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UNESCO HIV and Health Education Clearinghouse

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  1. HIV-related data on very young adolescents

    Very young adolescents (VYAs)—those between the ages of 10 and 14—represent about half of the 1.2 billion adolescents ages 10–19 in the world. A technical working group that the World Health Organization (WHO) convened in 2010 observed that, although adolescents ages 15–19 have been the main population segment addressed by adolescent health and development programs, the “special needs and concerns of young adolescents ages 10–14—some of whom are already sexually active—have been relatively neglected.” This neglect is, to some extent, a result of a lack of global HIV-related data for VYAs. …

  2. Sexual and reproductive health of adolescents and youth in Cambodia: analysis of 2000-2014 Cambodia Demographic and Health survey data

    This report presents findings from a secondary analysis of four waves of the Cambodia Demographic and Health Surveys, 2000 to 2014, with support from the United Nations Population Fund (UNFPA) and Australian in Cambodia. One aim of this report was to describe the current state of the sexual and reproductive health of adolescents and youth in Cambodia and this was achieved through the analysis of data on young women aged 15-24 years from the four Cambodian Demographic and Health Surveys (CDHS) conducted in 2000, 2005, 2010 and 2014. …

  3. Teenage marriage, fertility, and well-being: panel evidence from India

    This paper uses a unique dataset from Andhra Pradesh, tracking a cohort of children who were born in 1994–95 from the ages of 8 to 19 years, to ask three key questions about teenage marriage and fertility in India. First, what predicts getting married during the teen years? Second, what predicts having given birth by 19? …

  4. Factors shaping trajectories to child and early marriage: evidence from Young Lives in India

    The 2011 Census in India reported that nearly 17 million children between the ages of 10 and 19 –6% of the age group – are married, with girls constituting the majority (76 per cent), although there has been a significant relative reduction in the marriage of girls under 14. The aim of this paper is to better understand the individual, household and community factors that explain the different pathways to marriage among Young Lives children, drawing upon both descriptive statistics from the household survey as well as in-depth qualitative research with the study children.

  5. Tackling child marriage and early childbearing in India: lessons from Young Lives

    The Government of India has made combatting child marriage and early childbearing a priority. This brief uses data collected from 1,000 19-year-olds in Andhra Pradesh and Telangana to help inform policy and programming efforts. In Young Lives survey, 28% of girls and just 1% of boys married before the age of 18. By the age of 19, a majority (59%) of married young women had already given birth. Young Lives has been following the lives of these young people and their families since 2002. …

  6. Marriage and childbirth as factors in dropping out from school: an analysis of DHS data from sub-Saharan Africa

    This paper explores the potential importance of marriage and childbirth as determinants of school-leaving in sub-Saharan Africa and identifies some of the common underlying factors that contribute to premature school-leaving and early marriage and childbearing. We find that the risks of leaving school during adolescence for reasons other than childbirth or marriage far exceed the risks associated with these two demographic events. …

  7. Behavioral determinants of urban youth sexual and reproductive health. A secondary analysis of DHS data for Benin and Madagascar

    Youth aged 15-24 represent a growing and heterogeneous proportion of the world’s population. Investing in young people’s health and wellbeing is critical to promoting growth and development, not only for individuals but also for communities and nations. The majority of today’s youth are living in urban areas.In an urban or city environment, opportunities for jobs, education, better housing and health care are often more widely available than in rural areas. But these benefits are usually unevenly distributed and urban poor have limited or no access to many urban amenities. …

  8. HIV Status Disclosure and Retention in Care in HIV-Infected Adolescents on Antiretroviral Therapy (ART) in West Africa

    The authors assessed the effect of HIV status disclosure on retention in care from initiation of antiretroviral therapy (ART) among HIV-infected children ages 10 years or more in Cote d'Ivoire, Mali and Senegal. They conducted a multi-center cohort study within five pediatric clinics participating in the IeDEA West Africa collaboration. …

  9. 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. …

  10. Adolescents' knowledge, attitude and practice concerning HIV/AIDS in Sierra-Leone : Survey Report

    The key objective of the survey was to ascertain adolescents HIV/AIDS knowledge, attitude and practice, determine their access to the media in so far as getting vital information on HIV/AIDS, and ascertain their acceptance and credibility of the information they receive. The responses were to be analyzed by differentials of age, sex and spatial variations. …

  11. Changes in Knowledge and Attitudes among Junior Secondary Students Exposed to the Family Life and HIV Education Curriculum in Lagos State, Nigeria

    To address the needs of young people in Lagos State, Nigeria, for information about family life and HIV, the Lagos State Ministry of Education, in collaboration with Action Health Incorporated, began to offer the Family Life and HIV Education Curriculum in government junior secondary schools in 2003. Knowledge and attitudes were measured in a sample of 1,366 students in Lagos State, Nigeria, in November 2004, at the beginning of the school year, and again in July 2005 after receiving a year of the Family Life and HIV Education Curriculum. …

  12. Protecting the next generation in Ghana. New evidence on adolescent sexual and reproductive health needs

    This report presents key findings from a new body ofresearch that highlights the unmet sexual and reproductive health needs of 12-19-year-olds in Ghana. The results point to specific areas in which interventions for improving adolescent sexual and reproductive health might be targeted, and suggest that increased and sustained investment in sexual and reproductive health care for adolescents may provide enormous returns. …

  13. A survey report on information needs assessment on ARH in selected countries in Asia and the Pacific

    This report is the outcome of a survey conducted in May 2004 among programmes/projects or organizations with Adolescent Reproductive and Sexual Health (ARSH) activities, UNFPA's country offices in the Asia and the Pacific region and other partners. It was meant to update information on ARSH needs to more effectively assist programmes dealing with ARSH in Asia and the Pacific region, and to serve as the basis to prepare a regional work plan of interventions. This document is available online at http://www2.unescobkk.org/elib/publications/arh_assessment/ARH_assessment.pdf#

  14. A research study on impact of adolescence education on adolescent reproductive health and behaviour

    This research study is a valuable document for policy makers, teachers, parents and community leaders to explore the knowledge, awareness and attitude in adolescence education in India. The analysis could be used as a reference for the programmes and projects related to the adolescents and their sexual behaviour, including sexual initiation, risky sexual behavior, and coerced sex. …

  15. Children having children. State of the World's Mothers 2004

    The report focuses on girls around the world who marry and have babies while they are still children themselves, resulting in maternal and child mortalities and for those who survive, a struggle to overcome poor health, limited education, and grinding poverty. The report recommends ways to help girls delay marriage and motherhood until they are emotionally and physically ready to give birth and raise children and suggests programmatic and policy solutions to help child mothers and their babies survive and thrive. …

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