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UNESCO HIV and Health Education Clearinghouse

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  1. Marital and fertility decision-making. The lived experiences of adolescents and young married couples in Andhra Pradesh and Telangana, India

    This report presents findings from a qualitative sub-study exploring adolescent girls and young couples’ experiences of marital and fertility decision-making in two southern Indian states (Andhra Pradesh and Telangana). Andhra Pradesh and Telangana are among the top states reporting high adolescent fertility: 12 and 11 per cent of young women age 15-19 in Andhra Pradesh and Telangana, respectively, were already mothers or pregnant when surveyed in 2015/16. …

  2. Adolescent friendly health corners (AFHCS) in selected government health facilities in Bangladesh: an early qualitative assessment. Research report

    With high rates of early marriage, especially among girls, a significant proportion of adolescents in Bangladesh need sexual and reproductive health services (SRH), including contraceptive information and services. Married women, including married adolescents, currently have access to these services through public sector. Unmarried adolescents do not have access to SRH information and services through public sector facilities. …

  3. Sexual reproductive health and rights for adolescents in Sub Saharan Africa. Youth fact sheet

    This fact sheet was drawn up following the World YWCA Training Institute in Arusha, Tanzania in March 2014 in partnership with ARROW. The World YWCA is part of the global ARROW project The Global South, which aims to give southern civil society the means and avenue of articulating a regional Sexual and Reproductive Health Rights (SRHR) agenda and distilling regional agendas into a global SRHR agenda. …

  4. Universal access to reproductive health: progress and challenges

    Reproductive health is critical to advancing development. Its importance, particularly in terms of access to rights-based family planning, is now well recognized in not only improving women’s chances of surviving pregnancy and childbirth, but also in contributing to gender equality, better child health, preventing and responding to HIV transmission, better education outcomes and poverty reduction. Universal access to reproductive health affects and is affected by many aspects of life. …

  5. Adolescent-friendly contraceptive services: mainstreaming adolescent-friendly elements into existing contraceptive services

    This brief focuses on the elements of AFCS that are typically implemented within a service delivery setting. It describes how mainstreaming AFCS can address key challenges for contraceptive programs, discusses the existing evidence of adolescent-friendly elements, outlines key issues for planning and implementation, and identifies knowledge gaps.

  6. Improving sexual and reproductive health of young people: a strategic planning guide

    This document is intended to lead program managers, planners, and decision-makers through a strategic process to identify the most effective and efficient investments for improving the sexual and reproductive health of young people. It was developed as part of a review and technical consultation on adolescent sexual and reproductive health and reflects the deliberation of experts.

  7. Adolescent women’s need for and use of sexual and reproductive health services in developing countries

    With this report, the authors aim to provide an up-to-date and comprehensive overview of the use of sexual and reproductive health services by adolescent women aged 15–19 in the developing world. Using reliable nationally representative surveys in 70 countries, the report presents 30 indicators that cover a wide range of topics related to the sexual and reproductive health of adolescent women. Chapter 2 outlines the methods and data sources used for this report. Chapter 3 focuses on marriage, sexual activity and contraception. …

  8. 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. …

  9. Sexual health media resource pack

    The Sexual Health Strategy identifies the media as a means to communicate on sexual health in an effective and responsible way. Evidence shows that the media is a useful means to provide information to the general public. The type of media used will depend on the identified target audience. Unbalanced or inaccurate media messages can lead to pressures and confusion over the realities of sex and sexuality particularly for young people. Hence we cannot stop emphasizing the need and importance of the media to be trained on where to seek reliable sources of information and advice. …

  10. 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. …

  11. The Manila Challenge: A call to achieve SRHR for all

    “The Manila Challenge: A Call to Achieve SRHR for All” complete statement.

  12. 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. …

  13. 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. …

  14. Adolescent sexual and reproductive health programs in humanitarian settings: an in-depth look at family planning services

    This report summarizes findings and recommendations of a year-long exercise undertaken by the Women’s Refugee Commission and Save the Children - in partnership with the United Nations High Commissioner for Refugees (UNHCR) and the United Nations Population Fund (UNFPA) to map existing adolescent sexual and reproductive health programs and document good practices. The work was accomplished through a practitioner survey and humanitarian funding analyses; key informant interviews; and collection of good practice case studies.

  15. The impact of sex education on the sexual behaviour of young people

    This paper focuses on a review of studies assessing the effectiveness of sex education programmes in reducing risky sexual behaviour among adolescents and young people. The paper concludes that sex education programmes that are based on a comprehensive curriculum can delay the onset of sexual activity among adolescents and young people, reduce the frequency of intercourse, reduce the frequency of unprotected sex, reduce the number of sexual partners, and increase condom and contraceptive use. …

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