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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. Addressing cross-generational sex: A desk review of research and programs

    Current interest in cross-generational sex is largely due to the feminization of the HIV and AIDS epidemic. Young women 15-24 years of age in sub-Saharan Africa are three times more likely to be infected with HIV than young men of the same age, four times more likely in Zambia, and a staggering five times more likely in Zimbabwe. But, in fact, ministries of education and others have had curricula and materials addressing the “sugar daddy” phenomenon for many years. …

  3. A tale of two countries: rethinking sexual risk for HIV among young people in South Africa and the United States

    This paper compares the sexual behaviors of young people in South Africa (SA) and the United States (US) with the aim of better understanding the potential role of sexual behavior in HIV transmission in these two countries that have strikingly different HIV epidemics. Nationally representative, population-based surveys of young people ages 18-24 years from SA (n = 7,548) and the US (n = 13,451) were used. The prevalence of HIV was 10.2% in SA and 1% in the US. …

  4. Advancing promising program and research/evaluation practices for evidence-based programs reaching very young adolescents: a review of the literature

    This paper reviews and describes research practices and program interventions addressing the sexual and reproductive health of very young adolescents (VYA) and identifies promising program components and research/evaluation practices. The paper is not exhaustive but serves as a tool for further discussion of what is needed in VYA programming and research

  5. Overlooked and Uninformed: Young Adolescents' Sexual and Reproductive Health and Rights

    Overlooked and Uninformed: Young Adolescents' Sexual and Reproductive Health and Rights is a short informational brief focusing on young adolescents across the world and their needs to know about their bodies and their sexual rights and responsibilities. It aims to inform policymaking on the importance to include 10-14 years old adolescents in programs and policy regarding sexual and reproductive health and rights. The document states that all young people need information and skills to protect themselves from harm and to make free, informed, and responsible sexual and reproductive decisions. …

  6. From evidence to action: advocating for comprehensive sexuality education

    This resource is part of IPPF's Inspire pack, which offers standards, guidelines and self-assessment guidance on a variety of strategies and activities that contribute to rights-based and comprehensive sexual and reproductive health programming for young people. It provides service providers, programme planners, policy-makers and young people with information to advocate for rights-based, gender-sensitive and sex-positive comprehensive sexuality education at local and national levels. …

  7. Young men as equal partners (YMEP)

    This publication provides "knowledge, values and understanding of issues on sexuality to boys and young men". It centres on the deconstruction of gender stereotypes that lead to lack of communication and risk behaviour, and advocates a positive view of sexuality to empower individuals to make healthy, respectful and responsible choices. The authors believe that, in order to achieve behaviour change, sex education programmes must be "realistic and closer to the realities and feelings" of young people. …

  8. Adolescents, social support and help-seeking behavior : an international literature review and program consultation with recommendations for action

    The document is part of WHO project to identify and define evidence-based strategies for influencing adolescent help-seeking and identify research questions and activities to promote improved help-seeking behaviour by adolescents. The document presents the findings from an international review on the topic; results of programme consultation with 35 adolescent health programmes; results of six key informant interviews; and recommendations for action, including brief outline for developing a set of guidelines for the rapid assessment of social supports to promote the help-seeking of adolescents.

  9. Sexual and reproductive health of young people: experiences from Technical Cooperation Projects

    The document comprises a selection of 43 project examples representing 41 GTZ projects that are concerned with SRH of young people. Information for each project covers background information, project approach, results and experiences as well as outlook on future plans of the project.

  10. Gender and the HIV epidemic: adolescent sexuality, gender and the HIV epidemic

    This document highlights factors which increase the risk of HIV infection for young people and concludes with a number of principles for success for future work to prevent HIV infection among young people in developing countries.

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