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UNESCO HIV and Health Education Clearinghouse

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  1. Change the context not the girls: improving efforts to reduce teenage pregnancy in Sierra Leone

    Concerns about significant increases in Sierra Leone’s already high rates of teenage pregnancy during the Ebola crisis have led to redoubled efforts among policy-makers and development practitioners to address this problem. The startling health and education impacts on teenage girls -twice as many mothers aged 15-19 die in childbirth compared to those over 20 while teen pregnancy is one of the leading causes of school dropouts - underline the importance of these efforts. …

  2. A farewell to abstinence and fidelity? Comment

    Sex has regularly proven to be a polarising issue for the UN Member States, and the 2016 High-Level Meeting on Ending AIDS on June 8–10 was no exception. The Political Declaration adopted at the meeting addresses the sexual health needs of young people (15–24 years), including adolescents (11–19 years). 2000 new HIV infections occur among young people every day. HIV is the leading cause of death among adolescents in Africa, and the second-highest cause of death worldwide in this age group. …

  3. Mediation analysis of an adolescent HIV/STI/pregnancy prevention intervention

    Most interventions designed to prevent HIV/STI/pregnancy risk behaviours in young people have multiple components based on psychosocial theories (e.g. social cognitive theory) dictating sets of mediating variables to influence to achieve desired changes in behaviours. Mediation analysis is a method for investigating the extent to which a variable X (e.g. intervention indicator) influences an outcome variable Y (e.g. unprotected sex) by first influencing an intermediate variable M (e.g. …

  4. Risk information, risk salience, and adolescent sexual behavior: experimental evidence from Cameroon

    Results from a randomized experiment conducted with teenage schoolgirls in Cameroon suggest that HIV prevention interventions can be effective at reducing the incidence of teen pregnancy in the following 9-12 months by over 25 percent.

  5. Feasibility trial of a film-based educational intervention for increasing boys’ and girls’ intentions to avoid teenage pregnancy: Study protocol

    The World Health Organisation, amongst others, recognises that adolescent men have a vital yet neglected role in reducing teenage pregnancies and that there is a pressing need for educational interventions designed especially for them. This study seeks to fill this gap by determining the feasibility of conducting an effectiveness trial of the If I Were Jack intervention in post-primary schools. This 4-week intervention aims to increase teenagers’ intentions to avoid unintended pregnancy and addresses gender inequalities in sex education by explicitly focusing on young men. …

  6. West African youth initiative: Outcome of a reproductive health education program

    Purpose: To describe the implementation and evaluation of an adolescent reproductive health peer education program in West Africa. The program, known as the West African Youth Initiative (WAYI), was developed to improve knowledge of sexuality and reproductive health, and promote safer sex behaviors and contraceptive use among sexually active adolescents in Nigeria and Ghana. …

  7. Because I am a girl. Progress and obstacles to girls' education in Africa. Africa report 2012

    This report presents the difficulties faced by girls, their families, communities and teachers across Africa, and how their experience of education is impacted and influenced by policies, cultural practices and traditional values.

  8. The impact of sex education on the sexual behaviour of young people

    This paper focuses on a review of studies assessing the effectiveness of sex education programmes in reducing risky sexual behaviour among adolescents and young people. The paper concludes that sex education programmes that are based on a comprehensive curriculum can delay the onset of sexual activity among adolescents and young people, reduce the frequency of intercourse, reduce the frequency of unprotected sex, reduce the number of sexual partners, and increase condom and contraceptive use. …

  9. Adolescências: Juventude e Participação

    O propósito da série Adolescentes e Jovens para a Educação entre Pares, do Projeto Saúdeáe Prevenção nas Escolas (SPE), propósito não é ser apenas mais um conjunto de fascículos, e sim trazer provocações e aprofundar o conhecimento que os(as) adolescentes e jovens têm a respeito de temas presentes em toda a sociedade, e que, muitas vezes, são tratados de maneira equivocada ou com preconceitos. Ao mesmo tempo, deseja orientar o trabalho por meio de oficinas, debates e leituras. Pretende, também, provocar reflexões e instigar o diálogo sobre as temáticas do SPE dentro das escolas brasileiras. …

  10. The Questions Adolescents Ask Most Frequently About Healthy Relationships and Their Answers. Vol. 5

    The GTZ supported Reproductive Health Project of Tanzania developed youth-friendly education materials, with basic facts about human physiology and reproduction, sexuality, prevention of unwanted pregnancies and HIV/STIs, as well as about partnership and communication between partners. Based on the most frequently asked questions adolescents had on a range of sexual and reproductive health issues, a multidisciplinary team of specialists together with young people de-veloped six "question-and-answer" booklets. …

  11. Guidelines for comprehensive sexuality education in Nigeria

    These guidelines present a comprehensive approach to sexuality education, encompassing the key components of a broad definition of sexuality including: sexual development, reproductive health, interpersonal relationships, affection, intimacy, body image and gender roles. The guidelines answer basic questions that educators, policymakers and others need to address when they design or evaluate a comprehensive approach to sexuality education. They provide a framework for developing sexuality education curricula, textbooks and programmes, as well as for evaluating existing programmes. …

  12. Rethinking how to prevent HIV in young people: evidence from two large randomised controlled trials in Tanzania and Zimbabwe

    The MEMA kwa Vijana (Tanzania) and Regai Dzive Shiri (Zimbabwe) adolescent sexual and reproductive health intervention trials focused on developing skills and changing attitudes and self-efficacy to change behaviours. The trials show a clear gap between young people's knowledge, and their reported attitudes and behaviour. …

  13. Building better health: a handbook for behavioral change

    The handbook, meant for health workers, community health promoters, nurses and family physicians as well as social workers and teachers, provides step-by-step instruction in behavioural change techniques to use at the society, community, family, and individual levels to promote health and prevent disease. …

  14. Impact of sex and HIV education programs on sexual behaviors of youth in developing and developed countries

    Sex and HIV education programs that are based on a written curriculum and that are implemented among groups of youth in school, clinic, or community settings are a promising type of intervention to reduce adolescent sexual risk behaviors. This paper summarizes a review of 83 evaluations of such programs in developing and developed countries. The programs typically focused on pregnancy or HIV/STI prevention behaviors, not on broader issues of sexuality such as developmental stages, gender roles, or romantic relationships. …

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