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Developing a Culturally Sensitive Framework for Sexual and Reproductive Health Education: Validating With the Fuzzy

Siti Hazariah Abdul Hamid1, Mohammed Rasheedan Ellin2, Siti Roshaidai Mohd Arifin1

  • 1International Islamic University Malaysia, Kuantan, Malaysia.

Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society
|December 8, 2025
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Summary
This summary is machine-generated.

Developing a culturally sensitive sexual and reproductive health (SRH) framework in Malaysia is crucial. This study used the Fuzzy Delphi Method (FDM) to identify key criteria for effective SRH education programs.

Keywords:
Fuzzy Delphi Methodcommunity acceptanceculturally sensitive SRH educationframework developmentparental perspectives

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Area of Science:

  • Public Health
  • Sociology
  • Education

Background:

  • A significant gap exists in culturally sensitive sexual and reproductive health (SRH) frameworks within Malaysia.
  • This deficiency has led to ineffective sexual education programs with low community acceptance.

Purpose of the Study:

  • To develop and validate criteria for a culturally sensitive SRH framework tailored for the Malaysian context.
  • To address the need for culturally appropriate guidance in SRH education.

Main Methods:

  • The Fuzzy Delphi Method (FDM) was utilized for consensus-building among experts.
  • Data collection involved interviews with 31 parents and analysis of a parenting sexuality module.

Main Results:

  • An expert panel accepted 34 out of 36 proposed criteria for the SRH framework.
  • Criteria related to encouraging repentance and focusing SRH education solely on men were excluded.

Conclusions:

  • The FDM successfully identified culturally relevant criteria essential for effective SRH communication in Malaysia.
  • Findings offer guidance for educators and policymakers to enhance SRH programs and improve their cultural sensitivity.