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UNESCO HIV and Health Education Clearinghouse

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  1. Teenage pregnancy in Sierra Leone: priorities for a future research agenda

    This briefing paper summarises the state of current knowledge and programming on teenage pregnancy in Sierra Leone and identifies some key gaps. It goes on to propose a future research agenda on this issue that could be undertaken by SLRC and supported by Irish Aid under its new five-year strategy for Sierra Leone.

  2. Adaptation in practice: lessons from teenage pregnancy programmes in Sierra Leone

    Sierra Leone has one of the highest rates of teenage pregnancy in the world. Several recent research studies have generated evidence as to why. Drivers of this problem include lack of information, knowledge and skills among girls, their sexual partners and their families; weak institutions and services, such as health, education, social work and justice; poverty and girls’ limited access to assets; widespread sexual violence and exploitation, for which there is both social and legal impunity; and engrained social and gender norms that make girls vulnerable to early sex and pregnancy. …

  3. The impact of sex education mandates on teenage pregnancy: International evidence

    To date most studies of the impact of school-based sex education have focused either on specific, local interventions or experiences at a national level. In this paper, we use a new cross-country dataset to explore the extent to which laws on sex education affect teenage pregnancy rates in developed countries. We find some evidence that laws mandating sex education in schools are associated with higher rates of teenage fertility. Parental opt out laws may minimise adverse effects of sex education mandates for younger teens. …

  4. The effects of adolescent childbearing on literacy and numeracy in Bangladesh, Malawi, and Zambia

    Global investments in girls’ education have been motivated, in part, by an expectation that more-educated women will have smaller and healthier families. However, in many low- and middle-income countries, the timing of school dropout and first birth coincide, resulting in a rapid transition from the role of student to the role of mother for adolescent girls. Despite growing interest in the effects of pregnancy on levels of school dropout, researchers have largely overlooked the potential effect of adolescent childbearing on literacy and numeracy. …

  5. 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.

  6. 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).

  7. Reducing pregnancy among adolescents

    Across a range of programs, interventions that successfully changed the calculus of costs and benefits of unprotected sexual activity and childbirth delayed pregnancy among adolescents. Some programs directly altered costs and benefits while others shifted perceptions of them

  8. Case study for effective implementation of the integrated school health programme (ISHP): baseline study at Nzululwazi high school and surrounding community

    The Student Partnership Worldwide (SPW) South Africa Trust in partnership with the United Nations Population Fund (UNFPA) leads the Safe Guard Young People (SYP) Programme in three districts in the Eastern Cape. The goal of the SYP programme is to contribute towards the improvement of the Sexual Reproductive Health and Rights (SRHR) status of young people aged 10 – 24, with a special focus on HIV prevention. The Nzululwazi Senior Secondary School forms a special focus of this programme. …

  9. 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.

  10. Leave no girl behind in Africa: discrimination in education against pregnant girls and adolescent mothers

    This report provides information on the status of laws, policies, and practices that block or support pregnant or married girls’ access to education. It also provides recommendations for much-needed reforms.

  11. Interventions for preventing unintended pregnancies among adolescents (Review)

    Background: Unintended pregnancy among adolescents represents an important public health challenge in high-income countries, as well as middle and low-income countries. Numerous prevention strategies such as health education, skills-building and improving accessibility to contraceptives have been employed by countries across the world, in an effort to address this problem. However, there is uncertainty regarding the effects of these interventions, hence the need to review the evidence-base. …

  12. 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. …

  13. Education, HIV, and early fertility: experimental evidence from Kenya

    A seven-year randomized evaluation suggests education subsidies reduce adolescent girls’ dropout, pregnancy, and marriage but not sexually transmitted infection (STI). The government’s HIV curriculum, which stresses abstinence until marriage, does not reduce pregnancy or STI. Both programs combined reduce STI more, but cut dropout and pregnancy less, than education subsidies alone. …

  14. Early and unintended pregnancy and the education sector: evidence review and recommendations

    Based on a review of available evidence, UNESCO, in collaboration with partners, has developed recommendations to guide ministries of education (MoEs) around the world on actions that they can implement in order to prevent early and unintended pregnancy (EUP) and to ensure that pregnant and parenting girls can continue education in a safe and supportive school environment, free from violence, stigma and discrimination.

  15. Understanding teenage fertility, cohabitation, and marriage: the case of Peru

    This paper intends to contribute to the economic literature that investigates the origins of teenage pregnancy and early marriage/co habitation in Peru and to improve understanding of the risk factors of one important gender-related issue that has historically provoked asymmetric costs for boys and girls. …

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