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UNESCO HIV and Health Education Clearinghouse

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  1. Facing the challenge of adolescent pregnancy in Zimbabwe

    This booklet presents the current status of adolescent pregnancy in Zimbabwe; explains the drivers and psycho-social, economic, development and health costs of adolescent pregnancy; offers recommendations for addressing adolescent pregnancy and leveraging demographic dividend in promoting socio-economic growth.

  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. Child marriage: a mapping of programmes and partners in twelve countries in East and Southern Africa

    This report presents the results of a mapping of programmes and partnerships that seek to prevent and mitigate the effects of child marriage in East and Southern Africa. The mapping focused on 12 countries in the region where the prevalence of child marriage is greater than 30 per cent: Comoros, Democratic Republic of the Congo, Eritrea, Ethiopia, Madagascar, Malawi, Mozambique, South Sudan, United Republic of Tanzania, Uganda, Zambia and Zimbabwe. …

  4. CSE scale-up in practice. Case studies from Eastern and Southern Africa

    The report documents the process of scaling up comprehensive sexuality education and the status of sexuality education in East and Southern Africa.

  5. Experimental evaluation of school-based HIV programs in sub-Saharan Africa

    School-based adolescent health education programs represent a durable strategy in reducing the spread of HIV because they can leverage pre-existing social and organizational structures to reach large fractions of students at critical life stages. Many evaluations of school-based HIV programs draw on multilevel study designs that assign schools to treatment conditions or assign students to treatment conditions within blocks defined by school membership. …

  6. Let’s step up and deliver!

    This call for action was formulated by the Ministers of Education, Health, Gender, and Youth and senior government officials, gathered in Durban, South Africa, on 18 July 2016 for the Eastern and Southern Africa (ESA) Ministerial Commitment Progress Meeting in order to commit themselves to step up efforts to ensure adolescents’ and young people’s access to good quality CSE and youth-friendly SRH services in the ESA region, and to work in partnership with young people, parents, civil society, and community and religious leaders to achieve the goals set out in the 2013 ESA Commitment.

  7. 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. …

  8. 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. …

  9. Addressing cross-generational sex: A desk review of research and programs

    Current interest in cross-generational sex is largely due to the feminization of the HIV and AIDS epidemic. Young women 15-24 years of age in sub-Saharan Africa are three times more likely to be infected with HIV than young men of the same age, four times more likely in Zambia, and a staggering five times more likely in Zimbabwe. But, in fact, ministries of education and others have had curricula and materials addressing the “sugar daddy” phenomenon for many years. …

  10. Teenage, married and out of school. Effects of early marriage and childbirth on school dropout

    In this paper, we tackle the question of causality between early marriage and school dropout, using data from the Demographic and Health Surveys (DHS) from nine Southern and Eastern African countries. By comparing school participation patterns of girls who were married before or during the school year in question to those were never married, we are able to establish a sequence of events and therefore, a more solid foundation for treating marriage as a cause of school dropout. In short, the first research question for this paper is as follows: Research Question 1. …

  11. Growing up at school. A guide to menstrual management for school girls

    This booklet has been written to help school girls manage the critical period when they enter adolescence between the ages of 10 and 14. Adolescence is the time during which boys and girls grow from childhood into adulthood and changes take place in their bodies. During this period, known as puberty, menstruation starts in girls.

  12. Mapping HIV services and policies for adolescents: A survey of ten countries in sub-Saharan Africa

    PEPFAR and USAID, in collaboration with UNICEF, supported AIDSTAR-One in conducting a mapping activity to identify HIV policies and services for adolescents in 10 sub-Saharan African countries: Kenya, Lesotho, Malawi, Mozambique, South Africa, Swaziland, Tanzania, Uganda, Zambia, and Zimbabwe. This technical report summarizes AIDSTAR-One’s findings and is a resource for program planners and policymakers working to improve services and policies for HIV prevention, care, and treatment among adolescents and ALHIV in sub-Saharan Africa. …

  13. Status report adolescents and young people in sub-Saharan Africa: Opportunities and challenges

    Nearly half of the world's population, some 3 billion people, is under the age of 25. As the largest generation ever of young people, investments in their health and well-being are crucial so they can make a positive transition into adulthood and fully contribute to the economic and social development of their families, communities and nations. But in order to develop strategies and mobilize financial resources to support adolescent and youth development, decisionmakers need reliable, up-to-date demographic, health, education and socioeconomic data about young people. …

  14. SADC regional assessment report of policies and programmes on child and adolescent HIV, TB and malaria

    The SADC Protocol on Health stipulates that Member States should cooperate in dealing with health issues in a harmonised manner as an essential ingredient for the effective control of communicable diseases in the region notably, HIV, TB and Malaria. As part of the response, key strategic frameworks to guide action in the control of these three diseases have been developed by SADC but these mostly address the adult population. In this context, the SADC Secretariat is mandated to develop The SADC Minimum Standards for Child and Adolescent HIV, TB and Malaria Continuum of Care. …

  15. HIV infection and sexual risk behaviour among youth who have experienced orphanhood: systematic review and meta-analysis

    Background: Previous research has suggested that orphaned children and adolescents might have elevated risk for HIV infection. We examined the state of evidence regarding the association between orphan status and HIV risk in studies of youth aged 24 years and younger. Methods: Using systematic review methodology, we identified 10 studies reporting data from 12 countries comparing orphaned and non-orphaned youth on HIV-related risk indicators, including HIV serostatus, other sexually transmitted infections, pregnancy and sexual behaviours. …

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