Rutgers, the Netherlands Centre on Sexuality, Arthur van Schendelstraat 696, 3511 MJ, Utrecht, The Netherlands.
Rutgers Indonesia, Graha Inti Fauzi, 9th Floor, Pasar Minggu, Greater Jakarta, Indonesia.
Reprod Health. 2023 Dec 20;20(1):186. doi: 10.1186/s12978-023-01725-6.
Comprehensive sexuality education (CSE) can substantially contribute to the health and well-being of young people. Yet, most CSE interventions remain limited to the small piloting or research phase and scale-up is often an afterthought at the end of a project. Because of the specificities of CSE, including it being a controversial topic in many contexts and a topic on the fringe between health, education and youth, a specific scaling approach to CSE is needed. The commentary presents a practical framework to support civil society organisations (CSOs), to address barriers to scaling up CSE in their contexts. The utilization and relevance of the framework is demonstrated in this article, by featuring examples from the scale up process of CSE in Indonesia. The framework identifies key principles for scaling up, including: taking a scaling mindset from the start, government ownership and political commitment for scale-up, and identifying the added value of CSOs. The framework starts with a self-assessment by the CSO and then follows four phases: making the case, engaging in dialogue, establishing building blocks and implementation and scale-up. Each of these phases are illustrated with examples from Indonesia.This framework is a call to action with practical guidelines to support CSOs to take on this role, because with the right scaling strategies, the largest generation of young people ever alive can become healthy, empowered and productive adults.
全面性教育（CSE）可以极大地促进年轻人的健康和福祉。然而，大多数 CSE 干预措施仍然局限于小规模的试点或研究阶段，扩大规模往往是项目结束时的事后想法。由于 CSE 的特殊性，包括在许多情况下是一个有争议的话题，以及在健康、教育和青年之间的边缘话题，因此需要一种特定的 CSE 扩大规模方法。该评论提出了一个实用框架，以支持民间社会组织（CSOs），解决在其背景下扩大 CSE 的障碍。本文通过印度尼西亚 CSE 扩大规模过程中的例子，展示了该框架的实用性和相关性。该框架确定了扩大规模的关键原则，包括：从一开始就采用扩大规模的思维方式、政府拥有和对扩大规模的政治承诺，以及确定 CSO 的附加值。该框架从 CSO 的自我评估开始，然后分为四个阶段：提出案例、进行对话、建立基石和实施及扩大规模。每个阶段都用印度尼西亚的例子来说明。这个框架是一个行动呼吁，提供了实用的指导方针，以支持 CSO 承担这一角色，因为有了正确的扩大规模策略，有史以来最大的一代年轻人可以成为健康、有能力和富有成效的成年人。
