comprehensive sexuality education, adolescent, teaching pedagogy, sexual and reproductive health, international technical guidance on sexuality education, health teacher, school nurse


Purpose: The purpose of this project was to create a culturally adaptable comprehensive sexual education teacher’s manual by (a) standardizing content using The United Nations Educational, Scientific and Cultural Organization’s (UNESCO) 2018 International Technical Guidance on Sexuality Education (CSE), (b) providing evidence-based CSE pedagogy in the form of classroom activities, and (c) including adaptable teaching methods to fit diverse cultural contexts.

Development: The manual lessons were derived from UNESCO’s 2018 International Technical Guidance on Sexuality Education, and the pedagogy followed Anderson and Krathwohl’s revision of Bloom’s Taxonomy. Health information was obtained from various medical and university resources. We surveyed eight experienced health teachers in the United States, South Korea, and the Philippines through purposive sampling. We chose the health teachers for their extensive knowledge and experience teaching comprehensive sexual education. They were each provided a copy of the completed manual and instructed to complete a questionnaire.

Results: Responses focused on standardized content, pedagogy, and adaptation to different cultural contexts. The participants favored the standardized lessons and called the manual a guide for health educators. The pedagogy received mixed reviews with most participants suggesting more activities and visual aids. Most participants appreciated the cultural notes, although some suggested adjusting for LGBTQIA+, socioeconomic, and age-based issues. Overall, the participants deemed the manual positively.

Document Type

Master's Project

Publication Date








University Standing at Time of Publication

Graduate Student


Nursing 698R

Included in

Nursing Commons