open access

Vol 6, No 1 (2021)
Review article
Published online: 2021-03-08
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The role of comprehensive sexuality education (CSE) in reimagining HIV/AIDS inequalities

Isaac I. Olufadewa, Miracle A. Adesina, Funmilayo R. Abudu, Samuel D. Ayelawa, Ruth I. Oladele, Yusuf Babatunde, Moyinoluwa J. Oladoye, Oluwadara T. Akano
DOI: 10.5603/MRJ.a2021.0006
·
Medical Research Journal 2021;6(1):59-63.

open access

Vol 6, No 1 (2021)
REVIEW ARTICLES
Published online: 2021-03-08

Abstract

Over 70 million people globally have been infected with HIV since the beginning of the epidemic. HIV infection has neither a cure nor a vaccine; hence, education and awareness have been adopted to prevent the spread of the virus. Despite the action to reduce the HIV prevalence with access to effective information, prevention, diagnosis, treatment, and care, it remains a major health concern and a chronic health condition that could only be managed by enabling people living with the condition a better, longer, and healthy life. However, comprehensive sexuality education (CSE), which is a right-based approach that provides and equips people with the right knowledge on sexual education and reproductive health, can be utilised in sexual health promotion. It comprises seven essential components that focus on several aspects of sexuality. Thus, this paper provides evidence for the importance of CSE in reducing HIV prevalence, especially amongst the vulnerable population. The incorporation of long-term sexuality education programs in the school-based curriculum will contribute to the massive reduction in teenage pregnancies and abortion, and the decline in rates of sexually transmitted infections and HIV. It will also increase the knowledge about sexual and reproductive issues normalization and self-efficacy. Hence, CSE health educators and school teachers should be adequately trained in comprehensive sexuality education to curb the spread of HIV infection.

Abstract

Over 70 million people globally have been infected with HIV since the beginning of the epidemic. HIV infection has neither a cure nor a vaccine; hence, education and awareness have been adopted to prevent the spread of the virus. Despite the action to reduce the HIV prevalence with access to effective information, prevention, diagnosis, treatment, and care, it remains a major health concern and a chronic health condition that could only be managed by enabling people living with the condition a better, longer, and healthy life. However, comprehensive sexuality education (CSE), which is a right-based approach that provides and equips people with the right knowledge on sexual education and reproductive health, can be utilised in sexual health promotion. It comprises seven essential components that focus on several aspects of sexuality. Thus, this paper provides evidence for the importance of CSE in reducing HIV prevalence, especially amongst the vulnerable population. The incorporation of long-term sexuality education programs in the school-based curriculum will contribute to the massive reduction in teenage pregnancies and abortion, and the decline in rates of sexually transmitted infections and HIV. It will also increase the knowledge about sexual and reproductive issues normalization and self-efficacy. Hence, CSE health educators and school teachers should be adequately trained in comprehensive sexuality education to curb the spread of HIV infection.

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Keywords

Comprehensive sexuality education; CSE; Gender Inequality; HIV Inequality

About this article
Title

The role of comprehensive sexuality education (CSE) in reimagining HIV/AIDS inequalities

Journal

Medical Research Journal

Issue

Vol 6, No 1 (2021)

Article type

Review article

Pages

59-63

Published online

2021-03-08

Page views

805

Article views/downloads

651

DOI

10.5603/MRJ.a2021.0006

Bibliographic record

Medical Research Journal 2021;6(1):59-63.

Keywords

Comprehensive sexuality education
CSE
Gender Inequality
HIV Inequality

Authors

Isaac I. Olufadewa
Miracle A. Adesina
Funmilayo R. Abudu
Samuel D. Ayelawa
Ruth I. Oladele
Yusuf Babatunde
Moyinoluwa J. Oladoye
Oluwadara T. Akano

References (32)
  1. SIECUS State Profiles: Guidelines for Comprehensive Sexuality Education. Washington, DC: National guidelines task force, 3rd edition; SIECUS. ; 2004.
  2. Keogh S, Stillman M, Leong E, et al. Measuring the quality of sexuality education implementation at the school level in low- and middle-income countries. Sex Education. 2019; 20(2): 119–137.
  3. United Nations Population Fund. Comprehensive Sexuality Education . http://www.unfpa.org/comprehensive-sexuality-education (2020, November 30).
  4. United Nations Educational, Scientific and Cultural Organisation. Why comprehensive sexuality education is important. https://en.unesco.org/news/why-comprehensive-sexuality-education-important (2020, November 30).
  5. Bonjour M, van de. Comprehensive Sexuality Education: Knowledge File. Utrecht: Rutgers. ; 2018: 31p.
  6. Challacombe SJ, Challacombe SJ. Global oral inequalities in HIV infection. Oral Dis. 2016; 22 Suppl 1: 35–41.
  7. Cremin I, Cauchemez S, Garnett GP, et al. Patterns of uptake of HIV testing in sub-Saharan Africa in the pre-treatment era. Trop Med Int Health. 2012; 17(8): e26–e37.
  8. European Expert Group on Sexuality Education. Sexuality education – what is it? Sex Education. 2015; 16(4): 427–431.
  9. Herrman J, Solano P, Stotz L, et al. Comprehensive Sexuality Education: A Historical and Comparative Analysis of Public Opinion. American Journal of Sexuality Education. 2013; 8(3): 140–159.
  10. International Planned Parenthood Federation. Promoting comprehensive sexuality education in Ghana. https://www.ippfar.org/blogs/promoting-comprehensive-sexuality-education-ghana (2020, November 30).
  11. United Nations Population Fund. Operational guidance for comprehensive sexuality education: a focus on human rights and gender. New York: UNFPA. ; 2014: 76p.
  12. United Nations Population Fund. Comprehensive sexuality education: advancing human rights, gender equality and improved sexual and reproductive health. Bogota: UNFPA. ; 2010: 74p.
  13. United Nations Educational, Scientific and Cultural Organisation. HIV and Sexuality Education. http://en.unesco.org/themes/health-education/hiv-sexuality-education (2020, December 1).
  14. Rahmani A, Merghati-Khoei E, Fallahi A. Perceived Advantages and Disadvantages of Sex Education in Young Women: A Qualitative Study. International Journal of High Risk Behaviors and Addiction. 2018; 7(2).
  15. Fonner VA, Armstrong KS, Kennedy CE, et al. School based sex education and HIV prevention in low- and middle-income countries: a systematic review and meta-analysis. PLoS One. 2014; 9(3): e89692.
  16. Fajardo-Ortiz D, Lopez-Cervantes M, Duran L, et al. The emergence and evolution of the research fronts in HIV/AIDS research. PLoS One. 2017; 12(5): e0178293.
  17. Centers for Disease Control and Prevention. About HIV. https://www.cdc.gov/hiv/basics/whatishiv.html (2020, December 3).
  18. HIV.gov. What are HIV and AIDS? https://www.hiv.gov/hiv-basics/overview/about-hiv-and-aids/what-are-hiv-and-aids (2020, December 3).
  19. UN WOMEN. Facts, and figures: HIV and AIDS. c2016. https://www.unwomen.org/en/what-we-do/hiv-and-aids/facts-and-figures (2020, November 30).
  20. UNAIDS. Women and HIV — A spotlight on adolescent girls and young women. https://www.unaids.org/en/resources/documents/2019/women-and-hiv (2020, November, 30).
  21. McCutchan FE. Global epidemiology of HIV. J Med Virology. 2006; 78(S1): S7–12.
  22. Dellar RC, Dlamini S, Karim QA. Adolescent girls and young women: key populations for HIV epidemic control. J Int AIDS Soc. 2015; 18(2 Suppl 1): 19408.
  23. Avert. Women and girls, HIV and AIDS[Internet]. c2019. https://www.avert.org/professionals/hiv-social-issues/key-affected-populations/women (2020, November 30).
  24. Herrman J, Solano P, Stotz L, et al. Comprehensive Sexuality Education: A Historical and Comparative Analysis of Public Opinion. American Journal of Sexuality Education. 2013; 8(3): 140–159.
  25. Gallant M, Maticka-Tyndale E. School-based HIV prevention programmes for African youth. Soc Sci Med. 2004; 58(7): 1337–1351.
  26. Kirby D, Coyle K. School-based Programs to Reduce Sexual Risk-taking Behavior. Children and Youth Services Review. 1997; 19(5-6): 415–436.
  27. Fonner VA, Armstrong KS, Kennedy CE, et al. School based sex education and HIV prevention in low- and middle-income countries: a systematic review and meta-analysis. PLoS One. 2014; 9(3): e89692.
  28. Speizer IS, Magnani RJ, Colvin CE. The effectiveness of adolescent reproductive health interventions in developing countries: a review of the evidence. J Adolesc Health. 2003; 33(5): 324–348.
  29. Sipe TA, Chin HB, Elder R, et al. Community Preventive Services Task Force, Community Preventive Services Task Force. The effectiveness of group-based comprehensive risk-reduction and abstinence education interventions to prevent or reduce the risk of adolescent pregnancy, human immunodeficiency virus, and sexually transmitted infections: two systematic reviews for the Guide to Community Preventive Services. Am J Prev Med. 2012; 42(3): 272–294.
  30. United Nations Educational, Scientific and Cultural Organisation. Global Review finds Comprehensive Sexuality Education key to gender equality and reproductive health. https://www.un.org/youthenvoy/2016/03/comprehensive-sexuality-education/ (2020, November 30).
  31. Kohler PK, Manhart LE, Lafferty WE. Abstinence-only and comprehensive sex education and the initiation of sexual activity and teen pregnancy. J Adolesc Health. 2008; 42(4): 344–351.
  32. Sibanda EL, Taegtmeyer M. Inequalities in uptake of HIV testing despite scale-up. Lancet Glob Health. 2020; 8(6): e744–e745.

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