Exploring New Territories - IPPF

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Exploring new territoriesDialogues from a consultative meetingon comprehensive sexuality educationHOSTED BY IPPF ON 5 AND 6 MARCH 2012, LONDON

Who we areThe International Planned Parenthood Federation (IPPF) is aglobal service provider and a leading advocate of sexual andreproductive health and rights for all. We are a worldwidemovement of national organizations working with and forcommunities and individuals.IPPF works towards a world where women, men and youngpeople everywhere have control over their own bodies, andtherefore their destinies. A world where they are free to chooseparenthood or not; free to decide how many children they willhave and when; free to pursue healthy sexual lives without fearof unwanted pregnancies and sexually transmitted infections,including HIV. A world where gender or sexuality are no longera source of inequality or stigma. We will not retreat from doingeverything we can to safeguard these important choices andrights for current and future generations.

Exploring new territories 3Inside this report Preface – a journey of discovery5Overview – roadmap for the journey601 Why take this journey to new territories?8Where did the journey start?9Which new territories did IPPF want to explore?9Possible routes to take10Shift from traditional pedagogies to an ‘empowerment model’10Critical pedagogy – learning as a method of social engagement10Feminist pedagogy – learning as a method of social transformation10Connecting pedagogy to practice11What tools did we use to help us along the way?11The process1102 What did we learn from our journey?12Exploring teaching and learning13What makes a positive learning experience?13

4 Exploring new territoriesApplying principles to comprehensive sexuality education14Rethinking how we teach and learn in CSE14Is there consensus to shift our way of thinking?15Taking stock of current CSE activities: key points emerging fromthe fishbowl discussion16Putting new approaches into practice: the challenges,opportunities and recommendationsExploring how we measure the effectiveness of CSE1820Beyond health outcomes20Mapping outcomes and indicators for CSE2103 Steps to take to complete our journey22Action points for IPPF23Final conclusions24Appendices25Appendix 1: List of participants26Appendix 2: Key questions and issues explored27References29Selected resources30

Preface – a journey of discovery Exploring new territories 5Preface – a journey of discoveryThe International Planned Parenthood Federation (IPPF) works towards a world wherewomen, men and young people everywhere have control over their own bodies, andtherefore their destinies. We defend the right of all young people to enjoy their sexualityfree from ill health, unwanted pregnancy, violence and discrimination. IPPF’s work withyoung people is rooted in the premise that all young people are rights-holders and that atdifferent points on the spectrum from infancy, childhood and adolescence, certain rightsand protections will have greater or lesser relevance. IPPF also recognizes young people assexual beings with diverse needs, desires, hopes, dreams, problems, concerns, preferencesand priorities.Increasingly, we no longer view ourselves solely as health service providers but also aseducators. During the past decade, IPPF has put sexuality education at the forefront of itswork with young people. IPPF fosters a comprehensive rights-based approach to sexuality.Comprehensive sexuality education (CSE) contains components which allow learners toexplore and discuss gender and the diverse spectrum of gender identities that exist beyondsimple heterosexuality. It also contains components that examine the dynamics of powerin relationships and individual rights. Last but not least, IPPF views sexuality as a positiveforce. The pleasure that we derive from sexuality is a vital part of our lives, whether it’s thepleasure of feeling that a reproductive desire is fulfilled, the pleasure of sharing intimacy ina relationship, the pleasure of feeling confident to express one’s identity, or any other typeof pleasure related to sexuality. It’s what makes us human. CSE views sexuality as a positiveforce, and celebrates diversity.IPPF has developed its own ‘Framework for Comprehensive Sexuality Education’ and alllevels of the Federation have contributed to developing and/or implementing numerousinternational, national and local guidelines and curricula, inside and outside the schoolsetting. However, we feel that we still need to find out and explore the most effectiveways to ‘translate’ our rights-based approach into teaching and learning approaches andtechniques. Another new territory for IPPF is how to measure the effectiveness of sexualityeducation: why do we need to measure effectiveness, what do we need to measure andhow?To support our thinking and to facilitate a discussion on these issues, we invited 30 peoplefrom across the globe to London in March 2012 to attend a consultative meeting on CSE.Through a range of participatory group work methods, an environment was establishedwhere participants could contribute to the discussion in various ways. This report aims tocapture the essence of the discussions, highlights key points and will hopefully stimulatefurther thinking.This meeting was a first step to explore our new territories. We still have a long way togo. But this first step was extremely positive and useful. We couldn’t have done it withoutour facilitator Anna Martinez, Coordinator of the National Sex Education Forum, who alsowrote this report. We also thank Chelsea Ricker, an independent consultant on sexualityeducation, who wrote a thought-provoking background paper. But most of our thanks arefor the participants, who worked extremely hard, participated with full enthusiasm andcontributed their expertise in all the discussions.Thank you to all who helped IPPF on its journey of discovery!Doortje BraekenSenior Advisor Adolescents and YouthIPPFJune 2012IPPF has developed its own‘Framework for ComprehensiveSexuality Education’ and alllevels of the Federation havecontributed to developingand/or implementing numerousinternational, national and localguidelines and curricula, insideand outside the school setting.However, we feel that we stillneed to find out and explore themost effective ways to ‘translate’our rights-based approach intoteaching and learning approachesand techniques.

6 Exploring new territories Overview – roadmap for the journeyOverview – roadmap for the journeyAimsWhile IPPF’s ‘Frameworkfor ComprehensiveSexuality Education’sets out clearly ourrights-based,gender-sensitive andsex-positive approach,along with the contentof comprehensivesexuality education, thespecific methodologiesto deliver and measureeffectiveness are notwell defined. This reportaims to pull togetherIPPF’s current thinkingon these new territories.ObjectivesBeginning thejourneyIPPF began its journeyby commissioning athought-provokingpaper to stimulatequestions aboutthe most effectivepedagogical, teachingand learning methods,and ways of assessingtheir effectiveness.This was followed by aconsultative meeting on5 and 6 March 2012,in which experts wereinvited to share theirperspectives and helpIPPF identify a wayforward. This meetingwas considered thebeginning of a processand successfullyprovoked thoughtand stimulated broaddiscussion.The main objectives ofthe meeting were: to advise IPPF onthe most effectivemethods to delivercomprehensivesexuality education to support IPPF todevelop new ways ofassessing the successof our approach toCSE to advise IPPF onhow to translatethese principlesinto our youthprogrammes(in school, outof school, peereducation) to explore the roleof IPPF and otherstakeholders to takethis process forwardTime to reflectWe hoped this meetingwould give participantsthe opportunity, thespace and the timeto reflect on oldterritories and explorenew ones. An externalfacilitator experiencedin participatoryconsultation techniquesled participantsthrough a seriesof presentations,discussions, groupwork and reflections inorder to start answeringkey questions abouthow we deliver CSEand deepen ourunderstanding of IPPF’srole.We purposely did notdistribute a detailedagenda as we wantedthe discussions to flowwithout too manyrestrictions. Instead,we developed a seriesof questions and issuesthat we wanted toexplore and planned arange of participatoryactivities to help explorethese. (A list of thesequestions, issues andactivities can be foundin Appendix 2.)

Overview – roadmap for the journey Exploring new territories 7Day 1On day 1, we providedan overview of IPPF’swork on CSE, makingit clear that we wantedto use the meeting toexplore the ‘how’ andnot the ‘what’ of CSE.A background paperon critical and feministpedagogies was sent toparticipants in advanceand was presented tostimulate discussionduring the meeting.Day 2Throughout the day,participants shared theirviews on pedagogical,learning and teachingmethods and there wassome discussion onthe types of learningnecessary for goodquality CSE. It becameclear early on thatthere is a need tostrengthen currentmethods of deliveringCSE. However, itwas recognized thatintroducing new waysof thinking could bechallenging. It wasalso acknowledgedthat more informationon pedagogies andinput from educationalexpertise would benecessary to explore theissue in more depth. Theday ended with a seriesof reflections includingsome preliminary ideasof how IPPF could takethis work further.On day 2, participantsreflected on the valuesthat underpin CSE. Webegan to explore waysto measure the successand effectiveness ofCSE that move beyondbehaviour change.Participants worked ingroups to map out whatnew indicators wouldlook like. Many foundthis task a challengeand reported that moretime would be neededto really understandthe best indicators forCSE which go beyondthose well established inpublic health.Action planThe day concludedwith action planningand developing a setof recommendationsfor IPPF. Participantswere also encouragedto suggest ways theirorganizations cancollaborate with IPPF.It was evident by theend of the two daysthat there are someclear steps that IPPF andpartners can take onthe next part of theirjourney to explore newterritories.This report is divided into threemain sections. The first sectionanswers several questions. Whydid IPPF decide to embark on thisjourney? Why now, what inspiredIPPF and what tools did it chooseto explore the issues? The secondsection of the report reflectson what IPPF has learned fromthe consultative meeting and itsdiscussions with experts. Thefinal section of the report sets outwhat steps IPPF needs to take inorder to complete the journey.

8 Exploring new territories 01 Why take this journey to new territories?01 Why take this journey to newterritories?Comprehensive sexuality education should respond to and celebrate the diversity that exists amongyoung people across the world. It should equip young people with knowledge, skills, attitudesand values to determine and enjoy their sexuality. Comprehensive sexuality education should takea positive and respectful approach to sexuality and sexual relationships, and be part of broaderemotional and social development providing opportunities to acquire life skills and nurture personalvalues.

01 Why take this journey to new territories? Exploring new territories 9Where did the journey start?IPPF’s work is underpinned by the belief that all young people –regardless of age, faith, culture, ability or sexual orientation – havethe right to enjoy their sexuality free from ill health, unwantedpregnancy, violence and discrimination. Increasingly, we nolonger view ourselves solely as health service providers but alsoas educators. IPPF seeks to provide comprehensive sexualityeducation, information and services that respond to and celebratethe diversity that exists among young people across the world.In 2005, we developed IPPF’s ‘Framework for ComprehensiveSexuality Education’ which sets out our rationale and vision forcomprehensive sexuality education and includes the main elementswe believe should be part of sexuality education programmes.IPPF believes that CSE should equip young people with knowledge,skills, attitudes and values to determine and enjoy their sexuality.Comprehensive sexuality education should take a positive andrespectful approach to sexuality and sexual relationships, whetheror not the young person is sexually active, and be part of theirbroader emotional and social development. Information alone isnot enough. CSE must also provide opportunities to acquire lifeskills and nurture personal values. It should ideally be deliveredusing a participatory learning approach, within an environment thatencourages critical thinking, especially about gender equity andrights.Most of our Member Associations are involved in some form ofsexuality education, information and awareness raising on sexualand reproductive health inside and/or outside the school setting.Member Associations implement a range of strategies, includingadvocating for changes in national sex education curricula, trainingeducators, and collaborating with governments, ministries,parents and local communities to advocate for and implementcomprehensive sexuality education. We have also been involvedin the development of several national and international sexualityeducation guidelines.To date, most of IPPF’s work on CSE has been guided by a healthperspective, whereas pedagogy and educational principles are arelatively new area for IPPF. We are currently looking at the mosteffective ways to deliver sexuality education programmes, andhow to measure the effectiveness of our sexuality education work.To this end, IPPF invited sexual and reproductive health and rightsexperts and education experts to take stock of the state of the fieldand to discuss what we have come to consider the missing link. Themeeting focused on two main areas: educational approaches tocomprehensive sexuality education and measurement systems.Which new territories did IPPF want toexplore?IPPF acknowledges the importance of young people’s accessto CSE, both within formal and informal settings. It encouragesMember Associations to promote a model of sexuality educationthat is rights based and gender sensitive, and that considers thevarious socio-cultural factors, economic issues and power dynamicsthat influence sexual choices as well as the resulting emotional,mental, physical and social impacts on each young person’sdevelopment.While there is growing international consensus about the contentof CSE, its delivery and measurement systems vary significantly.CSE is increasingly a matter not only of national interest, butinternational importance, as development agencies, states andfunders increasingly recognize CSE as a critical developmentintervention. National and local programmes are increasinglyinfluenced by international standards, but remain largely focusedon public health (Ingham and Aggleton 2006). Health indicators areused to measure educational success, while young people’s rightsand autonomy are hardly included in quantifiable measurementsof their sexual behaviours. IPPF, however, has recognized theimportance of promoting gender equality and human rights insexuality education in order to reach desired health outcomes moreeffectively.The UNESCO ‘International Technical Guidance on SexualityEducation’, the ‘It’s All One Curriculum’ produced by a consortiumof international sexual and reproductive health and rightsorganizations, and the ‘WHO Standards for Sexuality Education inEurope’, among others, all emphasize the importance of humanrights, gender equality, critical thinking and young people’sparticipation in important, if different, ways. Yet while the contentof sexuality education curricula and programmes is consistentlyimproving, our ability to deliver programmes and measureeffectiveness has not kept pace. Bound by behavioural healthindicators, IPPF has been unable so far to take the time to considerthe pedagogical approaches that best foster young people’s abilityto critically engage with their cultures, claim their human rights andtake ownership of their sexual lives. However, the tide is turningand many agencies are now seeking to explore sexuality educationin more depth. IPPF is committed to developing its understandingof these areas and considering its part in the debate.What is pedagogy?It is very difficult to define a single definition of ‘pedagogy’.To most people it means the science that explores learning,education and development of children and young people.It examines how these processes help young people tounderstand and develop their identity, to become independentadults, to be aware of the groups and the context they belongto, and to become critical and active citizens in their society.Pedagogy includes teaching and learning styles, but it is notnecessarily confined to the classroom. Critical pedagogy, whichhas a more rights-based perspective of education, worksactively towards the improvement of human well-being andfreedom.

10 Exploring new territories 01 Why take this journey to new territories?social interests it replicates, and to working actively towards theimprovement of human well-being and freedom. Critical pedagogyis “a process which takes the experiences of both the learner andthe teacher and, through dialogue and negotiation, recognisesthem both as problematic” (Grundy, quoted in Smith 2000 p.10).Possible routes to takeShift from traditional pedagogies to an‘empowerment model’Sexuality education seeks to support and empower young peopleto “handle sexuality in responsible, safe and satisfactory ways,instead of focusing primarily on individual issues or threats”(World Health Organization 2010 p.11). As young people’s sexualand reproductive rights have become recognized, internationalguidelines for sexuality education have become more aligned witha broader human rights approach as opposed to simply focusing onpublic health outcomes such as behaviour change.There is growing recognition that rights-based sexuality educationdemands more progressive educational methods than simplyimparting factual information to the learner. Although learning the‘facts of life’ is still fundamental to CSE, the development of socialskills and personal values requires an approach which considers therole of the learner’s environment, experiences and emotions.Shifting our pedagogical approach to sexuality education towardsan ‘empowerment model’ – “in which the social and politicalimplications of sexuality could be examined” – would provide astrong foundation for addressing the challenge of bringing togethersexuality and human rights in classrooms (Mayo 2011 p.407).Despite this consensus, a gap remains between programmerhetoric and programme implementation. The primary focus ofdiscussions of CSE curricula remains on the content, and littletime is spent considering methods and the role of the educator.If we begin not from the idea that the educator’s role is to passalong factual information to the learner, but from the position thateducators are there to engage young people in a lifelong processof fact-finding, discovery and analysis, how does that change ourapproach to teaching sexuality education? To achieve global genderequality, and reduce stigma and discrimination related to sexualityand sexual health, how can we be more effective and plan CSEprogrammes to go past critical thinking to critical engagement?Critical pedagogy – learning as a method of socialengagementThe background paper prepared for the meeting suggested thatIPPF might consider the idea of promoting critical pedagogy. Thisapproach links education to the naming and questioning of the1Under a critical pedagogy model, the objectives of education are1) to free the learner from the structural biases ingrained in theirsociety, and 2) to empower individuals to negotiate, control andshape their realities (Aloni 2007). Using this approach, youngpeople can question the interaction of knowledge and power, andlearn “to use knowledge not only to understand the world, butto be able to influence those who are in power and help tomobilise those who are not” (Giroux 2007). By sharing andquestioning the experiences of both the learner and the educatorin a non-hierarchical setting, critical pedagogy challenges thelearner’s constructed understanding of power. It opens mental andsocial space for young people to reconsider the socio-culturalnorms and expectations that shape their experiences of sexualityand sexual health.Critical pedagogy is a political exercise as well as an educationalone, as it looks to lay bare the linkages between the classroomand society (Aloni 2007). If we adopt this model for developingcurricula, we can draw on the theory of critical pedagogy inspiredby Freire to “understand and engage schools as places whereculture, power, knowledge and experience come together” inorder to promote and protect human rights relating to educationand sexuality (Giroux 2007).Feminist pedagogy – learning as a method of socialtransformationFeminist pedagogy shares many characteristics with, and couldeven be understood as a branch of, critical pedagogy. The clearestconnections are the privileging of individual experiences andthe emphasis on education as space for social transformation.A feminist pedagogical approach to sexuality education woulddraw on a theoretical background which “validates difference,challenges universal claims to truth, and seeks to create socialtransformation” (Weiler 1994 p.12) by opening a dialogue betweeneducators and young people on a holistic range of issues relatedto gender, sexuality and human rights, focusing on the individual’sexperiences to construct a shared understanding from whichto approach learning. Feminist pedagogy in this model wouldprioritize the development of student autonomy, defined as “thecapacity to reflect on and make choices,” a capacity without whichlearners “are liable to be in thrall to arbitrary authority” (Scott 2006pp.36–37).Both feminist and critical pedagogy rely on a socially engagedcurriculum to encourage learners to be “theorists of their ownlives by interrogating and analysing their own experience” (Weiler1994 p.20). Both focus on the liberation of learners through‘conscientization’:1 “that historical moment when one beginsto think critically about the self and identity in relation to one’spolitical circumstance” (hooks 1993 p.147). When approachedthrough feminist pedagogy, sexuality education offers a vitalopportunity for conscientization, that key change in perception“which occurs in the ‘problematizing’ of a reality in conflict, in‘Conscientization’ is a concept coined by Paulo Freire that refers to the process of developing a critical awareness of one’s social reality through reflection and action.Action is fundamental because it is the process of changing the reality.

01 Why take this journey to new territories? Exploring new territories 11viewing our problems in life in their true context, [and] requiresus to reconfront our reality” (Freire 1985 p.40). Looking to thevital importance of gender equality to young people’s sexualand reproductive lives, we can see a clear benefit to a change inpedagogical approach. Critical feminist teaching methodology canbe the key to unlocking the power to challenge stereotyped genderroles and harmful gender norms in the lives of young people(Ricardo et al 2006).Feminist pedagogy provides a powerful way to engage male,female and transgender learners on issues of gender equalityand social justice. For example, deconstructing gender normsand stereotypes within the classroom can have a strong effect onyoung people’s consciousness and ability to draw linkages betweensocial expectations and their experience of justice. Feministpedagogical practices can therefore be key to addressing not onlyhuman rights and gender equality, but the underlying expectationsof masculinity and femininity in our cultures and societies in waysthat engage and challenge young people’s lived realities.Additionally, this approach – which combines the topicstraditionally covered by sexuality education with human rights andcivic or citizenship education – has strong potential to promotesocial justice, but requires a great deal of commitment on thepart of all stakeholders. Educators and educational policy makerswill need to embrace sexuality education as a place to “take thedifficult risks of highlighting cultural stress-points, advocatingequity for all learners” (Mayo 2011 p.411). At the same time, thedifficulties of embracing such culturally risky subject matter usingnew and radical teaching methods could finally bring sexuality,human rights and civic engagement together for learners in ameaningful way (Mayo 2011).Connecting pedagogy to practiceCritical and feminist pedagogical approaches would seem to bethe natural fit for IPPF’s focus on CSE which challenges genderinequality, promotes social justice and privileges young people’sparticipation. While these approaches are not especially new,promoting and incorporating them on a larger scale can pose someunique challenges. For example, we must acknowledge the culturaland social challenges this type of shift could provoke. On theglobal scale, fundamentalisms and cultural conservatism worldwidehave caused increasing pushback against sexuality educationwhich incorporates human rights and gender equality, and despiteincreasing support, sexuality education has not been recognizedas a human right in any internationally-agreed conventions ortreaties. Nevertheless, CSE advocates have successfully generatedsupport through other international instruments including astrong resolution from the 45th session of the UN Commissionon Population and Development (2012) and a bold report in 2010by the UN Special Rapporteur on the Right to Education aboutthe human right to sexual education. One reason why sexualityeducation remains primarily a health intervention has been therelative success of getting information about sexual health as HIVprevention recognized on an international scale, so we are justat the beginning of the road to convincing policy makers of theimportance of this pedagogical shift.What tools did we use to help us alongthe way?Thirty participants were invited to attend this meeting (seeAppendix 1). Participants were selected in consultation with IPPF’sRegional Offices (to ensure regional representation), the consultantwho prepared the background paper (to ensure representationfrom academic circles) and key partners including UNESCO.Each individual brought a unique contribution to the discussion. Inorder to make the most of the expertise over a relatively short periodof time an external facilitator was invited to help develop a programmewhich not only ensured the consultative process engaged allparticipants by creating an environment supportive of thinking,listening and sharing, but was also able to model the types ofmethods which are ideally suited to CSE. It is important, however,to note that participatory group work methods need more time thantraditional didactic approaches to meetings. They require anexperienced facilitator to lead the group through a series of stepsto help create a space in which all participants feel able to contribute.The room layout was also important. For the main space we chose acircle of chairs without any tables to create an atmosphere of equalityand unity and ensure that nobody could hide behind a table!The processThe first step was to help the participants get to know each other,especially to meet and greet people they did not know, and tointroduce themselves to the group as a whole. A safe environmentwas created with the help of the facilitator and an agreed set of‘ground rules’. In any group setting some power dynamics areinevitable but the key to the process was to ensure that everyonehad an equal chance to contribute at some level, in the way theyfelt most comfortable.The second step was to introduce a warm-up activity. We chose pairwork, and asked the pairs to reflect on their own personal viewsand experiences on the given topic. This was followed by buildingconsensus by identifying views that all participants had in common.From this foundation more in-depth exploration could begin, usinga variety of activities including pair work, small group discussion,rounds of feedback and draw and write, fishbowl, Socraticdiscussion, brainstorming and reporting back. Another essentialelement of participatory group work activities is the reflection.This is an opportunity to consolidate one’s thinking through thisreflective time of talking, writing and sharing. Group reflections areof great value but, equally, personal reflection is essential.

12 Exploring new territories 02 What did we learn from our journey?02 What did we learn from our journey?In rethinking how we teach and learn in comprehensive sexuality education, there was clearconsensus that positive learning experiences moved beyond traditional didactic approaches. Theyincluded critical thinking, questioning and pushing boundaries. Comprehensive sexuality educationis more than health education and has a role in human rights, gender equality, social justice andpersonal development – a political and social approach which looks at education as a place forsocial transformation.

02 What did we learn from our journey? Exploring new territories 13Exploring teaching and learning(Discussions from day 1)Principles for positive educationWhat makes a positive learning experience?Engages the individualWe started the first day by asking participants to reflect on their own personal experienceand to think about a time when they learned something profound, which may havechanged their world view. They were then asked to explore how they learned, by whomand where. Using these memories, participants were asked to identify the characteristicswhich defined these po

Putting new approaches into practice: the challenges, opportunities and recommendations 18 Exploring how we measure the effectiveness of CSE 20 Beyond health outcomes 20 Mapping outcomes and indicators for CSE 21 03 Steps to take to complete our journey 22 Action points for IPPF 23 Final conclusions 24 Appendices 25 Appendix 1: List of .

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