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UNESCO HIV and Health Education Clearinghouse

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  1. Can sexuality education advance gender equality and strengthen education overall? Learning from Nigeria’s family life and HIV education program

    The imperative to prepare the largest generation of young people in history for adulthood has driven a search for fresh approaches to educating adolescents about their bodies and sexuality. Recently, there have been calls among health experts and educators for a comprehensive, integrated approach to sexuality education that addresses not only health issues such as HIV and pregnancy, but also helps to achieve broader outcomes such as ensuring gender equality, increasing access to education for girls, and improving the quality of education overall. …

  2. Coping with unintended pregnancies: Narratives from adolescents in Nairobi’s slums

    The health and other risks associated with early pregnancy and sexual activity raise urgent need for appropriate interventions and programs to address adolescent reproductive behaviors. It is important to understand the circumstances surrounding, and factors associated with unintended pregnancies among young people, the challenges that limit their ability to protect their sexual and reproductive health, and how they deal with the outcomes of unintended pregnancy. …

  3. Status report on the sexual and reproductive health of adolescents living in urban slums in Kenya

    Young people face numerous health challenges during their transition to adulthood. These challenges include, among others, limited access to sexual and reproductive health (SRH) information and services. Unmet SRH needs among adolescents may contribute to sexually transmitted infections (STIs), including HIV, and unintended pregnancies. Adolescent pregnancies are associated with several adverse outcomes, such as miscarriage, unsafe abortion, obstructed labor, and other complications, which can result in long-term morbidity and even death. …

  4. West African youth initiative: Outcome of a reproductive health education program

    Purpose: To describe the implementation and evaluation of an adolescent reproductive health peer education program in West Africa. The program, known as the West African Youth Initiative (WAYI), was developed to improve knowledge of sexuality and reproductive health, and promote safer sex behaviors and contraceptive use among sexually active adolescents in Nigeria and Ghana. …

  5. A review of teenage pregnancy in South Africa – experiences of schooling, and knowledge and access to sexual and reproductive health services

    Approximately 30% of teenagers in South Africa report ‘ever having been pregnant’, the majority, unplanned. While this number has decreased over the past few decades, it is still unacceptably high. The figure is for all teenagers. (13-19 years old), but motherhood for an 18 or 19 year old has very different implications than for a young teenager, one aged 15, for example. Therefore this report tries, where possible, to be mindful of differing experiences of pregnancy and motherhood across the teen years. …

  6. Adolescent sexual and reproductive health in Malawi: a synthesis of research evidence

    The primary goal of this report is to summarize what is known about adolescent sexual and reproductive health in Malawi and to identify knowledge and program gaps requiring further research and program action. …

  7. In the absence of marriage: long-term concurrent partnerships, pregnancy, and HIV risk dynamics among South African young adults

    In KwaZulu/Natal, South Africa, where HIV prevalence is among the world's highest, a longitudinal qualitative study of partnership dynamics and HIV preventive behaviors was conducted. 47 young adults aged 18-24 participated in in-depth interviews, and 29 were re-interviewed 2 years later. Five analytical domains emerged: primary partnerships, love and romance; secondary partnerships; pregnancy/parenthood; condom use/prevention; and contextual influences, including schooling and future aspirations. …

  8. Overlooked and Uninformed: Young Adolescents' Sexual and Reproductive Health and Rights

    Overlooked and Uninformed: Young Adolescents' Sexual and Reproductive Health and Rights is a short informational brief focusing on young adolescents across the world and their needs to know about their bodies and their sexual rights and responsibilities. It aims to inform policymaking on the importance to include 10-14 years old adolescents in programs and policy regarding sexual and reproductive health and rights. The document states that all young people need information and skills to protect themselves from harm and to make free, informed, and responsible sexual and reproductive decisions. …

  9. Knowledge, Attitudes and Practice linked to HIV Prevention in Young Children and Adolescents

    This study covers children and young people living in vulnerable communities in high resettlement areas and a high-density poor peri-urban area in Luanda. The study carried out over three months highlighted that low levels of awareness and a lack of information in terms of quality reproductive and sexual health, within both rural and urban communities, is compounded by a lack of resources within social sectors. Young girls, the disabled and those involved or impacted upon by conflict are particularly vulnerable. …

  10. Adolescent Sexual and Reproductive Health Behaviour in Dodowa, Ghana

    This report presents findings from a study of sexual and reproductive health status of inschool and out-of-school adolescents in Dodowa, Ghana, carried out in 2001. The research aim was to help design a program to address adolescents' unmet needs and promote safer behaviours. The research design used both qualitative and quantitative methods, including focus group discussions, PLA techniques and surveys. Students of Junior and Senior Secondary Schools, out-of-school adolescents, teachers, parents and community opinion leaders were included in the study.

  11. Sexual and reproductive health needs of adolescents perinatally infected with HIV in Uganda

    Sexual and reproductive health needs of adolescents perinatally infected with HIV in Uganda is a study implemented jointly by Population Council's Frontiers in Reproductive Health (FRONTIERS) and the AIDS Support Organization (TASO) from Uganda, in 2008. The document addresses the specific sexual and reproductive needs of the adolescents perinatally infected, an increasing population largely forgotten the HIV/AIDS treatment, care, education and support programs. …

  12. Turning research into practice: suggested actions from case-studies of sexual and reproductive health research

    This document is the outcome of two meetings. The first meeting reviewed case-studies and other evidence related to research utilization from the standpoint of researchers and donors, while the second meeting reviewed additional materials from the standpoint of policy-makers and sexual and reproductive health programme managers. …

  13. Protecting the next generation in Uganda. New evidence on adolescent sexual and reproductive health needs

    This report discusses in detail the sexual and reproductive lives of Uganda's youth, focusing on 15-19-year-olds. Chapter 2 provides an overview of the patterns of sexual behavior among adolescents. Chapter 3 explores adolescents' contraceptive use for protection from unwanted pregnancy and STIs, including HIV. Adolescents' knowledge of sexual and reproductive health - including reproduction, contraception and STIs, particularly HIV/AIDS - is examined in Chapter 4. …

  14. Protecting the next generation in Malawi. New evidence on adolescent sexual and reproductive health needs

    This report presents key findings from a new body of research that describes the sexual and reproductive health needs of Malawi's youth. The information was gathered from young Malawians themselves through focus group discussions, in-depth interviews and a nationally representative survey on sex, relationships, marriage, HIV/AIDS and pregnancy among young women and men aged 12-19. This report discusses in detail some of the challenges in and opportunities for improving the sexual and reproductive health of adolescents in Malawi. …

  15. Gender differentials in adolescent sexual activity and reproductive health risks in Cameroon

    This paper documents how young men and women in Cameroon vary in the way they conduct their sexual lives as well as in the reproductive health risks they take. Consideration is given to gender differentials in patterns of sexual initiation, number of regular and casual partners, and condom use. It also examines factors affecting male and female patterns of sexual and reproductive health behaviour. It evaluates and contrasts the health consequences of the sexual activity of both males and females, including the prevalence of sexually transmitted infections.

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