Training Trainers in Sexual and Reproductive Health Education | Part 1

Orientations were held this month for the 60 Bajo Lempa educators and health promoters who will participate in a training and research project offered by an interdisciplinary team of family planning professionals, implementation and monitoring experts from the University of New Mexico. The process began last year when the university team and VOICES collaborated with Salvadoran rural communities to develop a sexual and reproductive health curriculum and training program based on the ECHO model. The Extension for Community Health Care Outcomes (ECHO), is a collaborative model of medical education and care management that promotes a better heath system that is efficient, low-cost, scalable and sustainable. Both parties will connect via videoconferencing.

DSC_1720The ECHO model is based on three educational theories:

  • Social Cognition: affirms that people should believe that there is a benefit in learning a new behavior and they should develop confidence in their ability to perform the behavior.
  • Located Learning: the importance of providing experience, modeled by the student, to develop new skills, while participating in their interests and simplifying tasks.
  • Community Practice: emphasizes learning through continued participation in a collaborative community of peer students and expert individuals.

The absence of comprehensive sexual and reproductive health education has profound consequences that lead to high rates of teenage pregnancy, poverty, unsafe abortions, sexually transmitted infections (STIs) and suicide. More than 46% of Salvadoran women have been pregnant by the age of 20, and 40% of pregnancies of women aged 15 to 24 years are involuntary. Adolescent mothers reach lower levels of education and experience high rates of poverty, while their babies are at increased risk of low birth weight, developmental delays, malnutrition and death. These problems are exacerbated in rural areas where access to health resources is low and poverty is common.

In 2012, the Ministry of Health, recognizing a deficiency, prioritized education in Sexual and Reproductive Health. Unfortunately, the curriculum currently being used in schools is limited and inaccurate. only 5.5% of teachers have been trained in it and many religious groups have blocked it from disseminating it effectively.


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ECHO project goals:

  • Establish the effectiveness of delivering a sexual and reproductive health curriculum.
  • Successfully incorporate the curriculum into Bajo Lempa schools reaching nearly 3,000 students.
  • Generate recognition and understanding of the model among civil society and national agencies.

VOICES is proud to partner with the university of New Mexico on this important project.
Follow us here to receive updates about the progress.

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