Unpacking the ‘comprehensive’ in comprehensive sexuality education


Comprehensive Sexuality Education

“But is it comprehensive? Unpacking the ‘comprehensive’ in comprehensive sexuality education”

This article by Esther Miedema, Marielle L J Le Mat and Frances Hague published in Health Education Journal on May 11, 2020


Comprehensive Sexuality Education (CSE) is increasingly gaining traction within the international community. CSE is regarded as an important means of informing young people about their rights and sexual health, improving public health outcomes and contributing to sustainable development.

Context and objective:

Considerable variation exists in understandings regarding what makes sexuality education ‘comprehensive’. To gain greater clarity on what CSE is seen to be and entails, and how this form of sexuality education compares with other approaches, a review of existing programmatic and scholarly literatures was conducted.


This literature review analyses a range of CSE guidelines and academic sources engaging with the subject of CSE, and sexuality education more broadly.


Analysis of stated goals and means of CSE to identify core components of this form of education.


Four sets of core CSE components are identified, yet the analysis shows that the intended breadth of this type of sexuality education leaves considerable space for interpretation, with key concepts often remaining abstract. Furthermore, addressing the core elements of CSE and achieving its ‘emancipatory’ goals can work to exclude particular perspectives and subjectivities.


The review draws attention to the politics of knowledge production at play in decisions concerning what is deemed ‘comprehensive’, for whom, when and where. It concludes that the notion of ‘comprehensive’ is a matter of degree, and that reaching consensus on a set of universal standards regarding what can be deemed as ‘comprehensive’ may neither be possible nor desirable. The analysis will be useful for those interested in more careful engagement with CSE and, specifically, in examining features that, in practice, may run counter to the original goals.

Keywords Comprehensive sexuality educationinclusivityknowledge productionyoung people

To read the full article, click here.

General Information:

  • Corporate Author: Esther Miedema, Marielle L J Le Mat, Frances Hague
  • Publication Year: 2020
  • To be published on country nodes: The Netherlands
  • This item is about these countries: Global, The Netherlands
  • Theme: Comprehensive Sexuality Education
  • URL: https://journals.sagepub.com/doi/pdf/10.1177/0017896920915960