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UNESCO HIV and Health Education Clearinghouse

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  1. Regional module for teacher training on comprehensive sexuality education for East and Southern Africa

    The module was developed as a resource to support pre–service training of teachers for the delivery of school–based sexuality education in East and Southern Africa.

  2. Can sexuality education advance gender equality and strengthen education overall? Learning from Nigeria’s family life and HIV education program

    The imperative to prepare the largest generation of young people in history for adulthood has driven a search for fresh approaches to educating adolescents about their bodies and sexuality. Recently, there have been calls among health experts and educators for a comprehensive, integrated approach to sexuality education that addresses not only health issues such as HIV and pregnancy, but also helps to achieve broader outcomes such as ensuring gender equality, increasing access to education for girls, and improving the quality of education overall. …

  3. Adolescent pregnancy and its outcomes across countries: fact sheet

    This fact sheet tackles the question of adolescent pregnancy. It is organized in five main parts: Adolescent pregnancy in developed regions; Adolescent abortion in developed regions; The United States in context; Adolescent pregnancy and abortion in Sub-Saharan Africa; Factors associated with adolescent pregnancy.

  4. Rwanda demographic and health survey 2014/2015: key findings

    This publication highlights the key findings of 2014-15 Rwanda Demographic and Health Survey (RDHS 5), a nationally representative survey of 13,497 women age 15-49 and 5,585 men age 15-59 from 12,793 interviewed households. …

  5. Coping with unintended pregnancies: Narratives from adolescents in Nairobi’s slums

    The health and other risks associated with early pregnancy and sexual activity raise urgent need for appropriate interventions and programs to address adolescent reproductive behaviors. It is important to understand the circumstances surrounding, and factors associated with unintended pregnancies among young people, the challenges that limit their ability to protect their sexual and reproductive health, and how they deal with the outcomes of unintended pregnancy. …

  6. Status report on the sexual and reproductive health of adolescents living in urban slums in Kenya

    Young people face numerous health challenges during their transition to adulthood. These challenges include, among others, limited access to sexual and reproductive health (SRH) information and services. Unmet SRH needs among adolescents may contribute to sexually transmitted infections (STIs), including HIV, and unintended pregnancies. Adolescent pregnancies are associated with several adverse outcomes, such as miscarriage, unsafe abortion, obstructed labor, and other complications, which can result in long-term morbidity and even death. …

  7. West African youth initiative: Outcome of a reproductive health education program

    Purpose: To describe the implementation and evaluation of an adolescent reproductive health peer education program in West Africa. The program, known as the West African Youth Initiative (WAYI), was developed to improve knowledge of sexuality and reproductive health, and promote safer sex behaviors and contraceptive use among sexually active adolescents in Nigeria and Ghana. …

  8. A review of teenage pregnancy in South Africa – experiences of schooling, and knowledge and access to sexual and reproductive health services

    Approximately 30% of teenagers in South Africa report ‘ever having been pregnant’, the majority, unplanned. While this number has decreased over the past few decades, it is still unacceptably high. The figure is for all teenagers. (13-19 years old), but motherhood for an 18 or 19 year old has very different implications than for a young teenager, one aged 15, for example. Therefore this report tries, where possible, to be mindful of differing experiences of pregnancy and motherhood across the teen years. …

  9. 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.

  10. 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. …

  11. Linking sexual and reproductive health and HIV/AIDS. Gateways to integration: a case study from Swaziland

    This document is in three parts. It first discusses the 4 prongs for the elimination of HIV infection among children; in other words, the 4 prongs of PMTCT. The 4 prongs are: (1) preventing unintended pregnancies among women living with HIV, (2) preventing new HIV infections, (3) safer infant feedings, and (4) treatment. This document focuses primarily on the first 2 prongs and how PMTCT is critical because the impact of keeping children alive will be lost if their mothers are not also kept alive. …

  12. 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. …

  13. Assessing knowledge, attitude, and practice of emergency contraception: a cross-sectional study among Ethiopian undergraduate female students

    The importance of Emergency contraception (EC) is evident in preventing unintended pregnancies and its ill consequences like unintended child delivery or unsafe abortion, which are the most common causes of maternal mortality. Knowing that Ethiopia is one of the countries with highest maternal mortality rate, this study aimed to assess the knowledge, attitude and practice of EC, and to further elucidate the relationship between these factors and some socioeconomic and demographic characteristics among female undergraduate students of Addis Ababa University. …

  14. In the absence of marriage: long-term concurrent partnerships, pregnancy, and HIV risk dynamics among South African young adults

    In KwaZulu/Natal, South Africa, where HIV prevalence is among the world's highest, a longitudinal qualitative study of partnership dynamics and HIV preventive behaviors was conducted. 47 young adults aged 18-24 participated in in-depth interviews, and 29 were re-interviewed 2 years later. Five analytical domains emerged: primary partnerships, love and romance; secondary partnerships; pregnancy/parenthood; condom use/prevention; and contextual influences, including schooling and future aspirations. …

  15. Poor Parenting: Teenagers' Views on Adolescent Pregnancies in Eastern Uganda

    This qualitative study in Busia District focused on the views of teenagers themselves as expressed in nine focus group discussions with girls and boys. Their perspectives were contrasted with those of community leaders and mothers of adolescents. The young people blamed teenage pregnancy on failures of the parental generation. They asserted that parents and guardians were both too lenient and too harsh, that they failed to provide for their daughters' needs, and that they pressured them into early marriages instead of giving priority to education. …

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