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UNESCO HIV and Health Education Clearinghouse

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  1. Status of sexual and reproductive health and rights in Zambia: comprehensive sexuality education and adolescents sexual and reproductive health

    This policy brief is Part 2 of a three-part series entitled “Status of Sexual and Reproductive Health and Rights in Zambia,” reporting on progress, gaps, and existing challenges in SRH&R related to achieving Sustainable Development Goals (SDGs).

  2. Strengthening sexual and reproductive health and HIV prevention among children and young people through promoting comprehensive sexuality education in Eastern and Southern Africa: End-term evaluation report 2013-2015

    Increasing children’s and young people’s knowledge on sexual and reproductive health and rights (SRHR) is seen as a critical component in reducing a large number of challenges in Eastern and Southern Africa (ESA), including HIV and AIDS, teenage marriage, and teenage pregnancy in particular. While access to education remains a challenge for many children in the region, the provision of comprehensive sexuality education (CSE) in school settings is considered an effective way to educate children and young people on SRHR. …

  3. Interventions to prevent unintended and repeat pregnancy among young people in low- and middle-income countries: a systematic review of the published and gray literature

    Adolescent pregnancy, particularly unintended pregnancy, can have lasting social, economic, and health outcomes. The objective of this review is to identify high-quality interventions and evaluations to decrease unintended and repeat pregnancy among young people in low- and middle-income countries. PubMed, Embase, PsycInfo, Cinahl Plus, Popline, and the Cochrane Databases were searched for all languages for articles published through November 2015. Gray literature was searched by hand. Reference tracing was utilized, as well as unpacking systematic reviews. …

  4. Risk information, risk salience, and adolescent sexual behavior: experimental evidence from Cameroon

    Results from a randomized experiment conducted with teenage schoolgirls in Cameroon suggest that HIV prevention interventions can be effective at reducing the incidence of teen pregnancy in the following 9-12 months by over 25 percent.

  5. The case for addressing gender and power in sexuality and HIV education: a comprehensive review of evaluation studies

    CONTEXT: Curriculum-based sexuality and HIV education is a mainstay of interventions to prevent STIs, HIV and unintended pregnancy among young people. Evidence links traditional gender norms, unequal power in sexual relationships and intimate partner violence with negative sexual and reproductive health outcomes. However, little attention has been paid to analyzing whether addressing gender and power in sexuality education curricula is associated with better outcomes. …

  6. Sex and HIV education programs: Their impact on sexual behaviors of young people throughout the world

    This paper reviews 83 studies that measure the impact of curriculum-based sex and HIV education programs on sexual behavior and mediating factors among youth under 25 years anywhere in the world. Two thirds of the programs significantly improved one or more sexual behaviors. The evidence is strong that programs do not hasten or increase sexual behavior but, instead, some programs delay or decrease sexual behaviors or increase condom or contraceptive use. …

  7. Are the health messages in schoolbooks based on scientific evidence? A descriptive study

    Background: Most textbooks contains messages relating to health. This profuse information requires analysis with regards to the quality of such information. The objective was to identify the scientific evidence on which the health messages in textbooks are based. Methods: The degree of evidence on which such messages are based was identified and the messages were subsequently classified into three categories: Messages with high, medium or low levels of evidence; Messages with an unknown level of evidence; and Messages with no known evidence. Results: 844 messages were studied. …

  8. Addressing sexual health and HIV in school. Four initiatives from sub-Saharan Africa and Latin America

    This publication describes three German-supported initiatives in Africa (specifically in Guinea, Mozambique and Tanzania) and one in Latin America (a six-country regional initiative). All integrate sexual health and HIV prevention within school systems. The three African initiatives operate within generalized epidemics driven largely by unprotected sex between men and women. In Latin America general prevalence in the countries described here is well below one percent, and much less among young people. …

  9. Community-level successes and challenges to implementing adolescent sex education programs

    Best practices for adolescent sex education recommend science-based approaches. However, little is known about the capacity and needs of organizations who implement sex education programs on the local level. The purpose of this research was to describe successes and challenges of community organizations in implementing science-based sex education. Using qualitative methods, we interviewed program directors and educators in 17 state funded adolescent pregnancy prevention/sex education programs as part of a larger mixed methods evaluation. …

  10. My future is my choice [evaluation]

    The overall purpose of the research was to evaluate My Future is My Choice (MFMC), a national peer education HIV prevention life skills programme in Namibia, and to provide recommendations for programme improvement and strengthening. An official extra-curricular life skills program of the Ministry of Education at secondary and combined schools, the MFMC programme seeks to protect young people from HIV infection and sexually transmitted diseases as well as prevent unintended pregnancies.

  11. Reducing Adolescent Sexual Risk: A Theoretical Guide for Developing and Adapting Curriculum-Based Programs

    Reducing Adolescent Sexual Risk helps to design, adapt and select curriculum-based programs to effectively address critical factors that affect adolescents' sexual decision making. Reducing Adolescent Sexual Risk offers a research-based, step-by-step guide to understanding 7 "sexual psychosocial" factors that affect sexual behavior. …

  12. Cost and cost effectiveness analysis of school-based sexuality education in six countries: full report + School-based sexuality education programmes: a cost and cost-effectiveness analysis in six countries. Executive summary

    Costing and cost-effectiveness data for HIV prevention programmes are important tools for decision-makers. In many countries, HIV prevention efforts for young people have increasingly focused on schools, with many ministries of education in the process of scaling up school-based sexuality education programmes. However, most ministries of education are implementing programmes without an adequate understanding of how much the programmes cost per learner or per HIV/STIs or unintended pregnancy averted. …

  13. ¿Qué sirve mejor en la enseñanza sobre la sexualidad y el VIH?

    Los programas educativos sobre la sexualidad y el VIH tienen varias metas: disminuir los embarazos no planeados, reducir las enfermedades de transmisión sexual (ETS) incluyendo la del VIH y mejorar la salud sexual de los jóvenes. Algunos de los numerosos factores que influyen en la conducta sexual y el uso de protección entre los adolescentes tienen poco que ver con las relaciones sexuales, por ejemplo: la crianza en una comunidad desfavorecida, la falta de apego a los padres o el fracaso escolar. …

  14. It's all one curriculum: guidelines and activities for a unified approach to sexuality, gender, HIV, and human rights education

    It's All One Curriculum is a free, full-color resource for developing sexuality and HIV education curricula with an emphasis on gender and rights. It enables educators to teach young people about such topics as: Gender norms; Communication and decisionmaking; Sexual consent and coercion; Fairness and human rights (including sexual rights); Power and relationships; Preventing HIV, STIs, and unwanted pregnancy; Puberty; Social change. The first volume, Guidelines, includes seven content units, 22 fact sheets, points for reflection to foster critical thinking, and a module on advocacy. …

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