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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. Les déterminants socioculturels et communautaires des grossesses non désirées et des avortements. Rapport final

    C’est dans le cadre de son intervention en faveur de la promotion des DSSR des jeunes en République Démocratique du Congo que MdM a commandité cette étude dont l’objectif global est d’analyser les barrières à l’utilisation des contraceptifs chez les jeunes de 15-24 ans et les déterminants des grossesses non désirés et des avortements clandestins particulièrement chez ces jeunes filles et en général chez les femmes en âge de procréer.

  3. 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. …

  4. 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. …

  5. 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.

  6. Talk what others think you can’t talk: HIV/AIDS clubs as peer education in Ugandan schools

    In this article, we make the case that HIV/AIDS clubs in Ugandan schools provide valuable information to students who may not have easy access to health services. As one club motto suggests, the clubs ‘talk what others think you can’t talk’. The innovative peer education methods, which include drama, popular culture and community outreach all have great appeal to youth, and provide unique opportunities for female students to raise gender issues and develop leadership skills. …

  7. Efficacy of an American alcohol and hiv prevention curriculum adapted for use in South Africa: results of a pilot study in five township schools

    The high prevalence of HIV among young people in African countries underscores a pressing need for effective prevention interventions. Adapting school–based prevention programs developed in the United States for use in African schools may present an alternative to the time–consuming process of developing home–grown programs. The researchers report the results of a pretest–posttest field trial of an alcohol/ HIV prevention curriculum adapted from an American model and delivered to ninth-grade students in five South African township schools. …

  8. Youth in a void: sexuality, HIV/AIDS and communication in Kenyan public schools

    The disappearance of traditional sex education during rites of passage in African societies has left many youth uncertain of where to look for information. Against this backcloth, the objectives of this study were to identify knowledge gaps amongst adolescents in Kenya regarding sexuality, HIV/AIDS and reproductive health. A thematic analysis was conducted of questions posed by 735 school youth aged 12–18 years from Meru and Kajiado Districts. Results show that many questions showed curiosity and anxiousness. …

  9. Abordagem sócio-cultural em saúde sexual e reproductiva: iniciativa piloto nos distritos de Zavala a Mossuril

    Com o objectivo de apoiar o Governo de Moçambique no seu trabalho sobre o papel da cultura na promoção do desenvolvimento económico e humano do país, o Programa Conjunto do Fundo para o Alcance dos Objectivos de Desenvolvimento do Milénio (F-ODM) para o Fortalecimento das Indústrias Culturais e Criativas e Políticas Inclusivas em Moçambique, e o Programa Conjunto “One UN” do HIV&SIDA criaram o Projecto piloto de Saúde Sexual e Reprodutiva (SSR) nos distritos focais de Ilha de Moçambique, Mossuril (ambos na Província de Nampula) e Zavala (Província de Inhambane), visando usar uma “abordagem sóc …

  10. When Girls' Lives Matter: Ending Forced and Early Marriage in Cameroon

    The past decade has witnessed a dramatic increase in awareness about early and forced marriage of girls as a widespread violation of human rights. In short, early and forced marriage exacerbate gender inequality and the likelihood of poor outcomes throughout life. Combining public education about the negative effects of early and forced marriage with positive preventive strategies is valuable. The Association for the Struggle Against Violence Against Women (ALVF) in Cameroon is one such example. …

  11. Young people's understanding of HIV: a qualitative study among school students in Mankweng, South Africa

    This article describes young people's interpretation of HIV, AIDS and sexually transmitted illness in a rural South African community in Mankweng, Limpopo Province. Method: The study was based on 19 focus group discussions with adolescents aged 12-14 years. Results: Our participants had limited knowledge about HIV from a biomedical perspective. Their understanding and interpretations of HIV and other sexually transmitted diseases were largely informed by traditional and religious belief systems that explain how and why people contract an illness via sexual intercourse. …

  12. HIV education in South African schools: the dilemma and conflicts of educators

    Educators within the school system are well placed to facilitate the dissemination of knowledge and skills in order for adolescents to be equipped for appropriate sexual decision-making. The aim of this research was to provide an understanding of educators' beliefs, attitudes and behaviours with regard to sexual and reproductive health promotion. Methods: Individual interviews were conducted with 15 educators from demographically diverse high schools in the Western Cape. One-off interviews were conducted with Grade 8 Life Orientation educators and principals. …

  13. I am not "umqwayito'': a qualitative study of peer pressure and sexual risk behaviour among young adolescents in Cape Town, South Africa

    Young people in South Africa are susceptible to HIV infection. They are vulnerable to peer pressure to have sex, but little is known about how peer pressure operates. The aim of the study was to understand how negative peer pressure increases high risk sexual behaviour among young adolescents in Cape Town, South Africa. Qualitative research methods were used. Eight focus groups were conducted with young people between the ages of 13 and 14 years. …

  14. Cultural and community practices aimed at promoting sexual and reprodctive health (Nampula, Sofala, Inhambane - Mozambique)

    O presente relatório apresenta os resultados da pesquisa etnográfica realizada nos distritos de Ribáuè, Mossuril, Nhamatanda e Zavala sobre as práticas culturais e comunitárias de promoção de Saúde Sexual e Reprodutiva. A pesquisa adoptou uma abordagem etnográfica e qualitativa centrada na abordagem sociocultural. A recolha de dados foi feita através da realização de entrevistas individuais, grupos de discussão focal e observação directa estruturada, abarcando as províncias de Nampula, Sofala e Inhambane.

  15. Delaying sexual debut amongst out-of-school youth in rural southwest Uganda

    This paper focuses on sexual debut among out-of-school youth in Masaka District, Uganda; factors influencing its timing; and assistance young people feel they need to delay sexual initiation. Data were drawn from a needs assessment using applied anthropological techniques with young people ages 13-19 years. Parents, guardians, and community leaders were also consulted. All participants felt that young people begin their sexual lives too early. Young men feel under pressure from friends and older men to prove their masculinity. …

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