Schools, Public Health, Sexuality and HIV: A Status Report


Table of Contents

1 Foreword
2 Acknowledgments
3 Executive Summary
4 The Importance and Limits of This Study
5 Purposes and Conceptual Bases of the Study
6 Methods
7 Rationale for this Study
8. Results of Telephone Interviews and Written Questionnaires
8.1 Policy-making, Implementation and Monitoring

8.1.1 Policy - Written Policy Goals

8.1.2 Policy - Explicit Action Plans

8.1.3 Policy - Standards of Service

8.1.4 Policy - Instructional Time

8.1.5 Policy - Standards for Health Services

8.1.6 Policy - Authorized Teaching/Learning Materials

8.1.7 Policy - Requiring Coordination of Services and Programs

8.1.8 Policy - Protect Staff and Students Infected with HIV

8.1.9 Policy - Prevent Discrimination or Harassment

8.1.10 Policy - Universal Precautions to Prevent HIV

8.1.11 Policy - Qualifications of Professionals

8.1.12 Policy - Related Issues

8.1.13 Policy - Supportive Policies

8.1.14 Leadership - Explicit System Priorities

8.1.15 Leadership-Monitoring, Disseminating Research

8.1.16 Leadership - Administrative Support and Staff Assignments

8.1.17 Leadership - Incentive Grants

8.1.18 Leadership - Defined Roles for Professional Staff

8.1.19 Leadership - Require Policies, Action Plans

8.1.20 Interministry Cooperation

8.1.21 Cooperation- Interagency Cooperation

8.1.22 Accountability - Monitoring Student Achievement in Health Education

8.1.23 Accountability - Monitoring Progress in Preventing HIV

8.1.24 Accountability - Monitoring Public Support for HIV Prevention

8.1.25 Accountability - Monitoring Preventive Health Services Delivery

8.1.26 Accountability - Monitoring Levels of Client Satisfaction

8.1.27 Accountability - Monitoring Compliance with Universal Precautions

8.2 Curriculum and Instruction

8.2.1 Planned Instruction - Curriculum/Mandatory Instruction

8.2.2 Planned Instruction - Optional Instruction to Learn about HIV

8.2.3 Planned Instruction - Teaching Time

8.2.4 Planned Instruction - Teaching Methods

8.2.5 Planned Instruction - Design of Instructional Programs

8.2.6 Planned Instruction - General Support for Instruction

8.2.7 Planned Instruction - Support for Interdisciplinary Learning about HIV

8.2.8 Incentive Funding for Disseminating Information

8.2.9 Support for Teachers - Inservice

8.2.10 Support for Teachers - Teaching Materials

8.2.11 Support for Teachers - Purchasing Copyright, Site Licenses

8.2.12 Support for Teachers - Adapting Teaching/Learning Materials

8.2.13 Support for Teachers - Networks

8.2.14 Support for Teachers - The Role of the Nurse in Teaching

8.2.15 Support for Teachers - Parental Involvement in Education

8.2.16 Support for Teachers - Youth-led Health Promotion to Prevent HIV

8.2.17 Support for Teachers- Community Involvement

8.2.18 Support for teachers - Teacher Readiness

8.3 Preventive Sexual Health Services

8.3.1 Planned Delivery - Regular Health Assessments

8.3.2 Planned Delivery - Promoting Model Preventive Programs

8.3.3 Planned Delivery- Funding to Deliver Services

8.3.4 Planned Delivery- Promoting Pre-service Education of Public Health Staff

8.3.5 Sustained Support - Services Adapted for Youth

8.3.6 Sustained Support - Adapted Services for Minorities, Disabled, Aboriginals

8.3.7 Sustained Support - Adapting Services for Gay, Lesbian, Bisexual Youth

8.3.8 Sustained Support - Service Delivery Coordinated with Schools

8.3.9 Sustained Support - Publicizing the Availability of Services

8.3.10 Sustained Support - Educator Use of Referrals

8.3.11 Sustained Support - Inservice Education for Public Health Staff

8.4 Social Support for HIV Prevention and Sexual Health Promotion

8.4.1 Ongoing Activities - Education Awareness

8.4.2 Ongoing Activities - Identifying Student Health Concerns

8.4.3 Ongoing Activities - Information to Parents

8.4.4 Ongoing Activities - Regular Reports to the Public

8.4.5 Ongoing Activities - Support Staff Participating in Coalitions

8.4.6 Sustained Marketing - Youth Awareness campaigns

8.4.7 Sustained Marketing - Coordination with Schools

8.4.8 Sustained Marketing - Coordination with Service Delivery

8.4.9 Sustained Marketing - Use of Marketing Research

8.4.10 Sustained Marketing - Involvement of Community Groups

8.4.11 Sustained Marketing - Use of Media Advocacy

8.4.12 Sustained Marketing - Involving Business Community

8.4.13 Sustained Marketing - Involvement of Service Clubs, Foundations

8.4.14 Sustained Marketing - Use of Awareness Campaigns by Teachers, Nurses

8.5 A Healthy and Safe Environment

8.5.1 Physical Environment - Support for Universal Precautions Use

8.5.2 Physical Environment - Facilitate/ Encourage Access to Condoms

8.5.3 Safety - Monitoring the School Social Climate

8.5.4 Safety - Prevention of Sexual Harassment

8.5.5 Safety - Prevention of Discrimination based on Sexual Orientation

8.5.6 Safety - Other Actions to Improve School Climate

9 Reports on Focus Group Interviews with Students and Parents
10 Discussion of Results
11 Conclusions and Suggested Policy Directions
11.1 Focus on Higher Risks
11.2 Provide sustained and sustainable support for implementation and maintenance
11.3 Improve the Coordination Between and Within Systems
11.4 Clarify Goals and Roles for Both Systems
11.5 Monitor and Report Results More Closely
11.6 Further Policy Oriented Research
12 References
Questionnaires