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营造有利环境和应对性教育项目阻力:来自印度恰尔肯德邦的经验。

Building an enabling environment and responding to resistance to sexuality education programmes: experience from Jharkhand, India.

机构信息

Department of Sexual and Reproductive Health and Research and the Human Reproduction Programme, World Health Organization, Genève, Switzerland.

The David and Lucile Packard Foundation, New Delhi, India.

出版信息

Reprod Health. 2020 Oct 30;17(1):168. doi: 10.1186/s12978-020-01003-9.

DOI:10.1186/s12978-020-01003-9
PMID:33126905
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7597059/
Abstract

BACKGROUND

Despite the substantial need for sexuality education and evidence on its effectiveness, implementing organisations continue to grapple with numerous challenges, especially related to community support and resistance. This article aims to analyse the experience of Udaan, a programme that has achieved remarkable success in Jharkhand, India, to answer the following questions: (1) What strategies did Udaan use to create a supportive environment? and (2) What processes did Udaan use to respond to resistance during its implementation?

METHODS

We reviewed programme documents and publications, synthesized key themes, identified questions of interest, and conducted interviews with key informants from the Centre for Catalyzing Change's leadership.

RESULTS

Community support for Udaan was built by ensuring that the curriculum was responsive to the context, capitalizing on an enabling policy environment, institutionalizing Udaan through government-led implementation, prioritizing careful selection and training of teachers, emphasizing monitoring and evaluation, and engaging with community gatekeepers. Udaan effectively responded to resistance by organizing a formal curriculum review, orienting editors of local newspapers on the programme; responding to questions and concerns; and proactively creating positive visibility.

CONCLUSION

The lessons from Udaan provide insight into approaches that can be used to design and sustain sexuality education programmes in complex settings.

摘要

背景

尽管性教育的需求巨大,且已有相关有效性的证据,但实施组织仍在努力应对诸多挑战,特别是与社区支持和抵制相关的挑战。本文旨在分析 Udaan 项目在印度恰尔肯德邦取得显著成功的经验,以回答以下两个问题:(1)Udaan 采用了哪些策略来营造支持性环境?(2)Udaan 在实施过程中采用了哪些流程来应对抵制?

方法

我们查阅了项目文件和出版物,综合了关键主题,确定了感兴趣的问题,并对来自“催化变革中心”领导层的主要知情人进行了访谈。

结果

通过确保课程适应背景、利用有利的政策环境、通过政府主导的实施使 Udaan 制度化、优先精心挑选和培训教师、强调监测和评估以及与社区把关人接触,为 Udaan 赢得了社区支持。Udaan 通过组织正式的课程审查、为当地报纸的编辑提供有关该项目的指导、回应问题和关切以及主动创造积极的知名度,有效地应对了抵制。

结论

Udaan 的经验教训为在复杂环境中设计和维持性教育项目提供了思路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c12/7597059/daf67d69268e/12978_2020_1003_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c12/7597059/5a7d17fd9679/12978_2020_1003_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c12/7597059/41f78a862ef1/12978_2020_1003_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c12/7597059/daf67d69268e/12978_2020_1003_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c12/7597059/5a7d17fd9679/12978_2020_1003_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c12/7597059/41f78a862ef1/12978_2020_1003_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c12/7597059/daf67d69268e/12978_2020_1003_Fig3_HTML.jpg

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本文引用的文献

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Glob Health Sci Pract. 2018 Mar 30;6(1):128-136. doi: 10.9745/GHSP-D-17-00285. Print 2018 Mar 21.
社交媒体暴露与印度比哈尔邦和北方邦青春期少女性与生殖健康知识之间的关联:来自 UDAYA 调查的证据。
Reprod Health. 2022 Aug 17;19(1):178. doi: 10.1186/s12978-022-01487-7.