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Sex Education
June 2019

Measuring the quality of sexuality education implementation at the school level in low- and middle-income countries

Sarah Keogh
Melissa Stillman,Guttmacher Institute
Ellie Leong,Guttmacher Institute
Kofi Awusabo-Asare
Estelle M. Sidze,African Population and Health Research Center
Ana Silvia Monzón,Facultad Latinoamericana Di Ciencias Sociales
Angélica Motta,Universidad Peruana Cayetano Heredia
The time is now. Will you stand up for reproductive health and rights?
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First published online: June 17, 2019 DOI: https://doi.org/10.1080/14681811.2019.1625762

Abstract
Comprehensive sexuality education (CSE) is a key component of efforts to improve sexual and reproductive outcomes for young people. While many governments have established policies and curricula for CSE, there are no quantitative measures of the quality of their implementation in schools. We describe the construction of a school-level index to measure CSE implementation quality using data from Peru, Guatemala, Kenya and Ghana for validation. The composite index represents seven key components of a successful programme: range of topics, values imparted, teaching methods, teacher training, resources available, monitoring and evaluation, and the school environment. These components are combined into two sub-indices (curriculum content and implementation context), which together provide a summary index of implementation quality. We present scores for the seven components, the two sub-indices and the summary index for each country. Ghana scored highest on the summary index, while Guatemala scored lowest, but country rankings varied within the different components. The paper discusses the implications of the findings for improving school-based CSE in these countries. An assessment of the validity and reliability of the index indicates it can be used in other settings and could be a useful tool for educationalists, researchers and programme implementers to measure CSE implementation quality.

Full article available online in Sex Education
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Topic

Global

  • Teens: Comprehensive Sexuality Education

Geography

  • Global
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