Background:

People with disability have the same sexual and reproductive health needs and rights as people without disability, yet experience considerable barriers in accessing information and services. The Reproductive and Family Health Association of Fiji, Family Planning Australia, and disability stakeholders implemented a comprehensive sexuality education (CSE) disability inclusion project to increase access for students with disability to age-appropriate sexuality education.

Method:

A train the trainer model was utilised, whereby staff and disability stakeholders undertook competency-based training on delivering sexuality education to teachers and people with disability, then trained and supported teachers working in special disability schools to provide sexuality education to students. An evaluation explored the acceptability and effectiveness of the project, utilising baseline and endline surveys and interviews.

Findings:

From 2016 to 2018, the CSE disability project reached teachers and students in nine special disability schools in Fiji. At project completion, teachers reported increased confidence overall in teaching about sexuality and relationships, and students demonstrated increased knowledge regarding puberty and body changes. Interview findings suggested the project contributed to overcoming silence and stigma for people with disability and promoting safety for young people.

Conclusion:

Age- and developmentally appropriate sexuality education for people with disability is essential for equipping them with necessary knowledge and skills. The CSE disability project utilised a collaborative, capacity building approach to co-design and implement sexuality education in special disability schools in Fiji. With commitment from stakeholders, this could be sustained and expanded to support students with disability in achieving optimal sexual and reproductive health.

中文翻译：

---

斐济小学残疾学生的性教育

背景：

残疾人与非残疾人具有相同的性健康和生殖健康需求与权利，但是在获取信息和服务方面遇到了相当大的障碍。斐济生殖健康与家庭健康协会，澳大利亚计划生育协会和残疾相关人士实施了一项全面的性教育（CSE）残疾融合项目，以增加残疾学生获得与年龄相称的性教育的机会。

方法：

利用了培训师模型的培训，员工和残疾利益相关者进行了以能力为基础的培训，向教师和残疾人提供性教育，然后培训并支持在特殊残疾学校工作的教师向学生提供性教育。一项评估利用基线和最终调查和访谈来探索该项目的可接受性和有效性。

发现：

从2016年到2018年，CSE残疾项目覆盖了斐济9所特殊残疾学校的师生。在项目完成时，老师们报告说，他们对性和性关系的教学总体上信心增强，学生们对青春期和身体变化的了解也有所增加。访谈结果表明，该项目有助于克服残疾人的沉默和污名，并促进年轻人的安全。

结论：

对残疾人进行年龄和发展方面的适当性教育对于使他们具备必要的知识和技能至关重要。CSE残疾项目利用协作的能力建设方法，共同设计和实施斐济特殊残疾学校的性教育。在利益相关者的承诺下，这可以持续并扩大以支持残疾学生实现最佳的性健康和生殖健康。