Abstract

Providing young people and children with age and developmentally appropriate comprehensive sexuality education (CSE) is important for young people in making informed decisions. There are presently few studies documenting the relationship between school grade of learning CSE and curriculum coverage. We studied this relationship using a 2015 national survey conducted in three regions of Ghana—Greater Accra, Brong Ahafo, and Northern. A sample of 2,990 adolescents in Senior High School (SHS) 2 and 3 were drawn from 82 randomly sampled secondary schools. Logistic regression was used to assess full coverage of five CSE modules—sexual and reproductive physiology, HIV/STI prevention, contraception and pregnancy prevention, gender and sexual and reproductive health, and values and interpersonal skills and classes/grades students first started learning sexuality. The results show that students were more likely to learn all modules on sexual and reproductive physiology while values and interpersonal skills were the least covered topic. Students who learned sexuality topics before Primary 6 had better chances of better content coverage on five themes. Knowledge, and perhaps behavioral outcomes on sexual and reproductive health could be better enhanced with the early introduction of CSE topics.

摘要

为年轻人和孩子提供年龄和发展适当的全面性教育（CSE），对于年轻人做出明智的决定很重要。目前很少有研究记录学习CSE的学校成绩与课程覆盖率之间的关系。我们使用2015年在加纳的三个地区（大阿克拉，布隆阿哈福和北部）进行的全国调查研究了这种关系。从82个随机抽样的中学抽取了2990名高中（SHS）2和3中的2990名青少年。使用Logistic回归评估了五个CSE模块的全面覆盖范围：性生理和生殖生理，艾滋病毒/性传染病预防，避孕和妊娠预防，性别以及性与生殖健康，价值观，人际交往能力和班级/年级学生首先开始学习性行为。结果表明，学生最有可能学习有关性和生殖生理的所有模块，而价值观和人际交往能力则是涉及最少的话题。在小六之前学习过性话题的学生更有机会更好地覆盖五个主题的内容。通过尽早引入CSE主题，可以更好地增强有关性健康和生殖健康的知识，甚至是行为方面的成果。