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乌干达农村小学青少年和教师对校内性教育的看法。

Perceptions of adolescents and teachers on school-based sexuality education in rural primary schools in Uganda.

作者信息

Achora Susan, Thupayagale-Tshweneagae Gloria, Akpor Oluwaseyi A, Mashalla Yohana J S

机构信息

Department of Health Studies, College of Human Sciences, University of South Africa, 0003 Pretoria, South Africa.

Department of Health Studies, College of Human Sciences, University of South Africa, 0003 Pretoria, South Africa.

出版信息

Sex Reprod Healthc. 2018 Oct;17:12-18. doi: 10.1016/j.srhc.2018.05.002. Epub 2018 May 26.

Abstract

BACKGROUND

Evidence-based sexuality education programmes are a cornerstone in reducing adolescent sexual risk behaviours and promoting sexual health. Several initiatives aimed at reducing sexual and reproductive problems among adolescents have been done. These initiatives include life skill education and abstinence program. Despite these initiatives teen pregnancy, sexually transmitted diseases and abortion are still common among school going adolescents.

OBJECTIVES

The purpose of this study was to explore the experiences and perceptions of adolescents and teachers regarding school-based sexuality education in rural primary schools.

METHODS

A purposive sample was drawn from primary school-going adolescents aged 12-16 years and teachers aged 28-52 in four rural schools. Eleven audio taped individual interviews and eight focus group discussions were used to collect data. A constant comparison method of data analysis was applied by following the Strauss and Corbin (1998) analysis process of open, axial and selective coding to analyse textual qualitative data until themes, categories and sub-categories were identified and developed.

RESULTS

Data analysis revealed that adolescents benefitted from School Based Sexuality Education but the implementation of programmes was undermined by physical and contextual factors such as challenges at national, institutional, community, family and individual levels.

CONCLUSION

It is vital to review the teaching and learning resources and to fully integrate sexuality education into the formal school curriculum. A combined effort of major stakeholders including teachers, community leaders, adolescents, healthcare professionals and parents is needed for sexuality education among adolescents to succeed.

摘要

背景

循证性健康教育项目是减少青少年性风险行为和促进性健康的基石。已经开展了多项旨在减少青少年性与生殖问题的举措。这些举措包括生活技能教育和禁欲计划。尽管有这些举措,但青少年怀孕、性传播疾病和堕胎在在校青少年中仍然很常见。

目的

本研究的目的是探讨青少年和教师对农村小学开展的学校性健康教育的经历和看法。

方法

从四所农村学校中选取了12至16岁的小学适龄青少年和28至52岁的教师作为有目的的样本。采用11次录音的个人访谈和8次焦点小组讨论来收集数据。通过遵循施特劳斯和科尔宾(1998年)的开放式、轴心式和选择性编码分析过程,应用持续比较数据分析方法来分析文本定性数据,直到确定并形成主题、类别和子类别。

结果

数据分析表明,青少年从学校性健康教育中受益,但项目的实施受到国家、机构、社区、家庭和个人层面的挑战等物理和背景因素的影响。

结论

审查教学资源并将性教育全面纳入正规学校课程至关重要。青少年性教育的成功需要教师、社区领袖、青少年、医疗专业人员和家长等主要利益相关者的共同努力。

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