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UNESCO HIV and Health Education Clearinghouse

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  1. Understanding child marriage: insights from comparative research

    This is the first policy brief produced by the Young Marriage and Parenthood Study (YMAPS), looking at research findings from Young Lives (Ethiopia, Peru, Vietnam and the Indian states of Andhra Pradesh and Telangana) and Child Frontiers (Zambia).

  2. Implementation of sexuality education in middle schools in China

    China boasts one of the largest adolescent populations in the world, with 165 million in total (United Nations, 2017). In recent decades, Chinese adolescents have reached sexual maturity at increasingly early ages, and more and more young people in China are open to premarital sex while at the same time they generally lack sexual and reproductive health knowledge and awareness of safe sex. …

  3. Marital and fertility decision-making. The lived experiences of adolescents and young married couples in Andhra Pradesh and Telangana, India

    This report presents findings from a qualitative sub-study exploring adolescent girls and young couples’ experiences of marital and fertility decision-making in two southern Indian states (Andhra Pradesh and Telangana). Andhra Pradesh and Telangana are among the top states reporting high adolescent fertility: 12 and 11 per cent of young women age 15-19 in Andhra Pradesh and Telangana, respectively, were already mothers or pregnant when surveyed in 2015/16. …

  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. Menstrual hygiene management among Bangladeshi adolescent schoolgirls and risk factors affecting school absence: results from a cross-sectional survey

    Background: Many adolescent girls in low-income and middle-income countries lack appropriate facilities and support in school to manage menstruation. Little research has been conducted on how menstruation affects school absence. This study examines the association of menstrual hygiene management knowledge, facilities and practice with absence from school during menstruation among Bangladeshi schoolgirls. Methods: We conducted a nationally representative, cross-sectional study in Bangladeshi schools from March to June 2013 among girls 11 to 17 years old who reached menarche. …

  6. Fostering adolescent girl leaders

    At the heart of the Samata intervention is the development of a cadre of adolescent girl leaders who will sustain changes in favour of girls’ education and gender equality in their villages. The programme mentors girls to become confident and vocal young feminists, active in their communities and schools. Samata aims to equip them with the knowledge and skills to effectively negotiate a space that is hostile to women. Overall, the Samata programme has reached 3,600 girls across 69 villages in 2 districts of Bagalkot and Bijapur in northern Karnataka.

  7. Mentoring adolescent boys to reduce gender-based violence

    According to the theory of change that underlies the Samata programme, one important factor in keeping girls in school is to reduce gender-based violence by their male peers. This brief explains how Samata works with adolescent boys.

  8. Adolescent friendly health corners (AFHCS) in selected government health facilities in Bangladesh: an early qualitative assessment. Research report

    With high rates of early marriage, especially among girls, a significant proportion of adolescents in Bangladesh need sexual and reproductive health services (SRH), including contraceptive information and services. Married women, including married adolescents, currently have access to these services through public sector. Unmarried adolescents do not have access to SRH information and services through public sector facilities. …

  9. 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. …

  10. Situation analysis of adolescent pregnancy in Thailand. Synthesis report 2015

    This situation analysis documents current trends in adolescent pregnancy/parenthood; summarizes key laws and policies impacting adolescent pregnancy in Thailand; identifies key drivers of vulnerability to inform prevention and care seeking efforts; maps potential partners; and identifies best practices (e.g., pregnancy prevention, interventions, and linkages to care and services) and entry points for a cross-sectoral approach. The findings of this study are intended for staff of the United Nations Children’s Fund, partner organizations, United Nations agencies and policymakers.

  11. 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? …

  12. 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.

  13. 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. …

  14. Menstruation and education in Nepal

    This paper presents the results from a randomized evaluation that distributed menstrual cups (menstrual sanitary products) to adolescent girls in rural Nepal. Girls in the study were randomly allocated a menstrual cup for use during their monthly period and were followed for fifteen months to measure the effects of having modern sanitary products on schooling. While girls were 3 percentage points less likely to attend school on days of their period, the researchers find no significant effect of being allocated a menstrual cup on school attendance. …

  15. Aahung – empowering adolescents in Pakistan through life skills-based education

    Aahung, a Karachi-based sexual and reproductive health non-profit organization, has developed a life skills-based education (LSBE) program for school-going adolescent girls and boys. This intervention provides young people with skills and knowledge related to adolescent reproductive health, such as accurate information about puberty and related changes, marital rights, peer pressure, sexual harassment and body protection, gender inequities, early marriage, nutrition, self-confidence, decision-making, and communication skills. …

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