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UNESCO HIV and Health Education Clearinghouse

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  1. Implementation of sexuality education in middle schools in China

    China boasts one of the largest adolescent populations in the world, with 165 million in total (United Nations, 2017). In recent decades, Chinese adolescents have reached sexual maturity at increasingly early ages, and more and more young people in China are open to premarital sex while at the same time they generally lack sexual and reproductive health knowledge and awareness of safe sex. …

  2. Challenges to implementing national comprehensive sexuality education curricula in low- and middle-income countries: case studies of Ghana, Kenya, Peru and Guatemala

    School-based comprehensive sexuality education (CSE) can help adolescents achieve their full potential and realize their sexual and reproductive health and rights. This is particularly pressing in low- and middle-income countries (LMICs), where high rates of unintended pregnancy and STIs among adolescents can limit countries’ ability to capitalize on the demographic dividend. While many LMICs have developed CSE curricula, their full implementation is often hindered by challenges around program planning and roll-out at the national and local level. …

  3. Short-term effects of a rights-based sexuality education curriculum for high-school students: a cluster-randomized trial

    An emerging model for sexuality education is the rights-based approach, which unifies discussions of sexuality, gender norms, and sexual rights to promote the healthy sexual development of adolescents. A rigorous evaluation of a rights-based intervention for a broad population of adolescents in the U.S. has not previously been published. This paper evaluates the immediate effects of the Sexuality Education Initiative (SEI) on hypothesized psychosocial determinants of sexual behavior.

  4. What is best practice in sex and relationship education? A synthesis of evidence, including stakeholders’ views

    Sex and relationship education (SRE) is regarded as vital to improving young people's sexual health, but a third of schools in England lacks good SRE and government guidance is outdated. The authors aimed to identify what makes SRE programmes effective, acceptable, sustainable and capable of faithful implementation. […] They identified key features of effective and acceptable SRE. Their best practice criteria can be used to evaluate existing programmes, contribute to the development of new programmes and inform consultations around statutory SRE.

  5. Education, HIV, and early fertility: experimental evidence from Kenya

    A seven-year randomized evaluation suggests education subsidies reduce adolescent girls’ dropout, pregnancy, and marriage but not sexually transmitted infection (STI). The government’s HIV curriculum, which stresses abstinence until marriage, does not reduce pregnancy or STI. Both programs combined reduce STI more, but cut dropout and pregnancy less, than education subsidies alone. …

  6. Aahung – empowering adolescents in Pakistan through life skills-based education

    Aahung, a Karachi-based sexual and reproductive health non-profit organization, has developed a life skills-based education (LSBE) program for school-going adolescent girls and boys. This intervention provides young people with skills and knowledge related to adolescent reproductive health, such as accurate information about puberty and related changes, marital rights, peer pressure, sexual harassment and body protection, gender inequities, early marriage, nutrition, self-confidence, decision-making, and communication skills. …

  7. 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. …

  8. Sexuality education in India: examining the rhetoric, rethinking the future

    Comprehensive sexuality education (CSE) has been recognised globally as key to helping young people assert their sexual and reproductive rights. In India too, there is growing awareness of the importance of providing CSE not only to reduce sexually transmitted infections, unintended pregnancies and abortions but also to teach important life skills. Simultaneously, lack of political will and conflicting interests among certain religious and political factions have ensured that no uniform CSE curriculum has been implemented throughout the country. …

  9. Comprehensive sexuality education: the challenges and opportunities of scaling-up

    This publication is part of an ongoing programme of work initiated by UNESCO in 2008 to provide technical guidance and implementation support for sexuality education programmes, as a platform for HIV prevention, treatment and care. It emphasizes the challenges and opportunities for scaling up comprehensive sexuality education in school settings. Building on indepth interviews with key informants involved in past and ongoing work on sexuality education, this publication provides conceptual and practical guidance on definitions and strategies for scaling-up. …

  10. Efficacy of an American alcohol and hiv prevention curriculum adapted for use in South Africa: results of a pilot study in five township schools

    The high prevalence of HIV among young people in African countries underscores a pressing need for effective prevention interventions. Adapting school–based prevention programs developed in the United States for use in African schools may present an alternative to the time–consuming process of developing home–grown programs. The researchers report the results of a pretest–posttest field trial of an alcohol/ HIV prevention curriculum adapted from an American model and delivered to ninth-grade students in five South African township schools. …

  11. Education, HIV, and early fertility: experimental evidence from Kenya

    We provide experimental evidence on the relationships between education, HIV/AIDS education, risky behavior and early fertility in Kenya. We exploit randomly assigned variation in the cost of schooling and in exposure to the national HIV/AIDS prevention curriculum for a cohort of over 19,000 adolescents in Western Kenya, originally aged 13.5 on average. We collected data on the schooling, marriage, and fertility out-comes of these students over 7 years, and tested them for HIV and Herpes (HSV2) after 7 years. …

  12. An HIV/AIDS knowledge scale for adolescents: item response theory analyses based on data from a study in South Africa and Tanzania

    A 14-item human immunodeficiency virus/acquired immunodeficiency syndrome knowledge scale was used among school students in 80 schools in 3 sites in Sub-Saharan Africa (Cape Town and Mankweng, South Africa, and Dar es Salaam, Tanzania). For each item, an incorrect or don't know response was coded as 0 and correct response as 1. Exploratory factor analyses based on polychoric correlations showed two separate factors for all sites. …

  13. 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. …

  14. Quality sexual education needed for adolescents in Egyptian schools

    The severe lack of knowledge among adolescents regarding sexual and reproductive health (SRH) is a serious concern in Egypt, where half the population is younger than 25. Yet the majority of youth are enrolled in school, presenting a valuable opportunity for the country’s new government to address these issues directly: by ensuring that school curricula include comprehensive and age-appropriate SRH education that is culturally sensitive and responsive to the needs of young Egyptians. …

  15. Development and test-retest reliability of a research instrument designed to evaluate school-based HIV/AIDS interventions in South Africa and Tanzania

    Aims: This article reports on the development and psychometric properties of an instrument to evaluate school-based HIV/ AIDS interventions aimed at adolescents in three African sites. Methods: The instrument was developed in a series of steps that involved a review of existing instruments; use of empirical data and secondary literature supporting an association between the variables of interest and sexual intercourse or condom use; operationalizing the constructs of the theoretical model employed; and using the objectives of the intervention. …

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