An Analysis of Students' Perception of Sex Education Programmes and Their Effects On Adolescent Sexual Behaviour in KNUST Junior High School, Kumasi
An Analysis of Students' Perception of Sex Education Programmes and Their Effects On Adolescent Sexual Behaviour in KNUST Junior High School, Kumasi
Abstract
The subject of sex education is of perennial concern to boys and girls because both their natural proclivities and
the accepted patterns of adolescent behaviour differ substantially from the morals handed down to us. Every
adolescent, like every adult is at times torn by conflict between urges and the rules laid down by his grandmother
or his superego. Many young people need help in handling the conflict. This survey was conducted to find out
the perception of students on sex education programs and their effect on adolescent sexual behaviour with a
sample size of 175 selected from Kwame Nkrumah University of Science and Technology Junior High School.
Findings revealed that there indeed is a close relationship between sex education and positive sexual behaviour
of students. The study recommends that more schools should get involved in spreading the knowledge on sex
education and seminars can also be organized for the students just as Kwame Nkrumah University of Science
and Technology Junior High School does sometimes.
Keywords: Adolescent, Sexual Behaviour, Sexuality, Education, Sex
1. Introduction
Sex education curriculum has historically been a controversial topic in Ghana. Sex education is not just an issue
of teaching about sexuality but also an issue of which morals and values our society should promote. The way in
which we, as a society, talk to our young people about sex and intimate relationships can significantly influence
the way they see themselves as individuals, as partners, and as sexual human beings. Young people can be
defined as those aged 10 - 24 years; this group is made up of adolescents-aged 10 – 19 years- and youth-aged 15
- 24 years (Kesterton, A.J. and Cabral de Mello, 2010). Adolescence stage of the youth has been found to
represent the period with the highest frequency of negative consequences. These consequences are associated
with sexual activities like sexually transmitted diseases and unwanted pregnancies (De-Seta, F. et al., 2000).
Educating the adolescents on sex can have a great impact on their perception of the risks associated with sexual
behaviour, and what needs to be done to reduce that risk. Sexual risk taking behaviours among adolescents, and
its unfortunate consequences, are major contemporary policy concerns (Araujo, 2008). Research has shown that
a number of American teenagers are sexually potent and due to that they do not always make good choices when
it comes to sexual behaviour and that end up in a number of consequences which result in increased
governmental spending and negative social and health outcomes
The Ghana Health Service report indicates that the prevalence rate of HIV/AIDs in Ghana between the age
group of 15 to 24 years accounted for 3.4% in 2002. Through the help of the national interventions aided by
operations research, this has reduced drastically (Service, 2006).
The predominance of HIV in general population in Ghana standing at 1.37% in 2012, the Ghana AIDS
Commission and others works together with the Ghana Health Service submits that prevalence for the age group
15 - 19 years in 2013 stood at 0.7% and that of youth 15 - 24 years, which is used a proxy for new infections,
the representation is 1.3% while young person’s 15 - 24 years of age contributed 28% (2044 of 7323), (2236 of
7991) for 2012 and 2013 respectively of new infections showing no reduction in new infections(Ghana Health
Service, 2012).
According to Kirby (2011), with the growing interdependency and interconnectedness of nations in recent
times, reliable and accessible information on sexuality and reproductive health is on the demand especially by
young people. Clarity on a wide range of issues on sexual reproductive health from physiology to cultural norms
and even relationships are being sought for. In order to respond to the needs of adolescents and young people for
information and training in behavioural skills, a growing number of organizations and movements with
international coverage have made varied commitments. These organizations and movements seek to meet the
sexual and reproductive rights as well as provide valuable information to adolescents to make informed decisions
essential for their health and development based on internationally recognized standards (United Nations,
2002;2003)
Kirkendall (1964) noted that sex education needs to be conceived much more broadly than its scope and its
direction should come as we determine the objectives towards which it is directed. There are two particular
circumstances that seem to be of much significance in thinking about sex education. These bring to the fore the
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• Identify the students’ perception of sex education programmes and their impact on adolescent sexual
behaviour at KNUST JHS.
• Establish the relationship between the sex education programmes and adolescent sexual behaviour of
KNUST JHS students.
Based on the objectives the following research directing questions are formulated.
• What are the demographic characteristics of respondents that predispose them to their perception of sex
education programmes at KNUST JHS?
• What is students’ level of awareness on sex education programmes KNUST JHS?
• What are the students’ perceptions on sex education programmes and their impact on adolescent sexual
behaviour at KNUST JHS?
• What is the relationship between the teaching of sex education programs and adolescent sexual
behaviour of KNUST JHS students?
This study will enrich literature as well as provide knowledge and insights on sex education for all
stakeholders of the society for successful decision making and responsible management of sexual impulse. In the
study, basic and accurate information about the risk of teen sexual activity and ways to avoid intercourse or use
methods of protection against pregnancy and STIs are highlighted. Also, the findings of the study will be of
practical relevance for the adoption and implementation plans of sex education programs and policies on sexual
and reproductive health policies as a whole for Ghana and the African sub-region.
The study covered students’ perception of sex education and their effects on adolescent sexual behaviour
only. Methods employed helped maintain some privacy though respondents were far more than willing to
communicate openly.
The study was based on the following assumptions:
• That the selected students co-operated in providing the necessary information.
• That the selected sample of students for the study provided the required evidence to sufficiently address
the study problem.
• That the selected students were exposed to various sources of sex education
The paper is organized as follows: related literature in the field of the study is reviewed. Afterwards, the
methodology employed for the study which includes the research design, population, sample and sampling
techniques is presented. The subsequent section focuses on the results and discussions of the study’s findings,
and the data analysis. Finally, the paper concludes with the summary, conclusion and recommendations the
manufacturing sector today, human capital is still essential for most factories to carry out a variety of manual
operations, in spite of the rapid advancement of automation technology and robotics. Futuristic vision of
“unmanned manufacturing” (Deen,1993) is forbiddingly expensive, because all its hardware components need to
be computer controlled so as to freely communicate with each other; and yet, most of the outcomes are not
promising (Sun & Venuvinod 2001). By and large, factories equipped with relatively simple machinery controls
will require continuous attendance of human operators; for examples, textile mills, leather products, and medical
appliances. With limited capital investments in production equipment, the main budget of their fixed costs lies
on the workforce size (Techawiboonwong et al. 2006).
With regard to cost-effectiveness, labour planning always opts for the minimum amount of workers needed
to deal with the daily operations, as well as the probable rate of disturbance (Lim et al. 2008). The workforce
disturbance is often ascribed to absenteeism and turnover, which may result in considerable loss of productivity
for any labour-intensive division (Easton & Goodale 2002). Buffering with redundant skilled workers
(Molleman & Slomp 1999) or relief workers (Redding 2004) might be a direct solution to absenteeism; however,
the rising labour cost must be justifiable due to the fact that underutilisation of labour during low demand
seasons is considered a waste of resources. Absenteeism is the measure of unplanned absences from workplace
due to some reasons like personal emergency, accident, illness, etc. Turnover occurs when an active worker
resigns from the company of his own accord, thus leaving a vacant post until a replacement is found. If such
disturbance has caused a large number of tasks become unattended and overdue, the company is then vulnerable
to overtime cost, shrunk capacity and productivity, extra queuing time, lost business income, etc. In order to
prevent these deteriorative effects, optimising the number of workers can be helpful. As a fundamental branch of
knowledge in manufacturing business, workforce management will never fall behind the times. Therefore, it is
worth an attempt to incorporate a novel methodology, such as HMS, into the state of the art of workforce sizing.
2. Literature Review
2.1 Sex Education Programs
Burt (2009) defined sex education as the study of the characteristics of beings; a male and female sex education.
Thus, sex education may also be described as “sexuality education”, which means that it encompasses education
about all aspects of sexuality, including information about family planning, reproduction (fertilization,
conception and development of the embryo and foetus, through to childbirth), plus information about all aspects
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of one’s sexuality including: body image, sexual orientation, sexual pleasure, values, decision making,
communication, dating, relationships, sexually transmitted infections (STIs) and how to avoid them, and birth
control methods (Kearney, 2008). Sex education is instruction on issues relating to human sexuality, including
human sexual anatomy, sexual reproduction, sexual intercourse, reproductive health, emotional relations,
reproductive rights and responsibilities, abstinence, birth control, and other aspects of human sexual behaviour.
Common avenues for sex education are parents or caregivers, formal school programs, and public health
campaigns.
Sex education is intended to provide the youth with information and skills needed to make healthy and
informed decisions about sex. In the Rationale for Sex Education document (UNESCO, 2009); mention is made
of the relevance of sex education and of its primary goal of equipping children and young people with skills,
values and knowledge to make thoughtful choices on their sexual and social relationships. Similarly, (Dako-
Gyeke, M., and Iddrisu, 2012) Highlight the indispensable role of education in shaping decisions and choices
regarding sexual and reproductive health because it encourages contraceptive use and promotes postponement of
the onset of sexual activity and childbirth, especially among the youth. However, many young adolescents do not
have accurate information about sexual development or the risks and consequences of early and unprotected
sexual activity because of poor sensitization and education (Bright futures). During the past two decades, a
number of changes have occurred in how sex education is provided to adolescents (Lindberg, Santelli, & Singh,
2002). In spite of this, the extent to which these effective sex education programs have been implemented is not
well understood and incomprehensive (Hoff, Greene, Mclntosh, Rawlings, & D’Amico, 2000; D. Kirby, 2010).
A recent study of school based substance-use prevention programs suggests poor up take of evidence-based
programs by providers; only 14% of substance-abuse prevention providers used evidence-based content and
delivery methods (Ennett, 2003).
2.2 Adolescence
Adolescence (from Latin: adolescere meaning “to grow up”) in (Macmillan Publishers, 1981) is a transitional
stage of physical and psychological human development generally occurring during the period from puberty to
legal adulthood (age of majority). The period of adolescence is most closely associated with the teenage years
(Igbo & Nwaka, 2013). The theoretical basis for the Life-model research and Resources on Development,
although it’s physical, psychological, and cultural expressions can begin earlier and end later. For example, until
recently puberty was closely linked with the onset of adolescence however, it now sets in before the teenage and
there has been a shift of it occurring in preadolescence, particularly in females (The StandS4 Network). Physical
growth, as distinct from puberty, particularly in males; and cognitive development generally seen in adolescence,
can also extend into the early twenties. Thus chronological age provides only a rough marker of adolescence, and
scholars have found it difficult to agree upon a precise definition of adolescence (Finley, 2007; Žukauskaitė,
Lašienė, Lašas, Urbonaitė, & Hindmarsh, 2005). A thorough understanding of adolescence in society depends on
information from various perspectives, most importantly from the areas of psychology, biology, history,
sociology, education, and anthropology. Within all of these perspectives, adolescence is viewed as a transitional
period between childhood and adulthood whose cultural purpose is the preparation of children for adult roles
(Larson, R. & Wilson, 2004).
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higher in Sub-Saharan Africa than in other parts of the world (Joint United Nations Program on HIV/AIDS,
2010).
Young women are less likely than young men to engage in high-risk sexual behaviours. (Khan, S., and
Mishra, 2008) Provide statistical information on sexual behaviours in Sub-Saharan Africa. Their study reveals
that among young men who had ever had sexual intercourse, more than 20% of them had had multiple partners
in the past 12 months, compared with fewer than 10% of young women.
Since many teenagers feel pressured into sexual encounters they would need the best possible preparation to
assist them to cope well with their sexual development and to avoid the most obvious pitfalls. It is in view of this
that the researchers set out to investigate the student perception of sex education programmes and their effects on
adolescent sexual behaviour at the KNUST JHS, because sex education is viewed as a means of promoting more
responsible sexual behaviour and as an important step in preventing the dangers of making wrong decisions
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3. Methodology
This section deals with the procedure and methods adopted to carry out the study. It entails a description of the
research design, sampling and sampling size, data collection and processing and the presentation and analysis of
data gathered.
For this study, the exploratory research design was used for the collection of data which is data gathered
mainly by questionnaire on more than one case at a single point in time. The employment of this very research
design paved way for the researchers to conduct the study in natural, real life settings using probability samples,
which in effect increased the external validity of the study. It had an all- inclusive interpretation about the
population under the study.
The study was conducted at the KNUST Junior High School, on KNUST campus whose total population
was 1,200.
Purposive and simple random samplings were employed in selecting the sample and questionnaire
administration used for data collection. The school was chosen because sex education programs were offered as
part of the curricula and the final year students were the major targets. Simple random sampling technique was
used to elicit information from the sample group. (Saunders et al., 2009) highlights this technique is
advantageous for a sampling frame that is accurate and accessible, and better for a sample size over hundred.
This made it easier to get a sizable sample size which is 175. (Krejcie & Morgan, 1970) formula on deriving a
sample size was used as shown in Appendix 2. Self-administered questionnaires were used because of its
appropriateness for research which is largely quantitative in nature and also because respondents were literates.
The data collected was analysed with an SPSS software program. Descriptive statistics such as frequency,
means, standard deviations and percentages was used to summarize and describe the trend of the data collected.
Results were presented in tables, graphs and charts because they display a great deal of information in a concise,
simple, clear and easy to read format.
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male
female
Figure 1. Gender
As mentioned earlier, respondents were drawn from KNUST Junior High School. Out of the 175
respondents, 95 representing 54% were males and the rest (80) which was 46% were females. This was due to
fact that there was more enrolment of boys than girls in Junior High School Three (JHS 3).
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respondents representing 34% disagreed that sex education should happen in schools. 7% (12 respondents) were
unsure. 39 respondents representing 22% agreed that sex education should be taught in schools.
It is assumed that the longer it takes for a person to assimilate and become knowledgeable in sex issues, its
impacts is positive on the sexual behaviours of students (Frable, 1997) It is against this backdrop that the
researcher asked questions concerning years on knowledge on sex education and adolescent sexual behaviour. It
can be seen that there is a close relation between sex education and positive sexual behaviour. More respondents
strongly agreed to the fact that they have had at least two years of sex education and positive sexual behaviour.
Also measured on a 5 point likert scale, the perception of sex education programs and their effects on
adolescent sexual behaviour students revealed interesting findings. 32 respondents of question 12 represented a
mean of 1.10 strongly agreed to the fact that they would rather talk to their peers whenever certain issues
bothered them. This question was asked because most children are normally themselves around their peers other
than their parents or teachers.
Although peers, siblings, genes, and circumstance all indubitably play into how a child’s temperament
develops, “I think the parents still are the major influencing factors because, truthfully, the first year of life is the
bonding with the primary caretaker that impacts upon self-confidence, trust, the ability to interact with another
person,” says therapist Wallace. Now, whether or not this primary caretaker is actually the biological parent is
negligible, considering the increasingly changing definition of the modern “family.” Instead, it’s the experiences
shared by child and parental figure that leaves the lasting impression.
There are bodily changes especially during adolescence. The reproductive systems of both males and
females undergo rapid development and changes at this stage of human development. With this in mind, students
were asked if they side with being uncomfortable with telling their parents about any bodily changes they
encounter. With a mean of 0.03, respondents point out they were quite unsure as to whether they were
comfortable with telling their parents about changes they see in their bodies. It means that there is a big problem
if parents are not seen as the first point of call if children have issues they are confused about.
The students almost agreed that sex education encourages one to keep a partner. This clearly indicates that a
minute number of the students think knowledge on sex education can urge them on to have a partner.
Sex education helps me to deal with issues of my adolescent sexuality knowledge on sex education
programs help delay gratification of sexual intercourse among the youth. 49 students were unsure of what to say
as to whether they agreed or not. Those who disagreed and strongly disagreed were 22 and 20 respondents
respectively.
On the issue of sex education helping to deal with matters concerning adolescence, 11 respondents
representing 6% of the respondents of 175 either were unsure, disagreed or strongly disagreed. The remaining
94 % (164 respondents) agreed and strongly agreed to the fact that sex education has helped them dealt with their
adolescent sexuality.
Table 3. Perception of sex education programs and their effects on adolescent sexual behaviour of KNUST JHS
students
Values SD D U A SA Mean
-2 -1 0 1 2 Scores,
Variables f % f % f % f % f % X
Perception Of Sex Education Programs And Their Effects On Adolescent Sexual Behaviour Of
KNUST JHS Students
12. I prefer to talk to my peers whenever 32 18.3 49 28.0 20 11.4 46 26.3 28 16.0 1.10
I am confused about certain issues
13. I am comfortable with telling my 32 18.3 36 20.6 24 13.7 61 34.9 22 12.6 0.03
parents about changes I see in my body
14 Sex education encourages me to keep 20 11.4 22 12.6 49 28.0 47 26.9 37 21.1 0. 34
a partner
15.Sex education helps me to deal with 2 1.1 3 1.7 6 3.4 76 43.4 88 50.3 1.40
issues of my adolescent sexuality
16. All schools should inculcate the 1 0.6 0 0 3 1.7 36 20.6 135 77.1 1.74
study of sex education programs in their
syllabus
The inculcation of sex education in the syllabus of junior high school education may go a long way of
increasing the adolescents’ knowledge on sexuality. This in the long run would have positive impact on the
sexual behaviours of the children. As inquired in the study, majority of the students are in favor of sex education
being inculcated in academic syllabus indicated by 77.1 % who agreed and 20 % who strongly agreed.
In meeting the last objective of the study, a correlation analysis was performed to establish the relationship
between the teaching of sex education programs and adolescent sexual behaviour of KNUST JHS students.
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There was no significant correlation between the knowledge on sex education and the adolescence behaviour as
in all cases p>0.005. Therefore, no matter the strength of correlation there were no significant levels obtained
from the analysis.
Moreover, it was also strange that there was also no significant influence of the respondent’s demographics
on their adolescence sexual behaviour. However, there was a positive significant correlation between a positive
sexual behaviour and knowledge of teenage pregnancy. Thus r=.355 and p=0.001<.005. In this instance, it means
that when adolescence have knowledge on teenage pregnancy then it is likely to lead to a positive adolescent sex
life. Therefore, it is important that from our research population most of the students are likely to change their
sexual ways when they have adequate knowledge on teenage pregnancy. It is important to then make sex
educators at the school aware of this trend and hence educate students on teenage pregnancy if their ultimate
goal of their sex education is the encourage students to lead a positive sexual behaviour.
On the other correlations conducted in tables 4.5 and 4.6, there were no significant relationship identified
between the sex education programme and the adolescence sexual behaviour. But in all those scenarios, a
significant relationship was identified between positive sexual behaviour and knowledge on teenage pregnancy.
This goes a long way to confirm the importance of knowledge on respondents’ get sex education only at school.
Table 4. Correlations on knowledge of sex education programme and adolescence behaviour
Control Variables Knowledge on Positive without sex respondents’
sex education sexual education I get sex
behaviour would have education only
a negative at school
attitude
towards sex
gender Knowledge on Correlation 1.000 .164 .110 .090
distribution of sex education Significance (2- . .033 .153 .243
respondents & tailed)
age group of
respondents & df 0 167 167 167
residence of Positive sexual Correlation .164 1.000 .027 .355
respondents & behaviour Significance (2- .033 . .728 .000
religious tailed)
background of
respondent & df 167 0 167 167
position in class without sex Correlation .110 .027 1.000 -.019
education I would Significance (2- .153 .728 . .804
have a negative tailed)
attitude towards
sex df 167 167 0 167
respondents’ get Correlation .090 .355 -.019 1.000
sex education Significance (2- .243 .000 .804 .
only at school tailed)
df 167 167 167 0
(Source: field data, 2013)
5. Conclusion
5.1 Summary findings
First and foremost, as regards to the sex of the respondents, the study revealed that more males than females
were sampled. 54.0% were male, whiles the remaining 46.0% of total respondents were female. The dominant
age group of JHS students sampled was13-14 years old; with most of them living in communities besides those
indicated by the researcher in the data collection tool. With regards to religion, it can be generalized that majority
of KNUST JHS students were Orthodox Christians, followed by Charismatic members, with insignificant
number of them belonging to Pentecostal movements, Islam, and Traditional African Religion. It is interesting to
note that the sibling position of respondents was evenly distributed.
The study revealed that most KNUST JHS students indicated that sex education programs included
abstinence, condom use, HIV/AIDS, reproductive health, teenage pregnancy and contraceptive use. This view
was held by an overwhelming 54.0% of total respondents. To the researcher, this could be attributed to the fact
that junior high school pupils are taught reproductive system of the human being and issues related to pregnancy,
as part of their academic syllabus.
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Also, data gathered from respondent indicated that as much as 92 respondents (more than 50.0% of the total
respondents) strongly agreed that sex education programs as important and that the teens should be educated on
it. This highlighted the importance teens attached to sex education programs. Additionally, the study brought to
the fore the fact that most parents discuss sex related issues with their children. It is however interesting to note
that a significant number of KNUST JHS students sampled for this study reported that sex education should not
happen in school.
Moreover, the study revealed that there is indeed a close relationship between sex education and positive
sexual behaviour of students. More respondents strongly agreed to the fact that they have had at least two years
of sex education and positive sexual behaviour.
Additionally, one vital finding of this study was that most respondents (61.0% of total respondents) agreed
that without HIV and AIDS education, their attitude towards such persons with the disease would be negative.
Furthermore, a stupendous number of KNUST JHS students sampled for this study indicated that students
generally have knowledge on teenage pregnancy. Consequently, this informed the need on the part of students
for sex education, as adolescents, which could help reduce teenage pregnancies in Kumasi, and Ghana in general.
It was deduced from the study that a significant number of respondents denied the assertion that students
prefer talking to peers when confronted with certain sexual issues. The study therefore debunked the widely held
perception that because children were usually most comfortable in the company of their peers than their parents
or teachers, they preferred talking to their peers other than those in authority. Interestingly, a lot of students of
KNUST JHS were uncomfortable telling their parents about changes that they see in their bodies. It was worth
noting that despite the fact that adolescents were knowledgeable on issues of sex, a significant number of
students sampled for this study indicated that these sex education programs did nothing to delay the urge for
sexual gratification. Additionally, most respondents (94.0% of total respondents) generally agreed to the fact that
sex education had helped them dealt with their adolescent sexuality.
Finally, the study revealed that respondents generally indicated that sex education should be added to the
school’s academic syllabus. In the view of the researcher, the incorporation of sex education into the syllabus of
junior high school education may go a long way of increasing adolescents’ knowledge on sexuality.
5.2 Conclusion
Sexual behaviours during adolescence arises from an amalgamation of varied factors not limited to religion,
individual biology, emotions and behaviours. As an important phase of life with it new experiences, changes and
acquisition of skills, most adolescents are unable to adapt. This likely leads to the adoption of poor behavioural
patterns such as engaging in risky sexual behaviours when appropriate guidance is not effectively given. The
study depicts the existence of a close relationship between sex education and positive sexual behaviour of
students. It ascertains an earlier study by Kohler et al (2007) that comprehensive and effective sexual education
programs is significantly associated with reduced risk of teen pregnancy.
Although time and place of meeting students was a bit problematic since the data gathering conflicted with
class hours mostly, it is worth noting that sex education programs are important especially to adolescents. From
the demographics, it was found out that less females than males in the study seem to have access to sex
education. If more girls gain access, it would highly possibly help curb teenage pregnancies and STI’s which
would in turn affect the rate at which girls drop out of school. The school is an avenue where sex education can
be radically spread to help adolescents in their sex behaviour. Peers are not the immediate people teens in this
era to seek advice from about adolescent problems. From the above, intra-curricular education programs such as
seminars and fora have a high tendency to cover schools and the students in schools since it seems more
effective and efficient because it is compulsory in nature.
We also recommend parents give proper sex education to children since most of the students gave
preference to being taught by their parents Furthermore, the government must establish more peer counselling
centres where adolescents can access the right information since the students deem sex education important.
Last but not the least, sex education programs must not centre only on abstinence methods, a level of
abstinence has to be hammered since abstaining can reduce drastically the HIV and AIDS infections, STIs and
teenage pregnancies.
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