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UNESCO HIV and Health Education Clearinghouse

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  1. From ideas to action: addressing barriers to comprehensive sexuality education in the classroom

    Evidence for the positive outcomes of comprehensive sexuality education (CSE) on adolescent sexual and reproductive health (ASRH) is well documented.

  2. 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). …

  3. Do information technologies improve teenagers' sexual education? Evidence from a randomized evaluation in Colombia

    Across public junior high schools in 21 Colombian cities, we conducted a randomized evaluation of a mandatory six-month internet-based sexual education course. Six months after finishing the course, we find a 0.4 standard deviation improvement in knowledge, a 0.2 standard deviation improvement in attitudes, and a 55% increase in the likelihood of redeeming vouchers for condoms as a result of taking the course. …

  4. Rethinking sexual agency: proposing a multicomponent model based on young people’s life stories

    Sexual health policies explicitly aim to encourage young people to take responsibility for their sexuality to prevent adverse outcomes such as unintended pregnancies, STIs and sexual assault. In Europe and North America, ‘choice’ has become a central concept in sexual and reproductive health policy making. However, the concept of choice is not unproblematic, not least because the cultural emphasis on individual responsibility obscures structural limitations and inequalities, and mutual responsibility between partners. …

  5. The revised international technical guidance on sexuality education - a powerful tool at an important crossroads for sexuality education

    In January 2018, UNESCO, together with UNAIDS, UNFPA, UNICEF, UN Women, and the WHO, completed the substantial technical and political process of updating the International Technical Guidance on Sexuality Education, thereby unifying a UN position on rationale, evidence, and guidance on designing and delivering comprehensive sexuality education (CSE).

  6. 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. …

  7. 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.

  8. Integrating gender and rights into sexuality education: field reports on using It's All One

    International policy agreements, along with emerging evidence about factors influencing programme effectiveness, have led to calls for a shift in sexuality education toward an approach that places gender norms and human rights at its heart. Little documentation exists, however, about the degree to which this shift is actually taking place on the ground or what it entails. Field experiences in using new curriculum tools, such as It's All One, offer one lens onto these questions. To gain a sense of practitioners' experience with this tool, a two-part exercise was conducted. …

  9. Sexuality education in technical and vocational institutions in Guyana: possibilities and challenges

    This paper reports on the results of an exploratory evaluation of a sexuality education program that was introduced in technical and vocational institutions in Guyana. The rationale for the program is outlined, along with the methodology employed in the evaluation of the program, including the analysis of data from document reviews, telephone and face-to-face interviews, and surveys of facilitators and students’ perceptions of the program. …

  10. Developing guidelines for comprehensive sexuality education

    Educators, service providers, and health professionals worldwide are advocating that young people receive comprehensive sexuality education to help them become sexually healthy adults and to help them practice safer sexual behaviors, delay the onset of sexual intercourse, and reduce unplanned pregnancy and sexually transmitted disease (STD) rates. Though there is often consensus that young people should receive such education, few actually do. This is primarily due to a lack of understanding and consensus about sexuality education goals, components, and standards. …

  11. Guidance for implementing the policy‐related activities of promoting adolescent health through school‐based HIV/STD prevention (funded state education agency version)

    The purpose of this document is to provide guidance for implementing the policy-related required activities for state education agencies awarded funding under Strategy 2: School-Based HIV/STD Prevention. The intended outcome of these activities is to increase the number of funded states and districts that track policy implementation and educate decision makers on policy solutions. There is a separate document for funded local education agencies, with guidance on implementing their specific 1308 policy-related required activities.

  12. Guidance for implementing the policy‐related activities of promoting adolescent health through school‐based HIV/STD prevention (funded local education agency version)

    The purpose of this document is to provide guidance for implementing the policy‐related required activities for local education agencies awarded funding under Strategy 2: School‐Based HIV/STD Prevention. The intended outcome of these activities is to increase the number of funded states and districts that track policy implementation and educate decision makers on policy solutions. There is a separate document for funded state education agencies, with guidance on implementing their specific 1308 policy‐related required activities.

  13. 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). …

  14. Integrating reproductive health into youth development programs toolkit

    This toolkit was developed by the International Youth Foundation in order to provide resources for program managers, educators, youth leaders and advocates to incorporate Reproductive Health into programs targeting youth. The toolkit includes a framework, curricula and practical strategies for integrating reproductive health into youth development programming.

  15. 3Rs campaign kit: rights, respect, responsibility: the campaign

    Rights. Respect. Responsibility.® is Advocates for Youth’s national, long-term campaign giving voice to a new vision of adolescent sexual health. These core values underpin Advocates’ vision of a society where adolescents are valued, public health policy is driven by scientific research, and sexuality is viewed as a normal and healthy part of being human, of being a teen, of being alive.

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