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I participated in a medical student exchange program in Rwanda on sexual and reproductive health this past summer. One of the key topics during the exchange was on comprehensive sexuality education and its role in prevention of teenage pregnancy and promotion of sexual and reproductive health. I learned about the controversies surrounding comprehensive sexuality education in Rwanda, as well as the public health and development impacts, and compared it to the discourse on comprehensive sexuality education in Ontario, Canada. Comprehensive sexuality education does not result in risky sexual behaviours and is an essential tool for public health in any community.