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Funding informationThe paper draws on insights gained from engagement and participation activities, commissioned by an English Local Authority (LA) in 2015, which aimed to provide greater understanding of the views and experiences of young people in relation to health improvement services and initiatives. The LA developed the overall brief, main research questions and helped guide the work. The findings have been used by the LA to help inform service changes and develop a transformational health improvement programme in school settings. Aims and objectives:To explore the experiences, views and preferences of young people aged 11-19 years regarding school-based sexual health and school nursing to inform commissioning and delivery for one local authority area in England during 2015.Background: Promoting sexual health for young people remains a challenging, even controversial, but important public health issue. Concerns regarding accessibility, acceptability and efficacy in school-based sexual health and school nursing are evident in the literature. Additionally, a complex public health policy context now governs the funding, provision and delivery of sexual health and school nursing, which potentially presents further challenges.Design: A qualitative, participatory design was used to explore sexual health and school nursing. Data were generated from 15 focus groups (n = 74), with young people aged 11-19 years, in educational-based settings in one local authority area in England.Results: The resultant themes of visibility in relation to sexual health education and school nursing revealed both the complex tensions in designing and delivering acceptable and appropriate sexual health services for young people and the significance of participatory approaches. Conclusion:Our study shows the importance of participatory approaches in working with young people to clearly identify what they want and need in relation to sexual health. The findings also confirm the ways in which school-based sexual health remains challenging but requires a theoretical and conceptual shift. This we argue must be underpinned by participatory approaches.Relevance to clinical practice: School nurses have always had a significant role to play in promoting positive sexual health for young people and they are exceptionally well placed to challenge the risk-based cultures that frequently dominate schoolbased sexual health. A shift of debates and practices towards the promotion of positive sexual health cultures though previously argued for now requires the active engagement and involvement of young people. Sherriff et al., 2011; Attwood & Smith, 2014;Carroll, Lloyd-Jones, Cooke, & Owen, 2012;Hayter, Owen, & Cooke, 2012; Owen et al., 2010). In England, school nurses are qualified nurses with specialist training in the public health needs of school-aged children and young people (Department of Health, 2012a;Jenkins, 2016;Maughan, Bobo, Butler, Schantz, & Schoessler, 2015). The "School Health Service" aims to provide programmes and interventions to p...
Funding informationThe paper draws on insights gained from engagement and participation activities, commissioned by an English Local Authority (LA) in 2015, which aimed to provide greater understanding of the views and experiences of young people in relation to health improvement services and initiatives. The LA developed the overall brief, main research questions and helped guide the work. The findings have been used by the LA to help inform service changes and develop a transformational health improvement programme in school settings. Aims and objectives:To explore the experiences, views and preferences of young people aged 11-19 years regarding school-based sexual health and school nursing to inform commissioning and delivery for one local authority area in England during 2015.Background: Promoting sexual health for young people remains a challenging, even controversial, but important public health issue. Concerns regarding accessibility, acceptability and efficacy in school-based sexual health and school nursing are evident in the literature. Additionally, a complex public health policy context now governs the funding, provision and delivery of sexual health and school nursing, which potentially presents further challenges.Design: A qualitative, participatory design was used to explore sexual health and school nursing. Data were generated from 15 focus groups (n = 74), with young people aged 11-19 years, in educational-based settings in one local authority area in England.Results: The resultant themes of visibility in relation to sexual health education and school nursing revealed both the complex tensions in designing and delivering acceptable and appropriate sexual health services for young people and the significance of participatory approaches. Conclusion:Our study shows the importance of participatory approaches in working with young people to clearly identify what they want and need in relation to sexual health. The findings also confirm the ways in which school-based sexual health remains challenging but requires a theoretical and conceptual shift. This we argue must be underpinned by participatory approaches.Relevance to clinical practice: School nurses have always had a significant role to play in promoting positive sexual health for young people and they are exceptionally well placed to challenge the risk-based cultures that frequently dominate schoolbased sexual health. A shift of debates and practices towards the promotion of positive sexual health cultures though previously argued for now requires the active engagement and involvement of young people. Sherriff et al., 2011; Attwood & Smith, 2014;Carroll, Lloyd-Jones, Cooke, & Owen, 2012;Hayter, Owen, & Cooke, 2012; Owen et al., 2010). In England, school nurses are qualified nurses with specialist training in the public health needs of school-aged children and young people (Department of Health, 2012a;Jenkins, 2016;Maughan, Bobo, Butler, Schantz, & Schoessler, 2015). The "School Health Service" aims to provide programmes and interventions to p...
Over decades, research practitioners have highlighted how survivors of sexual abuse in childhood face strong forms of stigma including victim‐blaming, shame and social isolation. However, the data and evidence are disproportionately slanted towards the global North. Shifting the focus to the global South, this reflective piece draws on two substantial multicountry research projects to highlight the expectations and experiences of young survivors of child sexual exploitation and abuse (CSEA) in their quest for support. By applying a socio‐ecological analysis, it demonstrates how societal stigma—from both professionals and young people themselves—compounds the help‐seeking process. The findings support the well‐documented concept that disclosing sexual violence is an ongoing—not singular—process that depends on a series of interactions at the individual, interpersonal and institutional levels of the ecosystem. Building better trauma‐informed responses is likely to help; however, a focus only on services falls short, especially in countries where child protection systems struggle to thrive. A concurrent transformative shift in both social and gender norms across the ecosystem is essential to address the seemingly intractable challenges to child sexual exploitation and abuse prevention and response.
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