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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. Desarrollo humano en República Dominicana: el embarazo en adolescentes: un desafío multidimensional para generar oportunidades en el ciclo de vida

    Teenage pregnancy in the Dominican Republic is a complex problem and of high concern to the national agenda. Available data indicate that 22% of women between 12-19 years have been pregnant. This rate is 34% higher than the average for Latin America and the Caribbean. Teenage pregnancy is concentrated in specific areas of the country – the southern provinces and central Cibao - as well as among poorer people. The fact that the indicator (adolescent fertility rate) has shown little variation in the last three decades makes the picture complex. …

  3. From evidence to action: results from the 2013 baseline survey for the BALIKA project

    The objective of the “BALIKA: Bangladeshi Association for Life Skills, Income, and Knowledge for Adolescents” project is to generate programmatic evidence to delay marriage in Bangladesh. This report documents baseline data from a survey conducted in 96 villages in the districts of Khulna, Narail, and Satkhira on a range of related indicators on education, livelihoods, sexual and reproductive health, and social life. …

  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. Case study: Costa Rica’s school child and adolescent food and nutrition programme

    Costa Rica’s School Child and Adolescent Food and Nutrition Programme (PANEA) is an example of a consolidated school feeding programme mostly funded by the central government and managed at school level by School Education Boards. It is part of the government’s efforts to reduce poverty and to ensure poor families’ children’s enrolment and retention within the education system, and its main service is the School Canteen. …

  6. Accessing the ‘right’ kinds of material and symbolic capital: the role of cash transfers in reducing adolescent school absence and risky behaviour in South Africa

    This article investigates how well South Africa’s Child Support Grant (CSG) responds to the material and psychosocial needs of adolescents, and the resultant effects on schooling and risky behaviour. One driver of schooling decisions is shame related to poverty and the ‘social cost’ of school, where a premium must often be paid for fashionable clothes or accessories. The other driver relates to symbolic and consumptive capital gained through engaging in sexual exchange relationships. The anticipated impacts from the CSG are partial because of these non-material drivers of adolescent choices. …

  7. Structural drivers and social protection: mechanisms of HIV risk and HIV prevention for South African adolescents

    Social protection is high on the HIV-prevention agenda for youth in sub-Saharan Africa. However, questions remain: How do unconditional cash transfers work? What is the effect of augmenting cash provision with social care? And can “cash plus care” social protection reduce risks for adolescents most vulnerable to infection? This study tackles these questions by first identifying mediated pathways to adolescent HIV risks and then examining potential main and moderating effects of social protection in South Africa.

  8. Making the case for investing in adolescent reproductive health: a review of evidence and PopPov research contributions

    Solid evidence on the links between preventing adolescent childbearing and alleviating poverty can motivate policymakers and donors to invest in reproductive health and family planning programs for youth. Research that documents the clear cause-and-effect relationship between program interventions and outcomes, such as better health and delayed childbearing among teens, can guide decisions about investments in research or programs. …

  9. 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. …

  10. Unintended pregnancies among young women living in urban slums: Evidence from a prospective study in Nairobi City, Kenya

    Background: Despite the significant proportion of young people residing in slum communities, little attention has been paid to the sexual and reproductive health (SRH) challenges they face during their transition to adulthood within this harsh environment. Little is known about the extent to which living in extreme environments, like slums, impact SRH outcomes, especially during this key developmental period. …

  11. A review of interventions addressing structural drivers of adolescents' sexual and reproductive health vulnerability in sub-Saharan Africa: implications for sexual health programming

    Background: Young people particularly women are at increased risk of undesirable sexual and reproductive health (SRH) outcomes. Structural factors have been reported as driving some of these risks. Although several interventions have targeted some of the structural drivers for adolescent’s SRH risk, little has been done to consolidate such work. This would provide a platform for coordinated efforts towards adolescent’s SRH. …

  12. Hear our voices

    Thousands of girls claim they are embarrassed and ashamed to express the everyday injustices and threats of sexual violence they face, in ‘Hear Our Voices’ - one of the largest studies of adolescent girls’ rights of its kind. Plan International spoke directly with more than 7,000 girls and boys aged 12 to 16 in 11 countries across the world, as part of its Because I am a Girl campaign for girls’ rights. The study’s results bring the daily realities of girls into vivid colour. …

  13. Sexual and reproductive health rights and information and communications technologies: A policy review and case study from South Africa

    This report examines the linkages between policies on, and implementation of, sexual and reproductive health rights (SRHR) and ICT in rural and peri-urban spaces in South Africa. South Africa is renowned for its legal provisions addressing SRHR yet also experiences barriers to adolescent sexual health. SRHR programming is politically complex and often ambivalent; as a result less contentious aspects which emphasise maternal health get prioritised. …

  14. 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. …

  15. Sexual and reproductive health and rights of adolescent girls: Evidence from low- and middle-income countries

    This paper reviews the evidence on sexual and reproductive health and rights (SRHR) of adolescent girls in low-income and middle-income countries (LMIC) in light of the policy and programme commitments made at the International Conference on Population and Development (ICPD), analyses progress since 1994, and maps challenges in and opportunities for protecting their health and human rights. …

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