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UNESCO HIV and Health Education Clearinghouse

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  1. School-based interventions for preventing HIV, sexually transmitted infections, and pregnancy in adolescents (Review)

    Background: School-based sexual and reproductive health programmes are widely accepted as an approach to reducing high-risk sexual behaviour among adolescents. Many studies and systematic reviews have concentrated on measuring effects on knowledge or self-reported behaviour rather than biological outcomes, such as pregnancy or prevalence of sexually transmitted infections (STIs). Objectives: To evaluate the effects of school-based sexual and reproductive health programmes on sexually transmitted infections (such as HIV, herpes simplex virus, and syphilis), and pregnancy among adolescents.

  2. Good practices Tanzania: providing alternative learning for adolescent mothers

    Tanzania has one of the highest rates of adolescent pregnancies in the world. When a female secondary student falls pregnant, the practice has been to permanently expel her. This is the fate of approximately 6000 female students every year. This is anticipated to change within the context of the rollout of the new Education and Vocational Training Policy 2014. …

  3. UNESCO Tanzania: Provision of alternative learning opportunities for adolescent girls forced out of schools due to teenage pregnancies. Final evaluation report

    The aim of the pilot programme was to 1) provide adolescent girls who had been previously expelled from secondary school due to pregnancies, access to alternative learning opportunities and empower them through income generating and life skills; 2) develop and test self-learning modules and empowerment toolkits for learners and facilitators; and 3) assess and document good practices and achievements to inform strategies addressing the issues related to adolescent girls. …

  4. Sénégal : étude sur les grossesses precoces en milieu scolaire. Rapport

    Les grossesses précoces constituent une vive préoccupation dans beaucoup d’établissements scolaires au Sénégal en raison du nombre important de cas recensés chaque année. Toutefois, même si des études se sont penchées sur la fécondité des adolescentes et les pratiques sexuelles en milieu jeune, il n’existe pas des statistiques pour cerner de façon exhaustive l’ampleur du phénomène en milieu scolaire [...]. …

  5. How reliable are reports of early adolescent reproductive and sexual health events in demographic and health surveys?

    CONTEXT: Age at sexual debut, age at first marriage or first union and age at first birth are among the most widely used indicators of health and well-being for female adolescents. However, the accuracy of estimates for these indicators, particularly for younger adolescents, is poorly understood. METHODS: For each of nine countries in Africa and Latin America, Demographic and Health Survey (DHS) data from two surveys conducted five years apart were used to examine women’s reports of age at sexual debut, marriage or first union, and first birth. …

  6. Expanding access to secondary school education for teenage mothers in Kenya: a baseline study report

    The objectives of this study were to: 1) foster an understanding of the current situation and context in regard to out-of-school teenage mothers and their potential support systems for school re-entry at the household and school levels in Homa Bay County, 2) clarify possible solutions for promoting school re-entry on the part of out-of-school girls, their families, and the education sector, and 3) provide a benchmark against which changes resulting from an intervention to promote school re-entry may be measured by the endline period.

  7. Education sector response to early and unintended pregnancy: a policy dialogue in Homa Bay County, Kenya

    In collaboration with the Strengthening Evidence for Programming on Unintended Pregnancy (STEP UP) Research Programme Consortium, the Population Council has implemented a project since 2014 to increase the demand for secondary school education in Homa Bay County, Kenya – an area characterized by high, unintended teenage pregnancy and female school drop-out rates.

  8. Unintended pregnancies in Kenya: a country profile

    The report draws on data from four Kenya Demographic and Health Surveys (KDHS) (1993, 1998, 2003 and 2008/09), the Kenya AIDS Indicator Survey (KAIS) (2007), the Kenya Service Provision Assessment (KSPA) (2004 and 2010) and the Kenya National Survey for Persons with Disabilities (KNSPWD) (2008). Levels of key family planning and reproductive health indicators are set out, as well as fertility-and abortion indicators in Kenya. An equity lens was used, which differentiates these indicators by age, marital status, region, education and wealth. …

  9. Girlhood, not motherhood: preventing adolescent pregnancy

    When a girl becomes pregnant, her present and future change radically, and rarely for the better. Pregnancy before a girl is physically, developmentally and socially ready jeopardizes her right to a safe, successful transition into adulthood. This publication presents strategic thinking and reviews the best available evidence on effective strategies and interventions to empower girls and reduce their vulnerability to adolescent pregnancy. …

  10. Education sector response to early and unintended pregnancy: a review of country experiences in sub-Saharan Africa

    In Sub-Saharan Africa (SSA), early and unintended pregnancy leads to a colossal loss of educational opportunities for girls: A high proportion of pregnancies among adolescent girls aged 15-19 years in the region are unintended, and nearly all adolescent girls who have ever been pregnant are out of school in most SSA countries. Existing studies that show associations between early/unintended pregnancy and school dropout lead to critical questions about how the education sector is responding to the issue in SSA. …

  11. Preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries: what the evidence says

    These guidelines are primarily intended for programme managers, technical advisors and researchers from governments, nongovernmental organizations, development agencies and academia. They are also likely to be of interest to public health practitioners, professional associations and civil society groups. They have been developed through a systematic review of existing research and input from experts from countries around the world, in partnership with many key international organizations working to improve adolescents’ health. …

  12. Teenage childbearing and educational attainment in South Africa

    Teenage childbearing and attainment at school in South Africa are investigated using nationally-representative data from the National Income Dynamics Study. The analysis focuses on the outcomes by 2010 of a panel of 673 childless young women aged 15–18 in 2008. Girls who had their first birth by 2010 had 4.4 times the odds of leaving school and 2.2 times the odds of failing to matriculate, controlling for other factors. Girls from the highest-income households were unlikely, and girls who were behind at school relatively likely, to give birth. …

  13. A survey on re-entry of pregnant girls in primary and secondary schools in Uganda: survey briefing

    The main objective of the Survey on Re-Entry of Pregnant Girls in Primary and Secondary Schools in Uganda (2011) is to collect evidence and articulate policy options to address the re-integration of pregnant girls and child mothers in school in Uganda. …

  14. Adolescent pregnancy and its outcomes across countries: fact sheet

    This fact sheet tackles the question of adolescent pregnancy. It is organized in five main parts: Adolescent pregnancy in developed regions; Adolescent abortion in developed regions; The United States in context; Adolescent pregnancy and abortion in Sub-Saharan Africa; Factors associated with adolescent pregnancy.

  15. Shamed and blamed: pregnant girls’ rights at risk in Sierra Leone

    The report makes a number of recommendations for action by the government to guarantee girls’ right to health, including access to sexual and reproductive health information and services, and in particular post rape services. It also calls for further action to eradicate violence against girls, to protect girls at risk, and enforce laws against perpetrators of sexual violence.

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