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UNESCO HIV and Health Education Clearinghouse

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  1. Preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries: what the evidence says

    These guidelines are primarily intended for programme managers, technical advisors and researchers from governments, nongovernmental organizations, development agencies and academia. They are also likely to be of interest to public health practitioners, professional associations and civil society groups. They have been developed through a systematic review of existing research and input from experts from countries around the world, in partnership with many key international organizations working to improve adolescents’ health. …

  2. Adolescent-friendly contraceptive services: mainstreaming adolescent-friendly elements into existing contraceptive services

    This brief focuses on the elements of AFCS that are typically implemented within a service delivery setting. It describes how mainstreaming AFCS can address key challenges for contraceptive programs, discusses the existing evidence of adolescent-friendly elements, outlines key issues for planning and implementation, and identifies knowledge gaps.

  3. Adolescent women’s need for and use of sexual and reproductive health services in developing countries

    With this report, the authors aim to provide an up-to-date and comprehensive overview of the use of sexual and reproductive health services by adolescent women aged 15–19 in the developing world. Using reliable nationally representative surveys in 70 countries, the report presents 30 indicators that cover a wide range of topics related to the sexual and reproductive health of adolescent women. Chapter 2 outlines the methods and data sources used for this report. Chapter 3 focuses on marriage, sexual activity and contraception. …

  4. The miseducation of Latin American girls: poor schooling makes pregnancy a rational choice

    Our interest in understanding the determinants of adolescent childbearing and how adolescent childbearing influences educational trajectories derive from a concern about the inverse relationship between educational outcomes and adolescent fertility. Through in-depth interviews with 118 women, we contrast the educational trajectories of adolescent and adult child-bearers in urban neighborhoods in Paraguay and Peru. The findings suggest that adolescents who face obstacles that discourage academic achievement and high aspirations in life are also more likely to bear children. …

  5. Educating girls: Creating a foundation for positive sexual and reproductive health behaviors

    Investments that promote keeping girls in school, particularly in secondary school, have far-reaching and long-term health and development benefits for individuals, families, and communities. The purpose of this brief is to describe the relationship of girls’ education on family planning and reproductive health and behaviors; highlight evidence-based practices that increase girls’ enrollment, retention, and participation in school; and provide recommendations for how the health sector can support keeping girls in school.

  6. Adding it up: The costs and benefits of investing in sexual and reproductive health

    To help decision-makers evaluate the investments needed in developing countries, this report provides new estimates, for 2014, of the needs for and costs and benefits of sexual and reproductive health interventions in three key areas: Contraceptive services; Maternal, newborn and other pregnancy-related care; Selected services related to HIV and other STIs for women of reproductive age. …

  7. Adolescent sexual and reproductive health programs in humanitarian settings: an in-depth look at family planning services

    This report summarizes findings and recommendations of a year-long exercise undertaken by the Women’s Refugee Commission and Save the Children - in partnership with the United Nations High Commissioner for Refugees (UNHCR) and the United Nations Population Fund (UNFPA) to map existing adolescent sexual and reproductive health programs and document good practices. The work was accomplished through a practitioner survey and humanitarian funding analyses; key informant interviews; and collection of good practice case studies.

  8. A multi-sectoral approach to providing reproductive health and information services to young people in Western Kenya: Kenya Adolescent Reproductive Health Project

    Informing adolescents about appropriate and acceptable behaviours, and ways to protect themselves against unwanted and unprotected sex, has proved problematic in Kenya. Education programmes for in and out of school adolescents are lacking, there is controversy around providing services to sexually active adolescents, and a pervasive concern that sexuality education and contraceptive services leads to promiscuity. …

  9. Facts on the Sexual and Reproductive Health Of Adolescent Women in the Developing World

    The objective of this brief is to help adolescents to protect their health. Beyond benefiting young people themselves, increased investment in adolescent sexual and reproductive health contributes to broader development goals, especially improvements in the overall status of women and, eventually, reductions in poverty among families. …

  10. Girls Shape the Future Study: Findings and Lessons Learned from an Effort to Assess the Effectiveness of the Girls Incorporated Will Power/Won't Power Program

    This report presents findings from the Girls Shape the Future study, which was designed to evaluate the implementation and effectiveness of the Girls Incorporated Will Power/Won't Power curriculum developed to reduce sexual intercourse, pregnancy, and sexually transmitted infections among teenage girls. The study used two primary methods: an experimental design to assess the effectiveness of the program on outcomes relating to the curriculum model, and an analysis of program implementation to understand whether girls randomly assigned to participate received the intended intervention.

  11. Sakhi Saheli. Promoting Gender Equity and Empowering Young Women. A Training Manual

    Sakhi Saheli: Promoting Gender Equity and Empowering Young Women - a Training Manual has been developed by CORO for Literacy and Horizons/Population Council with support from Instituto Promundo. The Manual is an important resource for those who work with young females to prevent HIV infection and sexual and reproductive health problems. …

  12. Girls' Power Initiative Nigeria. Training manual. Level 2. Adolescent Sexuality, sexual and reproductive health and rights.

    This document is a training manual designed to help facilitator to provide sexuality education (human sexuality, sexual and reproductive health, rights and responsibilities). This training manual (level 2) was produced and revised by Girl's power initiative (GPI), a Nigerian NGO in 2003. …

  13. Young women's perceived ability to refuse sex in urban Cameroon

    This study is an article extracted from "Studies in family Planning" published in December 2008. It draws upon data from the 2002 Cameroon Adolescent Reproductive Health Survey to analyse the determinants of young women's perceived ability to refuse sex in urban Cameroon. Young women's status characteristics predict their vulnerability differently under different circumstances, and young women report having a lower ability to refuse sex in their relationships with men in positions of power over them. …

  14. Aborting and suspending pregnancy in rural Tanzania: an ethnography of young people's beliefs and pratices

    This study is an article extracted from "Studies in family Planning" published in December 2008. The objective of this study is to analyse abortion practices and beliefs among adolescents and young adults in Tanzania, where abortion is illegal. From 1999 to 2002, six researchers carried out participant observation in nine villages and conducted group discussions and interviews in three others. Most informants opposed abortion as illegal, immoral, dangerous, or unacceptable without without the man's consent, and many reported that ancestral spirits killed women who aborted clan descendants. …

  15. Adolescent' girls' life aspirations and reproductive health in Nepal

    The study described in this paper takes a participatory and positive approach to improving adolescent reproductive health in a rural and urban community in Nepal. It shows that adolescent girls in these communities have dreams and aspirations for a better future and that adults acknowledge and support these ideals. However, social norms and institutions are restrictive, especially for girls, who are often unable to realise their hopes for continuing education, finding better-paid work or delaying marriage and childbearing, and this directly impacts reproductive outcomes. …

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