Are sexual and reproductive health and rights taught in medical school? Results from a global survey

Margit Endler, Taghreed Al-Haidari, Chiara Benedetto, Sameena Chowdhury, Jan Christilaw, Faysal El Kak, Diana Galimberti, Miguel Gutierrez, Shaimaa Ibrahim, Shantha Kumari, Colleen McNicholas, Desiré Mostajo Flores, John Muganda, Atziri Ramirez-Negrin, Hemantha Senanayake, Rubina Sohail, Marleen Temmerman, Kristina Gemzell Danielsson

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)735-742
Number of pages8
JournalInternational Journal of Gynecology and Obstetrics
Volume159
Issue number3
DOIs
Publication statusPublished - Dec 2022

Keywords

  • gender equality
  • health equity
  • medical education
  • sexual and reproductive health and rights

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