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UNESCO HIV and Health Education Clearinghouse

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  1. HIV prevention among adolescent girls and young women: putting HIV prevention among adolescent girls and young women on the fast-track and engaging men and boys

    This programming guidance is meant to inform programmes that aim to reduce HIV infection among adolescent girls and young women in countries and locations where HIV incidence is high among adolescent girls and young women and where HIV is primarily spread through heterosexual transmission. This report primarily is for policymakers, planners and implementers of HIV prevention programmes across multiple sectors, including organizations led by young people. …

  2. 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. …

  3. Sexual reproductive health and rights for adolescents in Sub Saharan Africa. Youth fact sheet

    This fact sheet was drawn up following the World YWCA Training Institute in Arusha, Tanzania in March 2014 in partnership with ARROW. The World YWCA is part of the global ARROW project The Global South, which aims to give southern civil society the means and avenue of articulating a regional Sexual and Reproductive Health Rights (SRHR) agenda and distilling regional agendas into a global SRHR agenda. …

  4. 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). …

  5. Empower young women and adolescent girls: fast-track the end of the AIDS epidemic in Africa

    The purpose of this report is to guide regional and global advocacy and inform political dialogue over the coming year, including in the contexts of the African Union Agenda 2063 and the post-2015 sustainable development agenda. …

  6. 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. …

  7. 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. …

  8. 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. …

  9. Preventing sexual violence and HIV in children

    BACKGROUND: Evidence linking violence against women and HIV has grown, including on the cycle of violence and the links between violence against children and women. To create an effective response to the HIV epidemic, it is key to prevent sexual violence against children and intimate partner violence (IPV) against adolescent girls. …

  10. 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.

  11. Human capital consequences of teenage childbearing in South Africa

    Women in South Africa have had fewer children on average since the 1970s, but the rate of teenage childbearing in South Africa has remained the same. Large numbers of young mothers are a cause for social concern in South Africa and other countries because of the adverse impact of teenage childbearing on the education and health of teen mothers and their children. …

  12. Using participatory research and action to address the HIV-related vulnerabilities of adolescent girls in Tanzania

    Globally, girls and young women are more likely to be HIV positive than their male peers, due in large part to an array of gender inequalities that negatively impact their mental and physical well being. Protecting girls from this multi-dimensional risk requires first understanding how the girls experience vulnerability in their daily lives and developing solutions that are actionable within the community context. …

  13. Targeting HIV interventions for adolescent girls and young women in Southern Africa: use of the PLACE methodology in Hwange district, Zimbabwe

    This paper addresses the issue of how to target interventions to girls 15+19 and young women 20-24 in a resource poor setting of Hwange District, Zimbabwe. The Priorities for Local AIDS Control efforts methodology was used to understand where these young people socialize and also to understand whether age disparate relationships were a common occurrence. Findings indicated prevention efforts for those 15-19 would need to focus on 'everyday' sites as these are the places where the majority of girls socialized. …

  14. The HIV/AIDS challenge in Mozambique: who is most at risk and how we can get more information to them

    HIV/AIDS is a major threat to the well-being of Mozambicans, not to mention to the country's economic and social development. Mozambique has one of the highest prevalence rates of HIV in the world. Close to 13 percent of the adult population between 15 and 49 is infected. Women, youth and young adults are most at risk. Analysis from AudienceScapes suggests that radio has the most potential for reaching women, youth and young adults. …

  15. Sexual risk among orphaned adolescents: is country-level HIV prevalence an important factor?

    Previous studies from sub-Saharan Africa have found that orphans experience increased sexual risk compared to non-orphans. This article developed a theoretical framework for the investigation of determinants of HIV risk and used it to generate specific hypotheses regarding the effect of country-level HIV prevalence on the sexual risk experience of orphans. It expected that countries with high HIV prevalence would experience a higher prevalence of orphanhood. …

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