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Explorando la colaboración multisectorial en la implementación de un marco integral de educación sexual a nivel

Malizgani Paul Chavula^1,2, Joseph Mumba Zulu³, Isabel Goicolea¹

¹Department of Epidemiology and Global Health, Faculty of Medicine, Umeå University, Umeå, Sweden.

Global health action

|August 29, 2025

Resumen

La colaboración multisectorial en el programa de Educación Sexual Integral (ESC) de Zambia enfrenta desafíos como la exclusión y los problemas financieros. La mejora del liderazgo provincial es crucial para la coordinación y la prestación efectivas de los servicios de CSE.

Área de la Ciencia:

Salud pública
La política de educación
Ciencias sociales

Sus antecedentes:

Zambia introdujo un marco de Educación Sexual Integral (CSE) en 2014, descentralizando la implementación a los niveles provinciales.
Los ministerios provinciales de Salud y Educación son clave para el apoyo técnico y de políticas en la prestación de CSE.
Existen investigaciones limitadas sobre la dinámica de la colaboración CSE a nivel administrativo provincial.

Objetivo del estudio:

Explorar las dinámicas de colaboración multisectorial que influyen en la aplicación del marco de la EEC a nivel provincial en Zambia.
Identificar los factores que facilitan o obstaculizan la colaboración efectiva entre las diversas partes interesadas involucradas en el CSE.

Principales métodos:

Estudio cualitativo que incluye 29 entrevistas en profundidad con las partes interesadas a nivel provincial.
Los participantes incluyeron representantes del gobierno (salud, educación), el sector privado, líderes religiosos y tradicionales.
El análisis empleó un análisis temático reflexivo, guiado por un marco de gobernanza colaborativa integrador.

Principales resultados:

Las dinámicas de colaboración se clasificaron en compromiso basado en principios, motivación compartida y capacidad de acción conjunta.
Las barreras incluían problemas con las estructuras provinciales, la exclusión de los actores, la transparencia financiera y las débiles relaciones formales.
Los facilitadores incluyeron una comprensión colectiva del propósito, políticas de apoyo y consenso sobre la adaptación del marco CSE; se observó la capacitación y el seguimiento conjuntos de los maestros.

Conclusiones:

Desafíos como la participación limitada, la exclusión de los actores, las limitaciones financieras y la debilidad de la coordinación impiden una colaboración efectiva entre los CSE.
La mejora de la capacidad de liderazgo provincial es esencial para la coordinación efectiva de las partes interesadas.
La gestión transparente de los recursos, la planificación colectiva, la aplicación y el seguimiento son vitales para el éxito de la EEC.

Palabras clave:

Capacidad para la acción conjunta Los Estados Unidos Gobierno colaborativo Educación sexual integral compromiso basado en principios Derechos de salud sexual y reproductiva motivación compartida

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