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3<br />

completion rates in 2014. Girls were often found to attend<br />

school longer in countries with less discriminatory social<br />

institutions, <strong>and</strong> the reverse was true in countries with<br />

more discriminatory institutions. But the relationship<br />

was not always straightforward: in more economically<br />

advanced countries such as Kuwait, more women than<br />

men completed lower secondary education despite<br />

discriminatory legal <strong>and</strong> social practices (Figure 3.12).<br />

But the removal of discriminatory legislation does not<br />

eliminate discrimination. People continue to be oppressed<br />

because of race, caste <strong>and</strong> ethnicity, including in education<br />

systems (Krieger, 2014; Siddique, 2011). For instance, in the<br />

United States, racial discrimination continues through<br />

unequal distribution of education financing, strong<br />

residential segregation <strong>and</strong> a ‘school to prison’ pipeline<br />

affecting African Americans (see Chapter 5: Place).<br />

INTEGRATED SOCIAL AND<br />

EDUCATION INTERVENTIONS<br />

ARE NEEDED<br />

Inclusive social development will not be achieved by<br />

interventions only in one sector. There is a lack of<br />

evidence on sustained health-related behaviour change<br />

through education. Similarly, the fact that progress<br />

in gender parity in education has not systematically<br />

translated to gender equality points to a need for<br />

broader interventions <strong>and</strong> policies that integrate<br />

education with actions such as legislative change <strong>and</strong><br />

workforce policies. More is needed to remedy social<br />

challenges than single sector-focused interventions.<br />

What are some possible solutions? Social protection<br />

programmes can influence multiple outcomes at once,<br />

including education. Gender-balanced lives can be<br />

facilitated through integrated, comprehensive measures.<br />

Education can contribute to innovation in the delivery<br />

of essential services. Water, sanitation <strong>and</strong> hygiene can<br />

be improved in communities, combining training with<br />

community-building <strong>and</strong> improvements in governance.<br />

EVIDENCE OF SUSTAINED HEALTH-RELATED<br />

BEHAVIOUR CHANGE THROUGH EDUCATION<br />

IS LACKING<br />

While education helps <strong>people</strong> acquire knowledge, it does<br />

not always lead to substantive long-term behavioural<br />

change. People with education may know more about<br />

the health risks they take but without developing<br />

FIGURE 3.12:<br />

Many countries with discriminatory social institutions have worse<br />

gender gaps in lower secondary completion rates<br />

Discriminatory family code subindex, 2014; <strong>and</strong> gender gap in lower<br />

secondary enrolment rates, circa 2014<br />

Discriminatory family code subindex<br />

1<br />

0.9<br />

0.8<br />

0.7<br />

0.6<br />

0.5<br />

0.4<br />

0.3<br />

0.2<br />

More girls enrolled<br />

than boys<br />

Kuwait<br />

Bolivia<br />

More boys enrolled<br />

than girls<br />

Guinea<br />

0.1<br />

New Zeal<strong>and</strong><br />

0<br />

-15 -10 -5 0 5 10 15 20 25<br />

Gender gaps in lower secondary enrolment rates<br />

Afghanistan<br />

critical thinking <strong>and</strong> decision-making skills may engage<br />

in risky behaviour. In a survey in Zimbabwe, persons<br />

with secondary education were 30% more likely to have<br />

comprehensive knowledge of HIV, yet there was no<br />

evidence that they were more likely to get tested for<br />

HIV or be HIV negative (Agüero <strong>and</strong> Bharadwaj, 2014).<br />

In fact, the quality of the information provided is a<br />

critical factor in ensuring education can play a positive<br />

role in influencing behaviours, since educated <strong>people</strong><br />

are better able to critically process information. For<br />

instance, early in the HIV p<strong>and</strong>emic in sub-Saharan<br />

Africa more educated, wealthier individuals were more<br />

likely to have multiple partners <strong>and</strong> unprotected sex. As<br />

information on HIV transmission improved over time,<br />

the more educated were better able to interpret the<br />

information <strong>and</strong> change their behaviour. In recent years,<br />

more education is associated with a lower likelihood of<br />

HIV prevalence in many countries in sub-Saharan Africa,<br />

including Cameroon, Ghana, Kenya <strong>and</strong> Tanzania (Smith<br />

et al., 2012).<br />

Similarly, systematic reviews of hygiene-focused<br />

interventions, which include school-based, household <strong>and</strong><br />

community-level interventions, have often concluded<br />

30 35<br />

Notes: The discriminatory family code subindex of the 2014 Social Institutions<br />

<strong>and</strong> Gender Index (SIGI) is composed of formal <strong>and</strong> informal laws, social norms<br />

<strong>and</strong> practices such as legal age of marriage, early marriage, parental authority<br />

<strong>and</strong> inheritance laws. The SIGI <strong>and</strong> subindex values are between 0 <strong>and</strong> 1, with 0<br />

indicating no inequality <strong>and</strong> 1 indicating complete inequality.<br />

Sources: OECD (2014b) <strong>and</strong> UIS database.<br />

2016 • GLOBAL EDUCATION MONITORING REPORT 87

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