Re-imagining comprehensive sexuality education delivery: The role of peer-led education in youth empowerment

Kenneth  Mukau

doi:10.38140/ijsie.v2i1.1782

Authors

Kenneth Mukau

DOI:

https://doi.org/10.38140/ijsie.v2i1.1782

Keywords:

Peer-led education, Comprehensive Sexuality Education

Abstract

Comprehensive Sexuality Education (CSE) promotes sexual health, gender equality, and informed decision-making among young people. However, traditional adult-led models often fail to engage youth or address their specific needs fully. This article examines how re-imagining CSE delivery through peer-led education can enhance young people’s understanding of sexuality-related issues while empowering them to become educators within their communities. Amid rising concerns over early marriages, sexually transmitted infections (STIs), sexual abuse, and early pregnancies, the limitations of traditional CSE delivery methods stress the urgency for innovative approaches. Qualitative grounded research was used in this study, and an interpretive paradigm was developed based on Vygotsky’s sociocultural theory and Bandura’s social learning theory. The case study design was used as research design. Semi-structured interviews and focus group discussions were used as data collection techniques. Fifteen were purposively selected youths aged from 15 to 18 years in Harare province, Zimbabwe. The findings illuminate the potential of peer-led CSE programmes to enhance the relevance and effectiveness of CSE by leveraging the influence of peer networks. Peer-led initiatives foster greater relatability, promote inclusive learning environments, encourage leadership development, and address cultural and societal barriers often overlooked by traditional methods. Additionally, the study explores the challenges associated with implementing peer-led CSE and provides practical recommendations for adapting such programmes to local contexts for maximum impact. The research highlights the critical role of peer-led CSE in equipping young people with the knowledge and skills needed to navigate complex sexuality-related issues and contribute meaningfully to their communities.

References

Abdi, F., & Simbar, M. (2013). The peer education approach in adolescents: Narrative review article. Iran Iranian Journal of Public Health. 42(11), 1200-1206.

Akuiyibo, S., Anyanti, J., Idogho, O., Akuiyibo. S., Piot. S., Amoo. B., Nwankwo. N., & Anosike, N. (2021). Impact of peer education on sexual health knowledge among adolescents and young persons in two North Western states of Nigeria. Reproductive Health, 18(3), 204-208. https://doi.org/10.1186/s12978-021-01251-3.

Banda, F. (2020). Gender and Human Rights. In Routledge Handbook of Family Law and Policy. Routledge.

Bandura, A. (1977). Social Learning Theory. Englewood Cliffs, NJ: Prentice Hall.

Bandura, A. (1986). Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice Hall.

Braun, V., & Clarke, V. (2008). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77-101. https://doi.org/10.1191/1478088706qp063oa

Bulduk, S. & Erdogan S. (2012). The Effects of Peer Education on Reduction of the HIV/Sexually Transmitted Infection Risk Behaviours Among Turkish University Students. Journal of the Association of Nurses in AIDS Care, 23(3), 233-243. https://doi.org/10.1016/j.jana.2011.02.003.

Campbell, C., & MacPhail, C. (2002). Peer education, gender and the development of critical consciousness: participatory HIV prevention by South African youth. Social science & medicine, 55(2), 331-345. https://doi.org/10.1016/S0277-9536(01)00289-1

Chandra-Mouli, V., Lane, C., & Wong, S. (2015). What does not work in adolescent sexual and reproductive health: a review of evidence on interventions commonly accepted as best practices. Global Health: Science and Practice, 3(3), 333-340. https://doi.org/10.9745/GHSP-D-15-00126

Chavula, K., Zulu, J. M., & Siziya, S. (2022). Factors influencing parental involvement in comprehensive sexuality education in primary schools in Zambia: A mixed methods study. BMC Public Health, 22(1), Article 115. https://doi.org/10.1186/s12889-021-12302-0

Chikoko, G. (2019). Cultural perceptions and practices regarding sexual health education in Zimbabwe. African Journal of Reproductive Health, 23(2), 55-67.

Chirwa-Kambole, E., Svanemyr, J., Sandøy, I., Hangoma, P., & Zulu, J. M. (2020). Acceptability of youth clubs focusing on comprehensive sexual and reproductive health education in rural Zambian schools: a case of Central Province. BMC health services research, 20, 1-9. https://doi.org/10.1186/s12913-020-4889-0

Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). Thousand Oaks: Sage Publications.

Creswell, J. W., & Poth, C. N. (2018). Qualitative Inquiry and Research Design: Choosing Among Five Approaches. Thousand Oaks: Sage Publications.

De Haas, B., & Hutter, I. (2019). Telling Their Stories: Experiences of Young Men and Women with Early Marriage, Early Pregnancy, and Comprehensive Sexuality Education in Zambia. Sexuality Research and Social Policy, 16(2), 233–244.

DeCuir-Gunby, J. T., Marshall, P. L., & McCulloch, A. W. (2011). Developing and using a codebook for the analysis of interview data: An example from a professional development research project. Field Methods, 23(2), 136-155. https://doi.org/10.1177/1525822X10388468

DiClemente, R. J., Crosby, R. A., & Kegeles, S. M. (2009). Emerging theories in health promotion practice and research. San Francisco, CA: Jossey-Bass.

Gürsoy, A. A., Y???tba?, Ç., Yilmaz, F., Erdöl, H., Kobya-Bulut, H., & Mumcu, H. K. (2009) The effects of peer education on university students’ knowledge of breast self-examination and health beliefs. Journal of Cancer Education, 24(4), 331–3. https://doi.org/10.1007/BF03182390.

Jaguga, F., Kiburi, S. K., Temet, E., Barasa, J., Karanja, S., Kinyua, L., & Kwobah, E. K. (2022). A systematic review of substance use and substance use disorder research in Kenya. PloS one, 17(6), e0269340. https://doi.org/10.1371/joiurnal.pone.0269340

James, S., Mutebi, B., & Kabwe, N. (2018). Evaluating peer-led CSE in South Africa: Impact on HIV prevention and reproductive health. African Journal of Sexual Health, 12(1), 33-42.

Karwalajtys, T., McDonough, B., Hall, H., Guirguis-Younger, M., Chambers, L. W., & Kaczorowski, J. (2009). Development of the volunteer peer educator role in a community cardiovascular health awareness program (CHAP): a process evaluation in two communities. J Community Health, 34(4), 336–45. https://doi.org/10.1007/s10900-009-9149-5.

Kenny, L., & Nelson, J. (2020). Engaging youth in comprehensive sexuality education: A peer-led approach. Journal of Adolescent Health, 66(1), 45-52.

Kim, C., & Free, C. (2008). Recent evaluations of the peer-led approach in adolescent sexual health education: A systematic review. Perspectives on Sexual and Reproductive Health, 40(3), 144-151.

Lightfoot, M., Rotheram-Borus, M. J., & Tevendale, H. (2007). An HIV-preventive intervention for youth living with HIV. Behaviour Modification, 31(3), 345-363. https://doi.org/10.1177/0145445506293787.

Lloyd, A., Kibicho, J., & Onono, M. (2019). Peer-led sexuality education in Kenya: A pathway to improved adolescent sexual health. International Journal of Youth Studies, 14(3), 50-68.

Lloyd, T., & Forrest, S. (2001). Peer education: The effects on sexual health. Health Education Journal, 60(1), 2-11.

Mabuie, M. (2020). Role of peer educators in behaviour change communication interventions for HIV prevention among people who inject drugs: Systematic review article. Technology and Society Sciences Journal, 10(3), 189–200.

MacPhail, C., & Campbell, C. (2001). I think condoms are good but, aai, I hate those things': Condom use among adolescents and young people in a Southern African township. Social Science & Medicine, 52(11), 1613-1627. https://doi.org/10.1016/S0277-9536(00)00272-0.

Maguire, M., & Delahunt, B. (2017). Doing a thematic analysis: A practical, step-by-step guide for learning and teaching scholars. All Ireland Journal of Teaching and Learning in Higher Education, 9(3), 3351–33514. https://ojs.aishe.org/index.php/aishe-j/article/view/3351

Mason, M. (2010). Sample size and saturation in PhD studies using qualitative interviews. Forum: Qualitative Social Research, 11(3), 1-19.

Mavuso, M. F., & Mhlanga, L. (2019). Cultural perspectives on comprehensive sexuality education in Zimbabwe: A focus on peer-led programs. African Journal of Health Professions Education, 11(1), 45-48.

Mavuso, M., & Mhlanga, B. (2019). Cultural perspectives on sexuality education in Zimbabwe: Implications for peer-led initiatives. Journal of Cultural Studies in Education, 12(3), 89-102.

McGinty, S., Knox, A., & McFadden, D. (2018). Peer-led health education: Benefits for both peer educators and adolescents. Journal of Adolescent Health, 62(4), 499-505. https://doi.org/10.1016/j.jadohealth.2017.10.020

Mukasa, S., Mwesigwa, J., & Kalisa, R. (2016). Peer-led sexuality education: Bridging the gap between youth culture and sexual health knowledge. Journal of Adolescent Health Education, 21(4), 223-234.

Mukau, K. (2023). Ecosystemic Factors Affecting Comprehensive Sexuality Education in Junior Grades in Zimbabwe (Unpublished PhD thesis), Bloemfontein, University of the Free State, South Africa. http://hdl.handle.net/11660/12605

Mukau, K., & Kufakunesu, M. (2025). Beyond the abstinence Mantra: Attitudes of parents towards comprehensive sexuality education in Zimbabwe. International Journal of Studies in Sexuality Education, 1(1), 1-7. https://doi.org/10.38140/ijsse.v1i1.1347

Mukau, K., & Nichols, H. J. (2024). Attitudes and perceptions of school stakeholders on comprehensive sexuality education in primary schools: A study of junior grades in Zimbabwe. Interdisciplinary Journal of Sociality Studies 4, 1-15. https://doi.org/10.38140/ijss-2024.vol4.11

Ngara, R. (2019). A Reflection on Gender and Sexuality. International Journal of Adolescence and Youth, 24(3), 318-329. https://doi.org/10/1080/09720073.2019.11891455

Okooboh, G. O., & Martins, O. F. (2024). A systematic review of the evidence on the effectiveness of sexuality education interventions on young people's sexual and reproductive health outcomes in Nigeria. International Journal of Community Medicine and Public Health, 11(1), 353-358. https://doi.org/10.18203/2394-6040.ijcmph20234150

Polit, D. F., & Beck, C. T. (2020). Nursing research: Generating and assessing evidence for nursing practice. Wolters Kluwer.

Pomeroy, E., Parrish, D. E., Bost, J., Cowlagi, G., Cook, P., & Stepura, K. (2011). Educating students about interpersonal violence: comparing two methods. Journal of Social Work Education, 47(3), 525–544. https://doi.org/10.5175/JSWE.2011.200900077.

Pound, P., Langford, R., & Campbell, R. (2016). What is peer education? A systematic review and meta-analysis of the effectiveness of peer-led interventions in adolescent health promotion. BMC Public Health, 16(1), 1004-1005. https://doi.org/10.1186/s12889-016-3628-4.

Resnik, D. B. (2020). What is ethics in research & why is it important? National Institute of Environmental Health Sciences. Retrieved from https://www.niehs.nih.gov/research/resources/bioethics/whatis/index.cfm

Sawyer, S. M., Azzopardi, P. S., Wickremarathne, D., & Patton, G. C. (2014). The age of adolescence. The Lancet, 379(9826), 1630-1631. https://doi.org/10.1016/S0140-6736(14)60514-9.

Scales, P. C., & Leffert, N. (2015). Developmental Assets: A synthesis of the key research findings. Minneapolis, Minnesota: Search Institute

Tabong, P. T. N. (2018). Comprehensive Sexuality Education and Adolescent Sexual and Reproductive Health Knowledge in Ghana: Evidence from the 2017 Demographic and Health Survey. BMC Public Health, 18(1), 288-296.

Timmerman, G., Hoogsteder, L., & Geijsen, D. (2020). Sex education at school: Teachers’ and students’ viewpoints. Sex Education, 20(3), 285-299.

Tolli, M. V. (2012). Effectiveness of peer education interventions for HIV prevention, adolescent pregnancy prevention and sexual health promotion for young people: a systematic review of European studies. Health Eduation Research. 27(5), 904-913. https://doi.org/10.1093/her/cys055.

United Nations Educational, Scientific and Cultural Organisation (UNESCO). (2018). International technical guidance on sexuality education: An evidence-informed approach. Paris: United Nations Educational, Scientific and Cultural Organisation.

United Nations Population Fund (UNFPA). (2016). Comprehensive Sexuality Education in Sub-Saharan Africa: Status, Challenges and Opportunities. New York: United Nations Population Fund.

Vygotsky, L. S. (1978). Mind in Society: The Development of Higher Psychological Processes. Cambridge, MA: Harvard University Press.

Westby, C., Donina, K., & Randazzo, K. V. (2018). Ethics in research and practice. In Handbook of Ethics in Communication Disorders (pp. 33-56). San Diego: Plural Publishing.

World Health Organisation (WHO). (2014). Adolescent pregnancy fact sheet. Geneva: World Health Organisation.

Yin, R. K. (2018). Case Study Research and Applications: Design and Methods. Thousand Oaks, California: Sage Publications.

Zulu, M. (2019). Stakeholder Engagement in Curriculum Development in Zambia: A Case of Life Skills Education Curriculum. International Journal of Learning, Teaching and Educational Research, 18(10), 104–120.