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UNESCO HIV and Health Education Clearinghouse

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  1. A farewell to abstinence and fidelity? Comment

    Sex has regularly proven to be a polarising issue for the UN Member States, and the 2016 High-Level Meeting on Ending AIDS on June 8–10 was no exception. The Political Declaration adopted at the meeting addresses the sexual health needs of young people (15–24 years), including adolescents (11–19 years). 2000 new HIV infections occur among young people every day. HIV is the leading cause of death among adolescents in Africa, and the second-highest cause of death worldwide in this age group. …

  2. Interventions to prevent sexually transmitted infections, including HIV, among young people in low- and middle-income countries: a systematic review of the published and gray literature

    Sexually transmitted infections (STIs), including HIV, are prevalent among adolescents and can have lasting adverse health consequences. The objective of this review is to identify high-quality interventions and evaluations to decrease STI transmission and related risky behaviors among young people in low- and middle-income countries. PubMed, Embase, PsycInfo, Cinahl Plus, Popline, and the Cochrane Databases were searched without language limitations for articles published through November 2015. Gray literature was searched by hand. …

  3. Behaviour change communication strategies for preventing adolescent pregnancy sourcebook

    More than ever, adolescents need help, guidance, and empowerment. This is the main purpose for which the Department of Health invested in the project: “Development of Behavior Change Communication (BCC) Strategy for Adolescent Pregnancy.” This initiative essentially aims to contribute to the promotion of positive and healthy behaviors that enable adolescents to avoid too early and unintended pregnancy. This initiative is an integral part of the Adolescent and Youth Health and Development (AYHD) Program of the Department of Health. …

  4. Invited commentary: Broadening the evidence for adolescent sexual and reproductive health and education in the United States

    Scientific research has made major contributions to adolescent health by providing insights into factors that influence it and by defining ways to improve it. However, US adolescent sexual and reproductive health policies-particularly sexuality health education policies and programs-have not benefited from the full scope of scientific understanding. From 1998 to 2009, federal funding for sexuality education focused almost exclusively on ineffective and scientifically inaccurate abstinence-only-until-marriage (AOUM) programs. …

  5. Perception of students’ teachers’ and parents’ towards sexuality education in Calabar south local government area of Cross River State, Nigeria

    This study was aimed at assessing the perception of students, teachers and perception in Calabar south local government area of Cross River State, Nigeria. A cross sectional survey was employed and a structured questionnaire was used to generate both qualitative and quantitative data from 850 respondents using the multi-stage stratified sampling technique. Most students were within the age bracket of 13-18 476 (95.2%), teachers were mostly within 25-29 years 54 (27.0%) and parents were mostly 40-44 years of age 22 (22.0%). …

  6. Impact of a School-based Peer Sexual Health Intervention on Normative Beliefs, Risk Perceptions, and Sexual Behavior of Zambian Adolescents

    To determine whether adolescents’ normative beliefs about abstinence and condoms, their personal risk perception, and safer sex practices changed after the implementation of a peer sexual health education intervention implemented in Zambian secondary schools.

  7. Consequences of sex education on teen and young adult sexual behaviors and outcomes

    This study examined whether formal sex education is associated with sexual health behaviors and outcomes using recent nationally representative survey data. Data used were from 4,691 male and female individuals aged 15–24 years from the 2006–2008 National Survey of Family Growth. Receipt of sex education, regardless of type, was associated with delays in first sex for both genders, as compared with receiving no sex education. …

  8. Psychosocial processes and sexual initiation among Ghanaian youth

    This study modeled primary abstinence and age at first sex in a cross-sectional sample of Ghanaian youth ages 17 to 22 years. The aim was to examine how reproductive knowledge and social cognitive factors jointly affect the choice to initiate sex. Among males, the authors found that reproductive knowledge is negatively associated with abstinence. Its negative association, however, is moderated by the extent of adult support a respondent receives. Among females, reproductive knowledge is positively associated with abstinence. …

  9. Mother-daughter communication about sexual maturation, abstinence and unintended pregnancy: Experiences form an informal settlement in Nairobi, Kenya

    Parental communication and support is associated with improved developmental, health and behavioral outcomes in adolescence. This study explores the quality of mother-daughter communication about sexual maturation, abstinence and unintended pregnancy in Korogocho, an informal settlement in Nairobi, Kenya. We use data from 14 focus group discussions (n = 124) and 25 interviews with girls aged 12-17, mothers of teenage girls, and key informant teachers. …

  10. Sexuality education approaches: what would be applicable to North of Africa and Middle East?

    In this paper, Middle East and North of Africa are not presented from demographic dimension, rather from cultural one, where the most dominant religion is is Islam. Consequently, the paper will discuss applicability of sex education approaches from Islamic perspectives but within the Middle East and North of Africa context.

  11. Becoming a responsible teen adaptation kit. Tools and resources for making informed adaptations to BART: Becoming a responsible teen

    Although the primary goal of Becoming a Responsible Teen (BART) is to decrease HIV infection among African-American adolescents ages 14 to 18, the curriculum also includes topics and activities relevant to teen pregnancy prevention. Teens learn to clarify their own values about sexual decisions and pressures, as well as practice skills to reduce sexual risk taking. These skills include correct condom use, assertive communication, refusal techniques, self-management and problem solving. Abstinence is woven throughout the curriculum and is discussed as the best way to prevent HIV and pregnancy. …

  12. Health and Family Life Education. Teacher Training Manual and Resource Handbook

    These materials have been developed in order to support the implementation of the revised Health and Family Life Education (HFLE) curriculum to be implemented in schools across Jamaica. Both documents are prepared to lead a staff training programme designed in order to adequately prepare teachers to deliver the HFLE curriculum to grades 1 to 9 in Jamaican schools. …

  13. Health and family life education: teacher's guide

    This "Health and Family Life Education" curriculum was developed by Gerard Drakes, Mavis Fuller, Christopher Graham and Barbara Jenkins, in coordination with a number of different official partners of Caribbean countries, as well as UNICEF, UNESCO and the Education Development Center Inc (EDC). The manual was published in 2011. The main goal of this Curriculum is to help lower secondary students in acquiring skills necessary to cope with the challenges facing Caribbean societies nowadays, to make healthy life choices, assisting them in developing proper attitudes, morals and values. …

  14. The evaluation of abstinence education programs funded under title V section 510: interim report

    This report presents interim findings from an independent, federally funded evaluation of the abstinence education programs authorized under the Personal Responsability and Work Opportunity Reconciliation Act (PRWORA). This report draws on four years of implementation experiences in a selected group of abstinence education programs.

  15. Impact of abstinence education on teen sexual activity, risk of pregnancy, and risk of sexually transmitted diseases

    This paper examines the impact of four abstinence-only education programs on adolescent sexual acitivity and risks of pregnancy and sexually transmitted diseases (STDs). Based on an experimental designe, the impact analysis uses survey data collected in 2005 and early 2006 from more than 2,000 teens who had been randomly assignes to either à program group that was eligible to participate in one of the four programs or a control group that was not. …

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