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UNESCO HIV and Health Education Clearinghouse

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  1. Menarche and its implications for educational policy in Peru

    Indigenous girls in rural areas live in the most extreme poverty and make up the least educated groups in Peru. These girls face numerous constraints to obtaining an education. Enrollment rates are lower for girls in rural areas, and their grade repetition rates are higher than those for boys. Adolescence is particularly difficult, as girls face a number of risks during this time. Once they begin menstruation, completing their primary school education is a formidable challenge, and opportunities for advancing to secondary school are limited. …

  2. Menstrual hygiene management compliance in primary schools in Uganda: a case of Lira Municipality

    The main objective of the study was to determine the influence of Menstrual Hygiene Management on school absenteeism of adolescent girls in 10 primary schools in Lira municipality. Our findings highlighted that; majority of the respondent’s onset of the menstruation was at 13 years of age, 60% of the participants used disposable pads. Most respondents changed their pads at least twice a day. Two fifth of the primary girls reported missing school for about 3 days during menstrual periods pointing to the lack of menstrual hygiene products. …

  3. Menstrual hygiene management to improve the attendance of primary school-aged girls in Central North, Burkina Faso

    How to improve the conditions for girls to attend school, to reduce failure and drop-out rates of adolescent girls, while ensuring their dignity and protection? This was the consideration that motivated the Kom-Yilma project, implemented by Catholic Relief Services in Burkina Faso and financed by the Leona M. and Harry B. Helmsley Charitable Trust, to undertake a behavior-change strategy for menstrual-hygiene management in 118 schools in Bam and Sanmatenga Provinces. …

  4. Analyse de la situation de la violence en milieu scolaire au Maroc

    Ce rapport est organisé en trois principales parties. La première traite des différentes formes et manifestations de la violence à l’égard des femmes, en famille et chez les jeunes (1.1 à 1.3). Ensuite sont exposées les données, l’ampleur et les types de violences recensées dans le système éducatif (1.4.). Cette partie se termine par le bilan de la l’extrémisme violent lié au terrorisme (1.5.). La seconde partie commence par la présentation des éléments du débat et point de vue des officiels sur l’extrêmisme violent e au Maroc (2.1). …

  5. A time for global action: addressing girls' menstrual hygiene management needs in schools

    Summary Points: There is an absence of guidance, facilities, and materials for schoolgirls to manage their menstruation in low- and middle-income countries (LMICs). Formative evidence has raised awareness that poor menstrual hygiene management (MHM) contributes to inequity, increasing exposure to transactional sex to obtain sanitary items, with some evidence of an effect on school indicators and with repercussions for sexual, reproductive, and general health throughout the life course. …

  6. An agenda for policy and action to support girls through puberty and menarche

    Puberty and menstruation are a fundamental part of the second decade of girls’ lives. Yet many girls in low and middle-income countries know very little about the physical and emotional changes that are part of growing up. …

  7. Cash transfers: magic bullet or fundamental ingredient?

    Comment on a study published in The Lancet Global Health by Audrey Pettifor and colleagues on cash transfers, school attendance and the reduction of HIV risk behaviours in adolescent girls.

  8. The effect of a conditional cash transfer on HIV incidence in young women in rural South Africa (HPTN 068): a phase 3, randomised controlled trial

    Cash transfers have been proposed as an intervention to reduce HIV-infection risk for young women in sub-Saharan Africa. However, scarce evidence is available about their effect on reducing HIV acquisition. The authors aimed to assess the effect of a conditional cash transfer on HIV incidence among young women in rural South Africa. Based on their research findings, the authors draw the conclusion that cash transfers conditional on school attendance did not reduce HIV incidence in young women. School attendance significantly reduced risk of HIV acquisition, irrespective of study group. …

  9. Effect of a cash transfer programme for schooling on prevalence of HIV and herpes simplex type 2 in Malawi: a cluster randomised trial

    Lack of education and an economic dependence on men are often suggested as important risk factors for HIV infection in women. The authors assessed the efficacy of a cash transfer programme for schooling to reduce the risk of sexually transmitted infections in young women. Based on their findings the authors conclude that cash transfer programmes can reduce HIV and HSV-2 infections in adolescent schoolgirls in low-income settings. Structural interventions that do not directly target sexual behaviour change can be important components of HIV prevention strategies.

  10. Kenya: helping adolescent mothers remain in school through strengthened implementation of school re-entry policies

    The goal of this case study is to document an activity of the STEP UP research programme consortium which resulted in successful evidence utilization. This is to both demonstrate the positive impact STEP UP is having on family planning and reproductive health policies, as well as to document the process by which this was achieved so as to inform future research of successful strategies and lessons learned. …

  11. Impact of the provision of school lunch on attendance in remote rural Jamaican primary schools

    This study examined the attendance patterns by region of schools which participated in School Feeding Programmes (SFPs) in poor, remote rural areas of Jamaica and determined wether there was a significant difference in attendance over a 10 year period between children who took different lunch types. The study revealed peaks and troughs in the average annual attendance by region, but found no significant difference in attendance by lunch type. …

  12. Menstruation and the cycle of poverty: a cluster quasi-randomised control trial of sanitary pad and puberty education provision in Uganda

    Background: Poor menstrual knowledge and access to sanitary products have been proposed as barriers to menstrual health and school attendance. In response, interventions targeting these needs have seen increasing implementation in public and private sectors. However, there has been limited assessment of their effectiveness. …

  13. Menstruation and education in Nepal

    This paper presents the results from a randomized evaluation that distributed menstrual cups (menstrual sanitary products) to adolescent girls in rural Nepal. Girls in the study were randomly allocated a menstrual cup for use during their monthly period and were followed for fifteen months to measure the effects of having modern sanitary products on schooling. While girls were 3 percentage points less likely to attend school on days of their period, the researchers find no significant effect of being allocated a menstrual cup on school attendance. …

  14. School feeding and girls’ enrollment: the effects of alternative implementation modalities in low-income settings in sub-Saharan Africa

    BACKGROUND: School feeding interventions are implemented in nearly every country in the world, with the potential to support the education, health and nutrition of school children. In terms of impact on school participation, there is little evidence to show that different school feeding modalities have different effect sizes. OBJECTIVE: To examine the influence of different school feeding modalities on primary school enrollment, particularly for girls, in 32 countries across sub-Saharan Africa. …

  15. Accessing the ‘right’ kinds of material and symbolic capital: the role of cash transfers in reducing adolescent school absence and risky behaviour in South Africa

    This article investigates how well South Africa’s Child Support Grant (CSG) responds to the material and psychosocial needs of adolescents, and the resultant effects on schooling and risky behaviour. One driver of schooling decisions is shame related to poverty and the ‘social cost’ of school, where a premium must often be paid for fashionable clothes or accessories. The other driver relates to symbolic and consumptive capital gained through engaging in sexual exchange relationships. The anticipated impacts from the CSG are partial because of these non-material drivers of adolescent choices. …

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