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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. Accelerating progress toward the reduction of adolescent pregnancy in Latin America and the Caribbean: Report of a technical consultation

    This report summarizes the key discussions and recommendations emanating from the meeting, which can be used collectively as a “Call to Action” as well as a tool for regional stakeholders including national health, education, and social sector authorities and programs, regional partners, civil society, communities, parents, and young people, to intensify efforts, revise and update strategies, and scale up approaches that: 1) empower adolescent girls to prevent unplanned and unwanted pregnancies, 2) protect them from sexual violence, 3) improve their development opportunities, and 4) help them  …

  3. 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. …

  4. Understanding teenage fertility, cohabitation, and marriage: the case of Peru

    This paper intends to contribute to the economic literature that investigates the origins of teenage pregnancy and early marriage/co habitation in Peru and to improve understanding of the risk factors of one important gender-related issue that has historically provoked asymmetric costs for boys and girls. …

  5. Myanmar. Demographic and Health Survey 2015-16. Key indicators report

    The 2015-16 Myanmar Demographic and Health Survey (MDHS) is the first Demographic and Health Survey (DHS) conducted in Myanmar. The primary objective of the 2015-16 MDHS project is to provide up-to-date estimates of basic demographic and health indicators. …

  6. Teenage marriage, fertility, and well-being: panel evidence from India

    This paper uses a unique dataset from Andhra Pradesh, tracking a cohort of children who were born in 1994–95 from the ages of 8 to 19 years, to ask three key questions about teenage marriage and fertility in India. First, what predicts getting married during the teen years? Second, what predicts having given birth by 19? …

  7. 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. …

  8. Charting the future: empowering girls to prevent early pregnancy

    This report begins with a situation analysis of adolescent pregnancy (Section 2), highlighting where today’s adolescents live and where their fertility levels are highest, as well as looking at the drivers of their fertility rates. Section 3 provides a more detailed discussion of the multiple barriers that girls face in controlling their fertility. Section 4 presents our conclusions about the main drivers of adolescent pregnancy and introduces our policy and programming recommendations, which can be found in Section 5. …

  9. Teenage pregnancy in South Africa: With a specific focus on school-going learners

    The purpose of the study was to document, review and critically analyse literature on teenage pregnancy with a focus on school-going adolescents. The specific objectives were as follows: To review existing literature and conduct statistical analyses to establish the prevalence and determinants of teenage pregnancy; To assess the individual, familial and educative impact of teenage pregnancy; To identify and assess the impact of interventions for teenage pregnancy; and To propose a conceptual framework for research and interventions to prevent and mitigate the impact of teen pregnancy. …

  10. 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. …

  11. Adolescent Fertility in Low-and Middle-Income Countries: Effects and Solutions

    Adolescent fertility in low- and middle-income countries presents a severe impediment to development and can lead to school dropout, lost productivity, and the intergenerational transmission of poverty. However, there is debate about whether adolescent pregnancy is a problem in and of itself or merely symptomatic of deeper, ingrained disadvantage. To inform policy choices and create a revised research agenda for population and development, this paper aggregates recent quantitative evidence on the socioeconomic consequences of and methods to reduce of teenage pregnancy in the developing world. …

  12. My changing body: puberty and fertility areness for young people

    This is a manual for human development and fertility teachers of very young adolescents (VYA). It provides participatory activities on fertility awareness (understanding of maturing bodies and emotional changes that accompany puberty, empowering them to make informed decisions in their sexual behavior) and body literacy (understanding how bodies function, gender roles, power relations, social norms). VYA often lack information and skills to deal with the social, emotional, physical changes of puberty. …

  13. My changing body: fertility awareness for young people

    My Changing Body: Fertility Awareness for Young People is not a comprehensive sexuality education manual, but it goes into detail about one of these topics - fertility awareness. My Changing Body provides accurate, factual information about puberty in objective and reassuring terms for young people. What youth learn from My Changing Body will help them to become more self-confident, practice good health habits, and gain a positive self-image. …

  14. Trends in marriage and early childbearing in developing countries

    The report presents the findings of an international comparative analysis of age at marriage and age at first birth, marital instability, informal unions, and teenage reproductive behaviour, with emphasis on trends over the past decade. For some trend analyses, this review is limited to countries where DHS surveys were conducted between 1990 and 2002.

  15. Indonesian survey looks at adolescent reproductive health

    This article summarizes some of the survey findings about young Indonesians in this period of rapid social change. The survey asked young men and women in four of Indonesia's most populous provinces about work, education, marriage, and family life and explored their knowledge and attitudes about sexuality, fertility, and HIV/AIDS and other sexually transmitted infections (STIs).

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