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Table 2 Sexuality Education Initiative (SEI) conceptual framework (theory of change)

From: Short-term effects of a rights-based sexuality education curriculum for high-school students: a cluster-randomized trial

Components

Short-term outcomes (Mediators)

Long-term outcomes

Goals

1. Classroom curriculum

1. Increase understanding that men and women have equal rights regarding sexual relationships and sexual and reproductive health

1. Reduce pregnancy risk, the percentage of youth who report engaging in vaginal sexual intercourse but not using an effective method of contraception during the previous three months

1. Improve the sexual and reproductive health of youth attending Los Angeles high schools

2. Parent education workshops

2. Increase communication about relationships, rights, and sexuality with parents, guardians, or other trusted adults

2. Reduce STI risk, the percentage of youth who report engaging in oral or vaginal sexual intercourse but not using a condom during the previous three months

2. Improve the ability of youth attending Los Angeles high schools to manage their sexuality respectfully

3. Peer advocate program

3. Increase communication about relationships, rights, and sexuality with partners

3. Reduce number of sexual partners

4. Access to sexual health services

4. Increase knowledge about sex, sexuality, and sexual risk protection

4. Increase use of sexual and reproductive health services

5. Increase self-efficacy to assert sexual limits and to manage risky situations

6. Increase intentions to protect self from sexual risk

7. Increase access to accurate information about sexuality and sexual health

8. Increase access to and awareness of sexual and reproductive health services