Developing a Culturally Sensitive Framework for Sexual and Reproductive Health Education

Validating With the Fuzzy Delphi Method

Bibliographic Data

ID19463289
AuthorsSiti Hazariah Abdul Hamid (0000-0002-8061-5018, International Islamic University Malaysia, Kuantan, Malaysia), Mohammed Rasheedan Ellin (0000-0002-2219-1288, Universiti Malaysia Sarawak, Kota Samarahan, Malaysia, corresponding author), Siti Roshaidai Mohd Arifin (0000-0002-2041-2382, International Islamic University Malaysia, Kuantan, Malaysia), Haliza Hasan (0000-0003-0811-6641, International Islamic University Malaysia, Kuantan, Malaysia), Sajaratulnısah Othman (0000-0001-5786-1299, University of Malaya), Sajaratulnisah Othman (Universiti Malaya, Kuala Lumpur, Malaysia), Norhasmah Mohd Zain (0000-0002-6297-8077, Universiti Sains Malaysia, Kubang Kerian, Malaysia), Yati Afiyanti (0000-0001-9382-6714, Universitas Indonesia, Kota Depok, Malaysia)
Year2026
Volume37
Issue2
Pages189-197
Publication date2026-03-01
Open AccessYes
TypeARTICLE
VenueJournal of Transcultural Nursing (JOURNAL)
Journal identifiersISSN: 1043-6596 • E-ISSN: 1552-7832
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/10436596251394358
PMID41355738
OpenAlexW4417113716
LanguageEN
Citations received1
References cited26

Introduction: The lack of a culturally sensitive sexual and reproductive health (SRH) framework in Malaysia has contributed to misguided approaches and low acceptance of sexual education programs. Methods: This study employed the Fuzzy Delphi Method (FDM) to develop and validate criteria for a culturally sensitive SRH framework. Data were derived from interviews with 31 parents and an analysis of an existing parenting sexuality module. Results: Of the 36 proposed criteria, 34 were accepted by the expert panel and categorized into four dimensions. Criterion A6 ( SRH provider should encourage those who have strayed to seek repentance ) and Criterion C1 ( Emphasizing men as the focal point for SRH education ) were excluded due to exceeding the threshold value (d > 0.2). Discussion: The FDM analysis prioritized culturally relevant criteria that shape SRH communication, providing guidance for educators and policymakers to strengthen SRH programs in Malaysia

Culturally appropriate · Culturally sensitive · Delphi · Delphi method · Fuzzy logic · Reproductive health · Transcultural nursing · Delphi Technique in Research · Health Education and Validation · Reproductive Health and Contraception

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