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African Journal of Reproductive Health
Women's Health and Action Research Centre
ISSN: 1118-4841
Vol. 7, Num. 2, 2003, pp. 25-33
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African Journal of Reproductive Health, Vol. 7, No. 2, Aug, 2003 pp. 25-33
Parents' Attitudes to
Adolescent Sexual Behaviour in Lesotho
Akim J Mturi
Correspondence: Population and Poverty Studies Programme, School of Development
Studies, University of Natal, Durban 4041,
South Africa. E-mail: mturia@nu.ac.za
Code Number: rh03020
ABSTRACT
This study investigated the knowledge, attitudes and opinions of parents on
various aspects of adolescents' sexual and reproductive health in Lesotho.
The study used a qualitative methodology. Findings reveal that parents are
aware that male and female adolescents engage in sexual relationships. Some
parents believe that adolescents are too young to initiate sexual activities
while others said they don't mind older unmarried adolescents having sex. In
addition, parents felt that adolescents do not face discrimination in obtaining
family planning services. In relation to passing sexual and reproductive health
knowledge to adolescents, there seems to be a dilemma on who should take the
responsibility. A number of policy implications have emerged from this study.
There should be awareness campaign for parents who are not aware that adolescents
engage in sexual relationships. Parents should be encouraged to communicate
with their adolescent children on sex-related matters. Government should carry
on with the dialogue on introducing sex education in schools curriculum. (Afr
J Reprod Health 2003; 7[2]: 25-33)
RÉSUMÉ
Attitudes des parents envers le comportement sexuel des adolescents à Lesotho. Cette étude
a enquêté sur la connaissance, les attitudes et les opinions des parents sur
les aspects différents de la santé reproductive et sexuelle des adolescents à Lesotho à l'aide
d'une méthodologie qualitative. Les résultats ont révélé que les parents sont
au courant que les adolescents de sexes masculin et féminin s'engagent dans
des rapports sexuels. De plus, les parents ont estimé que les adolescents
ne subissent pas la discrimination par rapport à l'accès aux services de la
planification familiale. Quand il s'agit de la transmission de la connaissance
sur la santé sexuelle et reproductive aux adolescents, il paraît qu'il y a
un dilemme pour savoir qui doit pendre la responsabilité. Cette étude a révélé pas
mal d'implications pour la politique. Il faut qu'il y ait des campagnes de
sensibilisation pour les parents qui ne sont pas au courant que les adolescents
s'engagent dans des rapports sexuels. Il faut encourager les parents de communiquer
avec leurs enfants adolescents en matières liées à la sexualité. Il faut que
le gouvernement continuer le dialogue sur l'introduction de l'éducation sexuelle
dans les programmes scolaires. (Rev Afr Santé Reprod 2003; 7[2]: 25-33)
KEY WORDS: Adolescent,
sexual behaviour, reproductive health, Lesotho
INTRODUCTION
The reproductive health of both women and men has received special attention
in many African countries in recent times. Many governments are now showing
concern for various reproductive health issues of their citizens especially
after the International Conference on Population and Development in 1994. Special
focus is been directed on the reproductive health of adolescents because of
the peculiar consequences they face. Obviously, adolescence is a wonderful
period in one's life. It is a period filled with new and exciting things.
What happens between ages 10 and 19, whether good or bad, shapes how girls
and boys live out their lives as women and men.1 It is therefore
the task of all stakeholders in adolescent reproductive health to make sure
that the transition from childhood to adulthood happens under favourable environments.
This study focused on a small country, Lesotho, which is situated in southern
Africa and shares all its borders with South Africa. It has approximately
two million inhabitants, out of which a quarter are adolescents. Eighty per
cent of the Basotho (people of Lesotho) reside in rural areas. The other
twenty per cent reside in urban centres. It should be noted, however, that
the urban centres in Lesotho are relatively small compared with areas that
are classified as urban in large countries. For instance, Maseru, which is
the capital city, had only 137,837 inhabitants in 1996.2 The majority
of Basotho are Christians and almost all of them speak Sesotho. They can,
therefore, be classified as a homogenous group in terms of culture and tradition.
However, there exists the minority group that has less than one per cent
of the total population.
Several studies have examined the reproductive health of young persons
in Lesotho. Makatjane assessed premarital childbearing among Basotho using
data from a nationally representative sample collected in 1991/92.3 The
main finding of the study is that premarital childbearing is increasing in
Lesotho. This is contrary to what Basotho culture advocates in relation
to sex and related activities.4 Traditionally, the Basotho are
not allowed to initiate sexual activities before marriage. There are cultural
practices (such as checking a bride's chastity immediately after consummation
of marriage) that discourage premarital sex especially for girls. Premarital
childbearing is more restricted and children who are born to unmarried women
are regarded as illegitimate.5 For these reasons some adolescents
resort to induced abortion, which is illegal in Leso tho unless performed
to save the life of the mother, as a means of avoiding unwanted children.
In 1999, a study was conducted by the author of this article on adolescent
sexual behaviour and reproductive health in three districts of Lesotho, namely,
Maseru, Berea and Mohale's Hoek.6 That study aimed at collecting
information from unmarried adolescent males and females who were still attending
secondary and high schools. The study found that slightly over 20% of adolescent
females discuss sex-related matters with their parents. However, the proportion
of males discussing sex-related matters with their parents is half that of
females. This is because discussing sex-related issues with unmarried children
is regarded as a taboo in many African societies. However, when adolescents
were asked who they prefer to be responsible in passing information about
sex matters to them, a third (highest proportion) mentioned parents. Studies
in many countries have found that parents are influential sources of information
and advice for their children.7
There is therefore a need to conduct research investigating the existing
communication barriers between adolescents and their parents and to identify
the difficulties experienced by parents in discussing sexual issues with
adolescent children. A study of this nature will also assist in understanding
the overall opinions and attitudes about adolescents' sexual behaviour. This
paper presents findings from parents on what they know, their attitudes and
opinions on adolescents' sexual and reproductive health matters.
REVIEW OF LITERATURE
Discussion on sex-related matters is a taboo in Africa. It is even worse
if it involves inter-generational communication. Perhaps this is one of the
reasons studies on parent-children communication on sexual matters are rare
in sub-Saharan Africa. Most of the studies that investigate different ways
young people get knowledge on sex-related matters usually focus on school-based
family life education, peer education, media, etc. Yet, young people spend
a lot of their time at home with their parents discussing other matters pertaining
to their life. In most cases parents become role models who shape young people's
lifestyles including their sexual behaviour. However, parents are reluctant
to talk about reproductive health matters because of a lack of knowledge,
or the concern that the discussion will influence adolescents to engage in
sexual activity.8
In Lesotho, like in many other African settings, adult relatives communicate
with young people on sex related matters.4 These include aunts,
uncles, elder sisters or grandparents but not parents. Many adolescents,
especially in rural areas, attend initiation schools where reproductive health
matters are discussed. However, these avenues (using elders and initiation
schools) have not been available in recent times. There is obviously an existing
gap on how to pass information on sexual matters to adolescent boys and girls.
This gap needs immediate attention. Recent studies propose a need for introducing
family life education in schools curriculum.4
Very few studies have specifically addressed the issue of parent-adolescent
children communication on sexual matters in Africa. One such study was conducted
in Zway, Ethiopia, a rural town that is about 160km south of Addis Ababa.
The study targeted mothers and fathers who had children that were aged 10-24
years in 1996-1997. A total of 246 adults were interviewed, out of
which 95% were parents. The results indicate that parents were ignorant of
reproductive health issues. For instance, approximately 57% and 40% of parents
did not know the correct age range for puberty in males and females respectively. In
addition, 74% of parents did not know the safe period in the menstrual cycle.
This made the authors to conclude that parents are not only the non-preferred
source of information, but also are not better knowledgeable on certain reproductive
health issues. In fact, among all the specific reproductive health issues
examined, the highest proportion of parents who said they communicated with
their adult children sometime in the past was only 20%.9
Another study that attempted to assess communication between parents and
their children from parents' perspective was conducted in Kenya in 1994. This
was a nationally representative sample of 2,894 adults aged 20-54
years. A list of topics was prepared and each adult was asked if s/he ever
discussed any of those topics in the past 12 months. The topics included
school work, future career, alcohol/drug use, AIDS/STDs, boy/girl relationship,
sexual behaviour, abortion and contraceptives. The majority of adults reported
that they only discuss school work and future career followed by discussions
on alcohol and drug use. Unfortunately, reproductive health topics, especially
abortion and contraceptive use, were least discussed.10
Although in general terms parents find it difficult to discuss sex related
matters with their adolescent children; differences were observed between
mothers and fathers. Speizer and colleagues have assessed differences by
gender in adults' perspectives on adolescent reproductive health behaviours
in Lomé, Togo, in 1998.11 They found that men are more open than
women to their children's request for sexuality information. In addition,
the study showed that a high proportion of mothers discuss sexual issues
with their daughters whilst fathers discuss with their sons. This review
highlights the problems that arise when it comes to parent-children communication
on sexual issues in sub-Saharan Africa. Our interest is therefore to explore
the situation in Lesotho.
METHODOLOGY
The study used a qualitative methodology. Data were collected using focus
group discussions (FGDs). FGD was used for the study because the topic is
explanatory and is focussed on particular opinions, beliefs and experiences.
Such information cannot be collected through a quantitative study design.
FGD is also a very flexible tool useful for exploring issues about which
little is known.12 Thirty focus groups were conducted with fathers
and mothers of adolescents in three districts of Lesotho, namely, Maseru,
Mohale's Hoek and Mokhotlong. All focus groups were conducted during the
months of June and July 2000.
Six field workers who had completed at least the third year of their undergraduate
studies were recruited for data collection, and most of them were already
familiar with the approach used. A one-day intensive training workshop was
held on the research instruments used and the whole procedure of data collection.
Three research teams were formed, each team consisting of a male and a female
researcher. Immediately after training, each of the teams travelled to their
respective districts for data collection. The author of this article served
as the principal investigator of the study and overall supervisor of the
fieldwork.
The question guide covered four topics, namely, social environment of
adolescents, knowledge of the perception of adolescents' reproductive health
issues, provision of services to adolescents, and opinions on the introduction
of family life education into the schools curriculum. Fathers and mothers
were made to participate in focus groups separately so that they could discuss
issues without reservations. A total of 30 focus groups (15 with mothers
and 15 with fathers) were conducted, ten from each study area. Overall,
222 Basotho parents participated in the focus group discussions: 63 in Maseru,
75 in Mohale's Hoek and 84 in Mokhotlong. Majority of focus groups had between
six and ten participants. Responses from the focus groups were audiotaped.
The recorded responses were transcribed by Basotho students at the National
University of Lesotho. This resulted in 30 transcripts in Sesotho (local
language in Lesotho), which were later translated to English. Data analysis
was done using NUD*IST (N4) software, which is specifically designed for
qualitative data analysis.13
PARENTS' KNOWLEDGE OF SEXUAL BEHAVIOUR OF ADOLESCENTS
One of the issues discussed during the focus groups was parents' knowledge
about adolescents' sexual behaviour. The actual question was "Do
you know if young people have boy/girlfriends?" Young people in this
case referred to males or females aged between 10 and 19 years, while the
boy/girlfriend referred to a sexual partner. Since sexual activities are
usually done secretly, the parents may not certainly know whether or not
their adolescent children are sexually active. In some cases the responses
reflected what they perceived to be happening.
The majority of parents who participated in the focus groups said they
knew that unmarried male and female adolescents have sexual partners. This
response was given in all focus groups. The focus group participants said
they did not obtain information on adolescents' sexual partnerships through
parent-children conversation. Parents said they obtained such information
by accidentally seeing a love letter, hearing from younger siblings, etc.
Some of their responses were as follows:
We know through letters in their pockets or in their books. When
searching their clothes or looking at their books, you will find letters
written: `nyeo-nyeo darling, (Female parent, urban)
They hide themselves, but once I found a letter from my boy and
I asked him if he has a girlfriend. To my surprise he admitted having one
and I told him to stop at once. (Male parent, rural)
Some parents in both rural and urban areas said it is easy to know if adolescents
have love affairs through their behaviour. Practices such as kissing, which
are usually done in private, are now done in public. However, some parents
admitted that they suspect sexual relationships among young people but they
did not have any proof of it.
Few female and male parents in both rural and urban areas said they knew nothing
about adolescents having sexual relationships. Some of them did not have knowledge
of such and doubted it; while others said their adolescent children were too
young to be involved in sexual relationship. The following are excerpts of
some of the responses:
I don't know, because they are young. I have not seen them because
I am saying they are very young. For example, my son is 13 years old and
so you can't think according to the way things happen, second born is only
10 years old. (Male parent, urban)
Yes, adolescents have girlfriends, but my child is still very young
and does not have a girlfriend. (Male parent, rural)
Whom are you talking about? The one who is 11 years old? Young
as he is? I haven't seen anything as far as boyfriends and girlfriends
are concerned." (Female parent, urban)
My children are still young. I'm not aware of what they can do. What
about the one who is aged 12? That one is still young. She just plays around."
(Female
parent, rural)
Respondents had mixed feelings about allowing adolescents to have sexual relations
before marriage. Some parents felt that adolescents should be allowed, particularly
the older group, but some said such relationships should not be allowed. For
instance, some parents were concerned with the behaviour of having a "sugar
mummy" for male adolescents and a "sugar daddy" for female adolescents. It
should be noted, however, that parents' acceptance of sex before marriage was
only observed in urban centres. In other words, none of the participants in
rural areas supported premarital sexual relations among adolescents. Some of
the opinions of parents residing in urban centres are indicated in the following
excerpts:
I think there is a problem. Young people of 19 or 20 years have
boyfriends or girlfriends. I don't think there is anything wrong in having
a boyfriend or a girlfriend. The problem arises when a boy wants to have
a `sugar mummy' and a girl likewise wants to have a `sugar daddy'. Having
sex is part and parcel of these relationships because you can't expect a
man who has a family to go out with a 15-year-old for other reasons than
sex. The same applies with a married woman who has a relationship with a
boy. (Female parent, urban)
Whether my daughter has a boyfriend or not I don't know. But she
has reached a stage where she can have a boyfriend. I mean she is mature
enough to have one. (Male parents, urban)
The results indicate that parents are aware that male and female adolescents
have sexual relationships. Although they never discussed sexual issues with
them, the majority of respondents said without any reservations that they are
aware of sexual relationships among adolescents. They got their information
from love letters they found, from younger siblings or by observing their movements.
There is also an indication that the parents perceived that younger adolescents
are less experienced in sexual activities than older ones. It is interesting
to note that although Basotho culture is very restrictive about sexual activities
amongst unmarried adolescents14, there are parents who allow their
adolescents (at least the older ones) to have sexual relationships. Such parents
reside in urban areas. This finding is contrary to adolescents' perception
of their parents' attitudes.6
PARENTS' ATTITUDES TOWARDS ADOLESCENTS' ACCESS TO REPRODUCTIVE HEALTH SERVICES
During the focus groups, parents discussed issues relating to adolescents'
access to reproductive health services such as information on reproductive
health issues, family planning services, sexually transmitted infections including
HIV/AIDS, and counselling. Parents are important gatekeepers for adolescents;
they are also in regular contact with adolescents. Therefore, they can easily
advise and encourage adolescents to use the services. At some reproductive
health service centres unmarried adolescents could only access reproductive
health services if they were accompanied by their parents or guardian.
The majority of participants in the focus groups felt that there is no discrimination
against adolescents obtaining RH services. However, some participants noted
that it is traditionally wrong for unmarried adolescents to initiate sexual
activities until after marriage. This thus impedes the freedom of unmarried
adolescents to visit health centres for RH services; they are usually shy to
be found at doing this. Those who are courageous to visit health centres sometimes
receive a cold shoulder from service providers. The following excerpts reflect
parents' perception of this:
They are not discriminated. You will find them in large numbers
there (health centres). (Male parent, urban)
I sometimes hear that when young people go there those ladies who
work there refuse to give them services because they argue that the place
is not good enough for them but for their parents. (Female parent, urban)
Adolescents are not discriminated in getting access to health facilities
especially if parents accompany them. (Female parent, rural)
They are not discriminated. They even go there more frequently than
people who have families. Their queue is even longer than ours. (Female
parent, rural)
It is most important to note parents' attitudes towards adolescents' access
to reproductive health services. Apparently, there is confusion between reproductive
health and family planning. Some parents, especially fathers, argue that
unmarried adolescents are not supposed to have a family to plan for; therefore,
it is not right to provide them with reproductive health services. This shows
that parents are ignorant of the fact that reproductive health services do
not only include family planning but also other things as information and
counselling. In addition, since a lot of adolescents are sexually active
there is a need to equip them with adequate knowledge and facilities for
practising safe sex.
DO PARENTS DISCUSS WITH THEIR ADOLESCENT CHILDREN ABOUT REPRODUCTIVE HEALTH?
Respondents debated the issue of who should pass knowledge of reproductive
health to adolescents. During the focus groups, parents were asked if they
ever discuss sex-related matters with their adolescent children. Some of
them reported that they do it freely by discouraging premarital sexual activities.
The issue of discouraging premarital sexual activities is sometimes linked
to the Bible. Parents, especially those residing in urban areas, argue that
it is against the Bible for a person to be involved in premarital sexual
activities. This suggests that parents use religion as the main point to
discourage premarital sexual relations. The following are some of the typical
points raised during the focus groups:
We do discuss about these issues and sometimes quote the Bible. (Female
parent, urban)
We talk about blessings from God that enable them to resist temptation.
They are not to put themselves in a position that will make boys want to
have sex with them. They should also avoid being with boys in the late hours
because they will end up sleeping with them. I try by all means to teach
them to learn through experience from their peers who had problems such as
getting pregnant. I warn them from people who will mislead them by saying
that if they don't have sexual relationships they will be mentally disturbed.
I say these are just man's ideas and not God's will of how people should
live. (Male parent, urban)
Majority of participants in focus groups stated that they discourage premarital
sexual relations among adolescents by referring to the HIV/AIDS epidemic. In
addition to HIV/AIDS, parents discuss other consequences of having sexual relations
such as premarital pregnancies and sexually transmitted diseases. The discussion
is usually initiated if there is a live example of unmarried adolescents having
problems in the neighbourhood that resulted from sexual relationships.
I don't discuss directly. I only discuss when one of their age mates
has a problem. It is during that moment that I give advice. (Female parent,
urban)
I am afraid of facing my daughter with that. But if there is a scandal
such a girl has thrown a baby in the toilet or a girl has left the baby in
the forest, I will then advise her by saying as follows: `Do you see the
results of bad behaviour? If you are also doing that you will suffer the
consequences soon or later'. (Female parent, urban)
I only talk to him (my son) if there is a programme about AIDS on
the radio. I try to make him aware that the programme is intended to educate
young people. (Female parent, rural)
It is also common practise to talk to adolescents by giving examples that
will make sense to them. One such example was reported by a father who teaches
his daughter by comparing a girl who sleeps around with boys with an old driving
school vehicle.
Yes, I always tell my girl that if she has sexual relationships
before marriage, as we know boys are tempting, she will end up being like
a driving school vehicle. Before one can buy a new vehicle he starts driving
other people's vehicles - usually in a driving school. When the
time comes to buy own vehicle, he will never buy the old vehicle he used
to drive. The
same applies to boys. When he reaches the stage of marriage he will not
marry the girl he has been sleeping with. He will go for a girl whom he
loves. (Male parent, urban)
It was reported during the focus groups that some parents do not discourage
sex directly, but they mention other activities that lead to having relationships
or encourage sex-related activities such as going out at night, playing around
with boys (for girls), especially if boys touch their private parts. Some parents
are only concerned about the act of sex. Other important issues such as the
expected changes in the adolescent body or the expected emotional changes are
not discussed.
Some parents said they cannot discuss sex-related matters with their adolescent
children. Various reasons were given for this. Some parents said they are shy
or embarrassed to discuss sex with their adolescent children. Some blamed the
tradition, that such issues are not supposed to be discussed especially across
generations. Other parents argued that their adolescent children are too young
to discuss such issues with them; they feel that discussing with them implies
encouraging them to indulge in sexual activities. The following excerpts typify
participants' perceptions of the reason parents do not want or fail to discuss
sexual issues with their adolescent children:
I never discuss with my children about sex-related matters. The
fact that they are still young, i.e., age-wise, I never thought they have
started having sexual relationships. (Female parent, urban)
Sex before marriage is not acceptable and, therefore, as parents
we cannot encourage it. In other words we cannot teach them about sex because
they will develop ideas which they did not have before. (Male parent,
urban)
Even if they are grown-ups, I never discuss sex-related issues with
them because I am very shy. (Female parent, rural)
Some parents said they discuss sex-related issues directly with their adolescent
children, but a number of male parents said they talk to them through their
mother. The argument is that fathers are shy to discuss such issues. Another
argument was that there is an arrangement in the household that places the
responsibility of talking to children about such issues on mothers. Some
fathers also allow their wife to discuss sex-related issues with their children
because that is the way they were brought up.
INTRODUCTION OF SEX EDUCATION IN SCHOOLS CURRICULUM
Another item discussed during the focus groups relates to the introduction
of sex/family life education into schools curriculum. This is however controversial
because of the nature of schools in Lesotho; most of them are owned by the
churches. Some of these churches, such as the Catholic Church, are very reluctant
to allow adolescents to be taught sex education in schools. Another factor
is that of culture. According to the Basotho culture, just like in many other
African settings, discussion of sex is a taboo. The ongoing debate in Lesotho
about the introduction of sex education in schools has only succeeded in
identifying a few trial schools where sex education can be tested. However,
the reluctance of the churches, some parents and some teachers has made it
difficult even for some trial schools to introduce sex education in their
curriculum.
Majority of the people who took part in the focus groups felt that sex
education should be introduced into schools curriculum in Lesotho. Responses
from the focus groups were very positive that there should be a formal subject
dealing with sex-related matters in schools. This opinion was also shared
by participants who said sex-related matters should be taught at home. They
agreed that such a subject should be taught in schools if it is well designed.
Shy parents agreed that this would help them discuss sex as a subject at
home. This implies that if a child comes home with questions from what has
been taught in class, it would be easier to explain. This is what is happening
with other subjects taught in schools. Some parents also recommended that
government should make similar arrangements for out-of-school adolescents.
I think I support that because all the methods that have been used
have failed, most of them take it as a joke. It will be different if they
are taught at school because they will be assessed and that will make them
concentrate. (Female parent, urban)
I agree with that. Children could be able to socialise with teachers
since parents have failed. They could be able to demand help from us for
their assignments. This will also enable parents to be involved. (Male
parent, urban)
I think it should be included as one of the subjects. Secondly,
I think something should be organised for adolescents who don't attend school. (Male
parent, rural)
Few participants in the focus groups were not happy with this suggestion.
They argued that teaching adolescents about sex is equivalent to allowing them
to go ahead with sexual activities. Most of the participants who were against
introducing sex education in schools curriculum were fathers; only one mother
was against the idea. The following excerpts explain the position of those
who were against the idea of establishing sex education as a formal subject:
I think it is going to worsen the situation because they will be
given a lesson as a group. It will take two years for the whole world to
be destroyed. (Female parent, urban)
I don't agree with the idea at all because when you talk of sex
issues, that is exactly what excites young people. Even Satan, the devil,
gets excited because his followers are increasing in number. We will hear
people say that many teachers are involved with our children. Talking about
these issues makes young people feel like doing it after class. Talking about
sex in class makes them loose concentration of other subjects that are important. (Male
parent, urban)
My whole body is shaking! Corruption is going to emerge from this.
They will want to experience what they have been told in order to prove some
of the issues. I don't encourage it at all. (Male parent, urban)
The majority of parents felt that introducing sex education in schools curriculum
in Lesotho is a good idea. They argued that if sex education is taught as
a formal subject in schools, teachers would take the lead in passing the knowledge
to adolescents. But parents will also be involved by helping adolescents with
their homework. In other words, parents would discuss sex education at home
the way they discuss other subjects like mathematics and science. Few parents
did not like this idea because they think teaching sex education in schools
is equivalent to encouraging promiscuity. However, literature does not support
this type of relationship. UNAIDS has reviewed 53 reports that evaluated the
intervention of sexual health education on young people's sexual behaviour
and found out that in three studies increases in sexual behaviour was associated
with sexual health education. In 27 studies, young people did not change sexual
behaviour and there was delay in onset of sexual activity, reduced number of
sexual partners and reduced unplanned pregnancy and STDs rates in 22 studies.
Based on these results, UNAIDS concluded that there is no evidence that sex
education promotes promiscuity.15
CONCLUSION
The findings in this study have a number of policy implications. The issue
of awareness amongst parents of adolescents' reproductive health needs need
to be addressed seriously. The majority of parents are aware that adolescent
males and females are experiencing sexual relationships, which is a very important
point in understanding the reproductive health problems facing adolescents.
It is imperative, therefore, for the policy to target the group of parents
who are unaware of the fact that adolescents are engaged in sexual activities.
In addition, parents are expected to know that unmarried adolescents have the
right to visit the family planning clinics. Parents need to be advised to encourage
unmarried adolescents to seek reproductive health services whether they are
sexually active or not.
The problem of communication between parents and their adolescent children
has come out very clearly in this study. Parents are either shy to discuss
sex-related issues with their adolescent children or they think the discussion
would encourage them to indulge in sexual activities. The same notion applies
to the introduction of sex education in schools curriculum. Although some parents
support the idea, others are against it because they think by teaching them
it would encourage promiscuity amongst adolescents. However, empirical studies
have shown that communication of sex-related matters or teaching sex education
in schools does not lead to promiscuity. On the contrary, this has been found
to delay age at initiation of sexual activities, reduce the rate of unwanted
pregnancies, reduce the rate of illegal induced abortions, and reduce the rate
of sexually transmitted infections including HIV/AIDS.
This study supports the initiative by the government of Lesotho to establish
sex education in schools curriculum. All interested stakeholders should be
involved in this exercise. Mturi and Hennink have discussed details of the
importance of introducing sex education in schools curriculum in Lesotho.16 Further
studies should focus on how this could be done and how parents can play active
role. Meanwhile, parents should be encouraged to discuss sex-related issues
with their adolescent children at home. Government may attempt to use the village
chiefs to encourage parents to talk to their adolescent children.
ACKNOWLEDGEMENT
An earlier version of this paper was presented to the International Union
for Scientific Study of Population (IUSSP) general conference held at Salvador,
Brazil, between 18 and 24 August 2001. The funds for data collection were
obtained from the Opportunities and Choices Reproductive Health Programme in
the Department of Social Statistics at the University of Southampton, which
is funded by the British government's Department of International Development
(DFID). Comments from Monique Hennink, Nyovani Madise and Shireen Jejeebhoy
on the earlier drafts of this paper were very helpful.
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