Comprehensive sexuality education to address gender-based violence

Rollston, Rebekah; Wilkinson, Elizabeth; Abouelazm, Rasha; Mladenov, Petar; Horanieh, Nour; Jabbarpour, Yalda

doi:10.1016/s0140-6736(20)31477-x

Cited by 20 publications

(19 citation statements)

References 1 publication

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“…The study found consistent associations between GBV, sexually transmitted infections, unwanted pregnancies, and abortion (Grose et al, 2021). The lockdown measures implemented during COVID19 is expected to worsen GBV cases by an additional 61 million cases (Rollston et al, 2020).…”

Section: Unprioritized Services Left Off the Agendamentioning

confidence: 63%

Healthcare Priority-Setting in Essential Health Packages for Sexual Reproductive Health: Going Beyond the Commonly Prioritised Services

Simangolwa¹,

Govender²

2021

Preprint

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There is a systematic exclusion of gender-based violence, safe abortion, reproductive cancers, infertility services, comprehensive sexuality education, sexuality services, and STI’s other than HIV in essential health packages in LMICs. To accelerate progress on sexual reproductive health (SRH), the Guttmacher–Lancet Commission proposed the adoption of these interventions into an essential health package of SRH services that should be universally available. In this commentary, we use a healthcare priority-setting processes lens to review the importance of these services for universal health coverage. We isolate inherent challenges in social value judgments for terminal, process and content evidence for their healthcare priority-setting. We then advance promising emerging practical examples from low to middle-income countries on evidence-informed decision-making processes. We recommend capacity development through regional support, generating equity and efficiency evidence and strengthening political and publicly acceptable processes to institutionalise and operationalise evidence-informed decision-making.

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Section: Unprioritized Services Left Off the Agendamentioning

confidence: 63%

Healthcare Priority-Setting in Essential Health Packages for Sexual Reproductive Health: Going Beyond the Commonly Prioritised Services

Simangolwa¹,

Govender²

2021

Preprint

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“…The protective effect of higher education has been attributed to a range of factors including delayed onset of marriage, an increase in the capability to effectively negotiate conflict and regulate emotions, and increased wealth via enhanced employment opportunities and subsequently a reduced risk of economic stress, a key source of interpersonal conflict (Jewkes et al, 2017; Vyas & Watts, 2009). While higher education is important, there is increasing evidence that integrating teachings around mutual respect and interpersonal skills in school curricula potentially through more comprehensive sexual education may be important strategies to prevent violence (Rollston et al, 2020). Although Sri Lanka has made steps in broadening the curriculum and incorporating life skills education into the syllabus (Clarke, 2010), adolescents continue to report limited sexual and reproductive health knowledge and teachers have reported a disproportionate focus on physiology in the syllabus (Jayasooriya & Mathangasinghe, 2019; Rajapaksa-Hewageegana, Piercy, Salway, & Samarage, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…Although Sri Lanka has made steps in broadening the curriculum and incorporating life skills education into the syllabus (Clarke, 2010), adolescents continue to report limited sexual and reproductive health knowledge and teachers have reported a disproportionate focus on physiology in the syllabus (Jayasooriya & Mathangasinghe, 2019; Rajapaksa-Hewageegana, Piercy, Salway, & Samarage, 2015). The delivery of more comprehensive sexual education that addresses harmful gender norms in addition to sexual and reproductive health may help equip young people with the social and emotional skills to develop healthy, respectful relationships (Antle, Karam, Christensen, Barbee, & Sar, 2011; Rollston et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Socioeconomic and geographic correlates of intimate partner violence in Sri Lanka: Analysis of the 2016 Demographic and Health Survey

Bandara

Knipe

Munasinghe

et al. 2021

Preprint

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Intimate partner violence (IPV) is a serious public health issue and violation of human rights. The prevalence of IPV in South Asia is especially pronounced. This is the first study in Sri Lanka to examine the associations between socioeconomic position (SEP), geographical factors and IPV using nationally representative data. Data collected from the Sri Lanka 2016 Demographic and Health Survey were analysed using multilevel logistic regression techniques. A total 16,390 eligible ever-partnered women aged 15-49 years were included in the analysis. Analyses were also stratified by ethnicity, type of violence, neighbourhood poverty and post-conflict residential status for selected variables. Consistent associations were found for low SEP and IPV. Lower educational attainment among women (OR 2.46 95% CI 1.83-3.30) and their partners (OR 2.87 95% CI 2.06-4.00), financial insecurity (OR 2.17 95% CI 1.92-2.45) and poor household wealth (OR 2.64 95% CI 2.22-3.13) were the socioeconomic factors that showed the strongest association with any IPV, after adjusting for age and religion. These associations predominately related to physical and/or sexual violence, with weak associations for psychological violence. Women living in a post-conflict environment had a higher risk (OR 2.96 95% CI 2.51-3.49) of IPV compared to other areas. Ethnic minority women (Tamil and Moor) were more likely to reside in post-conflict areas and experience poverty more acutely compared to the majority Sinhala women, which may explain the stronger associations for low SEP, post-conflict residence and IPV found among Tamil and Moor women. We found IPV is more likely to occur in the context of socioeconomic disadvantage and post-conflict regions. Further exploratory studies investigating the complex interplay of individual, household and community-level factors occurring in this context is required.

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“…The protective effect of higher education has been attributed to a range of factors including delayed onset of marriage, an increase in the capability to effectively negotiate conflict and regulate emotions, and increased wealth via enhanced employment opportunities and subsequently a reduced risk of economic stress, a key source of interpersonal conflict (Jewkes et al, 2017;Vyas & Watts, 2009). While higher education is important, there is increasing evidence that integrating teachings at the secondary school level around mutual respect and interpersonal skills in school curricula through more comprehensive sexuality Socioeconomic and geographic correlates of IPV in Sri Lanka education (CSE) may be important strategies to promote sexual health and prevent violence (Rollston et al, 2020;Vanwesenbeeck, Westeneng, de Boer, Reinders, & van Zorge, 2016).…”

Section: Educational Attainment and Ipvmentioning

confidence: 99%

Socioeconomic and Geographic Correlates of Intimate Partner Violence in Sri Lanka: Analysis of the 2016 Demographic and Health Survey

Bandara

Knipe

Munasinghe

et al. 2021

J Interpers Violence

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Intimate partner violence (IPV) is a serious public health issue and violation of human rights. The prevalence of IPV in South Asia is especially pronounced. We examined the associations between socioeconomic position (SEP), geographical factors and IPV in Sri Lanka using nationally representative data. Data collected from Sri Lanka’s 2016 Demographic and Health Survey were analysed using multilevel logistic regression techniques. A total of 16,390 eligible ever-partnered women aged 15-49 years were included in the analysis. Analyses were also stratified by ethnicity, type of violence, neighbourhood poverty and post-conflict residential status for selected variables. No schooling/primary educational attainment among women (OR 2.46 95% CI 1.83-3.30) and their partners (OR 2.87 95% CI 2.06-4.00), financial insecurity (OR 2.17 95% CI 1.92-2.45) and poor household wealth (OR 2.64 95% CI 2.22-3.13) were the socioeconomic factors that showed the strongest association with any IPV, after adjusting for age and religion. These associations predominately related to physical and/or sexual violence, with weak associations for psychological violence. Women living in a post-conflict environment had a higher risk (OR 2.96 95% CI 2.51-3.49) of IPV compared to other areas. Ethnic minority women (Tamil and Moor) were more likely to reside in post-conflict areas and experience poverty more acutely compared to the majority Sinhala women, which may explain the stronger associations for low SEP, post-conflict residence and IPV found among Tamil and Moor women. Policies and programs to alleviate poverty, as well as community mobilisation and school-based education programs addressing harmful gender norms may be beneficial. Trauma informed approaches are needed in post-conflict settings. Further exploratory studies investigating the complex interplay of individual, household and contextual factors occurring in this setting is required.

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Comprehensive sexuality education to address gender-based violence

Cited by 20 publications

References 1 publication

Healthcare Priority-Setting in Essential Health Packages for Sexual Reproductive Health: Going Beyond the Commonly Prioritised Services

Healthcare Priority-Setting in Essential Health Packages for Sexual Reproductive Health: Going Beyond the Commonly Prioritised Services

Socioeconomic and geographic correlates of intimate partner violence in Sri Lanka: Analysis of the 2016 Demographic and Health Survey

Socioeconomic and Geographic Correlates of Intimate Partner Violence in Sri Lanka: Analysis of the 2016 Demographic and Health Survey

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