Disability and Sexuality: Toward a Focus on Sexuality Education in Ghana

Shamrock, Osman Wumpini; Ginn, Hannah G.

doi:10.1007/s11195-021-09699-8

Cited by 9 publications

(3 citation statements)

References 78 publications

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“…But the SRH needs and rights of persons with disabilities are often overlooked or neglected. Young people with disabilities tend to receive sexuality education at a lesser degree than their peers without disabilities even in European countries with a longer history of sexuality education [ 6 , 19 – 21 ]. Compared with the general population, they lack SRH knowledge and are more vulnerable to the negative consequences of sexual behavior such as sexually transmitted infections (STIs) and unwanted pregnancies [ 9 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

Knowledge level and access barriers related to sexual and reproductive health information among youth with disabilities in China: a cross-sectional study

Li²,

et al. 2023

Reprod Health

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Background Youth with disabilities have the same right to sexual and reproductive health (SRH) as their peers without disabilities. However, their needs and rights are often ignored. Little is known about the knowledge, needs and access barriers related to SRH information among youth with different types of disabilities in China. Methods A cross-sectional survey was carried out among 473 unmarried youth aged 15–24 with visual, hearing, physical disabilities in both urban and rural areas in China. Results Out of a maximum possible score of 100, respondent’s median score ranged from 30 to 50 for knowledge related to sexual physiology, STIs/HIV/AIDS and contraception. For these three categories of knowledge, respondents with hearing and physical disabilities or from rural areas scored lower than their counterparts with visual disabilities or from urban areas. The multivariate analyses showed that the residential area and education level were strong correlates of knowledge among respondents with visual and hearing disabilities. Other significant correlates were age for respondents with visual impairment and physical impairment, and single child status in the family and father’s education level for respondents with hearing impairment. Sources of and barriers and preferences in accessing SRH information differed by type of disabilities, residential areas and gender. In general, school teachers were the primary and most preferred sources of SRH knowledge, followed by the Internet, peers/friends and parents. Unaware of where to get accurate information and feeling embarrassed to seek information were the two most frequently mentioned barriers in accessing SRH information. Conclusion Respondents had poor knowledge of SRH and limited access to SRH information, especially those from rural areas. Efforts should be made to promote school and family-based sexuality education tailored for youth with different types of disabilities.

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Section: Introductionmentioning

confidence: 99%

Knowledge level and access barriers related to sexual and reproductive health information among youth with disabilities in China: a cross-sectional study

Li²,

et al. 2023

Reprod Health

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“…In addition, having worked in the KEEA Municipality as a teacher, Author A can con rm existing research ndings, such as those by Author A [33], [43], [44, pp. 1-14], [45, p. 15487] and by others [34, pp.…”

Section: The Organisation Of Educationmentioning

confidence: 76%

Community Attitudes Towards Condom Use and Unintended Pregnancies under Dual Modes of Sex Education in Ghana

Ocran

Alldred

2023

Preprint

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Background: Condom education campaigns that aim to prevent early and unintended pregnancies (EUPs) can be undermined by local gender norms, religious edicts, and ineffective sex education policies. This study explored community attitudes towards condom education in the context of either comprehensive sexuality education or abstinence forms of sex education in three schools in Ghana. Methods: The study adopted a qualitative case study approach informed by in-depth interviews with programme managers and students. Findings: Findings show that condom education is implemented alongside abstinence education through partnerships between the school and the community. The community largely rejected condom education, while some parents encouraged their daughters into consensual relationships and contraception. The church also rejected condom education, contradicting parental encouragement for contraception use for young women in consensual relationships. The interplay between poverty and gendered power dynamics puts young women at a disadvantage in decision-making on sexual practice condom use. At the same time, cultural taboos and religious norms limit condom use and put 11-15-year-olds at risk of early and unintended pregnancy (EUPs). Conclusion:It is essential to recognise the impact that local gender, cultural and religious norms have in shaping how sexual health education is delivered and how sexual health outcomes are produced.

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“…Interestingly, Ghana hosts a basic school system where abstinence-only and CSE interventions are implemented concurrently [ 13 , 14 , 15 , 16 , 17 , 18 , 19 ]. School-based sex education programs are detailed in overarching policy documents such as the School Health Education Program of the Ghana Education Service [ 20 ], the National HIV/AIDS and STI policy under the Ghana AIDS Commission [ 21 ], and the Adolescent Reproductive Health Policy for young people in Ghana [ 22 ].…”

Section: Introductionmentioning

confidence: 99%

Conflicting HIV/AIDS Sex Education Policies and Mixed Messaging among Educators and Students in the Lower Manya Krobo Municipality, Ghana

Ocran

Talboys

Shoaf

2022

IJERPH

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While school-based comprehensive sex education (CSE) is effective in HIV prevention among young people ages 10–24 years, Ghana’s national sexual and reproductive health education policy promotes abstinence. Meanwhile, the Ministry of Health’s HIV prevention programs provide more comprehensive school-based education. This qualitative study evaluated the HIV/AIDS education program in the Lower Manya Krobo Municipality to assess the perspectives of students and educators in 10 schools on school-based sexual and reproductive health programs, including HIV/AIDS education and conflicting HIV/AIDS sex education policies. HIV prevalence in the Lower Manya Krobo Municipality of Ghana was more than twice the national average at 5.64% in 2018, and prevalence among youth in the municipality aged 15–24 was the highest in the nation at 0.8%. Educators have mixed feelings regarding abstinence-based and CSE approaches. However, students generally endorse abstinence and describe the limitations of condom use. Ambiguity in overarching policies is identified as a factor that could influence the orientation of school-based health educators, create disharmony in sex education interventions, introduce confusing sex education messages to young people, and create a potentially narrow curriculum that limits the gamut of HIV/AIDS sex education to exclude young people’s risky sexual behaviours and diverse teaching and implementation strategies. Policies and the scope of sex education should be realigned to ensure the transparent implementation of HIV/AIDS sex education programs in Ghana.

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Disability and Sexuality: Toward a Focus on Sexuality Education in Ghana

Cited by 9 publications

References 78 publications

Knowledge level and access barriers related to sexual and reproductive health information among youth with disabilities in China: a cross-sectional study

Knowledge level and access barriers related to sexual and reproductive health information among youth with disabilities in China: a cross-sectional study

Community Attitudes Towards Condom Use and Unintended Pregnancies under Dual Modes of Sex Education in Ghana

Conflicting HIV/AIDS Sex Education Policies and Mixed Messaging among Educators and Students in the Lower Manya Krobo Municipality, Ghana

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