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Table 2 Key findings and supporting verbatims

From: Exploring comprehensive sexuality education experiences and barriers among students, teachers and principals in Nepal: a qualitative study

Theme

Sub-theme

Key findings

Supporting verbatim

Resistance to teaching and learning

Gender dynamics

Teachers and students expressed discomfort due to gender dynamics during CSE classes

"It is easier for me to teach such a topic to boys, but the same does not happen with girls." (Teacher 2)

 

Discomfort

Both teachers and students often felt uncomfortable discussing sensitive topics

"We feel like these topics are a bit awkward to discuss in the classroom." (Student 9)

Preparation and engagement strategies

Warm-up classes

Warm-up sessions helped students feel more comfortable and attentive during CSE classes

"Warm-up session should be there before starting CSE… so they can be mentally prepared." (Teacher 10)

 

Counseling

Early counseling sessions were critical in preparing students emotionally

"I decided to warm up and discuss their problems with them for two days." (Teacher 2)

 

Interaction

Continuous interaction between teachers, students, and parents fostered a trusting environment

"Interaction and discussion with students and parents are the only effective way for such education." (Teacher 4)

Taboos and silencing

Societal taboos

Cultural norms significantly hindered open discussion of CSE topics

"Sex and reproductive health education is not openly discussed in our society now." (Teacher 9)

 

Family misconceptions

Family beliefs often led to misconceptions and absenteeism among students

"I have found some cases where students were misguided by their family." (Teacher 12)

Structural barriers

Lack of training

Teachers highlighted the lack of specialized training for CSE

"I have not received formal training for teaching comprehensive sexuality education." (Teacher 15)

 

System deficiencies

Inadequate curriculum and materials were significant barriers to effective CSE delivery

"If they develop audio or videos as per requirement, it would be easy for us to teach effectively." (Teacher 3)

 

Inadequate materials

The use of outdated or insufficient materials hampered the learning process

"In a government school, there are black and white pictures, and it’s difficult to understand." (Student 4)