| 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 
     
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      8.1.2 Policy
      - Explicit Action Plans 
     
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      8.1.3 Policy - Standards of Service 
     
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      8.1.4 Policy - Instructional Time 
     
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      8.1.5 Policy - Standards for Health Services 
     
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      8.1.6 Policy - Authorized Teaching/Learning Materials 
     
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      8.1.7 Policy - Requiring Coordination of Services and Programs 
     
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      8.1.8 Policy - Protect Staff and Students Infected with HIV 
     
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      8.1.9 Policy
      - Prevent Discrimination or Harassment 
     
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      8.1.10 Policy - Universal Precautions to Prevent HIV 
     
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      8.1.11 Policy - Qualifications of Professionals 
     
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      8.1.12 Policy
      - Related Issues 
     
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      8.1.13 Policy
      - Supportive Policies 
     
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      8.1.14 Leadership
      - Explicit System Priorities 
     
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      8.1.15 Leadership-Monitoring,
      Disseminating Research 
     
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      8.1.16 Leadership
      - Administrative Support and Staff Assignments 
     
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      8.1.17 Leadership
      - Incentive Grants 
     
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      8.1.18 Leadership
      - Defined Roles for Professional Staff 
     
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      8.1.19 Leadership
      - Require Policies, Action Plans 
     
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      8.1.20 Interministry
      Cooperation 
     
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      8.1.21 Cooperation-
      Interagency Cooperation 
     
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      8.1.22 Accountability
      - Monitoring Student Achievement in Health Education 
     
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      8.1.23 Accountability
      - Monitoring Progress in Preventing HIV 
     
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      8.1.24 Accountability
      - Monitoring Public Support for HIV Prevention 
     
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      8.1.25 Accountability
      - Monitoring Preventive Health Services Delivery 
     
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      8.1.26 Accountability
      - Monitoring Levels of Client Satisfaction 
     
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      8.1.27 Accountability
      - Monitoring Compliance with Universal Precautions 
     
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    | 8.2 Curriculum and Instruction | 
  
  
    
      8.2.1 Planned
      Instruction - Curriculum/Mandatory Instruction  
     
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      8.2.2 Planned
      Instruction - Optional Instruction to Learn about HIV 
     
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      8.2.3 Planned
      Instruction - Teaching Time 
     
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      8.2.4 Planned Instruction - Teaching Methods 
     
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      8.2.5 Planned
      Instruction - Design of Instructional Programs 
     
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      8.2.6 Planned
      Instruction - General Support for Instruction 
     
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      8.2.7 Planned
      Instruction - Support for Interdisciplinary Learning about HIV 
     
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      8.2.8 Incentive
      Funding for Disseminating Information 
     
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      8.2.9 Support
      for Teachers - Inservice 
     
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      8.2.10 Support
      for Teachers - Teaching Materials 
     
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      8.2.11 Support
      for Teachers - Purchasing Copyright, Site Licenses 
     
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      8.2.12 Support
      for Teachers - Adapting Teaching/Learning Materials 
     
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      8.2.13 Support
      for Teachers - Networks 
     
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      8.2.14 Support
      for Teachers - The Role of the Nurse in Teaching 
     
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      8.2.15 Support
      for Teachers - Parental Involvement in Education  
     
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      8.2.16 Support
      for Teachers - Youth-led Health Promotion to Prevent HIV 
     
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      8.2.17 Support
      for Teachers- Community Involvement 
     
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      8.2.18 Support
      for teachers - Teacher Readiness 
     
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    | 8.3 Preventive Sexual Health Services | 
  
  
    
      8.3.1 Planned
      Delivery - Regular Health Assessments 
     
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      8.3.2 Planned
      Delivery - Promoting Model Preventive Programs 
     
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      8.3.3 Planned
      Delivery- Funding to Deliver Services 
     
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      8.3.4 Planned
      Delivery- Promoting Pre-service Education of Public Health Staff 
     
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      8.3.5 Sustained
      Support - Services Adapted for Youth 
     
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      8.3.6 Sustained
      Support - Adapted Services for Minorities, Disabled, Aboriginals 
     
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      8.3.7 Sustained
      Support - Adapting Services for Gay, Lesbian, Bisexual Youth 
     
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      8.3.8
      Sustained
      Support - Service Delivery Coordinated with Schools 
     
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      8.3.9 Sustained
      Support - Publicizing the Availability of Services 
     
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      8.3.10 Sustained
      Support - Educator Use of Referrals 
     
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      8.3.11 Sustained
      Support - Inservice Education for Public Health Staff 
     
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    | 8.4 Social Support for HIV Prevention and Sexual Health Promotion | 
  
  
    
      8.4.1 Ongoing
      Activities - Education Awareness 
     
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      8.4.2 Ongoing
      Activities - Identifying Student Health Concerns 
     
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      8.4.3 Ongoing
      Activities - Information to Parents  
     
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      8.4.4 Ongoing
      Activities - Regular Reports to the Public 
     
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      8.4.5 Ongoing
      Activities - Support Staff Participating in Coalitions 
     
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      8.4.6 Sustained
      Marketing - Youth Awareness campaigns 
     
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      8.4.7 Sustained
      Marketing - Coordination with Schools 
     
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      8.4.8 Sustained
      Marketing - Coordination with Service Delivery 
     
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      8.4.9 Sustained
      Marketing - Use of Marketing Research 
     
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      8.4.10 Sustained
      Marketing - Involvement of Community Groups 
     
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      8.4.11 Sustained
      Marketing - Use of Media Advocacy 
     
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      8.4.12 Sustained
      Marketing - Involving Business Community 
     
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      8.4.13 Sustained
      Marketing - Involvement of Service Clubs, Foundations 
     
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      8.4.14 Sustained
      Marketing - Use of Awareness Campaigns by Teachers, Nurses 
     
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    | 8.5 A Healthy and Safe Environment | 
  
  
    
      8.5.1 Physical
      Environment - Support for Universal Precautions Use 
     
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      8.5.2 Physical
      Environment - Facilitate/ Encourage Access to Condoms 
     
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      8.5.3 Safety
      - Monitoring the School Social Climate  
     
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      8.5.4 Safety -
      Prevention of Sexual Harassment 
     
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      8.5.5 Safety
      - Prevention of Discrimination based on Sexual Orientation 
     
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      8.5.6 Safety
      - Other Actions to Improve School Climate 
     
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    | 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 |