual and Reproductive Health Knowledge
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Abstract
All young people are entitled to knowledge and support that protects their sexual and reproductive health. School-based education is the most opportune setting for young people to have equitable access to sexual and reproductive health education. However, there is room for significant improvements in the provision of sexual and reproductive health education globally, and a range of barriers to be addressed. The Global Standards for Health Promoting Schools is a framework for governments, policy-makers, and schools to ensure that all students receive sexual and reproductive health education and support that promotes their sexual and reproductive health and overall health and well-being. The Global Standards for Health Promoting Schools acknowledges that school environments, partnerships, governance, policies, and resources are ultimately influenced by government resources and policy, and that advocacy and meaningful action across each standard is required.
Publication History
Article published online:
13 July 2022
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References
- 1 World Health Organisation (WHO). Action Plan for Sexual and Reproductive Health. Geneva, Switzerland: WHO; 2016. . Accessed January 3, 2022 at: http://www.euro.who.int/__data/assets/pdf_file/0003/322275/Action-plan-sexual-reproductive-health.pdf?ua=1
- 2 World Health Organisation (WHO). Reproductive health. Geneva, Switzerland: WHO; 2021. . Accessed January 3, 2022 at: https://www.who.int/westernpacific/health-topics/reproductive-health
- 3 Centers for Disease Control and Prevention (CDC). Before pregnancy. Georgia, United States of America: CDC; 2020. . Accessed January 3, 2022 at: https://www.cdc.gov/preconception/index.html
- 4 Sen G, Govender V. Sexual and reproductive health and rights in changing health systems. Glob Public Health 2015; 10 (02) 228-242
- 5 United Nations Population Fund. Sexual and reproductive health and rights: an essential element of universal health coverage. New York, United States of America: United Nations Population Fund; 2019. . Accessed January 3, 2022 at: https://www.unfpa.org/featured-publication/sexual-and-reproductive-health-and-rights-essential-element-universal-health
- 6 World Health Organisation (WHO). Social determinants of sexual and reproductive health. Geneva, Switzerland: WHO; 2010. . Accessed January 3, 2022 at: https://apps.who.int/iris/bitstream/handle/10665/44344/9789241599528_eng.pdf?sequence=1#page=9
- 7 Candeias P, Alarcão V, Stefanovska-Petkovska M. et al. Reducing sexual and reproductive health inequities between natives and migrants: a Delphi consensus for sustainable cross-cultural healthcare pathways. Front Public Health 2021; 9: 656454
- 8 Markham CM, Peskin MF, Baumler ER. et al. Socio-ecological factors associated with students' perceived impact of an evidence-based sexual health education curriculum. J Sch Health 2020; 90 (08) 604-617
- 9 Gilbey D, Morgan H, Lin A, Perry Y. Effectiveness, acceptability, and feasibility of digital health interventions for LGBTIQ + young people: Systematic review. J Med Internet Res 2020; 22 (12) e20158-e20158
- 10 Gilbert E, Walker R, Simon D. et al. “We are only looking at the tip of the iceberg in infertility”: perspectives of health providers about fertility issues and management among Aboriginal and Torres Strait Islander people. BMC Health Serv Res 2021; 21 (01) 704
- 11 Roser M, Ortiz-Ospina E. Global Education. OurWorldInData.org. 2016 . Accessed January 3, 2022 at: https://ourworldindata.org/global-education
- 12 United Nations Childrens Emergency Fund (UNICEF). Secondary education. New York, United States of America: UNICEF; 2021. . Accessed January 3, 2022 at: https://data.unicef.org/topic/education/secondary-education/
- 13 Bidaisee S. Sexual and reproductive health education: a case for inclusion in the curriculum of primary schools in the Caribbean . Int Public Health J 2016; 8 (03) 327
- 14 Bearinger LH, Sieving RE, Ferguson J, Sharma V. Global perspectives on the sexual and reproductive health of adolescents: patterns, prevention, and potential. Lancet 2007; 369 (9568): 1220-1231
- 15 Graf AS, Patrick JH. Foundations of life-long sexual health literacy. Health Educ 2015; 115 (01) 56-70
- 16 Pound P, Langford R, Campbell R. What do young people think about their school-based sex and relationship education? A qualitative synthesis of young people's views and experiences. BMJ Open 2016; 6 (09) e011329
- 17 Walker R, Drakeley S, Welch R. et al. Teachers' perspectives of sexual and reproductive health education in primary and secondary schools: a systematic review of qualitative studies. Sex Educ 2020; DOI: 10.1080/14681811.2020.1843013.
- 18 Fisher CM, Kauer S. National Survey of Australian Secondary Students and Sexual Health 1992–2018: Trends Over Time. Bundoora, Australia: Australian Research Centre in Sex, Health and Society, La Trobe University; 2019
- 19 Kilanowski JF. Breadth of the socio-ecological model. J Agromedicine 2017; DOI: 10.1080/1059924X.2017.1358971.
- 20 Robinson DB, MacLaughlin V, Poole J. Sexual health education outcomes within Canada's elementary health education curricula: a summary and analysis. Can J Hum Sex 2019; 28: 243-256
- 21 Australian Curriculum, Assessment and Reporting Authority (ACARA). Health and Physical Education. Canberra, Australia: ACARA; 2021. . Accessed January 3, 2022 at: https://www.australiancurriculum.edu.au/f-10-curriculum/health-and-physical-education/
- 22 Walker R, Leahy D, Welch R. et al. Educating young people to graduate school with the ability to protect their sexual and reproductive health: a mixed-methods study. Sex Educ 2021; DOI: 10.1080/14681811.2021.1946388.
- 23 United Nations Population Fund. International technical guidance of sexuality education. New York, United States of America: United Nations Population Fund; 2021. . Accessed January 3, 2022 at: https://www.unaids.org/sites/default/files/media_asset/ITGSE_en.pdf
- 24 Metusela C, Ussher J, Perz J. et al. “In my culture, we don't know anything about that”: sexual and reproductive health of migrant and refugee women. Int J Behav Med 2017; 24 (06) 836-845
- 25 Mayer KH, Bradford JB, Makadon HJ, Stall R, Goldhammer H, Landers S. Sexual and gender minority health: what we know and what needs to be done. Am J Public Health 2008; 98 (06) 989-995
- 26 Mitchell A, Smith A, Carman M. et al. Sexuality Education in Australia in 2011, Monograph Series No. 81. Melbourne: La Trobe University, the Australian Research Centre in Sex, Health and Society; 2011
- 27 Fields J. Risky Lessons: Sex Education and Social Inequality. New Jersey: Rutgers University Press; 2008
- 28 World Health Organisation (WHO). Making every school a health-promoting school: global standards and indicators for health-promoting schools and systems. Geneva, Switzerland: WHO; 2021. . Accessed January 3, 2022 at: https://www.who.int/publications/i/item/9789240025059
- 29 World Health Organisation (WHO). Health promoting schools. Geneva, Switzerland: WHO; 2021. . Accessed January 3, 2022 at: https://www.who.int/health-topics/health-promoting-schools#tab=tab_1
- 30 Langford R, Bonell CP, Jones HE. et al. The WHO Health Promoting School framework for improving the health and well-being of students and their academic achievement. Cochrane Database Syst Rev 2014; (04) CD008958
- 31 Leahy D, Burrows L, McCuaig L. et al. School Health Education in Changing Times: Curriculum, Pedagogies and Partnerships. London: Routledge; 2015
- 32 Svanemyr J, Amin A, Robles OJ, Greene ME. Creating an enabling environment for adolescent sexual and reproductive health: a framework and promising approaches. J Adolesc Health 2015; 56 (1, Suppl): S7-S14
- 33 Hall KS, McDermott Sales J, Komro KA, Santelli J. The state of sex education in the United States. J Adolesc Health 2016; 58 (06) 595-597
- 34 Lameiras-Fernández M, Martínez-Román R, Carrera-Fernández MV, Rodríguez-Castro Y. Sex education in the spotlight: what is working? Systematic review. Int J Environ Res Public Health 2021; 18 (05) 2555
- 35 Carr JB, Packham A. The effects of state-mandated abstinence-based sex education on teen health outcomes. Health Econ 2017; 26 (04) 403-420
- 36 United Nations Educational, Scientific and Cultural Organisation (UNESCO). International technical guidance on sexuality education. Geneva, Switzerland: 2018. . Accessed January 3, 2022 at: https://unesdoc.unesco.org/in/documentViewer.xhtml?v=2.1.196&id=p:usmarcdef_0000260770&file=/in/rest/annotationSVC/DownloadWatermarkedAttachment/attach_import_d8d4de18-19d0-4a35-8eb2-ab5eaa5ca5d3%3F_%3D260770eng.pdf&locale=en&multi=true&ark=/ark:/48223/pf0000260770/PDF/260770eng.pdf#%5B%7B%22num%22%3A74%2C%22gen%22%3A0%7D%2C%7B%22name%22%3A%22XYZ%22%7D%2C0%2C842%2C0%5D
- 37 Chin HB, Sipe TA, Elder R. et al; Community Preventive Services Task Force. The effectiveness of group-based comprehensive risk-reduction and abstinence education interventions to prevent or reduce the risk of adolescent pregnancy, human immunodeficiency virus, and sexually transmitted infections: two systematic reviews for the Guide to Community Preventive Services. Am J Prev Med 2012; 42 (03) 272-294
- 38 Patton GC, Sawyer SM, Santelli JS. et al. Our future: a Lancet commission on adolescent health and wellbeing. Lancet 2016; 387 (10036): 2423-2478
- 39 Aninanya GA, Debpuur CY, Awine T, Williams JE, Hodgson A, Howard N. Effects of an adolescent sexual and reproductive health intervention on health service usage by young people in northern Ghana: a community-randomised trial. PLoS One 2015; 10 (04) e0125267
- 40 Ollis D, Harrison L. Lessons in building capacity in sexuality education using the health promoting school framework. Health Educ 2016; 116: 138-153
- 41 Fox AM, Himmelstein G, Khalid H, Howell EA. Funding for abstinence-only education and adolescent pregnancy prevention: does state ideology affect outcomes?. Am J Public Health 2019; 109 (03) 497-504