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UNESCO HIV and Health Education Clearinghouse

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  1. Teenage pregnancy in Sierra Leone: priorities for a future research agenda

    This briefing paper summarises the state of current knowledge and programming on teenage pregnancy in Sierra Leone and identifies some key gaps. It goes on to propose a future research agenda on this issue that could be undertaken by SLRC and supported by Irish Aid under its new five-year strategy for Sierra Leone.

  2. Adaptation in practice: lessons from teenage pregnancy programmes in Sierra Leone

    Sierra Leone has one of the highest rates of teenage pregnancy in the world. Several recent research studies have generated evidence as to why. Drivers of this problem include lack of information, knowledge and skills among girls, their sexual partners and their families; weak institutions and services, such as health, education, social work and justice; poverty and girls’ limited access to assets; widespread sexual violence and exploitation, for which there is both social and legal impunity; and engrained social and gender norms that make girls vulnerable to early sex and pregnancy. …

  3. Adaptation in practice: lessons from teenage pregnancy programmes in Sierra Leone

    This brief discusses initial learning emerging from the Adaptive approaches to reducing teenage pregnancy in Sierra Leone action research project. The project is accompanying three international NGOs - Concern, International Rescue Committee (IRC), and Save the Children - as they trial adaptive approaches to addressing teenage pregnancy in Sierra Leone. Key messages: 1) Partners under this action research project are trialling alternative approaches to preventing teenage pregnancy, focusing on social norms change. …

  4. The effects of adolescent childbearing on literacy and numeracy in Bangladesh, Malawi, and Zambia

    Global investments in girls’ education have been motivated, in part, by an expectation that more-educated women will have smaller and healthier families. However, in many low- and middle-income countries, the timing of school dropout and first birth coincide, resulting in a rapid transition from the role of student to the role of mother for adolescent girls. Despite growing interest in the effects of pregnancy on levels of school dropout, researchers have largely overlooked the potential effect of adolescent childbearing on literacy and numeracy. …

  5. Does schooling protect sexual health? The association between three measures of education and STIs among adolescents in Malawi

    While multiple studies have documented shifting educational gradients in HIV prevalence, less attention has been given to the effect of school participation and academic skills on infection during adolescence. …

  6. Bullying and school attendance: a case study of senior high school students in Ghana

    This paper focuses on senior high school students and the ways that bullying affects their school attendance. Selected items from the 2008 Ghana Global School-based Student Health Survey are analysed first to explore the relationships between the duration and type of bullying and school attendance. Second, the authors investigate whether having emotional problems, in addition to being bullied, incrementally affects the relationship between bullying and school attendance. Third, the authors explore the mitigating influence of peer friendships on these relationships. …

  7. Adolescent-friendly health services for adolescents living with HIV: from theory to practice; technical brief

    This technical brief will be useful to HIV programme managers in health ministries and other adolescent-related line ministries, especially those in low- and middle-income countries in sub-Saharan Africa, in implementing, monitoring and evaluating peer-based and adolescent-responsive and -friendly services for adolescents living with HIV. …

  8. Violence against adolescent girls: trends and lessons for East Africa

    This report seeks to explore the unique experience of adolescent girls by examining the types of gender-based violence affecting this group as well as drivers of this violence, within the frame of high levels of gender inequality in South Sudan. Data for this study was collected as part of the research program of the What Works to Prevent Violence Against Women and Girls (‘What Works’) Consortium funded by the government of the United Kingdom (UK)’s Department for International Development (DfID). …

  9. Violence against adolescent girls: trends and lessons for East Africa; policy brief

    This brief highlights research that examines the unique experience of adolescent girls by specifically exploring the types of gender-based violence and the drivers of this violence affecting this group within the context of South Sudan, where women and girls experience high levels of gender inequality and subordination. Key findings from this mixed-methods research can inform policymakers, UN agencies and donors as they identify and support programs that will effectively prevent and respond to violence against adolescent girls in conflict and humanitarian settings.

  10. Adolescent Girls Empowerment Programme (AGEP): endline results; executive summary

    The theory of change behind the Adolescent Girls Empowerment Program (AGEP) posited that adolescent girls are empowered by building social, health, and economic assets that they can then draw on to reduce vulnerabilities and expand opportunities. In the long term, they will then increase their likelihood of completing school, delaying sexual debut, and reducing risks of early marriages, unintended pregnancies, acquisition of HIV, and other possibly detrimental outcomes. …

  11. Adolescent Girls Empowerment Programme: endline technical report

    The theory of change behind the Adolescent Girls Empowerment Program (AGEP) posited that adolescent girls are empowered by building social, health, and economic assets that they can then draw on to reduce vulnerabilities and expand opportunities. In the long term, they will then increase their likelihood of completing school, delaying sexual debut, and reducing risks of early marriages, unintended pregnancies, acquisition of HIV, and other possibly detrimental outcomes. …

  12. Curriculum on adolescent-friendly health services and health voucher mechanisms: facilitator's training manual

    The Adolescent Girls Empowerment Program (AGEP) in rural and urban Zambia aims to build social, health, and economic assets of adolescent girls. A safe spaces component is at the core of AGEP. Girls groups, under the guidance of a female mentor from the same community, provide a safe and supportive learning environment. The meetings are critical in building social assets for vulnerable girls - including friendships, self-esteem, trusting relationships with adults, and social support. …

  13. 25 years after Cairo: accelerating Africa's promise; fast-tracking progress in achieving good sexual reproductive health and rights outcomes and achievement of Sustainable Development Goals

    This issue of the African Development Perspectives addresses sexual and reproductive health and rights (SRHR) in Africa, with the backdrop of the International Conference on Population and Development (ICPD) Programme of Action (PoA), signed by 179 governments twenty-five years ago, in 1994, in Cairo, Egypt, and the Nairobi Summit in November 2019, where delegates will converge to reaffirm the commitments to accelerate the promises made at the 1994 Conference. …

  14. Adolescent Girls Empowerment Program (AGEP): sexual and gender-based violence; brief, March 2018

    Acceptability and experience of sexual and gender-based violence is alarmingly high among adolescent girls in Zambia. Even more striking is the very young age from which notions of violence are ingrained and experience with violence begins. This brief summarizes the Adolescent Girls Empowerment Program (AGEP) evaluation which demonstrated that in the Zambian context, a program focused on changing norms among girls themselves is not enough to impact attitudes toward and experience of violence. …

  15. Nutrition education curriculum for the Adolescent Girls Empowerment Program (AGEP)

    The Adolescent Girls Empowerment Program (AGEP) in rural and urban Zambia aims to build social, health, and economic assets of adolescent girls. A safe spaces component is at the core of AGEP. Girls groups, under the guidance of a female mentor from the same community, provide a safe and supportive learning environment. The meetings are critical in building social assets for vulnerable girls - including friendships, self-esteem, trusting relationships with adults, and social support. …

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