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Measuring the quality of sexuality education implementation at the school level in low- and middle-income countries

Bibliographic Data

ID19515628
AuthorsSarah Keogh (0000-0002-2249-9565, Guttmacher Institute, New York, NY, USA, corresponding author), Melissa Stillman (0000-0002-1318-2419, Guttmacher Institute, New York, NY, USA), Ellie Leong (Guttmacher Institute, New York, NY, USA), Kofi Awusabo-Asare (0000-0003-3633-6668, University of Cape Coast), Estelle Sidze (0000-0003-1866-3905, African Population and Health Research Center, Nairobi, Kenya), Ana Silvia Monzón (0000-0001-5872-1300, Facultad Latinoamericana de Ciencias Sociales, Ciudad de Guatemala, Guatemala), Angélica Motta (0000-0001-8506-4182, Unidad de Salud, Sexualidad y Desarrollo Humano, Universidad Peruana Cayetano Heredia, Miraflores-Lima, Peru)
Year2020
Volume20
Issue2
Pages119-137
Publication date2020-03-03
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSex Education (JOURNAL)
Journal identifiersISSN: 1468-1811 • E-ISSN: 1472-0825
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/14681811.2019.1625762
OpenAlexW2949973351
LanguageEN
Citations received13
References cited6

Comprehensive sexuality education (CSE) is a key component of efforts to improve sexual and reproductive outcomes for young people. While many governments have established policies and curricula for CSE, there are no quantitative measures of the quality of their implementation in schools. We describe the construction of a school-level index to measure CSE implementation quality using data from Peru, Guatemala, Kenya and Ghana for validation. The composite index represents seven key components of a successful programme: range of topics, values imparted, teaching methods, teacher training, resources available, monitoring and evaluation, and the school environment. These components are combined into two sub-indices (curriculum content and implementation context), which together provide a summary index of implementation quality. We present scores for the seven components, the two sub-indices and the summary index for each country. Ghana scored highest on the summary index, while Guatemala scored lowest, but country rankings varied within the different components. The paper discusses the implications of the findings for improving school-based CSE in these countries. An assessment of the validity and reliability of the index indicates it can be used in other settings and could be a useful tool for educationalists, researchers and programme implementers to measure CSE implementation quality

Business · Composite index · Composite indicator · Curriculum · Developing country · Economic growth · Economics · Geography · Human sexuality · Medical education · Pedagogy · Sociology · Adolescent Sexual and Reproductive Health · Computer Science · Gender Studies · HIV/AIDS Research and Interventions · Medicine · Poverty, Education, and Child Welfare · Psychology

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    Open Access•Valens Mbarushimana, Daphney Nozizwe Conco et al.•BMC Public Health•2022

  • A Cross-Sectional Community Readiness Assessment for Implementing School-Based Comprehensive Sexuality Education in Islamabad, Pakistan

    Open Access•Furqan Ahmed, Ghufran Ahmad et al.•International Journal of…•2021

  • What One Gets Is Not Always What One Wants—Young Adults’ Perception of Sexuality Education in Poland

    Open Access•Zbigniew Izdebski, Joanna Dec-Pietrowska et al.•International Journal of…•2022

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    Open Access•Irene Ifeyinwa Eze, Chinyere Mbachu et al.•Reproductive Health•2026

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    Open Access•Alejandra López Gómez, Maria Lohan et al.•Reproductive Health•2026

  • Between Acceptance and Rejection

    Open Access•Betzabe Torres, Betzabe Torres-Cortés et al.•Frontiers in Education•2021

  • Quality assessment and audience engagement with a sexuality education video

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    Open Access•Rhea Khosla, Victoria Tzortziou Brown•International Journal of Sexual…•2025

  • Fostering the wellbeing of adolescent girls through an out-of-school sexuality education programme in Ghana

    Brian Ahanotu, Wonder Agbemavi et al.•Sex Education•2025

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    Sarmini Sarmini, Agung Dwi Bahtiar El Rizaq et al.•Sex Education•2026

  • Bhutanese trainee teachers’ knowledge, attitudes and practices about sex and sexual health

    Ugyen Tshomo, Kezang Sherab et al.•Sex Education•2020

  • Preparing peer facilitators to deliver comprehensive sexuality education to underprivileged youth in non-school environments in Ghana

    Joshua Amo-Adjei, Wonder Agbemavi et al.•Sex Education•2026

  • Sexuality Education

    Open Access•Nicole Haberland, Deborah Rogow•Journal of Adolescent Health•2015

  • The Case for Addressing Gender and Power in Sexuality And HIV Education

    Haberland Haberland, Jamie Maddox•International Perspectives on…•2015

  • Lessons learned from a decade implementing Comprehensive Sexuality Education in resource poor settings

    Ine Vanwesenbeeck, Judith Westeneng et al.•Sex Education•2016

  • Scaling up sexuality education in Senegal

    Open Access•Katie Chau, Aminata Traoré Seck et al.•Sex Education•2016

  • Educación sobre sexualidad y prevención del VIH

    Open Access•Lisa M Demaria, Omar Galárraga et al.•Revista Panamericana de Salud…•2009

Unique citing works13
Citations per year2.17
Citation span2020 - 2026 (7)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 12

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