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UNESCO HIV and Health Education Clearinghouse

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  1. Evidence-based practice in school substance use prevention: fidelity of implementation under real-world conditions

    Fidelity of program implementation under real-world conditions is a critical issue in the dissemination of evidence-based school substance use prevention curricula. Program effects are diminished when programs are implemented with poor fidelity. The authors assessed five domains of fidelity—adherence, exposure (dosage), quality of delivery, participant responsiveness and program differentiation (lack of contamination from other programs)—in a subset of respondents (N = 342) from a national random sample of public schools with middle school grades (N = 1721). …

  2. Effectiveness of brief school-based interventions for adolescents: a meta-analysis of alcohol use prevention programs

    To conduct a meta-analysis summarizing the effectiveness of school-based brief alcohol interventions (BAIs) among adolescents and to examine possible iatrogenic effects due to deviancy training in group-delivered interventions, a systematic search for eligible studies was undertaken, current through December 31, 2012. Studies were eligible for inclusion if they used an experimental/quasi-experimental design; focused on school-based BAIs; enrolled adolescent participants; and reported an alcohol-related outcome measure. …

  3. 2015 ESPAD report. Results from the European School Survey Project on Alcohol and Other Drugs

    This report presents the results of the sixth data-collection wave of the European School Survey Project on Alcohol and Other Drugs (ESPAD) and marks the 20th anniversary of ESPAD data collection (1995-2015). It is based on information provided by 96 043 students from 35 European countries, 24 of them being Member States of the European Union. About 600 000 students have participated in the successive ESPAD data-collection waves, making the project the most extensive, harmonised data collection on substance use in Europe.

  4. Situation analysis of adolescent sexual and reproductive health and HIV in the Caribbean. Executive summary

    This Caribbean adolescent sexual and reproductive health (ASRH) situational analysis is informed and structured by two conceptual frameworks: the Mapping Adolescent Programming and Measurement (MAPM) framework and the Ecological Framework for Health. The MAPM framework complements the logical framework and other tools for designing, monitoring and evaluating programs. It begins by defining the outcomes that are subject to change. For the purposes of this analysis the ASRH outcomes analyzed are HIV, sexually transmitted infections (STIs), adolescent pregnancies and abortions. …

  5. Drug use and alcohol consumption among secondary school learners in Gauteng

    This research report focuses on the extent and impact of substance use and abuse among high school learners in Gauteng. The research results presented in this report were collected from randomly selected secondary schools in Gauteng, where 4,346 learners completed self-administered paper-based questionnaires during school time, in the presence of teachers and trained Youth Research Unit staff members. The research findings show that drug and alcohol abuse among young people is a reality with concerning consequences. …

  6. An inventory of alcohol-related questions in the demographic and health surveys and an analysis of alcohol use and unsafe sex in Sub-Saharan Africa

    This report provides an overview of Demographic and Health Surveys (DHS) survey questions related to alcohol consumption and an analysis of outcomes from these questions in DHS surveys. It first examines the questions on alcohol use and the response categories in all surveys that included questions about ever, typical, or current alcohol consumption. The inventory found that alcohol questions were included in 65 surveys in 42 developing countries between 1987 and 2014, and 19 different questions related to alcohol consumption were identified. …

  7. The 2011 ESPAD report. Substance use among students in 36 European countries

    The main purpose of the European School Survey Project on Alcohol and Other Drugs (ESPAD) is to collect comparable data on substance use among 15–16-year-old European students in order to monitor trends within as well as between countries. So far, five data-collection waves have been conducted in the framework of the project. The first study was carried out in 26 countries in 1995, while data collection in 2011 was performed in 37 countries. …

  8. Drug prevention programmes in schools: what is the evidence?

    Key messages: Universal drug education programmes in schools have been shown to have an impact on the most common substances used by young people: alcohol, tobacco and cannabis. The approaches which appear to be most effective are those based on social influences and life skills, for example Life Skills Training and Unplugged. Interventions which are not drug-specific but focus on children and young people’s attachment to school can also be effective in reducing substance misuse. The Good Behaviour Game is one example of these. …

  9. Drug education: an entitlement for all a report to government by the advisory group on drug and alcohol education

    Drug And Alcohol Advisory Group – Key Recommendations - Increase parents’ and carers’ knowledge and skills about drug and alcohol education and prevention enabling them to better inform and protect their children; - Improve the quality of drug and alcohol education by making PSHE a statutory subject – to enable schools and colleges to promote well-being effectively, and to improve the quality of training for PSHE teachers; and - Improve identification and support for young people vulnerable to drug misuse in schools, colleges and non-formal settings.

  10. Substance abuse among public secondary school students: prevalence, strategies and challenges for public secondary school managers in Kenya: a case study of Kisumu East sub county

    Substance abuse among public secondary school students is reality that is spreading at an alarming rate. If not checked, it could destroy the youth who are in their formative stage in life. Its outcomes include school dropouts, injuries, loss of lives, destruction of properties, moral decadence, misallocation of resources, indiscipline and compromised academic standards. According to the findings of a study conducted in 2005 on substance abuse in five major cities in Kenya, Kisumu and Nakuru lead the rest of the major cities and towns in the country in the prevalence of substance abuse. …

  11. School-based drug abuse prevention: promising and successful programs

    This document is organized in three chapters. The first presents the risk and protective factors for drug use, the second provides elements of good practice for drug prevention, and the third insists on successful school-based drug prevention programs that target those most at-risk and contribute to reduce drug-related crime. An extensive list of references is available at the end of the publication.

  12. Efficacy of an American alcohol and hiv prevention curriculum adapted for use in South Africa: results of a pilot study in five township schools

    The high prevalence of HIV among young people in African countries underscores a pressing need for effective prevention interventions. Adapting school–based prevention programs developed in the United States for use in African schools may present an alternative to the time–consuming process of developing home–grown programs. The researchers report the results of a pretest–posttest field trial of an alcohol/ HIV prevention curriculum adapted from an American model and delivered to ninth-grade students in five South African township schools. …

  13. Survey on substance use, risk behaviour and mental health among grade 8-10 learners in Western Cape provincial schools, 2011

    In 2010/2011 the Provincial Government of the Western Cape (PGWC) in partnership with the United Nations Office on Drugs and Crime (UNODC) Southern Africa tasked the Alcohol and Drug Abuse Research Unit at the South African Medical Research Council with conducting a survey in order to determine the regional prevalence of drug and alcohol use, risk behaviours and mental health problems among school learners in grades 8-10. More specifically, the objectives of the study were: 1. …

  14. Sexual coercion among in-school adolescents in Rwanda: prevalence and correlates of victimization and normative acceptance

    Adolescents are particularly vulnerable to sexual coercion, as victim as well as perpetrator. This paper aims to adapt sexual and reproductive health interventions to the reality of young people’s sexuality and relationships. This study assesses the prevalence of forced sex, characteristics of victims and norms regarding sexual coercion among Rwandan adolescents. A survey was completed by 285 senior secondary school students and four focus groups were conducted. Of sexually active respondents, 15.5% reported forced sexual intercourse. …

  15. A situation-response analysis of the education sector response to HIV, drugs and sexual health in Malaysia

    This review aims to describe and analyse the situation regarding the status and scope of the education sector response to HIV, drugs and sexual health. The information collected and reported is intended to provide an overall picture of the education section response to these issues in Malaysia and inform how this can be further strengthened. The results of the study will support strengthened coordination, implementation and scaling-up of education programmes. …

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