a sourcebook of hiv/aids prevention programs volume 2

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CHAPTER 9The Expanded Life Planning EducationProgram (ELPE), NigeriaThe program mainstreamed HIV/AIDS education into the delivery of LPE in schools. Thisadequately covered provision of information on HIV/AIDS; care and support for People LivingPositively and community mobilization activities that discourage stigma and discrimination.ELPE ManagerAs the importance of the education sector in HIV prevention has beenincreasingly recognized, many countries have sought to introduce teachingabout HIV as part of a regular school subject. Effecting such a change ischallenging. Teachers must be provided with new knowledge and trained innew, participatory ways of teaching. Communities must approve and supportchanges if they are to be sustainable and effective. Education sectors mustbe enabled to regulate and manage the teaching of a new subject. Studentsmust adapt to new ways of teaching and learning. How has Nigeria metthese challenges?DescriptionNigeria’s Expanded Life Planning Education (ELPE) demonstrates how HIVand adolescent reproductive health education can be mainstreamed into thelife of schools, teachers, communities, and the education sector to become anormal and everyday part of educational life. The program shows howintersectoral collaboration, community advocacy, effective training of teachersand peer educators, and high-quality research (including monitoring and evaluation)can make the introduction of change acceptable and desirable.Obatunde Oladapo, consultant, conducted the interviews and collected the data for thischapter. Eccoua Oyinloye, of the Ministry of Education, Science, and Technology,Nigeria, provided support, encouragement, and assistance. Criana Connal, consultant,assisted in drafting the text of this chapter.175(c) The International Bank for Reconstruction and Development / The World Bank
176 A Sourcebook of HIV/AIDS Prevention Programs, Vol. 2Rationale and HistoryThe program was initiated in 1994, when parents and teachers in Ibadan,the capital of Oyo State, raised concerns about the rising incidence ofunwanted pregnancy and the death of two girls from septic complications ofabortion (figure 9.1). The Association for Reproductive and Family Health(ARFH) was invited to provide life-planning education (LPE) on reproductivehealth to secondary school students and out-of-school youth.In 1996 a project was piloted in four secondary schools in Ibadan, withsupport from the United Kingdom’s Overseas Development Agency (ODA).In 1999 the success of the pilot project led to the expansion of activities to131 secondary schools in the 33 local government areas of the state spanningits eight educational zones. Expansion was supported by the United Kingdom’sDepartment for International Development (DFID), which providedfunding for the program from 1999 until 2003.During the expansion process, various actors were involved in designingthe program and its teaching-learning materials. They included governmentofficials, NGO staff, teachers, parents, other community members, andlearner representatives. The active involvement of these actors contributedto the fact that the ELPE program has had few real problems in gainingbroad acceptance and support.The rationale underlying the program’s activities is as follows:• Prevention of health problems is far more effective and desirable thantreatment.• The earlier the knowledge and skills to make healthy informed decisionsare imparted, the greater are young people’s chances of living a healthylifestyle.• The school environment is the most appropriate place to provide children,adolescents, and young adults with the opportunity to developFigure 9.1: Timeline of ELPE Implementation1994parents andcommunities inIbadan requestcomprehensivereproductivehealth education1996life-planningeducation(LPE)piloted in foursecondary schools inIbadan1998expanded lifeplanningeducation(ELPE)program expanded to131 secondary schoolsin all 33 stategovernments2000ELPE replicated inother statesSource: Authors.(c) The International Bank for Reconstruction and Development / The World Bank
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A SOURCEBOOK OF HIV/AIDSPREVENTION
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viContents4 The School Health Educa
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viiiContentsTables7.1 Impact of Sug
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xiiAcknowledgmentsKelly (University
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xviAbbreviationsNASNERDCNGONIEDNSGA
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xviiiIntroductionTable 1: Program D
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xxIntroductionhttp://unesdoc.unesco
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236 Indexcivil society organization
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238 IndexGhana AIDS Commission (GAC
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240 Indexmaterialsin ELPE Program (
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242 IndexOlatunde, Bunmi, 203Oren,
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244 IndexRapid Results Initiative (
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246 Indexmaterials needed by teache
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ECO-AUDITEnvironmental Benefits Sta
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