ザンビアの州レベルでの包括的な性教育枠組みの実施における多部門間の協力を探求する:質的研究

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

まとめ

ジャンビアの総合性教育 (CSE) プログラムにおける多部門間の協力は,排除や財政問題などの課題に直面しています. 省のリーダーシップの強化は,CSEサービスの効果的な調整と提供に不可欠です.

科学分野:

公衆衛生
教育政策
社会科学

背景:

ザンビアは2014年に総合性教育 (CSE) フレームワークを導入し,実施を地方レベルに分散させました.
地方保健省と教育省は,CSEの提供における技術的,政策的支援の鍵を握っています.
省庁レベルでのCSE協力の動態に関する研究は限られている.

研究の目的:

ザンビアの州レベルでCSE枠組みの実施に影響を与える多部門間の協力のダイナミクスを探求する.
CSEに関与する様々な利害関係者の間で効果的な協力を促進または阻害する要因を特定する.

主な方法:

省レベルの関係者との29回の深入インタビューによる定性研究
参加者の中には,政府 (健康,教育),民間部門,宗教,伝統的な指導者の代表が含まれていました.
統合的共同ガバナンス・フレームワークによる反射的なテーマ分析を用いた.

主要な成果:

協力のダイナミクスは,原則に基づく関与,共通の動機付け,共同行動の能力に分類されました.
障壁には,地方の構造の問題,俳優の排除,財政の透明性,そして弱い公式の関係が含まれています.
CSEの枠組みの調整に関する共同の理解,支援政策,コンセンサス;共同の教師訓練とモニタリングが挙げられました.

結論:

限定的な関与,参加者の排除,財政的制約,調整の弱さといった課題は,CSEの効果的な協力を妨げています.
効果的なステークホルダー協調には省のリーダーシップ能力の強化が不可欠です
資源の透明な管理,共同計画,実施,モニタリングは,CSEの成功に不可欠です.

キーワード:

共同行動の能力ザンビアコラボレーションによるガバナンス全面的な性教育原則に基づいた取り組み性生殖健康に関する権利共通の動機づけ

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