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UNESCO HIV and Health Education Clearinghouse

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  1. An inventory of alcohol-related questions in the demographic and health surveys and an analysis of alcohol use and unsafe sex in Sub-Saharan Africa

    This report provides an overview of Demographic and Health Surveys (DHS) survey questions related to alcohol consumption and an analysis of outcomes from these questions in DHS surveys. It first examines the questions on alcohol use and the response categories in all surveys that included questions about ever, typical, or current alcohol consumption. The inventory found that alcohol questions were included in 65 surveys in 42 developing countries between 1987 and 2014, and 19 different questions related to alcohol consumption were identified. …

  2. 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. …

  3. 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. …

  4. 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. …

  5. Economic status, education and risky sexual behavior for urban Botswana women

    This study investigated the relationship between economic status, education and risky sexual behavior for urban Botswana women. The data used are a nationally representative sample from the Botswana AIDS Impact Survey conducted in 2004. An un-weighted sample of 2215 women aged 15-49, who have had sexual intercourse was considered for analysis. Both bivariate and multivariate analyses are used to gain insights into the potential linkages between economic status, education and risky sexual behavior. …

  6. Sexual behaviour and knowledge regarding sexually transmitted infections among undergraduate students in Durban, South Africa

    The objective of this cross-sectional study was to identify the sexual behavior and knowledge of sexually transmitted infections (STIs) amongst 752 undergraduate university students in South Africa, using self-administered questionnaires. More than half reported presently being sexually active, the majority used contraceptives and especially used condoms. Almost a third of the sample, had multiple sexual partners, and more than a quarter of them reported to have sex under the influence of alcohol. …

  7. The impact of television and radio on reproductive behavior and on HIV/AIDS knowledge and behavior

    This is a study of the association of radio and television exposure with different aspects of reproductive behavior and with knowledge, attitudes, and behavior in connection with HIV/AIDS. The measures of mass media are limited to the frequency that women and men report listening to the radio and watching television, which are standard questions in the Demographic and Health Surveys (DHS). Only the frequency is assessed; the DHS does not obtain information on programmatic content. …

  8. Adolescent sexual and reproductive health in Malawi: a synthesis of research evidence

    The primary goal of this report is to summarize what is known about adolescent sexual and reproductive health in Malawi and to identify knowledge and program gaps requiring further research and program action. …

  9. 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. …

  10. Overlooked and Uninformed: Young Adolescents' Sexual and Reproductive Health and Rights

    Overlooked and Uninformed: Young Adolescents' Sexual and Reproductive Health and Rights is a short informational brief focusing on young adolescents across the world and their needs to know about their bodies and their sexual rights and responsibilities. It aims to inform policymaking on the importance to include 10-14 years old adolescents in programs and policy regarding sexual and reproductive health and rights. The document states that all young people need information and skills to protect themselves from harm and to make free, informed, and responsible sexual and reproductive decisions. …

  11. Knowledge, Attitudes and Practice linked to HIV Prevention in Young Children and Adolescents

    This study covers children and young people living in vulnerable communities in high resettlement areas and a high-density poor peri-urban area in Luanda. The study carried out over three months highlighted that low levels of awareness and a lack of information in terms of quality reproductive and sexual health, within both rural and urban communities, is compounded by a lack of resources within social sectors. Young girls, the disabled and those involved or impacted upon by conflict are particularly vulnerable. …

  12. Adolescent Sexual and Reproductive Health Behaviour in Dodowa, Ghana

    This report presents findings from a study of sexual and reproductive health status of inschool and out-of-school adolescents in Dodowa, Ghana, carried out in 2001. The research aim was to help design a program to address adolescents' unmet needs and promote safer behaviours. The research design used both qualitative and quantitative methods, including focus group discussions, PLA techniques and surveys. Students of Junior and Senior Secondary Schools, out-of-school adolescents, teachers, parents and community opinion leaders were included in the study.

  13. Sexual and reproductive health needs of adolescents perinatally infected with HIV in Uganda

    Sexual and reproductive health needs of adolescents perinatally infected with HIV in Uganda is a study implemented jointly by Population Council's Frontiers in Reproductive Health (FRONTIERS) and the AIDS Support Organization (TASO) from Uganda, in 2008. The document addresses the specific sexual and reproductive needs of the adolescents perinatally infected, an increasing population largely forgotten the HIV/AIDS treatment, care, education and support programs. …

  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. Protecting the next generation in Malawi. New evidence on adolescent sexual and reproductive health needs

    This report presents key findings from a new body of research that describes the sexual and reproductive health needs of Malawi's youth. The information was gathered from young Malawians themselves through focus group discussions, in-depth interviews and a nationally representative survey on sex, relationships, marriage, HIV/AIDS and pregnancy among young women and men aged 12-19. This report discusses in detail some of the challenges in and opportunities for improving the sexual and reproductive health of adolescents in Malawi. …

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