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UNESCO HIV and Health Education Clearinghouse

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  1. Learners’ perspectives on the provision of condoms in South African public schools

    A stubborn health challenge for learners in South African public schools concerns sexual and reproductive health and rights (SRHR). In 2015, the Department of Basic Education (DBE) proposed the provision of condoms and SRHR-services to learners in schools. This study aimed to contribute to the finalisation and implementation of DBE’s policy by exploring learners’ perspectives on the provision of condoms and SRHR-services in schools. …

  2. Behaviour change communication strategies for preventing adolescent pregnancy sourcebook

    More than ever, adolescents need help, guidance, and empowerment. This is the main purpose for which the Department of Health invested in the project: “Development of Behavior Change Communication (BCC) Strategy for Adolescent Pregnancy.” This initiative essentially aims to contribute to the promotion of positive and healthy behaviors that enable adolescents to avoid too early and unintended pregnancy. This initiative is an integral part of the Adolescent and Youth Health and Development (AYHD) Program of the Department of Health. …

  3. Sex and HIV education programs: Their impact on sexual behaviors of young people throughout the world

    This paper reviews 83 studies that measure the impact of curriculum-based sex and HIV education programs on sexual behavior and mediating factors among youth under 25 years anywhere in the world. Two thirds of the programs significantly improved one or more sexual behaviors. The evidence is strong that programs do not hasten or increase sexual behavior but, instead, some programs delay or decrease sexual behaviors or increase condom or contraceptive use. …

  4. Evaluation of HIV/AIDS prevention through peer education, counselling, health care, training and urban refuges in Ghana

    Since 1996, Ireland Aid has supported UNICEF Ghana in the implementation of five activities that promote behaviour change to limit the spread of HIV/AIDS and STIs. The interventions are run by different local organisations, and have provided over 75,000 in and out-of-school youth and commercial sex workers with preventive education. People retained the information given, are knowledgeable about how HIV is transmitted, and can name key preventive methods. They pass on the information to their friends. Commercial sex workers were empowered to support one another in negotiating for safer sex. …

  5. Teacher training and HIV/AIDS prevention in West Africa: regression discontinuity design evidence from the Cameroon

    The authors assess the impact on teenage childbearing as well as student knowledge, attitudes, and behavior of a typical HIV/AIDS teacher training program in the Cameroon. Applying a regression discontinuity design identification strategy based on the key administrative criterion that determined program deployment, they find that 15–17 year old girls in teacher training schools are between 7 and 10 percentage points less likely to have started childbearing, an objective proxy for the incidence of unprotected sex. …

  6. Addressing sexual health and HIV in school. Four initiatives from sub-Saharan Africa and Latin America

    This publication describes three German-supported initiatives in Africa (specifically in Guinea, Mozambique and Tanzania) and one in Latin America (a six-country regional initiative). All integrate sexual health and HIV prevention within school systems. The three African initiatives operate within generalized epidemics driven largely by unprotected sex between men and women. In Latin America general prevalence in the countries described here is well below one percent, and much less among young people. …

  7. Adolescent pregnancy and associated factors in South African youth

    Background: Adolescent pregnancy, occurring in girls aged 10–19 years, remains a serious health and social problem worldwide, and has been associated with numerous risk factors evident in the young people’s family, peer, school, and neighbourhood contexts. Objective: To assess the prevalence of adolescent pregnancy and associated factors in the South African context, as part of a population-based household survey that formed part of an evaluation of the impact of loveLife, South Africa’s national HIV prevention campaign for young people. …

  8. My future is my choice [evaluation]

    The overall purpose of the research was to evaluate My Future is My Choice (MFMC), a national peer education HIV prevention life skills programme in Namibia, and to provide recommendations for programme improvement and strengthening. An official extra-curricular life skills program of the Ministry of Education at secondary and combined schools, the MFMC programme seeks to protect young people from HIV infection and sexually transmitted diseases as well as prevent unintended pregnancies.

  9. 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. …

  10. The sexual behaviour of adolescents in sub-Saharan Africa: patterns and trends from national surveys

    Objectives: To describe the sexual and reproductive behaviour of adolescents in sub-Saharan Africa, particularly 15- to 19-year-olds. Methods: Using DHS/AIS data (2000–2010), nine indicators of adolescent behaviour and one of adult attitudes towards condom education for adolescents were described for 24 countries. Indicators were disaggregated by gender, urban/rural residency and educational status, and time trends were described. Results: Up to 25% of 15- to 19-year-olds reported sex before age 15; this proportion shrank over time in many countries. …

  11. Assessing young unmarried men's access to reproductive health information and services in rural India

    The authors conducted a cross-sectional study using both qualitative and quantitative methods. Participants included 38 unmarried rural men in four focus-group discussions and a representative sample of 316 similarly profiled men, ages 17-22 years. Information was collected via survey on the men's socioeconomic characteristics; awareness, knowledge, and perceptions of family planning; attitudes toward future contraceptive use; intra-family communication; knowledge about STIs/HIV/AIDS; and access and use of condoms. …

  12. The application of Intervention Mapping in developing and implementing school-based sexuality and HIV/AIDS education in a developing country context: the case of Tanzania

    Effective sexuality and HIV/AIDS education programmes are needed to protect young people against HIV/AIDS and teenage pregnancy in Tanzania and other Sub-Saharan African countries. Using a theory- and evidence-based approach and adapting the programmes to local contexts, increases the effectiveness of these programmes. This paper describes and discusses the challenges and opportunities concerning the application of Intervention Mapping (IM) in the development and implementation of a sexuality and HIV/AIDS education programme targeting young people aged 12-14 in Tanzania. …

  13. Secondary schools and sexual health services. Forging the links

    This booklet aims to encourage secondary schools and sexual health services to improve links between sex and relationships education (SRE) and specialist sexual health advice and support. It is set out in three sections. Part 1 gives background information on why schools should build stronger links with services, puts the subject within a national context, and identifies what young people see as the issues. Part 2 examines the different ways in which links can be forged between schools and sexual health services and illustrates each method with examples of successful schemes. …

  14. Educational access and HIV prevention: Making the case for education as a health priority in sub-Saharan Africa

    There is much evidence showing an association between sexual behavior and both attendance and attainment. Experimental evidence that school attendance leads to safer sexual behavior is currently under review. Studies suggest several pathways through which sexual behavior, and consequently the risk of HIV infection, may be influenced by schooling. Students attending school have a smaller sexual network and a stronger motivation to avoid the consequences of unprotected sex - both pregnancy and HIV infection - than their out-of-school peers.

  15. Basics and beyond: integrating sexuality, sexual and reproductive health and rights. A manual for trainers

    This resource is to be used by individual trainers as well as organizations working on sexuality and sexual and reproductive health. It provides training content, tools and methods to demonstrate and strengthen the connections between sexuality, sexual health, reproductive health and human rights. Most of the exercises in this manual have been developed and tested during training programmes and cover basic concepts along with more complex issues. Detailed message points and instructions for each exercise make the document appropriate for both experienced as well as novice facilitators. …

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