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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. Effects of peer education intervention on HIV/AIDS related sexual behaviors of secondary school students in Addis Ababa, Ethiopia: a quasi-experimental study

    Background: Worldwide, about 50 % of all new cases of HIV occur in youth between age 15 and 24 years. Studies in various sub-Saharan African countries show that both out of school and in school adolescents and youth are engaged in risky sexual behaviors. School-based health education has been a cornerstone of youth-focused HIV prevention efforts since the early 1990s. In addition, peer-based interventions have become a common method to effect important health-related behavior changes and address the HIV/AIDS pandemic. …

  3. We want to learn about good love: findings from a qualitative study assessing the links between comprehensive sexuality education and violence against women and girls

    Comprehensive sexuality education (CSE) – including learning about relationships, gender and gender-based violence (GBV), sex, sexuality, and sexual and reproductive health and rights (SRHR) – can empower young people to make informed, autonomous decisions regarding their current and future relationships. CSE may also influence a positive shift in social norms which underpin violence against women and girls (VAWG), such as harmful notions of masculinity, and rigid gender roles and stereotypes – both in schools and the wider community. …

  4. What does not work in adolescent sexual and reproductive health: a review of evidence on interventions commonly accepted as best practices

    Youth centers, peer education, and one-off public meetings have generally been ineffective in facilitating young people's access to sexual and reproductive health (SRH) services, changing their behaviors, or influencing social norms around adolescent SRH. Approaches that have been found to be effective when well implemented, such as comprehensive sexuality education and youth-friendly services, have tended to flounder as they have considerable implementation requirements that are seldom met. …

  5. 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. …

  6. Cost analysis of school-based sexuality education programs in six countries

    Policy-makers who are making decisions on sexuality education programs face important economic questions: what are the costs of developing sexuality education programs; and what are the costs of implementing and scaling them up? This study responds to these questions by assessing the costs of six school-based sexuality education programs (Nigeria, Kenya, Indonesia, India, Estonia and the Netherlands). Cost analyses were carried out in schools that were fully implementing a SE program, as this best reflects the resources needed to run an effective program. …

  7. Young people's sexual health in South Africa: HIV prevalence and sexual behaviors from a nationally representative household surevy

    Objectives: To determine the prevalence of HIV infection, HIV risk factors, and exposure to national HIV prevention programs, and to identify factors associated with HIV infection among South African youth, aged 15–24 years. Design: A cross-sectional, nationally representative, household survey. Methods: From March to August 2003 we conducted a national survey of HIV prevalence and sexual behavior among 11 904 15–24 year olds. Multivariable models for HIV infection were restricted to sexually experienced youth. …

  8. The impact of television and radio on reproductive behavior and on HIV/AIDS knowledge and behavior

    This is a study of the association of radio and television exposure with different aspects of reproductive behavior and with knowledge, attitudes, and behavior in connection with HIV/AIDS. The measures of mass media are limited to the frequency that women and men report listening to the radio and watching television, which are standard questions in the Demographic and Health Surveys (DHS). Only the frequency is assessed; the DHS does not obtain information on programmatic content. …

  9. Levers of success: case studies of national sexuality education programmes

    A growing body of evidence exists to demonstrate what constitutes an effective school-based sexuality education programme. The factors that contribute to successful implementation of effective school-based sexuality education at regional, country or local levels - so-called "levers of success" - are less clear. These are the focus of this publication. The term levers of success is used to describe the conditions and actions that have been found to be conducive to the introduction or implementation of sexuality education. Such levers are both general and specific. …

  10. Going to scale: sustained risk reduction behavior for youth. Evaluation report for government of the Netherlands and UNICEF Malawi.

    This document is an evaluation of the UNICEF programme "Going to scale, sustained risk reduction behaviour for youth" sponsored by the Netherlands Government and realized in 2000. The programme commenced in January 1997 and extended to December 2000. This project aims at providing in and out of school youth with the necessary tools and skills to avoid risk sexual behaviour in order to reduce the HIV transmission rate. …

  11. Are Africans practicing safer sex: evidence from demographic and health surveys for eight countries

    The authors use repeated rounds of Demographic and Health Survey data from eight african countries to examine changes in and determinants of three HIV risk behaviors: age at first intercourse; number of current sexual partners, and use of condoms. They find some evidence of changes in sample composition, which is easily handled in a multivariate framework, and find evidence as well of changes in how people respond to questions about HIV behavior. …

  12. Peer approach in adolescent reproductive health education: some lessons learned

    This package is one of a series of repackaged products aimed at alerting users on highly valuable educational resources that exist in the field of adolescent reproductive sexual health. It focuses on the impact of peer education in promoting necessary changes among adolescents in attitudes and behaviour with regard to reproductive and sexual health and is targeted at teachers, trainers, curriculum developers and school administrators. …

  13. Systematic review of effectiveness of school-based sexual health interventions to prevent STI/HIV in sub-Saharan Africa

    Background: The HIV/AIDS epidemic remains of global significance and there is a need to target (a) the adolescent age-groups in which most new infections occur; and (b) sub-Saharan Africa where the greatest burden of the epidemic lies. A focused systematic review of school-based sexual health interventions in sub-Saharan Africa to prevent HIV/AIDS and Sexually Transmitted Infections (STI) in this age group was therefore conducted. Methods: Searches were conducted in Medline, Embase, Cinahl and PsychINFO according to agreed a priori criteria for studies published between 1986 and 2006. …

  14. Baseline and Impact Survey of NYSC Peer Education Programme for Schools in 7 Pilot States

    As part of the on-going actvity by UNICEF to reduce the alarming rate of HIV/AIDS spread in Nigeria, UNICEF partnered with the NYSC Directorate and the Association for Reproductive and Family Health (ARFH) to train 1 382 Youth Corps members in 7 pilot states in Nigeria. The states are Borno, Enugu, Rivers, Cross River, Kaduna, Nasarawa and Ondo. It was expected that these corps memberswould act as trainers of students called peer educators in post-primary institutions in their respective places of primary assignments. …

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