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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. 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. …

  3. 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. …

  4. 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. …

  5. Gaps in global monitoring and evaluation of adolescent and youth reproductive health

    Adolescents and youth are a key population for reproductive health (RH) interventions, because young people suffer disproportionately from negative RH outcomes, including acquisition of HIV and other sexually transmitted infections; unintended, unwanted, or mistimed pregnancy; unsafe abortion; and gender-based violence. Effective monitoring and evaluation (M&E) of RH interventions designed for adolescents and youth is essential to determine their success and impact and show where improvement is needed. …

  6. 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). …

  7. 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.

  8. 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. …

  9. 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. …

  10. 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. …

  11. Proposing a conceptual framework to address social norms that influence adolescent sexual and reproductive health

    With 1.8 billion young people aged 10-24 years in the world today, the cohort of adolescents and youth is the largest in history. Concurrently, millions of adolescents are confronting sexual and reproductive health (SRH) challenges, including high rates of unmet need for contraception, unintended pregnancy, and clandestine and unsafe abortion. Social norms or shared understandings of how oneself and others should behave can alleviate or exacerbate these challenges. …

  12. 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. …

  13. All in, in Eastern and Southern Africa: catalysing the HIV response for adolescents

    The report demonstrates progress made on adolescent HIV programming in the Eastern and Southern African Region (ESAR) in a few short years. Qualitative in approach, the report explores how the impact of HIV on adolescents and young people was given visibility and focus as a result of the All In to end adolescent AIDS (All In) country assessments, which systematically reviewed and analyzed data, programmes and strategies currently responding to adolescent HIV.

  14. Beyond barriers: Recommendations for adolescent sexual and reproductive health policies and programs in Belize, Guatemala, and Honduras

    Beyond Barriers explores the adolescent sexual and reproductive health context in three Central American countries: Belize, Guatemala, and Honduras. The publication provides case studies of our work in each country, synthesizes the latest research regarding the barriers to providing young people with sexual and reproductive health information and services, and makes recommendations for addressing the barriers. …

  15. 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. …

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