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UNESCO HIV and Health Education Clearinghouse

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  1. Parents’ and teachers’ views on sexual health education and screening for sexually transmitted infections among in-school adolescent girls in Kenya: a qualitative study

    Background: To successfully develop and implement school-based sexual health interventions for adolescent girls, such as screening for Chlamydia trachomatis, Neisseria gonorrhoeae, and Trichomonas vaginalis, it is important to understand parents’ and teachers’ attitudes towards sexual health education and acceptability of sexually transmitted infection (STI) screening interventions. Methods: In this qualitative study, we approached parents and teachers from three high schools to participate in in-depth interviews (IDIs) and focus-group discussions (FGDs). …

  2. Investigating risky sexual behaviours among youth in the context of the HIV epidemic in Mbeya region, Tanzania

    Mitigating HIV and AIDS among youth has been a major policy agenda both internationally and nationally, within Tanzania. Two concerns associated with mitigation efforts are increasing sexual activity at young ages and a burgeoning population of out-of-school youth whom poverty, lack of supervision, and unemployment seem to push into alternative life patterns that present risks to their health. This situation poses a serious challenge for Tanzania, where half the population is categorised as young.

  3. Increasing investments in the sexual and reproductive health and wellbeing of adolescents and young people in Ghana

    Young people in every society constitute both the current and potential human capital of a nation’s development. In order to ensure that young people have a fulfilling sexual and reproductive life, appropriate investments must be made in their health and socio-economic well-being.

  4. Mainstreaming youth-friendly sexual and reproductive health services in the public sector in Mozambique and Tanzania

    Young people have the right to live healthy sexual and reproductive lives. Yet, adolescents and youth (those between the ages of 10 and 24) often face social, cultural, economic, and structural barriers to accessing sexual and reproductive health information and services at a time when they need these services the most, making them vulnerable to poor health outcomes. Emerging global guidance suggests that, to reach youth in a sustainable and scalable way, youth-friendly services must be mainstreamed in the community and health systems. …

  5. Learners’ perspectives on the provision of condoms in South African public schools

    A stubborn health challenge for learners in South African public schools concerns sexual and reproductive health and rights (SRHR). In 2015, the Department of Basic Education (DBE) proposed the provision of condoms and SRHR-services to learners in schools. This study aimed to contribute to the finalisation and implementation of DBE’s policy by exploring learners’ perspectives on the provision of condoms and SRHR-services in schools. …

  6. The demographic dividend in Africa relies on investments in the reproductive health and rights of adolescents and youth: policy brief

    A demographic dividend can occur during a window of opportunity created by reductions in child mortality and a demographic shift to fewer dependent people relative to working-age individuals. The full realization of the sexual and reproductive health and rights (SRHR) of adolescents and youth (ages 10 to 24) can facilitate gains in their health, well-being, and educational attainment. …

  7. The adolescent experience in-depth: using data to identify and reach the most vulnerable young people: Tanzania 2009-2012

    This report presents a secondary data analysis and triangulation of the Tanzania Demographic and Health Survey (DHS) 2010, the Tanzania HIV and Malaria Indicator Survey (THMIS) 2011-12, and the Violence Against Children in Tanzania Survey (VACS) 2009. Its objectives are to analyse approximately 40 key indicators related to knowledge, attitudes, behaviours and outcomes (e.g. …

  8. Adolescent and youth sexual and reproductive health-evidence-based interventions in Kenya

    In 2011, the Division of Reproductive Health (DRH) in collaboration with FHI 360 undertook a review of adolescent and youth reproductive health programs in the country that included a desk review, mapping of youth serving organizations (YSOs), and interviews with stakeholders from the YSOs and development partners. …

  9. How reliable are reports of early adolescent reproductive and sexual health events in demographic and health surveys?

    CONTEXT: Age at sexual debut, age at first marriage or first union and age at first birth are among the most widely used indicators of health and well-being for female adolescents. However, the accuracy of estimates for these indicators, particularly for younger adolescents, is poorly understood. METHODS: For each of nine countries in Africa and Latin America, Demographic and Health Survey (DHS) data from two surveys conducted five years apart were used to examine women’s reports of age at sexual debut, marriage or first union, and first birth. …

  10. Making the case for investing in adolescent reproductive health: a review of evidence and PopPov research contributions

    Solid evidence on the links between preventing adolescent childbearing and alleviating poverty can motivate policymakers and donors to invest in reproductive health and family planning programs for youth. Research that documents the clear cause-and-effect relationship between program interventions and outcomes, such as better health and delayed childbearing among teens, can guide decisions about investments in research or programs. …

  11. Sexual and reproductive health and rights for the next decades: What's been achieved? What lies ahead?

    This Global Public Health Special Issue ‘SRHR for the next decades: What's been achieved? What lies ahead?’ assesses progress 20 years after the 1994 International Conference on Population and Development (ICPD), which established the sexual and reproductive health and rights framework for population and health policy (United Nations [UN], 1995). …

  12. The shrinking world of girls at puberty: violence and gender-divergent access to the public sphere among adolescents in South Africa

    Participatory mapping was undertaken with single-sex groups of grade 5 and grade 8–9 children in KwaZulu-Natal. Relative to grade 5 students, wide gender divergence in access to the public sphere was found at grade 8–9. With puberty, girls' worlds shrink, while boys' expand. At grade 5, female-defined community areas were equal or larger in size than those of males. Community area mapped by urban grade 8–9 girls, however, was only one-third that of male classmates and two-fifths that of grade 5 girls. Conversely, community area mapped by grade 8–9 boys was twice that of grade 5 boys. …

  13. Sexual and reproductive health rights and information and communications technologies: A policy review and case study from South Africa

    This report examines the linkages between policies on, and implementation of, sexual and reproductive health rights (SRHR) and ICT in rural and peri-urban spaces in South Africa. South Africa is renowned for its legal provisions addressing SRHR yet also experiences barriers to adolescent sexual health. SRHR programming is politically complex and often ambivalent; as a result less contentious aspects which emphasise maternal health get prioritised. …

  14. Strengthening the protection of sexual and reproductive health and rights in the African region through human rights

    Strengthening the protection of sexual and reproductive health and rights in the African region through human rights uses rights-based frameworks to address some of the serious sexual and reproductive health challenges that the African region is currently facing. More importantly, the book provides insightful human rights approaches on how these challenges can be overcome. The book is the first of its kind. …

  15. Behavioral determinants of urban youth sexual and reproductive health. A secondary analysis of DHS data for Benin and Madagascar

    Youth aged 15-24 represent a growing and heterogeneous proportion of the world’s population. Investing in young people’s health and wellbeing is critical to promoting growth and development, not only for individuals but also for communities and nations. The majority of today’s youth are living in urban areas.In an urban or city environment, opportunities for jobs, education, better housing and health care are often more widely available than in rural areas. But these benefits are usually unevenly distributed and urban poor have limited or no access to many urban amenities. …

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