Sexuality education, its protocols and planning are contingent on an ever-changing political environment that characterizes the field of sexuality in most countries. In Brazil, human rights perspectives shaped the country's response to the AIDS epidemic, and indirectly influenced the public acceptability of sexuality education in schools. Since 2011, however, as multiple fundamentalist movements emerged in the region, leading to recurrent waves of backlashes in all matters related to sexuality, both health and educational policies have begun to crawl backwards. This article explores human rights-based approaches to health, focusing on a multicultural rights-based framework and on productive approaches to broadening the dialogue about sustained consent to sexuality education. Multicultural human rights (MHR) approaches are dialogical in two domains: the communication process that guarantees consent and community agreements and the constructionist psychosocial-educational methodologies. In its continuous process of consent, the MHR approach allowed for distinct values translation and diffused the resistance to sexuality education in the participant schools/cities, successfully sustaining notions of equality and protection of the right to a comprehensive sexuality education that does not break group solidarity and guarantees acceptability of differences.

OBJECTIVE:To assess some aspects of vulnerability to HIV infection in women users of injecting drugs. METHODS:Thirteen semi-structured interviews were performed with female drug users (or former users) of injecting drugs, leaving in the East side of São Paulo, in 2002. The script of interviews approached four focal point issues: socioeconomic context and affective relationships, drug use, prevention against HIV and health care. Interviews were assessed through content analysis. RESULTS:Poverty, absence of strong and continuous affective ties, being expelled from the family and school, exposure to violence, institutionalization, drug use, criminality, and discrimination were constant in interviewees' reports. These aspects made it diffi cult to adopt practices for HIV prevention such as the use of condoms, disposable syringes and needles, and looking for health care services. CONCLUSIONS:Vulnerability to HIV infection makes it clear the fragility use have effective access to social, economic and cultural rights, requiring welfare policies of specifi c population segments such as women (children and adolescents), low income citizens, people living in the outskirts, with poor access to educational, cultural and health resources. This access is complicated especially for those that are discriminated by behaviors such as drug use.

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