Exploring the multi-level impacts of a youth-led comprehensive sexuality education model in Madagascar using human-centered design methods

Comprehensive sexuality education (CSE) is recognized as a critical tool for addressing sexuality and reproductive health challenges among adolescents. However, little is known about the broader impacts of CSE on populations beyond adolescents, such as schools, families, and communities. This study explores multi-level impacts of an innovative CSE program in Madagascar, which employs young adult CSE educators to teach a three-year curriculum in government middle schools across the country. The two-phased study embraced a participatory approach and qualitative Human-centered Design (HCD) methods. In phase 1, 90 school principals and administrators representing 45 schools participated in HCD workshops, which were held in six regional cities. Phase 2 took place one year later, which included 50 principals from partner schools, and focused on expanding and validating findings from phase 1. From the perspective of school principals and administrators, the results indicate several areas in wh..., Data were collected in June 2021 during seven workshops held in six regional cities in Madagascar. Principals and one other member of the school were invited from each of of the youth-led, non-governmental organization's 45 partner schools during the 2020-2021 school year. Principals had the discretion to invite second representatives, which was often the person who worked most closely with or alongside the CSE Educator. If the principal could not attend, then they assigned someone to attend in their place. In total, 90 school administrators participated, which included principals, vice principals, and school monitors representing 45 schools, both urban and rural.
Workshops were facilitated by the organization's Monitoring and Evaluation Manager and lasted 3-4 hours. Workshops were held in the organization's regional offices or rented working space (i.e., not in schools), and discussions were facilitated in the local language, Malagasy. Additional organization staff members in attendanc..., , # Data from the PLOS ONE Article \"Exploring the Multi-Level Impacts of a Youth-led Comprehensive Sexuality Education Model in Madagascar Using Human-Centered Design Methods\"

This study explores multi-level impacts of an innovative CSE program in Madagascar, which employs young adult CSE educators to teach a three-year curriculum in government middle schools across the country. We employed a two-phased participatory approach and qualitative human-centered design (HCD) methods. In phase 1, 90 school principals and administrators representing 45 schools participated in HCD workshops held in six regional cities. Phase 2 took place one year later, included 50 principals from partner schools, and focused on expanding and validating findings from phase 1. Data was collected using two consecutive methods from the Luma Institute system, specifically “affinity clustering” and “visualize the vote”.

## Description of the data and file structure

**Data are in a standardized data entry sheet in...