Sexuality Education in the WHO European Region KYRGYZSTAN. Bishkek

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KYRGYZSTAN Bishkek

KYRGYZSTAN Status of sexuality education In close collaboration with international donors, the Kyrgyz Government has taken a number of steps to integrate sexuality education into the school curriculum. Currently, sexuality education in Kyrgyzstan is not a stand-alone subject, and its implementation and delivery varies across the country.

Kyrgyzstan Fact Sheet Laws and policies A number of laws in the country regulate reproductive rights and access to information and education on sexual and reproductive health. In 2015, numerous changes were made to the Law on Reproductive Rights of the Citizens and Guarantees of their Fulfilment 1, which emphasises access to information about SRH. Training of teachers on sexuality education In 2014, the Ministry of Education, the Kyrgyz Academy of Education and the Ministry of Health approved methodological guidelines for teachers on this subject, which were developed together with the United Nations Population Fund (UNFPA) and the Deutsche Gesellschaft für internationale Zusammenarbeit (GIZ). Yet, to date no special nationwide training is provided for teachers. Implementation of sexuality education Since 2015, sexuality education has been integrated into the subject Healthy Lifestyle for learners 2 in grades 6 11 (12 years and older). This subject is not mandatory and is taught differently depending on the region, the location of the school, the preparedness of teachers and other administrative factors. The subject covers a variety of topics, e.g. hygiene, family planning, teenage pregnancy, early marriage and bride-kidnapping, violence, reproductive rights, sexual development and gender, spread over different grades. The Ministry of Education and the Kyrgyz Academy of Education, with the involvement of parents committees in the schools, are largely responsible for curriculum development. Non-governmental organisations (NGOs) also carry out various educational sessions and workshops on SRH for different age groups using an interactive format. They also provide classes on World AIDS Day, World Health Day, etc. Sexuality education outside the formal school setting Outside the school setting, sexuality education is provided by NGOs, e.g. the Reproductive Health Alliance Kyrgyzstan (RHAK, IPPF member association) through different programmes such as the Y-PEER network. Information on sexuality education is also provided via local TV/radio channels and internet resources, where topics such as sexuality, pregnancy, abortion and contraception are discussed. Data Abortion According to the Ministry of Health, 1 408 young girls aged under 20 years old had abortions in the year 2015. STI In 2015, there were 297 registered cases of sexually transmitted infections among young people aged 15 19 years.

Kyrgyzstan Fact Sheet Challenges Opposition to sexuality education comes mostly from religious groups and some political parties. Nevertheless, public discussions surrounding this topic are taking place, with strong advocacy from NGOs and medical and educational specialists. Good-practice example RHAK implemented the project Promotion of Comprehensive Sexuality Education in the System of Vocational Education in Kyrgyzstan with the support of IPPF. In 2015, RHAK worked closely with the Agency for Vocational Education to introduce sexuality education programmes for students through three pilot regions. The aim of the project was to form stable connections between formal and non-formal education on sexual and reproductive health and rights in the vocational education system and to establish a referral system to youth-friendly consultations for students. In 2016, as a result of this project, a joint plan was developed which aimed to increase the capacity of school teachers and to train peer educators among students in Talas, Issyk-Kul and Chui oblasts (regions). Source of information on sexuality related topics 3 Actual sources of information of young people * Sources of information preferred by young people * 60 % 56 % 40 % 10 % 18 % 15 % 31 % 20 % 13 % 25 % 30% 30% Parents Schools/ teachers Friends/ peers Radio/TV Magazines/ books Internet/ social media * more than one answer was possible

Country facts Kyrgyzstan Total population 4 5 957 000 Population aged 15 19 years (% of 15 19-year-olds in total population) 4 520 000 (8.7 %) Government expenditure on education (% of GDP) 5 6.8 Youth unemployment rate (% of labour force aged 15 24 years) 6 14.6 Gender Inequality Index rating 7 0.394 Births per 1 000 women aged 15 19 years 8 39 % of 15-year-olds who have had sexual intercourse 9 N/A Average age of mother at birth of first child 10 23.3 N/A: not available For references go to last page

Fact Sheet Kyrgyzstan References / Definitions 1 Law on Reproductive Rights of the Citizens and Guarantees of their Fulfilment. Bishkek: Zhogorka Kenesh [parliament]; 2015 (http://cbd.minjust.gov.kg/act/view/ruru/111191, accessed 25 March 2017). 2 Learner: a child or young person who is enrolled or attends classes in school, including primary (basic/elementary), secondary (middle) and high school. 3 Отчет по мониторингу исполнения закона КР "О репродуктивных правах граждан и гарантиях их реализации". Жогорку Кенешю. UNFPA. Альянс по репродуктивному здоровью. 2011. [Report on monitoring of the implementation of the law of the Kyrgyz Republic On the reproductive rights of citizens and guarantees for their implementation. Zhogorka Kenesh. UNFPA. Reproductive Health Alliance. 2011] 4 Population by age, sex and urban/rural residence, 2016 [online database]. New York: United Nations Statistics Division; 2017 (http://data.un.org/data.aspx?d=pop&f=tablecode%3a22, accessed 25 March 2017). 5 Human development report 2016: human development for everyone. New York: United Nations Development Programme; 2016 (http://hdr.undp.org/en/2016-report, accessed 25 March 2017). Government expenditure on education: current, capital and transfer spending on education, expressed as a percentage of GDP. The range in the region is approx. 2.0 8.5 %. 6 Human development data, 2015 [online database]. New York: United Nations Development Programme; 2017 (http://hdr.undp.org/en/data#, accessed 25 March 2017). Youth unemployment rate: percentage of the labour force population aged 15 24 years that is not in paid employment or self-employed, but is available for work and has taken steps to seek paid employment or self-employment. 7 Human development report 2016: human development for everyone. New York: United Nations Development Programme; 2016 (http://hdr.undp.org/en/2016-report, accessed 25 March 2017). Gender Inequality Index: a composite measure reflecting inequality in the achievements of women and men in three dimensions: reproductive health, empowerment and the labour market. It varies between 0 (when women and men fare equally) and 1 (when men or women fare poorly compared to the other sex in all dimensions). 8 Adolescent fertility rate (births per 1 000 women ages 15 19). Washington (DC): World Bank; 2016 (http://data.worldbank. org/indicator/sp.ado.tfrt, accessed 25 March 2017). 9 Growing up unequal: gender and socioeconomic differences in young people s health and well-being. HBSC 2016 study report (2013/2014 survey). Copenhagen: WHO Regional Office for Europe; 2016 ((http://www.euro.who.int/en/ publications/abstracts/growing-up-unequal.-hbsc-2016- study-20132014-survey, accessed 25 March 2017). 10 Mother s mean age at first birth. Index Mundi [data from CIA world factbook, various years] (https://www.indexmundi.com/factbook/fields/mother's-mean-age-at-firstbirth, accessed 25 March 2017). This fact sheet is based upon a joint research project of the International Planned Parenthood Federation European Network (IPPF EN) and the Federal Centre for Health Education (BZgA), a WHO Collaborating Centre for Sexual and Reproductive Health. The data of this research were collected between October 2016 and July 2017 by means of written expert interviews with representatives of governmental and non-governmental organisations in 25 countries and collection of available data from international information sources. More information is available on http://www.bzga-whocc.de/en/home/ Published by Bundeszentrale für gesundheitliche Aufklärung (Federal Centre for Health Education), BZgA, Cologne/Germany Authors: Evert Ketting, Olena Ivanova Edited by: Nathalie Bélorgey, Laura Brockschmidt, Angelika Hessling, BZgA Design and Layout: Kühn Medienkonzept & Design GmbH Edition: Online version, March 2018 Copyright 2018 BZgA This factsheet is provided by BZgA free of charge. It is not intended for resale by the recipient or third parties. The print version can be ordered as follows By post: BZgA, 50819 Köln By fax: +49 (0)221 8992 257 By e-mail: order@bzga.de Order number: 60596063