Preparing teachers to deliver gender-focused sexuality/HIV education: a case study from Nigeria

Wood, Susan Y.; Rogow, Deborah; Stines, Frederica

doi:10.1080/14681811.2015.1066243

Cited by 16 publications

(33 citation statements)

References 22 publications

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“…However, overall, implementation of this programme has dwindled in recent years due to limited continued financial and technical support from government agencies [ 38 ]. Moreover, in some regions the FLHE has been fraught with setbacks as individual states can modify the content of the curriculum coupled with the minimal acceptance of sexuality education particularly in regions with highly conservative religious and cultural values [ 39 , 40 ]. The sub-optimal implementation may be a factor contributing to the increase in early sexual initiation and pregnancy termination we observed in the data from 2013 to 2018 [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Trends in and predictors of pregnancy termination among 15–24 year-old women in Nigeria: a multi-level analysis of demographic and health surveys 2003–2018

Onukwugha

Magadi

Sarki³

et al. 2020

BMC Pregnancy Childbirth

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Background Three-quarters of pregnancy terminations in Africa are carried out in unsafe conditions. Unsafe abortion is the leading cause of maternal mortality among 15–24 year-old women in Sub-Saharan Africa. Greater understanding of the wider determinants of pregnancy termination in 15–24 year-olds could inform the design and development of interventions to mitigate the harm. Previous research has described the trends in and factors associated with termination of pregnancy for women of reproductive age in Nigeria. However, the wider determinants of pregnancy termination have not been ascertained, and data for all women have been aggregated which may obscure differences by age groups. Therefore, we examined the trends in and individual and contextual-level predictors of pregnancy termination among 15–24 year-old women in Nigeria. Methods We analysed data from the 2003, 2008, 2013 and 2018 Nigerian Demographic and Health Surveys (NDHS) comprising 45,793 women aged 15–24 years. Trends in pregnancy termination across the four survey datasets were examined using bivariate analysis. Individual and contextual predictors of pregnancy termination were analysed using a three-level binary logistic regression analysis and are reported as adjusted odds ratios (aOR) with 95% confidence intervals (CI). Results Trends in pregnancy termination declined from 5.8% in 2003 to 4.2% in 2013 then reversed to 4.9% in 2018. The declining trend was greater for 15–24 year-old women with higher socioeconomic status. Around 17% of the total variation in pregnancy termination was attributable to community factors, and 7% to state-level factors. Of all contextual variables considered, only contraceptive prevalence (proxy for reproductive health service access by young women) at community level was significant. Living in communities with higher contraceptive prevalence increased odds of termination compared with communities with lower contraceptive prevalence (aOR = 4.2; 95% CI 2.7–6.6). At the individual-level, sexual activity before age 15 increased odds of termination (aOR = 2.3; 95% CI 1.9–2.8) compared with women who initiated sexual activity at age 18 years or older, and married women had increased odds compared with never married women (aOR = 3.0; 95% CI 2.5–3.7). Conclusion Our findings highlight the importance of disaggregating data for women across the reproductive lifecourse, and indicates where tailored interventions could be targeted to address factors associated with pregnancy termination among young women in Nigeria.

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Section: Discussionmentioning

confidence: 99%

Trends in and predictors of pregnancy termination among 15–24 year-old women in Nigeria: a multi-level analysis of demographic and health surveys 2003–2018

Onukwugha

Magadi

Sarki³

et al. 2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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“…Auerbach, Parkhurst, and Cáceres 2011;Gupta et al 2008;Vanwesenbeeck et al 2016). For instance, addressing gender and power relations through sexuality education can help young people 'understand how gender inequality is socially constructed' and reflect on how such structural factors lead to different behaviours and health outcomes (Haberland and Rogow 2015, S17;Wood, Rogow, and Stines 2015).…”

Section: Introductionmentioning

confidence: 99%

Young people’s perceptions of relationships and sexual practices in the abstinence-only context of Uganda

2017

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The Ugandan government has been criticised on several grounds for its abstinence-only policies on sexuality education directed towards young people. These grounds include the failure to recognise the multiple realities faced by young people, some of whom may already be sexually active. In the study reported on this paper, students' perceptions of relationships and sexual practices were analysed to obtain an understanding of how young people construct and negotiate their sexual agency in the context of abstinence-only messages provided in Ugandan secondary schools and at the wider community level. Ten in-depth interviews and six focus group discussions were conducted with students aged 15-19 years (N = 55) at an urban co-educational secondary school. Data were transcribed verbatim and analysed using grounded theory. Findings show that students engage in sexual activity despite their belief that contraception is ineffective and their fears for the consequences. Students' age, gender, financial capital and perceived sexual desire further increase risk and vulnerability. To improve their effectiveness, school-based sexuality education programmes should support students to challenge and negotiate structural factors such as gender roles and sociocultural norms that influence sexual practices and increase vulnerability and risk.

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“…At its 48th session in Enugu in August 2001, the National Council on Education formally approved the curriculum for use in Nigerian schools [ 34 , 43 , 47 ]. The curriculum’s content was comprehensive and included information on contraception, sexual abuse, gender roles, female genital mutilation, sexual orientation, masturbation, and abortion, among other subjects [ 34 , 48 ].…”

Section: Resultsmentioning

confidence: 99%

“…Not long after approval, resistance to the curriculum emerged (I2; I8; I9) [ 31 , 48 ]. In July 2002, a prominent national newspaper, The Weekly Trust , after talking to Islamic clerics and the Anglican Archbishop of Kaduna, published an editorial highly critical of the curriculum, claiming it promoted immorality throughout the country (I27).…”

Section: Resultsmentioning

confidence: 99%

“…Eventually ministry officials and the commissioners reached a compromise, but one that significantly diluted the content of the curriculum to abstinence-only [ 48 ]. Mention of contraception, masturbation, abortion, sexual diversity and other contentious topics was removed, as was the word ‘sexuality.’ States could tailor content to conform with local socio-cultural sensitivities.…”

Section: Resultsmentioning

confidence: 99%

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International norms and the politics of sexuality education in Nigeria

et al. 2018

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BackgroundProponents have promoted sexuality education as a means of empowering adolescents, yet it has been thwarted in many low and middle-income countries. Nigeria represents an exception. Despite social opposition, the government in 1999 unexpectedly approved sexuality education policy. Since then, implementation has advanced, although efficacy has differed across states. We draw on theory concerning international norm diffusion to understand Nigerian policy development.ResultsWe find that a confluence of international and national norms and interests shaped policy outcomes, including concern over HIV/AIDS. A central dynamic was an alliance of domestic NGOs and international donors pressing the Nigerian government to act.ConclusionsWe argue that theory on international norms can be applied to understand policy dynamics across a variety of health and population areas, finding value in approaches that integrate rather than juxtapose consideration of (1) international and national influences; (2) long and short-term perspectives on policy change; and (3) norms and interests.

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Preparing teachers to deliver gender-focused sexuality/HIV education: a case study from Nigeria

Cited by 16 publications

References 22 publications

Trends in and predictors of pregnancy termination among 15–24 year-old women in Nigeria: a multi-level analysis of demographic and health surveys 2003–2018

Trends in and predictors of pregnancy termination among 15–24 year-old women in Nigeria: a multi-level analysis of demographic and health surveys 2003–2018

Young people’s perceptions of relationships and sexual practices in the abstinence-only context of Uganda

International norms and the politics of sexuality education in Nigeria

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