Sexual health and wellbeing training with women in Pacific Island Countries and Territories: a scoping review

Neuendorf, Nalisa, Cheer, Karen, Tommbe, Rachael, Kokinai, Clare, Simeon, Lalen, Browne, Kelwyn, MacLaren, David, and Redman-MacLaren, Michelle (2021) Sexual health and wellbeing training with women in Pacific Island Countries and Territories: a scoping review. Global Health Action, 14 (1). 1948673.

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Background: Women who are spouses of students at a faith-based university in Papua New Guinea (PNG) are afforded proximal power. These women are perceived as leaders and regularly approached by members in their communities to provide advice on sexual and reproductive health matters. Women leaders therefore need access to sexual health information and training to provide appropriate advice.

Objective: The aim of this paper is to review the characteristics of community-based sexual health training in Pacific Island Countries and Territories (PICTs), as reported in published literature. This is evidence to inform the development of sexual health training programs for women in PNG.

Methods: A systematic search of databases, repositories and websites identified peer-reviewed studies. Grey literature was also sourced from government and non-government organisations and PNG health professionals. Six published papers, one report, one health worker practice manual and one health worker training package were identified for inclusion. Selected papers were assessed against the Canadian Hierarchy of Evidence to determine quality of evidence for practice. Themes were identified using a thematic analysis approach.

Results: Three themes became apparent from the literature synthesis: i) program development; ii) mode of delivery, and iii) evaluation. Social and cultural context influenced all elements of sexual health training in PICTs. Few studies reported evidence of comprehensive evaluation.

Conclusions: Successful sexual health training programs in PICT communities are designed and delivered accounting for local contexts. Programs that engage participants with diverse abilities inspire change to achieve desired outcomes. Key findings from this study can be used to assist women leaders to contextualise and operationalise sexual health training to promote the wellbeing of members in their communities.

Item ID: 68864
Item Type: Article (Research - C1)
ISSN: 1654-9880
Keywords: Sexual health; training; women leaders; pacific islands; papua new guinea
Copyright Information: © 2021 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Funders: James Cook University (JCU)
Date Deposited: 02 Aug 2021 02:56
FoR Codes: 42 HEALTH SCIENCES > 4206 Public health > 420606 Social determinants of health @ 100%
SEO Codes: 21 INDIGENOUS > 2111 Pacific Peoples health > 211101 Pacific Peoples determinants of health @ 100%
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