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首页> 外文期刊>The Journal of school health >Isolated Voices: Perspectives of Teachers, School Nurses, and Administrators Regarding Implementation of Sexual Health Education Policy
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Isolated Voices: Perspectives of Teachers, School Nurses, and Administrators Regarding Implementation of Sexual Health Education Policy

机译:孤立的声音:教师,学校护士和管理人员对性健康教育政策的透视

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ABSTRACT BACKGROUND Comprehensive sexual health education (SHE) reduces risky sexual behavior and increases protective behavior in adolescents. It is important to understand how professionals responsible for implementing SHE policy interpret state and local policy and what influences their commitment to formal SHE policy implementation. METHODS This descriptive study explored content and delivery of SHE policy in a rural, southwestern state with high levels of poverty, unintended adolescent pregnancy, and sexually transmitted infections. The social ecological model (SEM) was used to better understand levels of influence on the implementation of SHE policy. RESULTS We conducted telephone surveys with 38 teachers, 63 nurses, and 21 administrators in public secondary schools. There was substantial local variability in the scope and content of SHE curricula. Respondents identified significant barriers to the delivery of SHE content and minimal evaluation of whether educational objectives were met. Based on participant responses, community and organizational SEM levels had the greatest influence on SHE policy implementation, although examples of all SEM levels were identified. CONCLUSIONS Given perceived challenges regarding subject matter, successful SHE implementation at the local level requires committed stakeholders working in concert at the school and community levels, backed by strong policy commitment at the state level.
机译:摘要背景综合性健康教育(她)降低了风险性的性行为,增加了青少年的保护行为。重要的是要了解有负责实施她的政策解释国家和地方政策以及影响他们对正式援助政策实施的承诺的事项是如何理解的。方法采用这种描述性研究探讨了她在农村,西南国家,高度贫困,非洲青少年妊娠和性传播感染中的内容和交付的内容和交付。社会生态模型(SEM)被用来更好地了解对政策实施的影响水平。结果我们在公共中学的38名教师,63名护士和21名管理员进行了电话调查。她履行的范围和内容存在大量的局部变异性。受访者确定了交付她的内容和对教育目标是否满足的最小评估的重要障碍。基于参与者的反应,社区和组织SEM水平对她的政策实施产生了最大的影响,尽管确定了所有SEM水平的例子。结论鉴于对主题的挑战,她在地方一级的成功实施,要求在学校和社区层面工作的忠诚利益攸关方,通过国家一级的强大政策承诺支持。

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