Velavan Jachin
Department of Distance Education, Christian Medical College, Vellore, Tamil Nadu, India.
J Family Med Prim Care. 2020 Jan 28;9(1):395-401. doi: 10.4103/jfmpc.jfmpc_888_19. eCollection 2020 Jan.
Sexual health in schools is neglected in most developing countries, however, it is emerging as a major need of the hour. This article captures the author's experience as a family physician in a boarding school setting in India highlighting the need and possible solutions pertaining to sexual health in the school community.
An international boarding school in India with approximately 600 students, 500 teachers, and administrators who lived on the school campus and 500 support staff who lived off-campus.
Three events prodded the author to explore perceptions and needs pertaining to sexual health in the school community. Being a difficult area of inquiry, this was done as informal qualitative research by dialoguing with six groups of people in the school community: School counselors, parents, student supervisors such as teachers, advisors and dorm parents, school administrators, support staff, and the students and the responses were collated.
A mere 17.9% of grade 5 to 12 students, of age-groups 10 to 19 never had a conversation with their parents about sexuality. Students were largely ignorant or misinformed on most sexuality-related issues but engaged well when offered anonymity or safe space. Though all stakeholders in the school agreed that students needed an age-appropriate, gender and culture-sensitive, scientific and comprehensive sex education, parental responses were mixed.
The author's journey as a family physician in a school setting has prompted exploration of a wholistic model for the provision of comprehensive sexual health in schools and the emerging role of a family physician in schools.
在大多数发展中国家,学校中的性健康问题被忽视了,然而,这正成为当下的一项主要需求。本文记录了作者作为一名家庭医生在印度一所寄宿学校的经历,强调了学校社区中性健康的需求及可能的解决办法。
印度一所国际寄宿学校,约有600名学生、500名住在校园的教师和管理人员以及500名住在校外的后勤人员。
三件事促使作者去探索学校社区对性健康的认知和需求。鉴于这是一个难以探究的领域,作者通过与学校社区的六类人群进行对话,以非正式定性研究的方式开展此项工作,这六类人群包括:学校辅导员、家长、学生监管人员(如教师、顾问和宿舍家长)、学校管理人员、后勤人员以及学生,并整理了他们的回答。
在10至19岁年龄段的五至十二年级学生中,仅有17.9%的学生从未与父母谈论过性方面的话题。学生们在大多数与性相关的问题上大多无知或得到错误信息,但当提供匿名或安全空间时,他们参与度良好。尽管学校的所有利益相关者都认为学生需要适合其年龄、对性别和文化敏感、科学且全面的性教育,但家长的反应不一。
作者作为一名家庭医生在学校环境中的经历促使其探索一种在学校提供全面性健康服务的整体模式,以及家庭医生在学校中逐渐显现的作用。