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UNESCO HIV and Health Education Clearinghouse

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  1. Scaling-up normative change interventions for adolescent and youth reproductive health: an examination of the evidence

    Adolescent and youth reproductive health (AYRH) outcomes are influenced by factors beyond individual control. Increasingly, interventions are seeking to influence community-level normative change to support healthy AYRH behaviors. While evidence is growing of the effectiveness of AYRH interventions that include normative change components, understanding on how to achieve scale-up and wider impact of these programs remains limited. …

  2. Comprehensive sexuality education for out of school young people in East and Southern Africa

    The Regional Comprehensive Sexuality Education Resource Package for Out of School Young People was developed to age and developmentally relevant international standards as a comprehensive set of teaching and learning materials for flexible use in settings outside the formal classrooms of the education sector. Several countries of East and Southern Africa have adapted this regional set of materials for nationally endorsed implementation. …

  3. Picture that: supporting sexuality educators in narrowing the knowledge/practice gap

    Teaching about sex and relationships is one of the greatest challenges in not only the combating of HIV and AIDS, but also in preparing the youth for responsible sexual behaviour. Although it seems as if teachers to some extent do feel comfortable with the teaching of sexuality education at school, the question however remains as to whether youth get the information they require. In this article, I present drawings produced by teacher participants in order to investigate the beliefs that teachers hold regarding young people’s needs from sexuality education. …

  4. 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. …

  5. Improving life skills based education: Pakistan

    As everywhere in the world, adolescence is quite a challenging phase in the lives of young people in Pakistan. Girls and boys need support to not only understand all the emotional, social and physical changes they experience but also to help them transition into adulthood – safely and happily. Due to very strict and deeply felt societal and religious norms they are currently not getting this support, at home or at school. Sexuality is a taboo subject in most parts of Pakistani society. Even talking about bodily changes is con¬sidered ‘not done’. …

  6. Strengthening comprehensive sexuality education for young people in school settings in Zambia: a review and documentation of the scale-up process

    This report documents progress on implementation of a Swedish International Development Cooperation Agency (Sida)-funded UNESCO project that aims to strengthen sexuality education programmes for young people in school settings in Zambia. The project was conceptualized in line with the country’s thematic focus on broader economic and social development and is expected to reach all 9,000 government schools, 1,749,664 learners representing 100% of grades 5 to 12 learners, 40,000 in-service teachers, and 20,000 preservice teachers. …

  7. Adolescent sexual and reproductive health: an evidence gap map

    This report presents the findings of an evidence gap map that assesses the evidence available on the effects of adolescent sexual and reproductive health (ASRH) programming in low- and middle-income countries. It documents the methods used to create the map and examines evidence clusters and gaps identified in it. While there is considerable amount of impact evaluation evidence, it addresses only some of the priority questions within this broad topic. The greatest prevalence of evidence is on sexual health education and other instruction within and outside of the classroom. …

  8. Multi-stakeholder cooperation on sexual and reproductive health for young people: handbook of experiences and tools from a project in the Ohangwena Region in Namibia as an example for the implementation of the ESA commitment at a local level

    This handbook gives a detailed insight into the initiative in Ohangwena, which provides an example which can be expanded and improved upon in Namibia, and in the other 22 ESA countries.

  9. Is the sexual behaviour of young people in sub-Saharan Africa influenced by their peers? A systematic review

    Adolescents in sub-Saharan Africa are highly vulnerable to HIV, other sexually transmitted infections (STIs) and unintended pregnancies. Evidence for the effectiveness of individual behaviour change interventions in reducing incidence of HIV and other biological outcomes is limited, and the need to address the social conditions in which young people become sexually active is clear. Adolescents' peers are a key aspect of this social environment and could have important influences on sexual behaviour. There has not yet been a systematic review on the topic in sub-Saharan Africa. …

  10. What does not work in adolescent sexual and reproductive health: a review of evidence on interventions commonly accepted as best practices

    Youth centers, peer education, and one-off public meetings have generally been ineffective in facilitating young people's access to sexual and reproductive health (SRH) services, changing their behaviors, or influencing social norms around adolescent SRH. Approaches that have been found to be effective when well implemented, such as comprehensive sexuality education and youth-friendly services, have tended to flounder as they have considerable implementation requirements that are seldom met. …

  11. The status of HIV prevention, sexuality and reproductive health education: Fiji, Kiribati, Solomon Islands and Vanuatu

    The United Nations Children’s Fund (UNICEF) regional office for the Pacific in Fiji commissioned this review of education sector responses to Human Immunodeficiency Virus (HIV) in four Pacific countries: Fiji, Kiribati, the Solomon Islands and Vanuatu. In line with UNICEF’s mandate, the focus of the review was on the learners: young people aged 10-24. …

  12. 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.

  13. Development of behaviour change communication (BCC) strategies for preventing adolescent pregnancy. Final project report

    The Department of Health (DOH) embarked on a Project entitled Development of Behavior Change Communication (BCC) Strategy for Preventing Adolescent Pregnancy as part of its Adolescent and Youth Health and Development (AYHD) Program. The Project generally aims to contribute to the reduction of adolescent pregnancy through behavior change communication strategies. It specifically seeks to promote positive and responsible sexual behavior among adolescents to enable them to prevent early and unintended adolescent pregnancy and its concomitant consequences. …

  14. Eastern and Southern Africa commitment: One year in review - 2013-2014

    In December 2013, ministers of education and health from twenty ESA countries affirmed and endorsed their joint commitment to deliver comprehensive sexuality education (CSE) and sexual and reproductive health (SRH) services for young people. The ESA Commitment document was developed based on a Regional Report, “Young People Today: Time to Act Now” which reviewed the trends and status of sexual and reproductive health and HIV among adolescents and young people in the ESA Region including comprehensive sexuality education and service needs. …

  15. Rwandan young people's perceptions on sexuality and relationships: Results from a qualitative study using the ‘mailbox technique’

    This study aimed to gain more insight into young Rwandans' perceptions on sex and relationships, which is essential for formulating effective sexual and reproductive health (SRH) promotion interventions. Using a 'mailbox technique', this paper studies the spontaneous thoughts of Rwandan young people on sexuality. Mailboxes were installed in five secondary schools in the Bugesera district and students were invited to write about their ideas, secrets, wishes, desires and fears on sexuality and relationships. Of the 186 letters collected, 154 addressed SRH topics. …

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