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UNESCO HIV and Health Education Clearinghouse

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  1. Facing the challenge of adolescent pregnancy in Zimbabwe

    This booklet presents the current status of adolescent pregnancy in Zimbabwe; explains the drivers and psycho-social, economic, development and health costs of adolescent pregnancy; offers recommendations for addressing adolescent pregnancy and leveraging demographic dividend in promoting socio-economic growth.

  2. Implementation of provisions under the ESA commitment on comprehensive sexuality education and sexual and reproductive health and rights in Zambia

    Zambia is one of the twenty countries in the Eastern and Southern Africa (ESA) region that affirmed their joint commitment to deliver Comprehensive Sexuality Education (CSE) and Sexual Reproductive Health and Rights (SRHR) services for young people. There are a number of strategies and policies that support the Implementation of these commitments in Zambia. …

  3. Coming of age in the classroom: religious and cultural barriers to comprehensive sexuality education

    This paper elucidates evidence which underscores anxieties and panic about sexuality and sexual behaviour of young people influenced by movements advancing a distinct religious identity, and the implications for advocacy on advancing Sexual and Reproductive Health and Rights (SRHR). Synthesised in this document is evidence from two countries - Bangladesh and India - on Comprehensive Sexuality Education (CSE), an area of controversy (to varying degree) in both countries. Evidence from each country stem from national studies on the influence of religion on CSE, and are qualitative in nature. …

  4. Probing the politics of comprehensive sexuality education: ‘Universality’ versus ‘Cultural Sensitivity’: a Dutch–Bangladeshi collaboration on adolescent sexuality education

    As part of Western European development aid policy, comprehensive sexuality education (CSE) is increasingly promoted in resource-poor countries. This paper engages with CSE promotion in Bangladesh funded by the Dutch Government. It unpacks the ‘collaboration’ by looking at how a paradox is played out between the universal ideals underlying a broader transnational rights-approach and the intended cultural sensitivity by adapting CSE to the targeted context. …

  5. Bullying, identity and school performance: evidence from Chile

    This article examines the relationship among bullying, individual’s identity, and school performance in Chile. The results indicate that being a bully or a bully-victim increases the probability of being a low performing student. For the case of victims, our results suggest a heterogeneity according students’ ability, decreasing academic achievement for students with below average ability, but increasing it for very high achieving students. We also found that students claiming to belong to a subculture characterized by a defiant attitude towards authority have lower academic achievement. …

  6. Caught in culture? Cultural transformation through HIV/AIDS prevention education in Zambia

    The study explores the role and contribution of education in developing a localized and relevant HIV/AIDS prevention strategy through a multi-voiced approach, involving the educational institutions, as well as the traditional leaders, community-members, including parents. The study comprised all public schools in one Zambian province from 2002-2008. The study explores, among other factors, the role of traditional culture in mitigating and exacerbating the spread of the disease. …

  7. Making it inclusive: alcohol and drug education in multicultural settings

    When delivering alcohol and drug education in multicultural settings including classrooms, teachers will need to tackle sensitive issues. Not all pupils are comfortable discussing certain topics, and some parents are reluctant to allow their children to explore certain themes. How to ensure pupils receive relevant education, in the context of cultural difference, equality and diversity, which prepares them for the challenges and opportunities they will face throughout their lives? …

  8. Comprehensive sexuality education, culture and gender: the effect of the cultural setting on a sexuality education programme in Ethiopia

    Comprehensive sexuality education (CSE) is recognised as an effective method of sexual health education, with the school identified as a fitting site of implementation. Its holistic and participatory nature endeavours to develop the knowledge, attitudes and life-skills of students to help them secure their sexual and reproductive health and rights (SRHR). This qualitative study aimed to better understand aspects of CSE implementation in one context. …

  9. Charting the future: empowering girls to prevent early pregnancy

    This report begins with a situation analysis of adolescent pregnancy (Section 2), highlighting where today’s adolescents live and where their fertility levels are highest, as well as looking at the drivers of their fertility rates. Section 3 provides a more detailed discussion of the multiple barriers that girls face in controlling their fertility. Section 4 presents our conclusions about the main drivers of adolescent pregnancy and introduces our policy and programming recommendations, which can be found in Section 5. …

  10. Women living with HIV speak out against violence: A collection of essays and reflections of women living with and affected by HIV

    Violence against women and girls is an unacceptable violation of basic human rights. It also is so widespread that ending it must be a global public health priority. An estimated one in three women is beaten, coerced into sex or otherwise abused by an intimate partner during her lifetime. Intimate partner violence has been shown to increase the risk of HIV infection by around 50%, and violence (and the fear of violence) deters women and girls from seeking services for HIV prevention, treatment, care and support.

  11. SMS 4 SRH: Using mobile phones to reduce barriers to youth access to sexual and reproductive health services and information

    This summary report provides an overview of how mHealth programming may be used to improve youth access to sexual and reproductive health (SRH) services and information. The report frames the discussion of mHealth through an examination of the specific barriers that limit youth access to them. The barriers identified have been divided into four categories: - Accessibility Barriers, including cost and location. - Information Barriers, including lack of SRH information and lack of location information. …

  12. An examination of knowledge, attitudes and practices related to HIV/AIDS prevention in Zimbabwean university students: Comparing intervention program participants and non-participants

    OBJECTIVES: This study represents a comprehensive assessment of differences between participants in an HIV/AIDS prevention program (SHAPE: Sustainability, Hope, Action, Prevention, Education) and non-participants in knowledge, attitudes and practices with a focus on cultural, sociological and economic variables. METHODS: We developed an eight-page questionnaire that was administered to 933 randomly selected students at the University of Zimbabwe. Survey items addressed sexual decision-making, condom use, limiting sexual partners, cultural power dynamics and access to HIV testing. …

  13. Adapting a multifaceted U.S. HIV prevention education program for girls in Ghana

    We adapted a U.S. HIV prevention program to address knowledge gaps and cultural pressures that increase the risk of infection in adolescent Ghanaian girls. The theory-based nine-module HIV prevention program combines didactics and games, an interactive computer program about sugar daddies, and tie-and-dye training to demonstrate an economic alternative to transactional sex. The abstinence-based study was conducted in a church-affiliated junior secondary school in Nsawam, Ghana. Of 61 subjects aged 10-14 in the prevention program, over two thirds were very worried about becoming HIV infected. …

  14. Nurturing enabling environments for culturally appropriate HIV and AIDS policies through informed public dialogue the case of Botswana and Zambia

    As part of UNESCO’s strategy to respond to the global HIV and AIDS epidemic, the Culture, HIV and AIDS program works to support the development of culturally appropriate policies and programming that are gender-responsive, human-rights based and built on a thorough analysis of the cultural and social specificities of those communities concerned. UNESCO’s ‘official’ definition of culture as contained in the UNESCO Mexico City Declaration on Cultural Policies (1982) reads as following: “a set of distinctive spiritual and material, intellectual and emotional characteristics which define a soci …

  15. A Cultural approach to HIV/AIDS prevention and care: UNESCO/UNAIDS research project. Uganda’s experience: country report

    This document provides the findings of a country assessment carried out in Uganda in the first phase of the UNESCO/UNAIDS joint project "A Cultural Approach to HIV/AIDS: Prevention and Care". The purpose of this exercise was threefold: (i) to assess the evolution of the epidemic (HIV infection and PWA) and its cultural and societal impact in the context and perspective of sustainable development. (ii) to determine how and to which extent culture, features and resources of the population are being taken into consideration in the design, implementation and evaluation of HIV/AIDS interventions. …

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