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The linkages between the MDGs and
                                      Comprehensive Sexuality Education for Young People
       The linkages between the MDGs and                                                    The International Technical Guidance on Sexuality Education developed by the United Na-
                                                                                            tions in 2009 defines key concepts of comprehensive sexuality education as: 1. Relation-
                                                                                                                                                                                            The most prevalent sexuality education curricula are designed to reduce risks related
                                                                                                                                                                                            to STIs, HIV and AIDS or unintended pregnancies. These programmes are often too
        Comprehensive Sexuality Education                                                   ships; 2. Values, Attitudes and Skills; 3. Culture, Society and Human Rights; 4. Human          medical-oriented, fear-based and seldom address the varied needs of young people.
                                                                                                                                                                                            The curricula rarely address relationships, social and cultural factors and positive
                                                                                            Development; 5. Sexual Behaviour; and 6. Sexual and Reproductive Health.4
                 for Young People                                                                                                                                                           aspects of sexuality, such as sex as a natural, pleasurable, life-affirming event.
                                                                                            A clear rationale can be identified for the need of comprehensive sexuality education by
                                                                                            looking at the alarming statistics on the situation of young people and sexuality world-        Research has suggested that abstinence as a behavioural goal is not the same as
The Millennium Development Goals (MDGs), agreed upon by govern-                             wide.:                                                                                          the abstinence-only education programmes.9 To bring about a behavioural change
ments of the world in the year 2000, have set the priorities for interna-                                                                                                                   among young people, comprehensive sexuality education strategies should be ad-
tional development for the past decade. In the 10 years since the MDG                         ‱ Every year, approximately 10 million teenage girls marry – a majority of them without       opted to increase knowledge and skills of young people in making healthy and in-
                                                                                              completing secondary education.                                                               formed choices rather than limiting their rights and choices. Furthermore, compre-
targets were set, analysis indicates that there is still progress to be made                                                                                                                hensive sexuality education needs to be paired with programmes aiming at providing
on key issues relating to young people’s sexual and reproductive health                                                                                                                     access to comprehensive sexual and reproductive services for youth.
                                                                                              ‱ Approximately 16 million of the adolescent girls aged 15-19 who give birth to a child
and rights. The Youth Coalition addresses some of these issues in this                        account for more than 10 per cent of all births worldwide (WHO, 2008).
factsheet.1
                                                                                                                                                                                                MDG Target 2a: Ensure that all boys and girls complete a full course of
                                                                                              ‱ At least 2.5 million adolescent pregnancies every year lead to unsafe abortions.5
                                                                                                                                                                                                primary schooling
Young people at the heart of MDG 2                                                            ‱ Each year at least 111 million new cases of preventable sexually transmitted infec-
                                                                                                                                                                                                2.1	 Net enrolment ratio in primary education
                                                                                              tions (STI) occur among young people, while an estimated 5.4 million youth currently
                                                                                                                                                                                                2.2	 Proportion of pupils starting grade 1 who reach last grade of primary
More than 1.3 billion people – one in five people alive today – are adolescents aged          live with HIV.6,7
                                                                                                                                                                                                2.3	 Literacy rate of 15-24 year-olds, women and men
10 – 19.2 Paying attention to this large group of the global population is crucial if
we want to achieve the Millennium Development Goals. MDG 2 – Achieve Universal
Primary Education – is the goal dedicated to knowledge. It is a very ambitious goal,
                                                                                            What makes sexuality education comprehensive?
the target being to “ensure that, by 2015, children everywhere, boys and girls alike,                                                                                                       Comprehensive sexuality education and Human Rights
will be able to complete a full course of primary schooling” but certainly falls short of
                                                                                            Effective sexuality education can provide young people with age appropriate, culturally rel-
looking into the quality and scope of the education. For instance, it leaves out some                                                                                                       The United Nations Charter on the Rights of the Child (UNCRC) states that all children
                                                                                            evant and scientifically correct information. It includes structured opportunities for young
key concerns related to the development of adolescents and young people including                                                                                                           and young people have the right to access information that will allow them to make
                                                                                            people to explore their attitudes and values, and to practice the skills they need to be able
sexuality education. Promoting the provision of comprehensive sexuality education                                                                                                           decisions about their health (Article 17), including family planning (Article 24). They
                                                                                            to make informed decisions about their sexual lives.8
will forward the achievement of the MDGs. Equipping young people with knowledge                                                                                                             have the right to education that will help them learn, develop and reach their full
and life-skills related to sexual and reproductive health can greatly contribute to-                                                                                                        potential and prepare them to be understanding and tolerant towards others (Article
                                                                                            The International Technical Guidelines on Sexuality Education lists 18 characteristics of
wards achieving MDG 3 (achieving gender equality and empowering women), MDG                                                                                                                 29).
                                                                                            programmes that have been effective. These characteristics include:
5 (reducing maternal mortality) and MDG 6 (combating HIV and AIDS).
                                                                                               ‱ Addressing specific situations that may lead to risky sexual behaviour or unwanted or      Sexual and reproductive rights are a vital part of human rights. Many international
                                                                                               unprotected sexual intercourse, how to avoid and get out of these situations                 consensus documents recognize the right of young people to seek/access informa-
The need for comprehensive sexuality education                                                                                                                                              tion regarding their sexual and reproductive health. For example, articles 6.13 and
                                                                                               ‱ Assessing the reproductive health needs and behaviours of young people                     6.15 of the Programme of Action (PoA) of the International Conference on Population
Comprehensive sexuality education seeks to empower and equip young people with                                                                                                              and Development (ICPD) call on countries to meet the needs and aspirations of youth
the knowledge, skills, and tools they need to determine and enjoy their sexuality              ‱ Addressing personal values and perceptions of family and peer norms about engag-           to ensure their integration and participation in all spheres of society including partici-
– physically and emotionally, individually and in relationships. It views ‘sexuality’          ing in sexual activity and having multiple partners                                          pation in the political process and preparation for leadership roles. Furthermore, the
holistically and within the context of emotional and physical development.3                                                                                                                 PoA urges countries to actively involve young people in the planning, implementa-
                                                                                               ‱ Focusing on specific risk and protective factors that affect particular sexual behav-      tion and evaluation of development activities that have a direct impact on their daily
                                                                                               iours and that are amenable to change by the curriculum-based programme.                     lives, highlighting the importance of sexuality education and sexual and reproductive
                                                                                                                                                                                            health concerns in this regard.
The linkages between the MDGs and
                                                                                                                                                                                                                                  190 Maclaren Street, Suite 200
                                                                                                                                                                                                                                  Ottawa, Ontario, K2P 0L6 Canada


                                     Comprehensive Sexuality Education for Young People                                                                                                                                           Telephone: + 613-562-3522 / Fax: + 613-562-7941
                                                                                                                                                                                                                                  admin@youthcoalition.org / www.youthcoalition.org




Recommendations                                                                          Learn More                                                                                      References
Looking at the MDGs through a lens of sexuality and youth, it is clear that indicators   For more information about the MDGs and young people, please read Learning to Speak             1. For more information about the Millennium Development Goals, please visit the
measuring progress are lacking within the MDGs framework. For example, MDG 2             MDGs - 2nd edition produced by the Youth Coalition for Sexual and Reproductive Rights,          website: http://www.undp.org/mdg/
(Universal access to primary education) does not measure the quality of education,       available for download on our website: www.youthcoalition.org.
and consequently, comprehensive sexuality education risks being omitted from the                                                                                                         2. UNICEF, Adolescence: The big picture, updated 19 March 2009, accessed 10
education agenda and from the implementation of programmes striving toward the                                                                                                           June 2009 at http://www.unicef.org/adolescence/index_bigpicture.html
achievement of the MDGs. Another example to consider is the MDG 5B target on
Universal Access to Reproductive Health. This target has an indicator (5.6) which        Acknowledgements                                                                                3. IPPF Framework for Comprehensive Sexuality Education, London, 2006
measures the unmet need for family planning; however, the indicator does not ex-
plain nor address the reasons why the need for family planning is ‘unmet’. Unmet         The Youth Coalition would like to acknowledge the support of CHOICE for Youth and Sexual-       4. UNESCO: http://unesdoc.unesco.org/images/0018/001832/183281e.pdf
need occurs when young people have inadequate access to the knowledge, skills            ity and YouAct in the development of this factsheet.
and services they require to make informed decisions. Therefore, it is crucial to not                                                                                                    5. WHO: Why is giving special attention to adolescents important for achieving
only measure unmet need, but to also address it through appropriate programmes                                                                                                           Millennium Development Goal 5?, Fact Sheet WHO/MPS/08.14, 2008, accessed
and services such as comprehensive sexuality education.                                                                                                                                  at http://www.who.int/making_pregnancy_safer/events/2008/mdg5/adolescent_
                                                                                         About the Youth Coalition                                                                       preg.pdf
Governments, civil society and community leaders should recognize the important          Youth Coalition is an international organization of young people (ages 15-29 years) com-
linkages between the Millennium Development Goals, young people’s sexual and re-                                                                                                         6. IPPF: Framework for Comprehensive Sexuality Education, London, 2006
                                                                                         mitted to promoting adolescent and youth sexual and reproductive rights at the national,
productive rights and comprehensive sexuality education. The Youth Coalition, an in-     regional and international levels. We are students, researchers, lawyers, health care pro-
ternational organization of young people working for sexual and reproductive rights,                                                                                                     7. UNAIDS: 2008 Report on the Global AIDS Epidemic
                                                                                         fessionals, educators, development workers, and most importantly, we are all dedicated
calls for:                                                                               activists.
                                                                                                                                                                                         8. UNESCCO 2009: International Technical Guidance on Sexuality Education
1. Inclusion of non-discriminatory, rights-based, gender-sensitive comprehensive         The Youth Coalition aims to ensure that the sexual and reproductive rights of all young peo-
sexuality education in primary and secondary education curricula and in programmes                                                                                                       9. http://www.apa.org/news/press/releases/2005/02/sex-education.aspx
                                                                                         ple are respected, guaranteed and promoted, and strives to secure the meaningful partici-
targeted at out-of-school youth as a way to achieve the MDGs 3, 5 and 6 and in-          pation of young people in decision-making that affects their lives, by advocating, generating
directly other goals as well. To ensure that the content of comprehensive sexuality      knowledge, sharing information, building partnerships and training young activists.
education responds to the needs of young people, young people should participate in
the process of content development.

2. Increased funding and political support for comprehensive sexuality education at
the national level and development of appropriate indicators.

3. Education systems strengthening for provision of sexual and reproductive health
information for young people, including training of teachers, dialogues with parents
and guardians and establishing links to the health system.

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The linkages between the MDGs and Comprehensive Sexuality Education for Young People

  • 1. The linkages between the MDGs and Comprehensive Sexuality Education for Young People The linkages between the MDGs and The International Technical Guidance on Sexuality Education developed by the United Na- tions in 2009 defines key concepts of comprehensive sexuality education as: 1. Relation- The most prevalent sexuality education curricula are designed to reduce risks related to STIs, HIV and AIDS or unintended pregnancies. These programmes are often too Comprehensive Sexuality Education ships; 2. Values, Attitudes and Skills; 3. Culture, Society and Human Rights; 4. Human medical-oriented, fear-based and seldom address the varied needs of young people. The curricula rarely address relationships, social and cultural factors and positive Development; 5. Sexual Behaviour; and 6. Sexual and Reproductive Health.4 for Young People aspects of sexuality, such as sex as a natural, pleasurable, life-affirming event. A clear rationale can be identified for the need of comprehensive sexuality education by looking at the alarming statistics on the situation of young people and sexuality world- Research has suggested that abstinence as a behavioural goal is not the same as The Millennium Development Goals (MDGs), agreed upon by govern- wide.: the abstinence-only education programmes.9 To bring about a behavioural change ments of the world in the year 2000, have set the priorities for interna- among young people, comprehensive sexuality education strategies should be ad- tional development for the past decade. In the 10 years since the MDG ‱ Every year, approximately 10 million teenage girls marry – a majority of them without opted to increase knowledge and skills of young people in making healthy and in- completing secondary education. formed choices rather than limiting their rights and choices. Furthermore, compre- targets were set, analysis indicates that there is still progress to be made hensive sexuality education needs to be paired with programmes aiming at providing on key issues relating to young people’s sexual and reproductive health access to comprehensive sexual and reproductive services for youth. ‱ Approximately 16 million of the adolescent girls aged 15-19 who give birth to a child and rights. The Youth Coalition addresses some of these issues in this account for more than 10 per cent of all births worldwide (WHO, 2008). factsheet.1 MDG Target 2a: Ensure that all boys and girls complete a full course of ‱ At least 2.5 million adolescent pregnancies every year lead to unsafe abortions.5 primary schooling Young people at the heart of MDG 2 ‱ Each year at least 111 million new cases of preventable sexually transmitted infec- 2.1 Net enrolment ratio in primary education tions (STI) occur among young people, while an estimated 5.4 million youth currently 2.2 Proportion of pupils starting grade 1 who reach last grade of primary More than 1.3 billion people – one in five people alive today – are adolescents aged live with HIV.6,7 2.3 Literacy rate of 15-24 year-olds, women and men 10 – 19.2 Paying attention to this large group of the global population is crucial if we want to achieve the Millennium Development Goals. MDG 2 – Achieve Universal Primary Education – is the goal dedicated to knowledge. It is a very ambitious goal, What makes sexuality education comprehensive? the target being to “ensure that, by 2015, children everywhere, boys and girls alike, Comprehensive sexuality education and Human Rights will be able to complete a full course of primary schooling” but certainly falls short of Effective sexuality education can provide young people with age appropriate, culturally rel- looking into the quality and scope of the education. For instance, it leaves out some The United Nations Charter on the Rights of the Child (UNCRC) states that all children evant and scientifically correct information. It includes structured opportunities for young key concerns related to the development of adolescents and young people including and young people have the right to access information that will allow them to make people to explore their attitudes and values, and to practice the skills they need to be able sexuality education. Promoting the provision of comprehensive sexuality education decisions about their health (Article 17), including family planning (Article 24). They to make informed decisions about their sexual lives.8 will forward the achievement of the MDGs. Equipping young people with knowledge have the right to education that will help them learn, develop and reach their full and life-skills related to sexual and reproductive health can greatly contribute to- potential and prepare them to be understanding and tolerant towards others (Article The International Technical Guidelines on Sexuality Education lists 18 characteristics of wards achieving MDG 3 (achieving gender equality and empowering women), MDG 29). programmes that have been effective. These characteristics include: 5 (reducing maternal mortality) and MDG 6 (combating HIV and AIDS). ‱ Addressing specific situations that may lead to risky sexual behaviour or unwanted or Sexual and reproductive rights are a vital part of human rights. Many international unprotected sexual intercourse, how to avoid and get out of these situations consensus documents recognize the right of young people to seek/access informa- The need for comprehensive sexuality education tion regarding their sexual and reproductive health. For example, articles 6.13 and ‱ Assessing the reproductive health needs and behaviours of young people 6.15 of the Programme of Action (PoA) of the International Conference on Population Comprehensive sexuality education seeks to empower and equip young people with and Development (ICPD) call on countries to meet the needs and aspirations of youth the knowledge, skills, and tools they need to determine and enjoy their sexuality ‱ Addressing personal values and perceptions of family and peer norms about engag- to ensure their integration and participation in all spheres of society including partici- – physically and emotionally, individually and in relationships. It views ‘sexuality’ ing in sexual activity and having multiple partners pation in the political process and preparation for leadership roles. Furthermore, the holistically and within the context of emotional and physical development.3 PoA urges countries to actively involve young people in the planning, implementa- ‱ Focusing on specific risk and protective factors that affect particular sexual behav- tion and evaluation of development activities that have a direct impact on their daily iours and that are amenable to change by the curriculum-based programme. lives, highlighting the importance of sexuality education and sexual and reproductive health concerns in this regard.
  • 2. The linkages between the MDGs and 190 Maclaren Street, Suite 200 Ottawa, Ontario, K2P 0L6 Canada Comprehensive Sexuality Education for Young People Telephone: + 613-562-3522 / Fax: + 613-562-7941 admin@youthcoalition.org / www.youthcoalition.org Recommendations Learn More References Looking at the MDGs through a lens of sexuality and youth, it is clear that indicators For more information about the MDGs and young people, please read Learning to Speak 1. For more information about the Millennium Development Goals, please visit the measuring progress are lacking within the MDGs framework. For example, MDG 2 MDGs - 2nd edition produced by the Youth Coalition for Sexual and Reproductive Rights, website: http://www.undp.org/mdg/ (Universal access to primary education) does not measure the quality of education, available for download on our website: www.youthcoalition.org. and consequently, comprehensive sexuality education risks being omitted from the 2. UNICEF, Adolescence: The big picture, updated 19 March 2009, accessed 10 education agenda and from the implementation of programmes striving toward the June 2009 at http://www.unicef.org/adolescence/index_bigpicture.html achievement of the MDGs. Another example to consider is the MDG 5B target on Universal Access to Reproductive Health. This target has an indicator (5.6) which Acknowledgements 3. IPPF Framework for Comprehensive Sexuality Education, London, 2006 measures the unmet need for family planning; however, the indicator does not ex- plain nor address the reasons why the need for family planning is ‘unmet’. Unmet The Youth Coalition would like to acknowledge the support of CHOICE for Youth and Sexual- 4. UNESCO: http://unesdoc.unesco.org/images/0018/001832/183281e.pdf need occurs when young people have inadequate access to the knowledge, skills ity and YouAct in the development of this factsheet. and services they require to make informed decisions. Therefore, it is crucial to not 5. WHO: Why is giving special attention to adolescents important for achieving only measure unmet need, but to also address it through appropriate programmes Millennium Development Goal 5?, Fact Sheet WHO/MPS/08.14, 2008, accessed and services such as comprehensive sexuality education. at http://www.who.int/making_pregnancy_safer/events/2008/mdg5/adolescent_ About the Youth Coalition preg.pdf Governments, civil society and community leaders should recognize the important Youth Coalition is an international organization of young people (ages 15-29 years) com- linkages between the Millennium Development Goals, young people’s sexual and re- 6. IPPF: Framework for Comprehensive Sexuality Education, London, 2006 mitted to promoting adolescent and youth sexual and reproductive rights at the national, productive rights and comprehensive sexuality education. The Youth Coalition, an in- regional and international levels. We are students, researchers, lawyers, health care pro- ternational organization of young people working for sexual and reproductive rights, 7. UNAIDS: 2008 Report on the Global AIDS Epidemic fessionals, educators, development workers, and most importantly, we are all dedicated calls for: activists. 8. UNESCCO 2009: International Technical Guidance on Sexuality Education 1. Inclusion of non-discriminatory, rights-based, gender-sensitive comprehensive The Youth Coalition aims to ensure that the sexual and reproductive rights of all young peo- sexuality education in primary and secondary education curricula and in programmes 9. http://www.apa.org/news/press/releases/2005/02/sex-education.aspx ple are respected, guaranteed and promoted, and strives to secure the meaningful partici- targeted at out-of-school youth as a way to achieve the MDGs 3, 5 and 6 and in- pation of young people in decision-making that affects their lives, by advocating, generating directly other goals as well. To ensure that the content of comprehensive sexuality knowledge, sharing information, building partnerships and training young activists. education responds to the needs of young people, young people should participate in the process of content development. 2. Increased funding and political support for comprehensive sexuality education at the national level and development of appropriate indicators. 3. Education systems strengthening for provision of sexual and reproductive health information for young people, including training of teachers, dialogues with parents and guardians and establishing links to the health system.