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"contents": "<span style=\"font-weight: 400;\">The morning after Nontsikelelo Gumede, 18, had sex for the first time, she woke up feeling puzzled.</span>\r\n\r\n<span style=\"font-weight: 400;\">It was with her first boyfriend in the small North West town where she lives. </span>\r\n\r\n<span style=\"font-weight: 400;\">She had no feelings for the boy in her bed, and had experienced almost no pleasure the night before.</span>\r\n\r\n<span style=\"font-weight: 400;\">For Gumede, sexual relationships only became something she enjoyed when she started to date girls. </span>\r\n\r\n<span style=\"font-weight: 400;\">“Sex with women is just easier, and there’s no risk of pregnancy,” she says with a grin as she crosses her arms over her white school shirt. </span>\r\n\r\n<span style=\"font-weight: 400;\">She’s right. But that doesn’t mean having sex with people with vaginas is without hazards. </span>\r\n\r\n<span style=\"font-weight: 400;\">In fact, </span><a href=\"https://sti.bmj.com/content/76/5/345.long\"><span style=\"font-weight: 400;\">research shows</span></a><span style=\"font-weight: 400;\"> that sexually transmitted infections (STIs) such as </span><a href=\"https://www.mayoclinic.org/diseases-conditions/chlamydia/symptoms-causes/syc-20355349\"><span style=\"font-weight: 400;\">chlamydia</span></a><span style=\"font-weight: 400;\"> and </span><a href=\"https://www.mayoclinic.org/diseases-conditions/gonorrhea/symptoms-causes/syc-20351774\"><span style=\"font-weight: 400;\">gonorrhoea</span></a><span style=\"font-weight: 400;\"> (both infections that can cause pain when urinating and a vaginal discharge) do occur among this group, </span><a href=\"https://sti.bmj.com/content/80/3/244\"><span style=\"font-weight: 400;\">although more rarely than in women who have sex with men</span></a><span style=\"font-weight: 400;\">. </span>\r\n\r\n<a href=\"https://www.cdc.gov/std/bv/stdfact-bacterial-vaginosis.htm\"><span style=\"font-weight: 400;\">Bacterial vaginosis</span></a><span style=\"font-weight: 400;\"> (a condition in which bad bacteria outnumber the good, naturally occurring microbes in a woman’s vagina) is fairly common and cases of human papilloma virus (HPV) infection in lesbian women </span><a href=\"https://pubmed.ncbi.nlm.nih.gov/10992207/\"><span style=\"font-weight: 400;\">have also been reported</span></a><span style=\"font-weight: 400;\">. </span><a href=\"https://www.mayoclinic.org/diseases-conditions/hpv-infection/expert-answers/hpv/faq-20057761#:~:text=HPV%20can%20cause%20cancers%20of,associated%20with%20persistent%20HPV%20infection.\"><span style=\"font-weight: 400;\">Some strains of HPV can cause cancer</span></a><span style=\"font-weight: 400;\"> in various parts of the body, including the vagina, cervix and anus. </span>\r\n\r\n<span style=\"font-weight: 400;\">Plus, having one STI, such as bacterial vaginosis, can </span><a href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3156883/\"><span style=\"font-weight: 400;\">up your chances of getting another</span></a><span style=\"font-weight: 400;\"> or developing </span><a href=\"https://www.cdc.gov/std/bv/stdfact-bacterial-vaginosis.htm\"><span style=\"font-weight: 400;\">pelvic inflammatory disease</span></a><span style=\"font-weight: 400;\">, which can damage other parts of a woman’s reproductive system. </span>\r\n\r\n<span style=\"font-weight: 400;\">Gumede bites her lip and rubs her face. She’s struggling to explain how lesbians can have safe sex. </span>\r\n\r\n<span style=\"font-weight: 400;\">“I don't know anything about [that]. The only thing I know is that we can use sex toys.” </span>\r\n<h4><b>Let’s (not) talk about sex</b></h4>\r\n<span style=\"font-weight: 400;\">Gumede’s one of five lesbian learners at her school.</span>\r\n\r\n<span style=\"font-weight: 400;\">She’s lucky that her community is mostly accepting of queer people. </span><a href=\"https://www.collinsdictionary.com/dictionary/english/queer\"><span style=\"font-weight: 400;\">Queer people are all those who aren’t straight.</span></a><span style=\"font-weight: 400;\"> </span>\r\n\r\n<span style=\"font-weight: 400;\">Gumede’s parents and teachers know about her sexuality, and the school’s principal allows students like her to wear trousers instead of a skirt if that’s what they prefer. </span>\r\n\r\n<span style=\"font-weight: 400;\">But there’s one crucial person at school who doesn’t welcome any talk of sexuality that falls outside the traditional boy-girl mould: the life orientation (LO) teacher. </span>\r\n\r\n<span style=\"font-weight: 400;\">And this means that during sex education lessons, Gumede and her classmates learn little more than how to avoid getting pregnant – which is not useful to learners in same-sex relationships. </span>\r\n\r\n<span style=\"font-weight: 400;\">Instead, knowing that barrier devices such as condoms and dental dams (</span><a href=\"https://www.cdc.gov/condomeffectiveness/Dental-dam-use.html\"><span style=\"font-weight: 400;\">a latex sheet that covers the vagina</span></a><span style=\"font-weight: 400;\">) can keep them safe when they have oral sex, or how to use sex toys responsibly has much more real-life value. </span>\r\n\r\n<span style=\"font-weight: 400;\">When teachers boil sex education down to be only about the possibility of an unwanted pregnancy, important details about a safe and satisfying sex life get lost, says Casey Blake, a counsellor and sexuality educator at a private practice, called What Now Counselling, east of Johannesburg. </span>\r\n\r\n<span style=\"font-weight: 400;\">Meaningful and easy-to-understand information about having different types of sex safely isn’t just about protecting queer kids, she says. It protects everyone, because teenagers experiment with sex and their sexuality. </span>\r\n\r\n<span style=\"font-weight: 400;\">For example, a </span><a href=\"https://www.sciencedirect.com/science/article/abs/pii/S0140197119301745?via%3Dihub\"><span style=\"font-weight: 400;\">2019 study</span></a><span style=\"font-weight: 400;\"> among a group of high school students in the United States showed that almost two-thirds of girls who described themselves as heterosexual have had same-sex experiences too. </span>\r\n\r\n<span style=\"font-weight: 400;\">And teens tend to </span><a href=\"https://www.cdc.gov/healthyyouth/sexualbehaviors/index.htm\"><span style=\"font-weight: 400;\">take risks when it comes to sex</span></a><span style=\"font-weight: 400;\"> (such as having more than one partner), which could mean that safety is not necessarily the first thing they think about. These behaviours should be reflected in the education they get at school, says Blake.</span>\r\n\r\n<span style=\"font-weight: 400;\">“We don’t talk about [how teens are having sex] because we pretend those kinds of acts [oral and anal sex] don’t exist. Or that somehow heterosexual people don’t need to stay safe during those acts.” </span>\r\n<h4><b>Uncomfortable conversations</b></h4>\r\n<span style=\"font-weight: 400;\">Gumede’s LO class should have taught her how to have safe sex with another woman – but it didn’t.</span>\r\n\r\n<span style=\"font-weight: 400;\">In theory, South Africa’s </span><a href=\"https://www.education.gov.za/Home/ComprehensiveSexualityEducation.aspx\"><span style=\"font-weight: 400;\">sex education curriculum</span></a><span style=\"font-weight: 400;\"> includes all the information learners — whatever their sexual orientation or identity — need to help them make safe choices about their sex life. It follows the </span><a href=\"https://csetoolkit.unesco.org/toolkit/getting-started/what-comprehensive-sexuality-education\"><span style=\"font-weight: 400;\">comprehensive sexuality education</span></a><span style=\"font-weight: 400;\"> (CSE) approach, which teaches kids about the emotional, physical and social aspects of sexuality.</span>\r\n\r\n<span style=\"font-weight: 400;\">Contrary to the </span><a href=\"https://www.gov.za/speeches/sexuality-education-portfolio-17-sep-2019-0000\"><span style=\"font-weight: 400;\">public outcry</span></a><span style=\"font-weight: 400;\"> of conservative groups, this way of teaching sex ed doesn’t encourage kids to have sex. In fact, </span><a href=\"https://unesdoc.unesco.org/ark:/48223/pf0000260770?\"><span style=\"font-weight: 400;\">evidence</span></a><span style=\"font-weight: 400;\"> shows that CSE can help them to wait longer before they start having sex and make safe choices when they do, like using condoms — which is why this type of sex education is included in South Africa’s </span><a href=\"https://www.gov.za/sites/default/files/gcis_document/201705/nsp-hiv-tb-stia.pdf\"><span style=\"font-weight: 400;\">National Strategic Plan on HIV, TB and STIs</span></a><span style=\"font-weight: 400;\">.</span>\r\n\r\n<span style=\"font-weight: 400;\">But in reality, teachers’ views are getting in the way.</span>\r\n\r\n<span style=\"font-weight: 400;\">Even though CSE is written into South Africa’s national curriculum, teachers often change the content to what they’re comfortable with teaching — and they’re allowed to do so because </span><a href=\"https://www.education.gov.za/Portals/0/Documents/Policies/Policy%20on%20HIV%20STIs%20TB.pdf?ver=2018-03-23-115911-213\"><span style=\"font-weight: 400;\">school governing bodies, principals and other school managers have the power to decide how to adapt lessons.</span></a><span style=\"font-weight: 400;\"> </span>\r\n\r\n<span style=\"font-weight: 400;\">Plans to curb the decision-making force of such bodies are in </span><a href=\"https://pmg.org.za/blog/Tracking%20the%20Basic%20Education%20Laws%20Amendment%20Bill%20in%20Parliament\"><span style=\"font-weight: 400;\">the making</span></a><span style=\"font-weight: 400;\">. But for now, the type of learning that happens in the classroom is ultimately up to the school.</span>\r\n\r\n<span style=\"font-weight: 400;\">In a study published in the </span><i><span style=\"font-weight: 400;\">Journal of Homosexuality</span></i><span style=\"font-weight: 400;\"> in 2014, </span><a href=\"https://www.tandfonline.com/doi/full/10.1080/00918369.2014.951256?scroll=top&needAccess=true\"><span style=\"font-weight: 400;\">researchers </span></a><span style=\"font-weight: 400;\">asked 25 LO teachers from a mix of urban and rural high schools in the Free State about their perspectives on teaching sexuality education. Some teachers viewed homosexuality as a sin, which influenced how they handled lessons on same-sex relationships. </span>\r\n\r\n<span style=\"font-weight: 400;\">Others said they felt “intimidated” to answer learners’ questions about gay, lesbian or bisexual issues because they didn’t feel comfortable or informed enough about the topic.</span>\r\n\r\n<span style=\"font-weight: 400;\">Moreover, an </span><a href=\"https://td-sa.net/index.php/td/article/view/1087\"><span style=\"font-weight: 400;\">in-depth analysis</span></a><span style=\"font-weight: 400;\"> about the real-life usefulness of sexuality education in South African schools showed that teachers’ backgrounds, beliefs or past experiences shape what messages they convey about sex; how they pitch their teaching or whether they simply choose to exclude certain aspects — such as queer sex — </span><a href=\"https://www.tandfonline.com/doi/full/10.1080/00918369.2014.951256?scroll=top&needAccess=true\"><span style=\"font-weight: 400;\">because it’s not something the educator believes really exists</span></a><span style=\"font-weight: 400;\">.</span>\r\n\r\n<span style=\"font-weight: 400;\">One such teacher told researchers: “The way I was raised as an individual, I only knew of the man and the woman. Nothing in between.”</span>\r\n\r\n<span style=\"font-weight: 400;\">When teachers shy away from sex ed that includes everyone, they tend to </span><a href=\"https://www.tandfonline.com/doi/full/10.1080/14681811.2013.833091\"><span style=\"font-weight: 400;\">favour an abstinence approach</span></a><span style=\"font-weight: 400;\">, rather than giving learners comprehensive information, says Ronel Koch, a sexuality education researcher at the University of the Western Cape. </span>\r\n\r\n<span style=\"font-weight: 400;\">“It’s sometimes because of their religion; others are scared of parents or community members. They might know what they have to do, but because of the resistance, they’d rather just leave it out.”</span>\r\n\r\n<span style=\"font-weight: 400;\">In a 2019 </span><a href=\"https://td-sa.net/index.php/td/article/view/612\"><span style=\"font-weight: 400;\">study</span></a><span style=\"font-weight: 400;\">, a teacher recalled an encounter where two students asked him about oral sex after a lesson.</span>\r\n\r\n<span style=\"font-weight: 400;\">He didn’t give them an answer. “I was quite careful because I don’t know if the parents would want [be comfortable with] them knowing that yet.”</span>\r\n<h4><b>Getting teachers on board</b></h4>\r\n<span style=\"font-weight: 400;\">In 2018, the department of basic education started to roll out </span><a href=\"https://www.education.gov.za/Home/ComprehensiveSexualityEducation.aspx\"><span style=\"font-weight: 400;\">scripted lesson plans</span></a><span style=\"font-weight: 400;\"> (after first being </span><a href=\"https://pdf.usaid.gov/pdf_docs/PA00Z2VM.pdf\"><span style=\"font-weight: 400;\">trialled</span></a><span style=\"font-weight: 400;\">) to guide teachers in dealing with topics they might be uneasy with. </span>\r\n\r\n<span style=\"font-weight: 400;\">For example, a </span><a href=\"https://www.education.gov.za/LinkClick.aspx?fileticket=iTXvb2OVVbw%3d&tabid=2484&portalid=0&mid=8804\"><span style=\"font-weight: 400;\">Grade 10</span></a><span style=\"font-weight: 400;\"> lesson on understanding power and gender roles gives step-by-step teaching points, tips for dealing with learners’ questions and discussion prompts to present the lesson without bringing their own beliefs into the lesson.</span>\r\n\r\n<span style=\"font-weight: 400;\">The teaching guides even include the unspoken rules of teaching young people who might be questioning their identity: “Whatever is shared must not be repeated outside the classroom. No one should be forced to disclose their sexual orientation or their questioning of their gender identity in public.”</span>\r\n\r\n<span style=\"font-weight: 400;\">The lesson plans go hand in hand with a five-day training course to help teachers separate their personal values from their professional values, says Ismail Teladia, a senior LO curriculum planner with the Western Cape education department. </span>\r\n\r\n<span style=\"font-weight: 400;\">He says the training programme has been “successfully implemented” across all four urban districts in the metro. In May, they extended the teacher training to the rural parts of the province. </span><a href=\"https://wcedonline.westerncape.gov.za/news/comprehensive-sexuality-education-teacher-training-workshop\"><span style=\"font-weight: 400;\">Teachers attending the workshops say they felt more equipped</span></a><span style=\"font-weight: 400;\"> to conduct lessons on sex and found speaking to their peers about dealing with sticky topics valuable. </span>\r\n\r\n<span style=\"font-weight: 400;\">“When we do teacher training these days, it’s a lot easier to get them on board,” says Teladia.</span>\r\n\r\n<span style=\"font-weight: 400;\">In the North West, teachers from 56 schools attended these training sessions, the provincial department’s records show. The department picked 10 schools from each district to attend the programme. </span>\r\n\r\n<span style=\"font-weight: 400;\">At Gumede’s high school in the North West, for instance, one teacher mentioned that she was grateful for having been able to attend the course, because “it was a refresher” that helped to prepare her for talking to learners about sex in a way that they would respond to. </span>\r\n\r\n<span style=\"font-weight: 400;\">“I benefited a lot, and I said so to my colleagues,” she says.</span>\r\n\r\n<span style=\"font-weight: 400;\">But the training only works if teachers actually show up — Gumede’s LO teacher didn’t. </span>\r\n\r\n<span style=\"font-weight: 400;\">The training is often voluntary, so LO teachers can refuse to attend the sessions. As a result, Gumede now has to figure out the answers to her questions about sex herself. </span>\r\n\r\n<span style=\"font-weight: 400;\">Still, she’s undeterred: “Girls can date girls, even here in this small town.”</span>\r\n\r\n<span style=\"font-weight: 400;\">“No one should be ashamed of their sexuality.” </span><b>DM/MC</b>\r\n\r\n<i><span style=\"font-weight: 400;\">Additional reporting by Aisha Abdool Karim, Yolanda Mdzeke and Joan van Dyk </span></i>\r\n\r\n<i><span style=\"font-weight: 400;\">This story was produced by the</span></i><a href=\"http://bhekisisa.org./\"> <i><span style=\"font-weight: 400;\">Bhekisisa Centre for Health Journalism</span></i></a><i><span style=\"font-weight: 400;\">. Sign up for the</span></i><a href=\"http://bit.ly/BhekisisaSubscribe\"> <i><span style=\"font-weight: 400;\">newsletter</span></i></a><i><span style=\"font-weight: 400;\">.</span></i>\r\n\r\n<img loading=\"lazy\" class=\"aligncenter size-full wp-image-791463\" src=\"https://www.dailymaverick.co.za/wp-content/uploads/MC-Bhekisisa-Logo.jpg\" alt=\"\" width=\"720\" height=\"161\" />\r\n\r\n<img loading=\"lazy\" src=\"https://syndicate.app/st.php\" />\r\n\r\n<script async=\"true\" src=\"https://syndicate.app/st.js\" type=\"text/javascript\"></script>",
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"summary": "Lesbian teenagers have a lower chance of getting a sexually transmitted infection, but the threat remains. Even though South Africa’s sex education curriculum includes all the right lessons to help pupils of all sexual identities have safe sex in theory, the information that filters through to them is still up to individual teachers.",
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