Abstract

Comprehensive sexuality education (CSE) is a well-established component of the package of interventions required to improve adolescent sexual and reproductive health and rights. As the international community has increased its emphasis on equity and leaving no-one behind with the Agenda for Sustainable Development, attention has been drawn to the need for complementary CSE programmes to reach young people who are not in school, or whose needs are not met by in-school CSE programmes. CSE in out-of-school contexts presents unique considerations, especially those related to facilitation. In this manuscript, we present the protocol for a multi-country implementation research study in Colombia, Ethiopia, Ghana, and Malawi to assess the feasibility, acceptability, and effectiveness of context-specific actions to prepare and support facilitators to deliver CSE in out-of-school settings to defined groups of young people with varying needs and circumstances. This study will be led by the World Health Organization and the UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, in partnership with local research institutions. It will be nested within a multi-country programme led by UNFPA, in partnership with local implementing partners and with financial support from the Government of Norway. This study will shed new insight into what it takes to effectively deliver CSE in out-of-school contexts, to enhance progress towards the achievement of SDG 3 “Ensure healthy lives and promote wellbeing for all at all ages” and SDG 5 “Achieve gender equality and empower all women and girls”.

摘要

综合性教育（CSE）是改善青少年性健康和生殖健康及权利所需的一揽子干预措施的一个既定组成部分。随着国际社会越来越重视公平，并在可持续发展议程中不让任何人掉队，人们开始关注补充全面性教育项目的必要性，以惠及未上学或需求未得到满足的年轻人通过校内全面性教育项目。校外环境中的全面性教育提出了独特的考虑因素，特别是与便利相关的考虑因素。在这份手稿中，我们提出了在哥伦比亚、埃塞俄比亚、加纳和马拉维进行的多国实施研究的协议，以评估具体情况行动的可行性、可接受性和有效性，以准备和支持协调员在境外提供全面性教育。校外环境针对具有不同需求和情况的特定年轻人群体。这项研究将由世界卫生组织和联合国开发计划署/联合国人口基金/世界卫生组织/世界银行人类生殖研究、发展和研究培训特别规划与当地研究机构合作领导。它将纳入人口基金领导的多国计划，与当地执行伙伴合作并得到挪威政府的财政支持。这项研究将为如何在校外环境中有效提供全面性教育提供新的见解，以促进实现可持续发展目标 3“确保健康的生活并促进各年龄段所有人的福祉”和可持续发展目标 5“实现性别平等”平等并赋予所有妇女和女童权力”。