School-based Comprehensive Sexuality Education (CSE) for Youth with Hearing Impairment


Sexuality education to prevent and solve the problem of adolescent pregnancy and Comprehensive HIV Prevention for Youth with Deafness in Deaf Schools.

“School-based Comprehensive Sexuality Education (CSE) for Youth with Hearing Impairment” project, which is strived by Ratchasuda College, Mahidol University, is supported by Thai Health Promotion Foundation by Health Risk Factor Control Plan 2. It defines the focus of implementation of the sexual health promotion program in 2 main points which are prevention and solution of teenage pregnancy problems and prevention of HIV infection. From the case study found that persons with disabilities have the restriction to access the information of sexuality education and reproductive health due to the diversity and level of disability and government facilities do not have enough accessibility facilities for persons with disabilities, including the attitude that sex is forbidden for persons with disabilities, as well as the limitations of media and learning aids for persons. This effects to the way of life of persons with disabilities, sexuality education learning and the reproductive health rights of persons with disabilities. In addition, from awareness of such problems and situations, in the past, there has been a collaboration to drive the development of comprehensive sexuality education and to promote the accessibility to the reproductive health among youth with disabilities of the various institutions, such as, the United Nations Population Fund (UNFPA), Thailand Research Institute for Empowerment of Persons with Disabilities Foundation, the Planned Parenthood Association of Thailand and Ratchasuda College, Mahidol University. The institutions reviews together literature and facts together which indicates gaps in the implementation of policies and legislation related to reproductive health rights and prevention of pregnancy among adolescents with disabilities into action which are lack of understanding and awareness of the problems and rights of children and young people with disabilities both in the group of parents, teachers and society as a whole, lack of specialized knowledge for children and youth with disabilities in reproductive health, lack of knowledge and learning skills for children and youth in the teaching group, lack of instructional materials designed to suit the lifestyle and learning of youth with disabilities and lack of the curriculum, handbook or guidelines that cover the required content, content/ activity selection and learning design in schools to be used to develop teacher competency. In this regard, the guidelines for driving is curriculum development and teacher competency building and youth who will be the peer educator who will create another learning channel that is linked to the work of teachers both inside and outside the school.

In order to bring the driving guidelines into practice, Ratchasuda College, Mahidol University launched a pilot project among youth with hearing impairment by cooperated with the aforementioned network partners and Special Education School networks, Schools for the Deaf, Population and Community Development Association and Mechai Veravaidya Foundation in knowledge building and develop a pilot special education school in learning management by integrating sexuality education and reproductive health for youth with disabilities in to the education system of youth with hearing impairment. This is a starting point that will be extended to create an overall youth education system, creating opportunities and equal access to information about comprehensive sexuality education and access to appropriate learning services for youth with disabilities. (SDG 17, SDG 4, SDG 10, SDG 3)

The goal of the project implementation is to develop curriculum and instructional model for sexuality education which is suitable for youth with hearing impairment in schools for the deaf. Also the communication to stimulate and raise awareness among relevant agencies sectors about the importance of effective and quality sexuality education among young people with hearing impairment. The past performance is as follows:

  • In 2020
  • Conceptual literature review policies for teaching sex education in abroad and in international, including the effectiveness of operation, problem, obstacles, controversies about teaching sex education in schools (especially for youth with hearing impairment) and the overall situation and operation. In addition, preliminary data analysis was performed to see the problem, factors, concepts, theories and the direction policy the most effective of the operation in the international level for the survey, questions in contextual information study and situation in Thailand in schools for the deaf all over the country.  
  • In 2021
  1. In collaboration with the Population and Community Development Association develop a sexuality education curriculum (basic) for teachers.
  2. Organize the training according to the course from November 27th to 29th, 2021, there were 48 participants from 14 Schools of the Deaf, Special Education Schools, Special Education Centers, Educational Institutions and Disabled Youth Club. These institutions are located in 22 provinces, there were 19 deaf and 29 hearing, 31 participants work as teachers/ assistant teacher, sign language teacher (in the university) and 6 are sign language interpreters. The trainees provided the feedback about what they had learned from the training that “…It is a training that has content/styles and teaching techniques that can understand more about sexuality education, sexuality education is about life not only health education or making love only...” “...To use the play role activity with the various materials, such as, video, virtual medias attracted the deaf and make them understand more because it is in line with the culture and learning of the deaf”. Also, giving the suggestions for curriculum development that “..should extend the duration of the training to be 5-day training by in-depth training and should be prepared as a media set/ teaching manual…”
  3. From the feedback of the trainees in the introductory course which is the overview content of the sexuality education and basic teaching techniques, the project therefore has an idea to develop a curriculum and organize sexuality education training in schools for the deaf: Workshop 2. The aim is to develop a curriculum with advance content originating from interests/ problems currently experiencing in school of those who will attend the training who have completed Workshop 1 training. As well as creating a learning design process that the trainees will be able to use them to design learning that is consistent with the school context and to be a network for continuous and sustainable co-learning development.
  4. Design curriculum and workshop 2 activities with a team of speakers and survey the activity areas, the training was held from 5 to 10 May of 2021 at C&C Khao Yai Resort, Pak Chong, Nakhon Ratchasima. Due to the Covid-19 epidemic, the organizer considered about the risk of the participants and they were in the process of the risk management in teaching and learning management of the school in accordance with the project situation, the organizer held the activity in the virtual training so that it could be continued continuously and effectively under such circumstance.
  5. The activity “Sexuality education curriculum training…develop networks and develop the potential of leaders in schools for the deaf (virtual)” was held from September to December 2021 by designing this training course as an online activity, with 4 main activities, a total of 12 times, namely;   
  • Activity 1: The essence of the education in school: Open screen, open heart talk about sex.  

To open up space for participants to get familiar with, experience, understanding, problem and sexual perspective exchange

  • Activity 2: Knowledge sharing…Sexuality Education Teaching

To fulfill the body of knowledge about sexuality education in indepth content in the form of lecture, group activities and knowledge exchange


  • Activity 3: Additional skills development…enhance working potential (in creative thinking)

To create more space enhance skills empowerment for teachers or instructor sexuality education in order to be able to extend creativity in designing activities teaching materials on sexuality education


  • Activity 4: Harmonize… Create a sexuality education knowledge pack

To support the development, activity design and appropriate teaching materials for the deaf, as well as create a space to exchange knowledge in activities and teaching materials on sexuality education so that the network can adapt to suit the context of each school


  1. Initially, there are 79 words from the development of Thai Sign Language vocabulary in sexuality studies collected from the training course.


From the past operation, it provides a comprehensive sexuality education training curriculum for teachers which is the middle course that have been tested by developing content, teaching style which is consistent with the way of learning of youth with hearing impairment. The network can use to teach the sexuality education to youth with hearing impairment, there are also 48 teacher leaders who completed the middle curriculum and can give the information or knowledge to the youth which increases the chances of youth with hearing impairment to access the information and learn about the comprehensive sexuality education, know the problem until understand and access to the appropriate services.


  • Operation plan in 2022-2023
  1. Curriculum/ Model of teaching and learning in pilot schools trial to assess the results with the target group to improve the curriculum/ model of teaching and learning, manual, materials and processes.
  2. Communicate to stimulate and raise awareness among relevant agencies/sectors about the importance of quality and effective sexuality education in the group of youth with hearing impairment.

1. Network of special education schools.

2. School of the Deaf.

3. Population and Community Development Association.

4. Mechai Viravaidya Foundation.

5. Thai Health Promotion Foundation (ThaiHealth).

Ms. Thidarat Nongthong and Ms. Watchara Riewpaiboon, M.D.
special education school network Audio education school Population and Community Development Association, Meechai Viravaidya Foundation, with support from the Thai Health Promotion Foundation (ThaiHealth), Bureau 2