TY - JOUR
T1 - Are sexual and reproductive health and rights taught in medical school? Results from a global survey
AU - Endler, Margit
AU - Al-Haidari, Taghreed
AU - Benedetto, Chiara
AU - Chowdhury, Sameena
AU - Christilaw, Jan
AU - El Kak, Faysal
AU - Galimberti, Diana
AU - Gutierrez, Miguel
AU - Ibrahim, Shaimaa
AU - Kumari, Shantha
AU - McNicholas, Colleen
AU - Flores, Desiré Mostajo
AU - Muganda, John
AU - Ramirez-Negrin, Atziri
AU - Senanayake, Hemantha
AU - Sohail, Rubina
AU - Temmerman, Marleen
AU - Gemzell Danielsson, Kristina
N1 - Publisher Copyright:
© 2022 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics.
PY - 2022/12
Y1 - 2022/12
N2 - Our aim was to investigate the inclusion of sexual and reproductive health and rights (SRHR) topics in medical curricula and the perceived need for, feasibility of, and barriers to teaching SRHR. We distributed a survey with questions on SRHR content, and factors regulating SRHR content, to medical universities worldwide using chain referral. Associations between high SRHR content and independent variables were analyzed using unconditional linear regression or χ2 test. Text data were analyzed by thematic analysis. We collected data from 219 respondents, 143 universities and 54 countries. Clinical SRHR topics such as safe pregnancy and childbirth (95.7%) and contraceptive methods (97.2%) were more frequently reported as taught compared with complex SRHR topics such as sexual violence (63.8%), unsafe abortion (65.7%), and the vulnerability of LGBTQIA persons (23.2%). High SRHR content was associated with high-income level (P = 0.003) and low abortion restriction (P = 0.042) but varied within settings. Most respondents described teaching SRHR as essential to the health of society. Complexity was cited as a barrier, as were cultural taboos, lack of stakeholder recognition, and dependency on fees and ranking.
AB - Our aim was to investigate the inclusion of sexual and reproductive health and rights (SRHR) topics in medical curricula and the perceived need for, feasibility of, and barriers to teaching SRHR. We distributed a survey with questions on SRHR content, and factors regulating SRHR content, to medical universities worldwide using chain referral. Associations between high SRHR content and independent variables were analyzed using unconditional linear regression or χ2 test. Text data were analyzed by thematic analysis. We collected data from 219 respondents, 143 universities and 54 countries. Clinical SRHR topics such as safe pregnancy and childbirth (95.7%) and contraceptive methods (97.2%) were more frequently reported as taught compared with complex SRHR topics such as sexual violence (63.8%), unsafe abortion (65.7%), and the vulnerability of LGBTQIA persons (23.2%). High SRHR content was associated with high-income level (P = 0.003) and low abortion restriction (P = 0.042) but varied within settings. Most respondents described teaching SRHR as essential to the health of society. Complexity was cited as a barrier, as were cultural taboos, lack of stakeholder recognition, and dependency on fees and ranking.
KW - gender equality
KW - health equity
KW - medical education
KW - sexual and reproductive health and rights
UR - http://www.scopus.com/inward/record.url?scp=85137374405&partnerID=8YFLogxK
U2 - 10.1002/ijgo.14339
DO - 10.1002/ijgo.14339
M3 - Article
C2 - 35809087
AN - SCOPUS:85137374405
SN - 0020-7292
VL - 159
SP - 735
EP - 742
JO - International Journal of Gynecology and Obstetrics
JF - International Journal of Gynecology and Obstetrics
IS - 3
ER -
