University of Pittsburgh, School of Nursing, Pittsburgh, PA, USA.
J Nurs Scholarsh. 2011 Mar;43(1):54-63. doi: 10.1111/j.1547-5069.2010.01382.x. Epub 2011 Jan 14.
The purposes of this article are to identify and review comprehensive sex education programs (CSEPs) available to adolescent females in Kenya, East Africa, to discuss barriers to implementing CSEPs in Kenya, and to highlight the role of nurses in improving and institutionalizing available CSEPs in Kenya.
Integrative review.
A systematic search of six databases and other Internet sources was conducted to identify CSEPs currently available to adolescent girls in Kenya. Five CSEPs were identified. The CSEPs were evaluated using established criteria.
All of the CSEPs were well designed and almost all were implemented with fidelity. Four of the five CSEPs met all of the criteria for well-designed CSEPs with only one showing lack of sustainability. Tuko Pamoja (We Are One) shows promise for wider implementation.
CSEPs are a valid intervention leading to the reduction of teenage pregnancy, HIV/AIDS, and sexually transmitted infections. The reach of the identified CSEPs varies, and sustainability is challenging due to lack of government and community support, lack of funding, and unsustainable teaching modalities.
Nurses can serve as liaisons between adolescents, the community, and the Kenyan government in promoting CSEPs. Nurses should be more readily utilized in educating community members and policy makers about the need for CSEPs in all Kenyan high schools. Nursing students can also be utilized in their community health role to teach curricula of CSEPs. Nurses should advocate for all adolescents to access reproductive health services and for all healthcare providers to provide comprehensive reproductive health care to them.
本文旨在确定和审查东非肯尼亚可供青春期少女使用的综合性性教育计划（CSEP），讨论在肯尼亚实施 CSEP 的障碍，并强调护士在改善和制度化肯尼亚现有 CSEP 方面的作用。
综合回顾。
对六个数据库和其他互联网资源进行了系统搜索，以确定肯尼亚目前为青春期少女提供的 CSEP。确定了五个 CSEP。使用既定标准评估 CSEP。
所有 CSEP 设计都很好，几乎都忠实地实施了。五个 CSEP 中有四个符合设计良好的 CSEP 的所有标准，只有一个显示缺乏可持续性。Tuko Pamoja（我们是一体的）显示出更广泛实施的希望。
CSEP 是一种有效的干预措施，可减少青少年怀孕、艾滋病毒/艾滋病和性传播感染。所确定的 CSEP 的覆盖范围不同，由于缺乏政府和社区的支持、缺乏资金以及不可持续的教学模式，可持续性具有挑战性。
护士可以在促进 CSEP 方面在青少年、社区和肯尼亚政府之间充当联络人。护士应该更愿意利用教育社区成员和政策制定者了解所有肯尼亚高中都需要 CSEP 的机会。护理学生也可以利用他们在社区卫生方面的作用来教授 CSEP 的课程。护士应该倡导所有青少年都能获得生殖健康服务，并倡导所有医疗保健提供者为他们提供全面的生殖健康护理。
