Department of Prevention and Evaluation, Leibniz Institute of Prevention Research and Epidemiology, 28359 Bremen, Germany.
Health Sciences Bremen, University of Bremen, 28359 Bremen, Germany.
Int J Environ Res Public Health. 2021 Feb 4;18(4):1497. doi: 10.3390/ijerph18041497.
Evidence indicates that school-based sexuality education empowers children and adolescents with the skills, values, and attitudes that will enable them to appreciate their health and well-being, nourish respectful social and sexual relationships, understand their rights, and to make informed choices. Owing to organized community resistance and prevalent misconceptions, promoting sexual and reproductive health has been challenging, especially in conservative settings like Pakistan. This study aimed at systematically exploring communities' perceptions regarding implementing school-based comprehensive sexuality education by conducting a cross-sectional community readiness assessment in Islamabad, Pakistan. A total of 35 semi-structured interviews were conducted with community key informants. Following the guidelines of the community readiness handbook, the interviews were transcribed and scored by two independent raters. The results indicate that, overall, the Islamabad community is at stage two of community readiness, the denial/resistance stage. Individual dimension scores indicate that knowledge of efforts, resources for efforts, knowledge about the issue, and leadership dimensions are at the denial/resistance stage. Only community climate was rated at stage three of community readiness, the vague awareness stage. This indicates that, for promoting sexuality education in the Pakistani context, it is essential to tackle resistance by sensitizing the community and the stakeholders through awareness campaigns.
有证据表明，基于学校的性教育使儿童和青少年具备了技能、价值观和态度，使他们能够重视自己的健康和福祉，培养尊重的社会和性关系，理解自己的权利，并做出明智的选择。由于有组织的社区抵制和普遍存在的误解，促进性健康和生殖健康一直具有挑战性，特别是在巴基斯坦等保守环境中。本研究旨在通过在巴基斯坦伊斯兰堡进行横断面社区准备评估，系统地探索社区对实施基于学校的综合性性教育的看法。总共对 35 名社区关键信息提供者进行了半结构化访谈。根据社区准备手册的指南，由两名独立的评分者对访谈进行了转录和评分。结果表明，总体而言，伊斯兰堡社区处于社区准备的第二阶段，即否认/抵制阶段。各维度得分表明，对努力的了解、努力的资源、对问题的了解以及领导维度都处于否认/抵制阶段。只有社区气候被评为社区准备的第三阶段，即模糊意识阶段。这表明，在巴基斯坦推广性教育，必须通过宣传活动来消除社区和利益相关者的抵制。
