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Institutional and contextual obstacles to sexuality education policy implementation in Uganda

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Abstract
The successful implementation of sexuality education policy for young people has been shown to depend on a sound legislative and institutional framework. This article shows that both institutional factors and contextual obstacles have impeded the implementation of sexuality education policy in Uganda. Qualitative research techniques were employed in the form of systematic document reviews and extensive field-work with 64 participants, of which 32 were in-depth interviews with policymakers and key stakeholders in Kampala and Mbarara districts. In addition, four focus group discussions (n = 32) were conducted with teachers. The analysis was carried out thematically and manually, using open and axial coding. It was found that policy success was primarily limited by two broad factors: firstly, by institutional weaknesses such as a lack of capacity, inadequate financial commitment, poor coordination between relevant ministries and ineffective monitoring, and regulatory frameworks; secondly, by social, cultural and religious norms that give informal power to religious and cultural leaders. Two strategies are suggested as potential ways forward: (i) a commitment to both the human and financial resources needed to monitor adolescent sexual, and reproductive health programmes, but more importantly (ii) the initiation of negotiations with cultural and religious leaders to yield more positive outcomes.
Keywords
Policy, implementation, sexuality education, young people, Uganda

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MLA
Ninsiima, Anna B., et al. “Institutional and Contextual Obstacles to Sexuality Education Policy Implementation in Uganda.” SEX EDUCATION-SEXUALITY SOCIETY AND LEARNING, vol. 20, no. 1, 2020, pp. 17–32, doi:10.1080/14681811.2019.1609437.
APA
Ninsiima, A. B., Coene, G., Michielsen, K., Najjuka, S., Kemigisha, E., Ruzaaza, G. N., … Leye, E. (2020). Institutional and contextual obstacles to sexuality education policy implementation in Uganda. SEX EDUCATION-SEXUALITY SOCIETY AND LEARNING, 20(1), 17–32. https://doi.org/10.1080/14681811.2019.1609437
Chicago author-date
Ninsiima, Anna B, Gily Coene, Kristien Michielsen, Solome Najjuka, Elizabeth Kemigisha, Gad Ndaruhutse Ruzaaza, Viola N Nyakato, and Els Leye. 2020. “Institutional and Contextual Obstacles to Sexuality Education Policy Implementation in Uganda.” SEX EDUCATION-SEXUALITY SOCIETY AND LEARNING 20 (1): 17–32. https://doi.org/10.1080/14681811.2019.1609437.
Chicago author-date (all authors)
Ninsiima, Anna B, Gily Coene, Kristien Michielsen, Solome Najjuka, Elizabeth Kemigisha, Gad Ndaruhutse Ruzaaza, Viola N Nyakato, and Els Leye. 2020. “Institutional and Contextual Obstacles to Sexuality Education Policy Implementation in Uganda.” SEX EDUCATION-SEXUALITY SOCIETY AND LEARNING 20 (1): 17–32. doi:10.1080/14681811.2019.1609437.
Vancouver
1.
Ninsiima AB, Coene G, Michielsen K, Najjuka S, Kemigisha E, Ruzaaza GN, et al. Institutional and contextual obstacles to sexuality education policy implementation in Uganda. SEX EDUCATION-SEXUALITY SOCIETY AND LEARNING. 2020;20(1):17–32.
IEEE
[1]
A. B. Ninsiima et al., “Institutional and contextual obstacles to sexuality education policy implementation in Uganda,” SEX EDUCATION-SEXUALITY SOCIETY AND LEARNING, vol. 20, no. 1, pp. 17–32, 2020.
@article{8645619,
  abstract     = {{The successful implementation of sexuality education policy for young people has been shown to depend on a sound legislative and institutional framework. This article shows that both institutional factors and contextual obstacles have impeded the implementation of sexuality education policy in Uganda. Qualitative research techniques were employed in the form of systematic document reviews and extensive field-work with 64 participants, of which 32 were in-depth interviews with policymakers and key stakeholders in Kampala and Mbarara districts. In addition, four focus group discussions (n = 32) were conducted with teachers. The analysis was carried out thematically and manually, using open and axial coding. It was found that policy success was primarily limited by two broad factors: firstly, by institutional weaknesses such as a lack of capacity, inadequate financial commitment, poor coordination between relevant ministries and ineffective monitoring, and regulatory frameworks; secondly, by social, cultural and religious norms that give informal power to religious and cultural leaders. Two strategies are suggested as potential ways forward: (i) a commitment to both the human and financial resources needed to monitor adolescent sexual, and reproductive health programmes, but more importantly (ii) the initiation of negotiations with cultural and religious leaders to yield more positive outcomes.}},
  author       = {{Ninsiima, Anna B and Coene, Gily and Michielsen, Kristien and Najjuka, Solome and Kemigisha, Elizabeth and Ruzaaza, Gad Ndaruhutse and Nyakato, Viola N and Leye, Els}},
  issn         = {{1468-1811}},
  journal      = {{SEX EDUCATION-SEXUALITY SOCIETY AND LEARNING}},
  keywords     = {{Policy,implementation,sexuality education,young people,Uganda}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{17--32}},
  title        = {{Institutional and contextual obstacles to sexuality education policy implementation in Uganda}},
  url          = {{http://doi.org/10.1080/14681811.2019.1609437}},
  volume       = {{20}},
  year         = {{2020}},
}

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