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UNESCO HIV and Health Education Clearinghouse

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  1. Is the sexual behaviour of young people in sub-Saharan Africa influenced by their peers? A systematic review

    Adolescents in sub-Saharan Africa are highly vulnerable to HIV, other sexually transmitted infections (STIs) and unintended pregnancies. Evidence for the effectiveness of individual behaviour change interventions in reducing incidence of HIV and other biological outcomes is limited, and the need to address the social conditions in which young people become sexually active is clear. Adolescents' peers are a key aspect of this social environment and could have important influences on sexual behaviour. There has not yet been a systematic review on the topic in sub-Saharan Africa. …

  2. 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. …

  3. Creating Futures: lessons from the development of a livelihood-strengthening curriculum for young people in eThekwini's informal settlements

    Comprehending praxis is a critical step in developing interventions that can have a real-world impact on people's lives. In this paper, we reflect on the lessons learned in the development of a curriculum for young people living in informal settlements in eThekwini, who are exposed to numerous vulnerabilities, including HIV-related risks associated with precarious urban livelihoods. Behavioural interventions have not led to commensurate reductions in HIV incidence, and the impact of these approaches remains regulated by numerous contextual conditions affecting those participating. …

  4. Inviting Backchat: How schools and communities in Ghana, Swaziland and Kenya support children to contextualise knowledge and create agency through sexuality education

    Education about sex, relationships and HIV and AIDS in African contexts is riddled with socio-cultural complexity. In this paper the authors argue that in extreme contexts education can lead change further by developing young people as significant actors in their own lives and in the lives of the community by bringing about change in attitudes in the community, as well as practices in schools. …

  5. 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. …

  6. The World Starts With Me: using intervention mapping for the systematic adaptation and transfer of schoolbased sexuality education from Uganda to Indonesia

    Evidence-based health promotion programmes, including HIV/AIDS prevention and sexuality education programmes, are often transferred to other cultures, priority groups and implementation settings. Challenges in this process include the identification of retaining core elements that relate to the programme’s effectiveness while making changes that enhances acceptance in the new context and for the new priority group. This paper describes the use of a systematic approach to programme adaptation using a case study as an example. …

  7. Long-Term Biological and Behavioural Impact of an Adolescent Sexual Health Intervention in Tanzania: Follow-up Survey of the Community-Based MEMA kwa Vijana Trial

    The ability of specific behaviour-change interventions to reduce HIV infection in young people remains questionable. Since January 1999, an adolescent sexual and reproductive health (SRH) intervention has been implemented in ten randomly chosen intervention communities in rural Tanzania, within a community randomised trial (see below; NCT00248469). The intervention consisted of teacher-led, peer-assisted in-school education, youth-friendly health services, community activities, and youth condom promotion and distribution. …

  8. 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. …

  9. 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. …

  10. Our future: sexuality and life skills education for young people. Grades 8-9

    This toolkit shares the experiences of a project on sexuality and life skills led by the International HIV/AIDS Alliance started in 2003. The toolkit is based on a number of workshops and discussions with teachers and students. Throughout the development of the toolkit, students contributed questions, stories, problem letters and pictures. The result is a series of three books developed with teachers and learners in Grades 4 to 9 from 14 schools in the Chipata District of Zambia. …

  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. …

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