Achievement Report September 2014 Health Awareness and Education
Let's talk about sex... GVI facilitates sexual health workshops at Dawasamu Secondary School
Objectives Facilitate impartial sexual education workshops with an emphasis on relationships and consent Raise awareness of available contraception choices Provide condoms to protect the community against pregnancy and infection Contribute to the United Nations Millennium Development Goals to improve sexual and maternal health, and GVI's long term goal to improve community health.
Issues identified Fiji has the highest number of Chlamydia cases in the Pacific. The central division of Fiji has high rates of sexual violence, teenage pregnancies, unwanted pregnancies and an increasing trend in the number of reported sexually transmitted infections. 1 Since 2007 the central division has maintained the highest level of STI's in Fiji. 2
As well as a high prevalence of sexually transmitted infections, Fiji also has low participation and poor access to quality reproductive health services particularly in rural communities. Only 32% of women (aged 15-49) use any form of contraception. In Fiji, sex before marriage is considered taboo and, in many communities, a sin. As a result, young people are embarrassed to seek condoms because of the stigma of being associated with promiscuous and irresponsible behaviour. 3
1 Annual Report 2008. Ministry of Health, Fiji. 2008 2 The World Bank - Ministry of Education, Form 3 'Health Science', 2012 3 Millennium Development Goals: Fiji National Report. National Planning Office, Ministry of Finance and National Planning, 2004.
2
In Secondary School, Family Life lessons advocate that abstinence is the best form of protection against STIs. The lessons are not impartial and rely heavily on Fijian gender-based norms, traditions and stereotypes. Abstinence does not always work and many lessons do not support or prepare expecting teenagers, but instead have had a tendency to alienate and humiliate . These trends have resulted in the development of an inaccurate perception about 'healthy' relationships and consent amongst some students.
In order to assess current understanding and knowledge of Sex Education a confidential survey was carried out with Form 5-7 (16-19yrs) at Dawasamu Secondary School
GVI responded to this by working closely with the community nurse and with volunteers to balance culturally appropriate lessons with unbiased information and critical thinking. GVI volunteers facilitated lessons which encouraged pupils to think critically about relationships, consent and sexual equality.
The lessons featured a 'CHOICE' kit, which displayed a broad range of contraceptives. Pupils were introduced to the different options and were then split into groups to produce a one-minute script for a TV advert promoting their preferred method of contraception. Groups were invited to present their advert to the rest of the class, either by reading the script aloud or acting out the advert.
The 'CHOICE' kit also contained a condom demonstrator. The class identified the three main things to check for before using a condom: expiry date, damage to the packet and quality/kite mark. Pupils then used a demonstrator to practice the application of condoms - some pupils even tried it blindfolded.
Key results 59% of pupils are sexually active 14% used contraception when having intercourse 27% said that they felt pressure to have sex 85% felt it was better to abstain from sex 22% said it was ok to force sex on a girl 70% believed men needed more sex than women 55% said that contraception was a woman's responsibility
3
The aim of the workshops was to address issues identified through the initial surveys collected from the pupils. The overall learning outcomes included;
Types of contraception (and the pros and cons of each method) Advice on using contraception Sexually Transmitted Infections (including symptoms & treatment) Consent & Sexual Abuse Support available for young people (sexual health, pregnancy & sexual abuse related)
The DSS pupils that attended the workshops were eager to learn about the subject matter and participated fully in all tasks set. The contraception presentations given by the pupils demonstrated a good understanding of the learning outcomes. GVI also received very positive feedback from the teaching staff at DSS: "The students really enjoyed the interactive side of the workshops. Being able to see the difference between different forms of contraception and learn the correct way to put on a condom on was very helpful" - Mrs Kunadua, Family Life teacher
Pupils asked some very compelling questions throughout the workshops such as; is there a contraceptive injection or coil for men? Can you use more than one types of contraceptive simultaneously? If a pregnant woman has an STI will this be transferred to the baby? Many of the questions raised focused on three main themes: perceived taboos, STI symptoms and concerns surrounding virginity.
GVI intends to lead further sexual health workshops based on these questions, which we hope will address more of the pupils questions. After the success of these initial workshops, the content of the session will now be adapted for delivery to younger pupils and Womens groups in the Dawasamu District. It is our hope that these workshops will give young adults the tools to make informed decisions about their sexual health.
GVI Fiji
For more information on GVI projects in Fiji please visit www.gvi.co.uk For more information on our global impact visit www.gviworld.com To make a donation to our Education Enrichment projects in Fiji please visit www.gvi.org for more details