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UNESCO HIV and Health Education Clearinghouse

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  1. Rethinking sexual agency: proposing a multicomponent model based on young people’s life stories

    Sexual health policies explicitly aim to encourage young people to take responsibility for their sexuality to prevent adverse outcomes such as unintended pregnancies, STIs and sexual assault. In Europe and North America, ‘choice’ has become a central concept in sexual and reproductive health policy making. However, the concept of choice is not unproblematic, not least because the cultural emphasis on individual responsibility obscures structural limitations and inequalities, and mutual responsibility between partners. …

  2. 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. …

  3. What works 2011-2012: Curriculum-based programs that help prevent teen pregnancy

    What programs delay sexual initiation, improve contraceptive use among sexually active teens, and/or prevent teen pregnancy? Over the years, The National Campaign has produced and disseminated a number of detailed reports and publications designed to answer this question. Here, in shorthand form, is an overview of what is known about carefully evaluated interventions that help delay sex, improve contraceptive use, and/or prevent teen pregnancy.

  4. Efficacy of a theory-based abstinence-only intervention over 24 months: A randomized controlled trial with young adolescents

    Objective: To evaluate the efficacy of an abstinence-only intervention in preventing sexual involvement in young adolescents. Design:Randomized controlled trial. Setting: Urban public schools. Participants:A total of 662 African American students in grades 6 and 7. …

  5. 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. …

  6. Community-level successes and challenges to implementing adolescent sex education programs

    Best practices for adolescent sex education recommend science-based approaches. However, little is known about the capacity and needs of organizations who implement sex education programs on the local level. The purpose of this research was to describe successes and challenges of community organizations in implementing science-based sex education. Using qualitative methods, we interviewed program directors and educators in 17 state funded adolescent pregnancy prevention/sex education programs as part of a larger mixed methods evaluation. …

  7. 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. …

  8. The impact of abstinence and comprehensive sex and STD/HIV education programs on adolescent sexual behavior

    In an effort to reduce unintended pregnancy and sexually transmitted disease (STD) in adolescents, both abstinence and comprehensive sex and STD/HIV education programs have been proffered. Based on specified criteria, the author searched for and reviewed 56 studies that assessed the impact of such curricula (8 that evaluated 9 abstinence programs and 48 that evaluated comprehensive programs) on adolescents’ sexual behavior. Study results indicated that most abstinence programs did not delay initiation of sex and only 3 of 9 had any significant positive effects on any sexual behavior. …

  9. 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.

  10. 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. …

  11. Comprehensive sex education: research and results

    This document explores the research around comprehensive sex education and abstinence-only programs.

  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. 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. …

  14. Impacts of Four Title V, Section 510 Abstinence Education Programs

    In the Balanced Budget Act of 1997, U.S. Congress authorized a scientific evaluation of the Title V, Section 510 Abstinence Education Program. This report presents final results from a multi-year, experimentally-based impact study conducted as part of this evaluation. It focuses on four selected Title V, Section 510 abstinence education programs: (1) My Choice, My Future! in Powhatan, Virginia; (2) ReCapturing the Vision in Miami, Florida; (3) Families United to Prevent Teen Pregnancy (FUPTP) in Milwaukee, Wisconsin; and (4) Teens in Control in Clarksdale, Mississippi. …

  15. HIV Prevention and Sex Education in Minnesota: What's Being Taught in the Classroom

    HIV Prevention and Sex Education in Minnesota: What's Being Taught in the Classroom is a report providing the results from the 2006 Health Implementation Survey Safe and Healthy Learners Unit HIV Prevention Program from the Minnesota Department of Education. This report attempts to provide some insight into what is taught to Minnesota's public school students in sexuality education classes. …

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