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UNESCO HIV and Health Education Clearinghouse

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  1. Experiences of pregnant adolescents - voices from Wakiso district, Uganda

    Background: In Uganda, morbidity and mortality among adolescent mothers and their children are high. Social factors behind this problem need to be better understood. Objective: To explore problems that pregnant adolescents face in order to design appropriate policies and interventions. Methods: This was a descriptive study that utilized qualitative methods for data collection. The study population comprised of pregnant adolescents, adolescent mothers, opinion leaders, In-charge of health unit, and Traditional Birth Attendants (TBAs) in Wakiso district, Uganda. …

  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. Effective approaches for programming to reduce adolescent vulnerability to HIV infection, HIV risk, and HIV-related morbidity and mortality: A systematic review of systematic reviews

    Background: In 2012, an estimated 2.1 million adolescents were living with HIV. Though there are effective interventions to prevent and treat HIV infection, adolescents face specific barriers in accessing them. As a result, new infections and poor outcomes among HIV-infected adolescents are common. HIV programming for adolescents should focus on interventions of proven effectiveness and address underlying factors driving incidence and lack of effective treatment and care in this age group. …

  4. Unintended pregnancy and abortion in Uganda

    Unintended pregnancy is common in Uganda, leading to high levels of unplanned births, unsafe abortions, and maternal injury and death. Because most pregnancies that end in abortion are unwanted, nearly all ill health and mortality resulting from unsafe abortion is preventable. This report summarizes evidence on the context and consequences of unintended pregnancy and unsafe abortion in Uganda, points out gaps in knowledge, and highlights steps that can be taken to reduce levels of unintended pregnancy and unsafe abortion, and, in turn, the high level of maternal mortality.

  5. Youth and unsafe abortion: a global snapshot

    Worldwide, approximately 16 million women and girls ages 15 to 19 give birth each year, accounting for approximately 11 percent of all births worldwide. For these young women, complications from pregnancy and childbirth are the leading cause of death, and unsafe abortion is a major contributor to this mortality. This brief provides an overview of unsafe abortion among young women. …

  6. Treatment outcomes in HIV-infected adolescents attending a community-based antiretroviral therapy clinic in South Africa

    As the HIV epidemic matures, survival of children with perinatally acquired HIV infection into adolescence is increasingly being documented in sub-Saharan African countries. In addition, the burden of HIV in the adolescent patient population in the region is also due to sexual transmission, with adolescents and young adults being particularly vulnerable to this mode of infection. HIV care and treatment services in the region need to adapt to adequately meet the specific needs of this expanding disease burden among adolescents. …

  7. A measure of commitment: women's sexual and reproductive health risk index for Sub-Saharan Africa

    In 2008 the number of African women who died from pregnancy and child birth was much higher than the number of casualties from all the major conflicts in Africa combined. Maternal mortality continues to be the major cause of death among women of reproductive age (15-49) in Sub-Saharan Africa (SSA). This report looks at the performance of sub Saharan African countries in meeting reproductive health targets in 47 countries and ranks them using a set of ten indicators in order of the highest to lowest risk. …

  8. Maternal health care among adolescents: pregnant adolescents need appropriate services to prevent death and disability

    Pregnant teenagers, who die twice as often during childbirth as women in their 20s, need appropriate services to prevent death and disability.

  9. A healthy start in life: report on the Global Consultation on Child and Adolescent Health and Development, Stockholm, Sweden, 12-13 March 2002

    The Consultation, convened by WHO and UNICEF in March 2002 in Stockholm, Sweden, highlighted the importance of investing in the health of children and adolescents as a cost-effective way of securing future prosperity of nations. There is ample evidence about effective interventions, the challenge is to transform this knowledge into action. Increased commitment and strategic investments are needed to ensure that every child and adolescent can develop to its full potential. …

  10. Strategies to meet the health needs of adolescents: a review

    The paper presents a brief review report of existing information on health needs of adolescents in Bangladesh.

  11. Adolescent' girls' life aspirations and reproductive health in Nepal

    The study described in this paper takes a participatory and positive approach to improving adolescent reproductive health in a rural and urban community in Nepal. It shows that adolescent girls in these communities have dreams and aspirations for a better future and that adults acknowledge and support these ideals. However, social norms and institutions are restrictive, especially for girls, who are often unable to realise their hopes for continuing education, finding better-paid work or delaying marriage and childbearing, and this directly impacts reproductive outcomes. …

  12. Why Nigerian adolescents seek abortion rather than contraception: evidence from focus-group discussions

    The need to educate adolescents about the mechanism of action of contraceptive agents and about their side effects in relation to unsafe sex is paramount if contraceptive use is to be improved among Nigerian adolescents.

  13. Adolescents in India: a profile

    The report presents a situation analysis of adolescents in India, adolescents in the UN system, review of government policies and programmes related to adolescents, NGO activities and programmes on adolescents at a glance.

  14. The second decade: improving adolescent health and development

    This publication concentrates on adolescent health. It gives information on adolescent related to health, sex and reproduction, sexual and reproductive health, tobacco (the greatest killer drug), death on the road, ultimate tragedy (suicides), and substance use.

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