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UNESCO HIV and Health Education Clearinghouse

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  1. I felt like the world was falling down on me. Adolescent girls’ sexual and reproductive health and rights in the Dominican Republic

    Adolescent girls in the Dominican Republic are being denied their sexual and reproductive rights, including access to safe abortion. “I Felt Like the World Was Falling Down on Me” documents how authorities have stalled the rollout of a long-awaited sexuality education program, leaving hundreds of thousands of adolescent girls and boys without scientifically accurate information about their health. The country has the highest teen pregnancy rate in Latin America and the Caribbean, according to the Pan American Health Organization (PAHO). …

  2. Estrategia nacional de prevencion del embarazo en niñas y en adolescentes 2017-2027

    La Estrategia busca eliminar el embarazo en niñas y en adolescentes con intervenciones sectoriales articuladas, que incorporan el enfoque de derechos humanos, género e inclusión, facilitando el empoderamiento de niñas y adolescentes para su pleno desarrollo.

  3. Menarche and its implications for educational policy in Peru

    Indigenous girls in rural areas live in the most extreme poverty and make up the least educated groups in Peru. These girls face numerous constraints to obtaining an education. Enrollment rates are lower for girls in rural areas, and their grade repetition rates are higher than those for boys. Adolescence is particularly difficult, as girls face a number of risks during this time. Once they begin menstruation, completing their primary school education is a formidable challenge, and opportunities for advancing to secondary school are limited. …

  4. WASH in schools empowers girls’ education: Proceedings of the 5th Annual Virtual Conference on Menstrual Hygiene Management in Schools

    Capturing girls’ voices: Channelling girls’ recommendations into global and national level action. Globally, there are around 600 million adolescent girls. Adolescence is a pivotal transitional period that requires special attention to ensure progress for all girls, especially the most vulnerable, and poses a unique opportunity to break intergenerational cycles of poverty and to transform gender roles. The onset of puberty and menstruation can pose an additional barrier to a girl’s personal freedom, and can signal entry into a different role in their family and wider society. …

  5. 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. …

  6. Teen pregnancy and high school dropout: what communities can do to address these issues

    The primary focus of this report is to highlight innovative ways school systems - particularly persistently low-achieving school districts with high teen birth rates - and public agencies and community-based organizations that oversee teen pregnancy prevention programs are working together with the common goal of helping students avoid too-early pregnancy and parenthood and complete their high school education. …

  7. Agua, saneamiento e higiene en la escuela. Fortalece la educacion de las niñas adolescentes en la zona rural de Cochabamba, Bolivia: estudio del manejo de la higiene menstrual en las escuelas

    El inicio de la menstruación presenta múltiples retos para las niñas escolares adolescentes. Muchas de ellas carecen de los conocimientos, apoyo y recursos para manejar la menstruación en la escuela. El propósito del programa Agua, Saneamiento e Higiene en las Escuelasa (WASH en Escuelas) es entender el alcance de los retos en educación y salud a los cuales se enfrentan las niñas adolescentes en el área rural de Cochabamba, Bolivia. Las conclusiones incluirán estrategias para mitigar esos retos y apoyar apropiadamente a las adolescentes en la escuela durante su menstruación. …

  8. Menstrual hygiene management impacts girls’ school experience in the Bolivian Amazon

    The purpose of this study on menstrual hygiene management (MHM) in the Beni department of Bolivia was to better understand the challenges girls face due to menstruation; describe factors which influence girls’ experiences during menstruation; and present recommendations to create a supportive school environment for adolescent girls in Bolivia. This study complements the findings of the first MHM study undertaken in Cochabamba, Bolivia in 2012, by providing information specific to the Amazonian population of the eastern lowlands of Bolivia. …

  9. How reliable are reports of early adolescent reproductive and sexual health events in demographic and health surveys?

    CONTEXT: Age at sexual debut, age at first marriage or first union and age at first birth are among the most widely used indicators of health and well-being for female adolescents. However, the accuracy of estimates for these indicators, particularly for younger adolescents, is poorly understood. METHODS: For each of nine countries in Africa and Latin America, Demographic and Health Survey (DHS) data from two surveys conducted five years apart were used to examine women’s reports of age at sexual debut, marriage or first union, and first birth. …

  10. Embarazo adolescente y oportunidades en América Latina y el Caribe: sobre maternidad temprana, pobreza y logros económicos

    El presente informe examina los factores asociados con el embarazo adolescente y la maternidad temprana y crea un marco para explorar estos temas de forma sistemática hacia el diseño de intervenciones efectivas en el marco de políticas en América L atina. El mensaje principal que este reporte pretende divulgar es que la pobreza y la falta de oportunidades son factores clave asociados a la maternidad temprana. …

  11. Sexual and reproductive health and rights for the next decades: What's been achieved? What lies ahead?

    This Global Public Health Special Issue ‘SRHR for the next decades: What's been achieved? What lies ahead?’ assesses progress 20 years after the 1994 International Conference on Population and Development (ICPD), which established the sexual and reproductive health and rights framework for population and health policy (United Nations [UN], 1995). …

  12. Análisis legislativo comparado sobre embarazo adolescente matrimonio temprano

    El presente documento tiene por objetivo principal el realizar un estudio comparado sobre la situación actual de la legislación en relación a la prevención del embarazo adolescente y el matrimonio temprano en la región de América Latina y El Caribe, que destaque la legislación existente y su nivel de adecuación en comparación a los estándares de derechos humanos en la materia.

  13. Addressing early marriage and adolescent pregnancy as a barrier to gender parity and equality in education

    Despite progress in expanding access to education for girls globally, important barriers remain. Girls’ success in school – and after leaving school – is determined in part by characteristics of and factors in her household and community. Many policies and programs are based on an assumption that continued progress toward gender equality in education is hampered by early marriage and adolescent pregnancy. While education and age at marriage (and pregnancy) are positively correlated in many settings, evidence of a causal relationship is more limited. …

  14. Feasibility trial of a film-based educational intervention for increasing boys’ and girls’ intentions to avoid teenage pregnancy: Study protocol

    The World Health Organisation, amongst others, recognises that adolescent men have a vital yet neglected role in reducing teenage pregnancies and that there is a pressing need for educational interventions designed especially for them. This study seeks to fill this gap by determining the feasibility of conducting an effectiveness trial of the If I Were Jack intervention in post-primary schools. This 4-week intervention aims to increase teenagers’ intentions to avoid unintended pregnancy and addresses gender inequalities in sex education by explicitly focusing on young men. …

  15. The miseducation of Latin American girls: poor schooling makes pregnancy a rational choice

    Our interest in understanding the determinants of adolescent childbearing and how adolescent childbearing influences educational trajectories derive from a concern about the inverse relationship between educational outcomes and adolescent fertility. Through in-depth interviews with 118 women, we contrast the educational trajectories of adolescent and adult child-bearers in urban neighborhoods in Paraguay and Peru. The findings suggest that adolescents who face obstacles that discourage academic achievement and high aspirations in life are also more likely to bear children. …

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