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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. Do information technologies improve teenagers' sexual education? Evidence from a randomized evaluation in Colombia

    Across public junior high schools in 21 Colombian cities, we conducted a randomized evaluation of a mandatory six-month internet-based sexual education course. Six months after finishing the course, we find a 0.4 standard deviation improvement in knowledge, a 0.2 standard deviation improvement in attitudes, and a 55% increase in the likelihood of redeeming vouchers for condoms as a result of taking the course. …

  3. Rethinking sexual agency: proposing a multicomponent model based on young people’s life stories

    Sexual health policies explicitly aim to encourage young people to take responsibility for their sexuality to prevent adverse outcomes such as unintended pregnancies, STIs and sexual assault. In Europe and North America, ‘choice’ has become a central concept in sexual and reproductive health policy making. However, the concept of choice is not unproblematic, not least because the cultural emphasis on individual responsibility obscures structural limitations and inequalities, and mutual responsibility between partners. …

  4. The revised international technical guidance on sexuality education - a powerful tool at an important crossroads for sexuality education

    In January 2018, UNESCO, together with UNAIDS, UNFPA, UNICEF, UN Women, and the WHO, completed the substantial technical and political process of updating the International Technical Guidance on Sexuality Education, thereby unifying a UN position on rationale, evidence, and guidance on designing and delivering comprehensive sexuality education (CSE).

  5. Estrategia nacional de prevencion del embarazo en niñas y en adolescentes 2017-2027

    La Estrategia busca eliminar el embarazo en niñas y en adolescentes con intervenciones sectoriales articuladas, que incorporan el enfoque de derechos humanos, género e inclusión, facilitando el empoderamiento de niñas y adolescentes para su pleno desarrollo.

  6. Challenges to implementing national comprehensive sexuality education curricula in low- and middle-income countries: case studies of Ghana, Kenya, Peru and Guatemala

    School-based comprehensive sexuality education (CSE) can help adolescents achieve their full potential and realize their sexual and reproductive health and rights. This is particularly pressing in low- and middle-income countries (LMICs), where high rates of unintended pregnancy and STIs among adolescents can limit countries’ ability to capitalize on the demographic dividend. While many LMICs have developed CSE curricula, their full implementation is often hindered by challenges around program planning and roll-out at the national and local level. …

  7. Jamaica’s policy for the school reintegration of school-age mothers. How are we doing and where do we need to go?

    This paper examines the prevalence of teenage pregnancy in Jamaica, the girls most affected, and where and when they are most vulnerable. The paper also discusses the provisions for continuing education under the National Policy for the Reintegration of School-Age Mothers into the Formal School System. It assesses whether the policy is reaching the target group and its effectiveness in addressing access to secondary education for teen mothers.

  8. Accelerating progress toward the reduction of adolescent pregnancy in Latin America and the Caribbean: Report of a technical consultation

    This report summarizes the key discussions and recommendations emanating from the meeting, which can be used collectively as a “Call to Action” as well as a tool for regional stakeholders including national health, education, and social sector authorities and programs, regional partners, civil society, communities, parents, and young people, to intensify efforts, revise and update strategies, and scale up approaches that: 1) empower adolescent girls to prevent unplanned and unwanted pregnancies, 2) protect them from sexual violence, 3) improve their development opportunities, and 4) help them  …

  9. Desarrollo humano en República Dominicana: el embarazo en adolescentes: un desafío multidimensional para generar oportunidades en el ciclo de vida

    Teenage pregnancy in the Dominican Republic is a complex problem and of high concern to the national agenda. Available data indicate that 22% of women between 12-19 years have been pregnant. This rate is 34% higher than the average for Latin America and the Caribbean. Teenage pregnancy is concentrated in specific areas of the country – the southern provinces and central Cibao - as well as among poorer people. The fact that the indicator (adolescent fertility rate) has shown little variation in the last three decades makes the picture complex. …

  10. Menarche and its implications for educational policy in Peru

    Indigenous girls in rural areas live in the most extreme poverty and make up the least educated groups in Peru. These girls face numerous constraints to obtaining an education. Enrollment rates are lower for girls in rural areas, and their grade repetition rates are higher than those for boys. Adolescence is particularly difficult, as girls face a number of risks during this time. Once they begin menstruation, completing their primary school education is a formidable challenge, and opportunities for advancing to secondary school are limited. …

  11. 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. …

  12. Short-term effects of a rights-based sexuality education curriculum for high-school students: a cluster-randomized trial

    An emerging model for sexuality education is the rights-based approach, which unifies discussions of sexuality, gender norms, and sexual rights to promote the healthy sexual development of adolescents. A rigorous evaluation of a rights-based intervention for a broad population of adolescents in the U.S. has not previously been published. This paper evaluates the immediate effects of the Sexuality Education Initiative (SEI) on hypothesized psychosocial determinants of sexual behavior.

  13. 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. …

  14. WASH in schools empowers girls’ education: Proceedings of the 5th Annual Virtual Conference on Menstrual Hygiene Management in Schools

    Capturing girls’ voices: Channelling girls’ recommendations into global and national level action. Globally, there are around 600 million adolescent girls. Adolescence is a pivotal transitional period that requires special attention to ensure progress for all girls, especially the most vulnerable, and poses a unique opportunity to break intergenerational cycles of poverty and to transform gender roles. The onset of puberty and menstruation can pose an additional barrier to a girl’s personal freedom, and can signal entry into a different role in their family and wider society. …

  15. Sexuality education in technical and vocational institutions in Guyana: possibilities and challenges

    This paper reports on the results of an exploratory evaluation of a sexuality education program that was introduced in technical and vocational institutions in Guyana. The rationale for the program is outlined, along with the methodology employed in the evaluation of the program, including the analysis of data from document reviews, telephone and face-to-face interviews, and surveys of facilitators and students’ perceptions of the program. …

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