This report provides a detailed snapshot of how the policies related to sexuality education in Ghana are translated into practice and what students, teachers and heads of schools think about them. Data from official documents, key informant interviews and school-based surveys were used to examine how sexuality education programs in three regions were developed, implemented and experienced. This report presents findings on the development of policies and curricula, including the actors involved and challenges faced; how sexuality education is taught in classrooms; students’ experiences and preferences; support for implementation, including teacher training and school environment factors; sources of SRH information outside of the classroom; and general opinions about such education among key stakeholders. The information presented is intended to provide the Ghana government and other stakeholders with a better understanding of sexuality education in schools, and ultimately to improve the quality and effectiveness of such education for both teachers and students.