Peer-Led Sexual and Reproductive HealthEducation Programs at Universities

Abstract

This applied research explores the accessibility, visibility, and comprehensiveness of sexual and reproductive health (SRH) education and services at universities, with a specific focus on contraceptive risk awareness. Recognizing college students as particularly vulnerable to misinformation regarding hormonal contraceptives, unintended pregnancy, and STI exposure, the study examines the role of university-provided SRH resources in mitigating these risks. A mixed-methods content analysis was conducted on the SRH publicly-available web pages of four Northern California universities—Stanford University, San Francisco State University, Santa Clara University, and the University of California, Berkeley, chosen for their diversity in institutional identity. The research assessed each university’s online SRH resources for accessibility, thematic comprehensiveness, and adherence to best practices. The findings reveal notable disparities among institutions, with UC Berkeley offering the most comprehensive resources, including robust peer-led education and extensive service integration. Stanford provided strong clinical care supported by the presence of the university-affiliated hospital, but lacked visible peer education programs. San Francisco State largely relied on community-based resources, while Santa Clara University demonstrated critical gaps in SRH education and offerings in line with religious restrictions and few references to resources in the broader community. Across all institutions, information on hormonal contraceptive risks was inconsistently addressed, often lacking depth or clarity. The research supports peer-led education as a best practice for improving SRH knowledge retention and behavioral outcomes. Recommendations include enhancing the digital visibility of services offered, improving resource depth and accessibility to maintain best practices in SRH education, and integrating SRH counseling in non-clinical campus settings to foster informed decision-making and reduce stigma