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UNESCO HIV and Health Education Clearinghouse

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  1. State of world population 2018: the power of choice: reproductive rights and the demographic transition

    The global trend towards smaller families is a reflection of people making reproductive choices to have as few or as many children as they want, when they want. When people lack choice, it can have a long-term impact on fertility rates, often making them higher or lower than what most people desire.

  2. Status of sexual and reproductive health and rights in Zambia: contraception and family planning, preventing unsafe abortion and accessing postabortion care, and maternal health

    This policy brief is Part 1 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).

  3. Unintended pregnancies in Kenya: a country profile

    The report draws on data from four Kenya Demographic and Health Surveys (KDHS) (1993, 1998, 2003 and 2008/09), the Kenya AIDS Indicator Survey (KAIS) (2007), the Kenya Service Provision Assessment (KSPA) (2004 and 2010) and the Kenya National Survey for Persons with Disabilities (KNSPWD) (2008). Levels of key family planning and reproductive health indicators are set out, as well as fertility-and abortion indicators in Kenya. An equity lens was used, which differentiates these indicators by age, marital status, region, education and wealth. …

  4. Making the case for investing in adolescent reproductive health: a review of evidence and PopPov research contributions

    Solid evidence on the links between preventing adolescent childbearing and alleviating poverty can motivate policymakers and donors to invest in reproductive health and family planning programs for youth. Research that documents the clear cause-and-effect relationship between program interventions and outcomes, such as better health and delayed childbearing among teens, can guide decisions about investments in research or programs. …

  5. Can sexuality education advance gender equality and strengthen education overall? Learning from Nigeria’s family life and HIV education program

    The imperative to prepare the largest generation of young people in history for adulthood has driven a search for fresh approaches to educating adolescents about their bodies and sexuality. Recently, there have been calls among health experts and educators for a comprehensive, integrated approach to sexuality education that addresses not only health issues such as HIV and pregnancy, but also helps to achieve broader outcomes such as ensuring gender equality, increasing access to education for girls, and improving the quality of education overall. …

  6. A voucher for health: enabling young people in Uganda to access quality sexual and reproductive health services

    Young people in Uganda have significant unmet sexual and reproductive health (SRH) needs. This is particularly the case for young people from key populations. The prevalence of HIV among sex workers of all ages is between 35% and 37%, five times higher than the general population. Sex workers also face other serious sexual and reproductive health and rights (SRHR) issues, including high rates of unintended pregnancies and sexually transmitted infections (STIs). The situation for young lesbian, gay, bisexual, transgender and intersex people is also difficult. …

  7. Good practices on HIV/AIDS and sexual reproductive health from higher education institutions in Ethiopia

    Criteria for Evaluation of Good Practices Submitted from Member Higher Education Institutions; 1. Innovativeness (It could be something initiated by HEI as original or existing program with contextualized modification of key focus areas of interventions stipulated in the forum’s policy and strategy framework or education sector response policy against the epidemic); 2. Explicability or adaptability (have the potential to serve as a model for generating initiatives in the other HEIs); 3. …

  8. Nigeria Demographic and Health Survey 2013

    This report summarises the findings of the 2013 Nigeria Demographic and Health Survey (NDHS), implemented by the National Population Commission (NPC). The 2013 NDHS is a national sample survey that provides up-to-date information on background characteristics of the respondents. …

  9. Assessment of the Policy Environment for the Integration of Reproductive Health and HIV&AIDS Services in Ghana

    The objectives of this assessment are to: Identify and assess current policies on reproductive health (RH) and HIV&AIDS services that support integration; Assess key stakeholders' current understanding of “integration of RH and HIV&AIDS services.” This includes their understanding of who is (are) the target population(s) in need of services, the kinds of services needed, and service delivery strategies for best meeting those needs; Identify operational challenges to providing integrated RH and HIV&AIDS services; Identify examples of integrated RH and HIV&AIDS services, if possible, and assess  …

  10. Education and risky sex in Africa: Unraveling the link between women’s education and reproductive health behaviors in Kenya

    Much research attention has been devoted to understanding the relationship between education and riskier sex-related behaviors and HIV/AIDS in sub-Saharan Africa. While in the early 1990s researchers found that increases in education were associated with a higher incidence of HIV/AIDS, this relationship appears to have reversed and better educated people, especially women, appear less likely to engage in riskier sex-related behaviors and have a lower incidence rate of HIV/AIDS. …

  11. HIV and family planning integration in Tanzania: building on the PEPFAR platform to advance global health

    The President’s Emergency Plan for AIDS Relief (PEPFAR) is well positioned to serve as a foundation for other global health programs, building on its health infrastructure, training, and systems. To fulfill that potential in the vital area of women’s health will require integrating HIV/AIDS services with family planning and reproductive health services. The results from U.S. health investments in Tanzania indicate that this is a feasible and cost-effective strategy to combat the AIDS epidemic and promote the health of women and girls, and through them their families and communities. …

  12. Women's empowerment and choice of contraceptive methods in selected African countries

    Few studies have examined the different dimensions of women's empowerment and contraceptive use in African countries. Data for this study came from the latest round of Demographic and Health Surveys conducted between 2006 and 2008 in Namibia, Zambia, Ghana and Uganda. Responses from married or cohabiting women ages 15–49 were analyzed for six dimensions of empowerment and the current use of female-only methods or couple methods. Bivariate and multivariate multinomial regressions were used to identify associations between the empowerment dimensions and method use. …

  13. Situational analysis on SRH/HIV integration in Zambia

    To contribute to the achievement of RH and HIV integration, SAfAIDS and Youth Vision Zambia in partnership with Population Action International commissioned a 15 days rapid situation analysis to establish the current national baseline of existing national policies, HIV and RH integration programmes and opportunities for advocacy for increased integration. …

  14. Integrating family planning and HIV services: programs in Kenya and Ethiopia lead the way

    To document how programs are actually implementing integrated services, AIDSTAR-One visited several programs in Kenya and Ethiopia and focused especially on the integration of FP and HIV services. FP/HIV integration has been the focus of much research and policy-level support, but documentation and evaluation of implementation experience are lacking.

  15. In the absence of marriage: long-term concurrent partnerships, pregnancy, and HIV risk dynamics among South African young adults

    In KwaZulu/Natal, South Africa, where HIV prevalence is among the world's highest, a longitudinal qualitative study of partnership dynamics and HIV preventive behaviors was conducted. 47 young adults aged 18-24 participated in in-depth interviews, and 29 were re-interviewed 2 years later. Five analytical domains emerged: primary partnerships, love and romance; secondary partnerships; pregnancy/parenthood; condom use/prevention; and contextual influences, including schooling and future aspirations. …

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