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Kotkowski E, Realini J, Cisneros V, Rosenfeld J, Berggren R, Gafas Gonzalez C, Kneese G. The Pedagogy of Pedagogues for Sexual Education in Riobamba, Ecuador: A Pilot Approach to Training Sexual Education Facilitators in a Latin American and Spanish Language Setting. SEX EDUCATION 2021; 22:289-303. [PMID: 35756501 PMCID: PMC9216198 DOI: 10.1080/14681811.2021.1926961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Accepted: 05/04/2021] [Indexed: 06/15/2023]
Abstract
Educational efforts to reduce global rates of adolescent pregnancy vary widely with a significant deficiency found in the domain of sex education facilitator training. In this study, we sought to establish a pilot approach to comprehensive sex education facilitator training as applied in Riobamba, Ecuador. The approach was aligned with UNESCO recommendations for training facilitators using an adapted version of the U.S.-based Big Decisions curriculum. Four internationally recruited bilingual instructors led a six-day (27-hour) intensive training-of-facilitators programme with twenty trainees using the Big Decisions sex education curriculum. Quantitative and qualitative analyses were conducted using various approaches: anonymised and pre/post-self-assessments, daily feedback surveys of self and instructors, and facilitation practice evaluations. Responses to anonymised surveys indicated improved self-perceived confidence in teaching each curriculum section. More objective pre- and post-teach-back evaluations showed improved ability to teach randomly assigned lessons as assessed by trainers. The pedagogy of facilitator training in comprehensive sex education seeks to combine evidence-informed and culturally appropriate approaches to training facilitators under unique local conditions using adapted assessment tools. This project revealed important culturally relevant insights that would be beneficial to the future training of comprehensive sex education facilitators working within culturally conservative communities, and Latin America in particular.
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Affiliation(s)
- Eithan Kotkowski
- Center for Medical Humanities and Ethics, Global Health Division, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
| | | | - Valeria Cisneros
- Cacha Medical Spanish Institute, Riobamba, Chimborazo Province, Ecuador
| | - Jason Rosenfeld
- Center for Medical Humanities and Ethics, Global Health Division, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
| | - Ruth Berggren
- Center for Medical Humanities and Ethics, Global Health Division, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
| | | | - Garrett Kneese
- Center for Medical Humanities and Ethics, Global Health Division, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
- Cacha Medical Spanish Institute, Riobamba, Chimborazo Province, Ecuador
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Smith PB. Contemporary Opportunities to Reduce the Burden of Sexually Transmitted Infections Among Young Hispanic Mothers. J Womens Health (Larchmt) 2020; 29:469-470. [DOI: 10.1089/jwh.2019.8080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Peggy B. Smith
- Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas
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Johnson RK, Lamb M, Anderson H, Pieters-Arroyo M, Anderson BT, Bolaños GA, Asturias EJ. The global school-based student health survey as a tool to guide adolescent health interventions in rural Guatemala. BMC Public Health 2019; 19:226. [PMID: 30795754 PMCID: PMC6387528 DOI: 10.1186/s12889-019-6539-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2018] [Accepted: 02/13/2019] [Indexed: 11/10/2022] Open
Abstract
Background Adolescents from rural areas in low-middle income countries face increasing physical and mental health challenges that are not well characterized or addressed due to resource limitations. We used the Global School-based Student Health Survey (GSHS) to describe adolescent health behaviors, and to inform prioritization of health promotion efforts in a resource-limited, rural, agricultural region in Guatemala. Methods In July 2015, a group of volunteers administered the GSHS to students from seven schools in four communities in the southwest Trifinio region of Guatemala. Prevalence and predictors of nutritional, mental, and sexual health behaviors were calculated from survey responses, and summarized in region- and school-level reports. Facilitated discussion of survey results with local leadership in January 2016 led to the identification of priorities for school-based health interventions. Results Five hundred fifty-four out of 620 (87%) students aged 12–18 years completed the survey. Prevalence of unhealthy dietary behaviors and body size was high: 61% reported high current soft drink intake, 18% were overweight, and 31% were moderate-severely stunted. In multivariable regression models, being food insecure was marginally associated with being underweight/stunted (OR = 1.95, 95%CI = 0.95–4.0). Boys were more likely than girls to report being sexually active (25% versus 6.4%, p < 0.001). Local school leadership identified food insecurity and sexual education as priority areas for intervention, and made plans for providing breakfast in schools, sexual education curriculum development and teacher training, and continued adolescent health reporting and evaluation. Conclusions The GSHS is a rapid, cost-efficient, useful tool for surveillance of adolescent health behaviors in vulnerable, resource-limited populations. Results of a locally-administered GSHS informed school-based interventions to decrease food insecurity, early sexual initiation, and teen pregnancy in a rural Guatemalan region.
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Affiliation(s)
- Randi K Johnson
- Department of Epidemiology, Colorado School of Public Health, Aurora, CO, USA.,Center for Global Health, Colorado School of Public Health, Aurora, CO, USA
| | - Molly Lamb
- Department of Epidemiology, Colorado School of Public Health, Aurora, CO, USA.,Center for Global Health, Colorado School of Public Health, Aurora, CO, USA
| | - Hillary Anderson
- Center for Global Health, Colorado School of Public Health, Aurora, CO, USA
| | | | - Bradley T Anderson
- Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA
| | - Guillermo A Bolaños
- Center for Human Development, Fundacion para la Salud Integral de los Guatemaltecos, Quetzaltenango, Coatepeque, Guatemala
| | - Edwin J Asturias
- Department of Epidemiology, Colorado School of Public Health, Aurora, CO, USA. .,Center for Global Health, Colorado School of Public Health, Aurora, CO, USA. .,Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO, USA. .,Section of Pediatric Infectious Diseases and Jules Amer Chair in Community Pediatrics, Children's Hospital Colorado, Aurora, CO, USA.
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Smith PB, Realini JP, Buzi RS, Martinez M. Students' experiences and perceived benefits of a sex education curriculum: a qualitative analysis. JOURNAL OF SEX & MARITAL THERAPY 2011; 37:270-285. [PMID: 21707329 DOI: 10.1080/0092623x.2011.582433] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
A qualitative evaluation explored the experiences and perceived benefits of students who participated in an abstinence-plus sex education program at enrollment and conclusion. The sample included 1130 inner-city high school students, 73.7% of whom were Hispanic. Thematic analysis was used to identify main themes in responses made by students to 3 open-ended questions. The most common preparticipation request was for information about sexually transmitted infections. At program conclusion, the most common response theme involved the quality of course delivery. Students indicated that they appreciated the facilitators who allowed open conversations. The implications of these findings to sex education programs are discussed.
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Affiliation(s)
- Peggy B Smith
- Population Program, Baylor College of Medicine, Houston, Texas 77030, USA.
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