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UNESCO HIV and Health Education Clearinghouse

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  1. Sexual and reproductive health outcomes are positively associated with comprehensive sexual education exposure in Mexican high-school students

    This paper provides evidence of the potential beneficial effects of CSE on attitudes, knowledge, and behaviors regarding sexual and reproductive health among adolescents. In addition, it identifies areas that should be strengthened to increase the positive impact of CSE.

  2. 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. …

  3. The efficacy of HIV and sex education interventions among youths in developing countries: a review

    Human Immunodeficiency Virus (HIV) and Sexually Transmitted Infections (STIs) among youths represent an important public health challenge in developing countries. The incidence of HIV peaked in the 1990’s and saw a decline from 2005. What was done to prompt the decline? To answer this question selecting studies between 1990 and 2005 was appropriate to assess whether the drop in HIV incidence in developing countries was as a result of education interventions. …

  4. Comprehensive sexuality education

    What evidence is there for comprehensive sexuality education in lower and middle income countries? What measurable outcomes have been associated with delivering CSE? What are the most effective strategies for implementation at scale? (e.g. in relation to gender, age, content, involvement of parents, political buy-in etc.) What challenges are there to applying such approaches in policy and practice?

  5. Integrating reproductive health into youth development programs toolkit

    This toolkit was developed by the International Youth Foundation in order to provide resources for program managers, educators, youth leaders and advocates to incorporate Reproductive Health into programs targeting youth. The toolkit includes a framework, curricula and practical strategies for integrating reproductive health into youth development programming.

  6. Interventions for preventing unintended pregnancies among adolescents

    Interventions for preventing unintended pregnancy include any activity (health education or counselling only, health education plus skills-building, health education plus contraception education, contraception education and distribution, faith-based group or individual counselling designed to: increase adolescents' knowledge and attitudes relating to risk of unintended pregnancies; promote delay in initiation of sexual intercourse; encourage consistent use of birth control methods and reduce unintended pregnancies. …

  7. Life skills education and reproductive health education: preliminary findings from the non-biomedical interventions into HIV and AIDS study

    According to the World Health Organisation (WHO), life skills are defined as the abilities for adaptive and positive behaviours that enable individuals to effectively deal with demands and challenges of everyday life (WHO, 1993). Life Skills Education (LSE) and Sexual Reproductive Health Education have been introduced in Malawi's schools by the Ministry of Education as an integrated initiative. …

  8. School based sex education and HIV prevention in low- and middle-income countries: a systematic review and meta-analysis

    Objectives: School-based sex education is a cornerstone of HIV prevention for adolescents who continue to bear a disproportionally high HIV burden globally. We systematically reviewed and meta-analyzed the existing evidence for schoolbased sex education interventions in low- and middle-income countries to determine the efficacy of these interventions in changing HIV-related knowledge and risk behaviors. Methods: We searched five electronic databases, PubMed, Embase, PsycInfo, CINAHL, and Sociological Abstracts, for eligible articles. …

  9. 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. …

  10. Education and risky sex in Africa: Unraveling the link between women’s education and reproductive health behaviors in Kenya

    Much research attention has been devoted to understanding the relationship between education and riskier sex-related behaviors and HIV/AIDS in sub-Saharan Africa. While in the early 1990s researchers found that increases in education were associated with a higher incidence of HIV/AIDS, this relationship appears to have reversed and better educated people, especially women, appear less likely to engage in riskier sex-related behaviors and have a lower incidence rate of HIV/AIDS. …

  11. Social outcome expectations regarding delayed sexual debut among adolescents in Mankweng, South Africa

    Aims: To describe outcome expectations related to delayed sexual transition, to examine the dimensionality and internal consistency of such expectations, and to examine variations in social outcome expectations across subgroups defined by demographic variables, indicators of socioeconomic status and predictors related to school and educational ambitions. Methods: Data stem from a survey among school students (grades 8-12) in Mankweng, Limpopo, South Africa (n=5,697). …

  12. Becoming a responsible teen adaptation kit. Tools and resources for making informed adaptations to BART: Becoming a responsible teen

    Although the primary goal of Becoming a Responsible Teen (BART) is to decrease HIV infection among African-American adolescents ages 14 to 18, the curriculum also includes topics and activities relevant to teen pregnancy prevention. Teens learn to clarify their own values about sexual decisions and pressures, as well as practice skills to reduce sexual risk taking. These skills include correct condom use, assertive communication, refusal techniques, self-management and problem solving. Abstinence is woven throughout the curriculum and is discussed as the best way to prevent HIV and pregnancy. …

  13. Report. Teachers - agents of dissemination and change programme: a school-based HIV and AIDS initiative

    This report provides a systematic account of a three-year programme dubbed Teachers - Agents of Dissemination and Change (TAD), which was designed to provide all public school teachers at the Pre-Tertiary level with information to enable them protect themselves and their students from being infected with HIV. It was also designed to provide guidance and methodology on the incorporation of HIV & AIDS messages into ordinary subject lessons. …

  14. Cost and cost effectiveness analysis of school-based sexuality education in six countries: full report + School-based sexuality education programmes: a cost and cost-effectiveness analysis in six countries. Executive summary

    Costing and cost-effectiveness data for HIV prevention programmes are important tools for decision-makers. In many countries, HIV prevention efforts for young people have increasingly focused on schools, with many ministries of education in the process of scaling up school-based sexuality education programmes. However, most ministries of education are implementing programmes without an adequate understanding of how much the programmes cost per learner or per HIV/STIs or unintended pregnancy averted. …

  15. Children's access to information on behaviour change, sexuality and reproductive rights: a myth or reality

    The overall objective of this baseline survey was to help determine access to information on 1) HIV and AIDS prevention; 2) sexuality and 3) reproductive rights for in-school childre. The specific objectives were to: document existing behaviour change communication (BCC) materials and programs for children; document the BCC methods to children including the packaging of information and dissemination; establish the relevance of BCC materials to children; compile empirical evidence on the impact of BCC materials on children in Swaziland.

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