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UNESCO HIV and Health Education Clearinghouse

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  1. Evaluation of the implementation of Family Life and HIV Education Programme in Nigeria

    Family Life and HIV Education (FLHE) programme was introduced nationwide in Nigeria in 2003. Since then little is known about the patterns of its implementation across the states in the six geo-political zones in Nigeria. This study represents an attempt to fill this lacuna in the FLHE literature in Nigeria. Quantitative data was collected from the Federal Ministry of Education and the State Ministries of Education on all salient aspects of FLHE implementation. …

  2. Scaling up sexuality education in Senegal: integrating family life education into the national curriculum

    In Senegal, school-based sexuality education has evolved over 20 years from family life education (FLE) pilot projects into cross-curricular subjects located within the national curriculum of primary and secondary schools. We conducted a literature review and semi-structured interviews to gather information regarding the scale and nature of FLE scale-up. Data were analysed using the ExpandNet/WHO framework, conceptualising scale-up from a systems perspective as composed of interrelated elements and strategic choices. …

  3. Impact and cost-effectiveness analysis of the national school-based sexuality education programme in Estonia

    Policy-makers making decisions on the implementation of school-based sexuality education (SE) programmes face two important questions: (1) what are the costs of implementing and scaling up SE programmes, and (2) what are the impacts? This paper responds to these questions by retrospectively assessing costs, impact and cost-effectiveness of the national school-based SE programme in Estonia 1997–2009. The three-year curriculum had been taught to 190,000 students at the end of 2009. The cost of reaching one student was USD 32.90 and the total costs were USD 5.6 million. …

  4. School-based sexuality education in Portugal: strengths and weaknesses

    Portugal, like many other countries, faces obstacles regarding schoolbased sexuality education. This paper explores Portuguese schools’ approaches to implementing sexuality education at a local level, and provides a critical analysis of potential strengths and weaknesses. Documents related to sexuality education in a convenience sample of 89 schools were analysed and findings confirm both the results of the few existing Portuguese studies on the subject and commonalities in sexuality education between Portugal and other European countries. …

  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. Teacher training in sexuality education in Australia: how well are teachers prepared for the job?

    To better understand the current situation of sexuality education at school and the barriers for implementing effective programs, more research on educators and their experiences within the context of professional development is needed. Thus, we reviewed the broader curriculum and policy content for sex education in Australian tertiary teaching institutions, as well as the availability and content of pre-service teacher training.

  7. A critical analysis of UNESCO's International Technical Guidance on school-based education for puberty and sexuality

    Preparing children and adolescents for sexual safety and reproductive responsibility lies at the heart and purpose of puberty/sexuality education. The document of International Technical Guidance released by UNESCO in December 2009 aims to provide an evidence-based and rights-based platform offering children and adolescents vital knowledge about relationships, sexuality, reproduction and HIV/AIDS, within a structured teaching and learning process in the compulsory school years. …

  8. 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. …

  9. Cost analysis of school-based sexuality education programs in six countries

    Policy-makers who are making decisions on sexuality education programs face important economic questions: what are the costs of developing sexuality education programs; and what are the costs of implementing and scaling them up? This study responds to these questions by assessing the costs of six school-based sexuality education programs (Nigeria, Kenya, Indonesia, India, Estonia and the Netherlands). Cost analyses were carried out in schools that were fully implementing a SE program, as this best reflects the resources needed to run an effective program. …

  10. 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. …

  11. Sexual and HIV/AIDS education in South African secondary schools

    Teaching sexual and HIV and AIDS education in schools has been the subject of debate and discussion for a while now southern Africa. The debates have mainly centred around three key issues – at what stage to introduce it, what kind of curricula is appropriate and who is qualified to provide such teaching. South Africa is one the few countries in the region that have made attempts to introduce sexual and HIV and AIDS education at the secondary school level. Although this has had benefits, it has not been without its challenges. …

  12. Empowering teachers to change youth practices: evaluating teacher delivery and responses to the FLHE Programme in Edo State, Nigeria

    School-based programming is one of the most common approaches to HIV/AIDS prevention among youth. This paper presents the history and development of the Family Life and HIV Education (FLHE) programme in Edo State, Nigeria and results of evaluation of teacher actions and responses to training in its delivery. Results indicate that teachers benefited from the training, were aware of new and/or existing teaching resources and began to teach about HIV/AIDS. Teachers expressed that the programme facilitated open dialogue about HIV/AIDS. …

  13. Sexuality education for HIV prevention in Latin America and the Caribbean: a regional diagnosis

    More than 25 years since the discovery of the human immunodeficiency virus (HIV), preventing its transmission continues to be a challenge throughout the world; Latin America and the Caribbean (LAC) are not an exception. The Government of Mexico has called upon the countries of the region to sign a joint Declaration from the Ministries of Education and Health with the firm commitment to utilize a comprehensive sex education approach as a strategic tool for HIV prevention. …

  14. Appreciative inquiry into lifeskills-based HIV/AIDS education in South African schools

    With a steady rise in the prevalence of HIV and AIDS throughout the world it has become vital for programme implementers at all levels to ensure that all HIV intervention programmes are effectively put into practice. The present research used qualitative and quantitative data to evaluate the lifeskills-based HIV/AIDS education programme being implemented in primary and secondary schools in South Africa, with special reference to KwaZulu-Natal. …

  15. School-based HIV/AIDS prevention in sub-Saharan Africa

    This supplement of the Scandinavian Journal of Public Health includes contains a series of freely accessible articles on school-based HIV/AIDS prevention in sub-Saharan Africa. …

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