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UNESCO HIV and Health Education Clearinghouse

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  1. HIV and sexual and reproductive health programming: innovative approaches to integrated service delivery

    This compendium has profiled and analysed 11 case studies on integrated service delivery in the context of EMTCT from 9 countries in sub-Saharan Africa. All of the examples demonstrate a general trend towards the implementation of integrated service delivery models supported by policy frameworks adopted in country and by service organizations at the facility level. These promising practices are by no means exhaustive or geographically representative. They do, however, contain valuable and practical vignettes of integrated service delivery in countries with generalized HIV epidemics. …

  2. Adolescent health, global guidelines versus local realities: the Sub-Saharan Africa experience

    As the field of adolescent sexual and reproductive health (ASRH) evolves, further discussion and documentation of national policy and aspects of its implementation is needed to ensure effectiveness of interventions. Further research is required to foster beneficial shifts in policy advocacy, including resource allocation, and in the prioritization of adolescent programs in health and education systems, in communities and in workplaces. Adolescents are exposed to diverse interventions across all the countries under discussion; however there exist obstacles to realization of ASRH goals. …

  3. Community leadership and advocacy framework and resource guide: HIV, human rights and sexual orientation and gender identity in islands of Southeast Asia

    The Islands of Southeast Asia Network on Male and Transgender Sexual Health (ISEAN) Community Leadership and Advocacy Framework is intended for use as a template for subregional and national advocacy to improve HIV prevention and care among MSM and transgender people. It sets out five Key Domains for Advocacy, provides suggestions for partnerships that would make advocacy more successful and outlines some indicative advocacy strategies. …

  4. Implementation of adolescent-friendly voluntary medical male circumcision using a school based recruitment program in rural KwaZulu-Natal, South Africa

    Background: Epidemiological data from South Africa demonstrate that risk of human immunodeficiency virus (HIV) infection in males increases dramatically after adolescence. Targeting adolescent HIV-negative males may be an efficient and cost-effective means of maximising the established HIV prevention benefits of voluntary medical male circumcision (VMMC) in high HIV prevalence–, low circumcision practice–settings. This study assessed the feasibility of recruiting male high school students for VMMC in such a setting in rural KwaZulu-Natal. …

  5. How to reach young adolescents: A toolkit for educating 10 - 14 year olds on sexual and reproductive health

    This toolkit was designed to be used by implementors such as experienced programme staff from NGOs, government offices or private industries who want to implement an SRH project for 10-14 year olds enrolled in primary school. The project activities within the toolkit rely on the implementor creating a strong partnership with local schools and community leaders. The toolkit presents several overlapping approaches to increase young adolescents’ sexual and reproductive health knowledge and improve their sexual behaviours.

  6. Sexuality and religion

    Faith and religion can play very important roles in many young people’s lives; they can influence your choices, values and your way of life. Faith also helps you make choices about your sexuality, your relationships and your sexual and reproductive health. In this issue we also talk about the role of parents and give some tips on how to improve communication and resolve conflicts between parents and young people on sexual matters.

  7. An Annotated Guide to Technical Resources for Community Involvement in Youth Reproductive Health and HIV Prevention Programs

    This annotated guide to technical resources is part of a package of materials produced by YouthNet to help provide global technical leadership on community involvement and youth RH/HIV prevention. Besides this compilation of resources, the package of materials includes: A guide to using participatory assessment techniques at the community level, focusing on youth involvement; A summary of issues that have emerged in the literature; and A report on a technical consultation meeting on the topic held in November 2005. …

  8. Go Girls! Community-based Life Skills For Girls: A Training Manual

    This e-toolkit/training manual is part of a larger Go Girls! toolkit series that helps reduce girls' vulnerability to HIV and AIDS by working with the community, schools, parents and girls themselves. …

  9. Addressing gender-based violence from the reproductive health/HIV sector: a literature review and analysis

    This document provides a literature review on programs in developing countries that have addressed or challenged gender-based violence with a link to the reproductive health/HIV sectors. For this review, programs addressing both adult and adolescent populations were eligible for inclusion and an effort was made to identify programs that involved men.

  10. Cultural and community practices aimed at promoting sexual and reprodctive health (Nampula, Sofala, Inhambane - Mozambique)

    O presente relatório apresenta os resultados da pesquisa etnográfica realizada nos distritos de Ribáuè, Mossuril, Nhamatanda e Zavala sobre as práticas culturais e comunitárias de promoção de Saúde Sexual e Reprodutiva. A pesquisa adoptou uma abordagem etnográfica e qualitativa centrada na abordagem sociocultural. A recolha de dados foi feita através da realização de entrevistas individuais, grupos de discussão focal e observação directa estruturada, abarcando as províncias de Nampula, Sofala e Inhambane.

  11. Generating demand and community support for sexual and reproductive health services for young people: a review of the literature and programmes

    To support the health sector in identifying and implementing a few strategic, do-able, evidence-based interventions to create demand for sexual and reproductive health services by adolescents who need them and to stimulate community acceptance and support for their provision, a global review of the evidence was compiled. Using a standard methodology, evidence from thirty studies was reviewed on interventions for generating demand through the provision of information, education and communication via several different channels. …

  12. Social determinants of sexual and reproductive health: Informing future research and programme implementation

    The relationship between poverty and poor reproductive health is well established. While the last two decades have seen improvements in access to and utilization of sexual and reproductive health (SRH) services, progress in many countries has been slow and - after decades of investments - disappointing. Social activists and health analysts have highlighted the potential role that persistent inequities in health play in hindering progress towards achieving international and national development goals. …

  13. These days virginity is just a feeling: heterosexuality and change in young urban Vietnamese men

    This paper argues that young Vietnamese men's beliefs around women's changing sexual identities and habits generate some anxiety around their own heterosexual abilities, while contributing to growing doubts around 'traditional' masculine advantage within sexual relations. It explores this notion in regard to eight Vietnamese men aged 18-30 years, interviewed over 13 months of fieldwork in Hanoi, Vietnam. …

  14. Delaying sexual debut amongst out-of-school youth in rural southwest Uganda

    This paper focuses on sexual debut among out-of-school youth in Masaka District, Uganda; factors influencing its timing; and assistance young people feel they need to delay sexual initiation. Data were drawn from a needs assessment using applied anthropological techniques with young people ages 13-19 years. Parents, guardians, and community leaders were also consulted. All participants felt that young people begin their sexual lives too early. Young men feel under pressure from friends and older men to prove their masculinity. …

  15. Men are changing. Case study evidence on work with men and boys to promote gender equality and positive masculinities

    Men are changing. Case study evidence on work with men and boys to promote gender equality and positive masculinities is a document that aims to strengthen and broaden the evidence base on working with men and boys. It describes and analyzes 12 programmes from around the world that sought to alter the attitudes and behaviours of men in relation to sexuality, sexual and reproductive health, violence and relationships. …

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