Health Education to Prevent HIV/AIDS & STIs - Department of ...

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Department of Education TVET Division HIV/AIDS & STI Teacher Guide Module 2 Protecting yourself and others Learning outcome 1: List safe and unsafe sexual practices Lesson 11 By the end of this lesson students can… 1.1 List common sexual practices 1.2 List high risk, low risk and no risk sexual practices Resources: Set of sexual behaviour sorting cards (enough for one set for 4 students) a. Introduction: (15 mins) Brainstorm Tell students that nearly every one practices sex at some point in their lives. The most common sexual practices include vaginal sex, anal sex, oral sex, masturbation, fingering, touching and kissing. Say, “Some practices are safe and carry no risk of HIV transmission and others are not.” In groups of 4 (mixed sex if possible), list as many safe and unsafe sexual practices as you can. Hear feedback and summarise these on the board. Safe sexual practices e.g. holding hands Unsafe sexual practices e.g. anal sex b. Main Activity: (40 mins) Tell students that they will discuss sexual practices. All of these occur in PNG even though they may be taboo in some cultures or illegal. Young people will often know about them and it is important they know the accurate facts about the risks. Arrange the students into same groups of 4. Give them a set of sexual behaviour sorting cards. Ask the groups to sort them along a line in order from VERY HIGH RISK OF HIV TRANSMISSION to HIGH RISK to LOW RISK to NO RISK. Also allow them to put behaviours in DON’T KNOW place. There will be a lot of debate into the risks! NO RISK – LOW RISK – HIGH RISK – VERY HIGH RISK of HIV transmission • Masturbating yourself • Anal sex without a condom • Oral sex (sucking or licking the penis) • Oral sex (licking or sucking the vagina or clitoris) • Having sex too young • Kissing • Deep kissing (kissing with tongues) • Masturbating someone else or them masturbating you • Sex when you are drunk or on drugs • Abstaining from sex • Rape/gang rape • Vaginal sex using a condom correctly 50
Department of Education TVET Division HIV/AIDS & STI Teacher Guide • Forced sex (partner is not ready) • Vaginal sex without a condom • Anal sex with a condom • Sex for money/food • Being faithful to your partner • Sex within a cult • Sex with a condom when one of the couple has an STI • Polygamy • Unprotected sex during a woman’s period (menstruation) • Unprotected sex if you or your partner has an STI • Withdrawal (sex without a condom when the man pulls out and ejaculates outside the woman) The correct answers (for the risk of contracting HIV from a partner who is infected with HIV). They can use the Resource Book for this. No risk of HIV transmission Abstaining from sex; Masturbating yourself; Kissing; Deep kissing (kissing with tongues) Masturbation by someone else (rubbing or stroking the penis, clitoris or vagina) Low risk of HIV transmission Oral sex (sucking or licking the penis, vagina or clitoris); Vaginal sex using a condom correctly every time you have sex; Anal sex with a condom (slightly more risky than vaginal sex with a condom) High risk of HIV transmission Vaginal sex without a condom; Having sex too young; Polygamy; Multiple sexual partners; Unprotected sex during a woman’s period; Withdrawal Very high risk of HIV transmission Anal sex without a condom; Sex when you are drunk or on drugs; Rape/gang rape; Sex for money/food; Sex within a cult (usually risky sex); Sexual abuse; Unprotected sex if you or your partner has an STI Don’t know Being faithful (your partner may not be faithful to you so you need to both be tested and both be faithful for this to be effective) Ask the students if there are any missing (e.g. sex before marriage, sex during adolescence, child abuse, having an older husband, having an unfaithful partner). Place these on the scale. Remind students that values play an important part in this. Some Churches may oppose condoms and masturbation. Some cultures allow multiple wives. Some behaviours are illegal. We are looking at the relative risks of HIV infection. Many people do not do some of these sexual practices. Remind them that risk depends on the possible harm. E.g. it is unlikely that anal sex would lead to pregnancy but it might cause pain and bleeding and a high risk contracting STIs or HIV. 51
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Health Education to Prevent HIV/AIDS & STIs - Department of ...

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