(066) Impact of Comprehensive Sexual Education Programs on Menstrual Hygiene and Sexual Health Outcomes in Government and Private Schools

Abstract Introduction Impact of Comprehensive Sexual Education Programs on Menstrual Hygiene and Sexual Health Outcomes in Government and Private Schools Comprehensive Sexual Education (CSE) programs equip adolescents with the knowledge and skills necessary to make informed decisions about their sexual and reproductive health. Despite policy emphasis, disparities exist between government and private schools in terms of access, resources, and cultural openness. This study examines the impact of CSE programs on menstrual hygiene management and sexual health outcomes across both school settings. Objective To compare menstrual hygiene practices among students in government and private schools. To evaluate knowledge and attitudes regarding sexual health across both groups. To assess the overall impact of CSE programs on adolescent health outcomes. Methods A mixed-method approach was adopted with 200 students aged 12–18 years (100 each from government and private schools). Data collection included structured questionnaires assessing menstrual hygiene, sexual health knowledge, and attitudes; complemented by focus group discussions and in-depth interviews. Quantitative data were scored for accuracy and comprehensiveness, while qualitative data underwent thematic analysis. Results Menstrual Hygiene: Government school students reported limited access to sanitary products and inadequate WASH facilities, leading to higher absenteeism. Private school students had better access to sanitary products, supportive environments, and higher attendance during menstruation. Sexual Health Knowledge: Government school students demonstrated lower awareness of STIs, contraception, and sexual rights, with conservative attitudes shaped by parental and cultural taboos. Private school students showed higher knowledge levels and more progressive attitudes, attributed to structured CSE and an open school culture. Program Effectiveness: CSE in government schools was inconsistent, poorly resourced, and hindered by a lack of trained educators. Private schools provided comprehensive, well-implemented CSE programs, resulting in more positive health outcomes. Conclusions The study reveals significant disparities in menstrual hygiene and sexual health education between government and private schools. Comprehensive Sexual Education programs, when delivered consistently with adequate resources and trained educators, significantly improve adolescent health outcomes. Policy reforms, increased funding for government schools, teacher training, and community engagement are critical to bridge this gap and ensure equitable access to sexual health education for all students. Disclosure Any of the authors act as a consultant, employee or shareholder of an industry for: NIMS University Jaipur.