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UNESCO HIV and Health Education Clearinghouse

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  1. School-based relationships and sexuality education (RSE): lessons for policy and practice

    There is clear evidence that school-based sex education programmes can improve sexual health outcomes. Women who have experienced sex education in schools are less likely to have experienced rape, abortion or distress about sex. Many factors combine to affect health and sex education will not override the determinants of health in general. …

  2. Challenges to implementing national comprehensive sexuality education curricula in low- and middle-income countries: case studies of Ghana, Kenya, Peru and Guatemala

    School-based comprehensive sexuality education (CSE) can help adolescents achieve their full potential and realize their sexual and reproductive health and rights. This is particularly pressing in low- and middle-income countries (LMICs), where high rates of unintended pregnancy and STIs among adolescents can limit countries’ ability to capitalize on the demographic dividend. While many LMICs have developed CSE curricula, their full implementation is often hindered by challenges around program planning and roll-out at the national and local level. …

  3. Desarrollo personal y educación sexual en el currículo nacional: escolares, jóvenes y adultos opinan

    Resultados de la encuesta nacional "Evaluación sobre la Educación Sexual" aplicada a población general y a estudiantes de secundaria.

  4. 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. …

  5. Comprehensive sexuality education: the challenges and opportunities of scaling-up

    This publication is part of an ongoing programme of work initiated by UNESCO in 2008 to provide technical guidance and implementation support for sexuality education programmes, as a platform for HIV prevention, treatment and care. It emphasizes the challenges and opportunities for scaling up comprehensive sexuality education in school settings. Building on indepth interviews with key informants involved in past and ongoing work on sexuality education, this publication provides conceptual and practical guidance on definitions and strategies for scaling-up. …

  6. School based sex education and HIV prevention in low- and middle-income countries: a systematic review and meta-analysis

    Objectives: School-based sex education is a cornerstone of HIV prevention for adolescents who continue to bear a disproportionally high HIV burden globally. We systematically reviewed and meta-analyzed the existing evidence for schoolbased sex education interventions in low- and middle-income countries to determine the efficacy of these interventions in changing HIV-related knowledge and risk behaviors. Methods: We searched five electronic databases, PubMed, Embase, PsycInfo, CINAHL, and Sociological Abstracts, for eligible articles. …

  7. An HIV/AIDS knowledge scale for adolescents: item response theory analyses based on data from a study in South Africa and Tanzania

    A 14-item human immunodeficiency virus/acquired immunodeficiency syndrome knowledge scale was used among school students in 80 schools in 3 sites in Sub-Saharan Africa (Cape Town and Mankweng, South Africa, and Dar es Salaam, Tanzania). For each item, an incorrect or don't know response was coded as 0 and correct response as 1. Exploratory factor analyses based on polychoric correlations showed two separate factors for all sites. …

  8. Efficacy of a theory-based abstinence-only intervention over 24 months: A randomized controlled trial with young adolescents

    Objective: To evaluate the efficacy of an abstinence-only intervention in preventing sexual involvement in young adolescents. Design:Randomized controlled trial. Setting: Urban public schools. Participants:A total of 662 African American students in grades 6 and 7. …

  9. Sexuality education in Australian secondary schools 2010. Results of the 1st national survey of Australian secondary teachers of sexuality education

    The 1st National Survey of Secondary Teachers of Sexuality Education involved nearly 300 secondary school teachers from every jurisdiction in Australia including government, Catholic and independent schools. The key findings are arranged under the themes of teaching workforce, the content of sexuality education, barriers and support, teachers’ views and opinions and school policy requirements.

  10. Comprehensive sexuality education: the challenges and opportunities of scaling-up

    This report builds on a programme of work on sexuality education for young people initiated in 2008 by UNESCO. It is also informed by several other past and ongoing initiatives related to scaling up sexuality education, as well as drawing on case studies presented at the Bogota international consultation on sexuality education, convened by UNFPA in 2010. The report emphasizes the challenges for scaling-up in terms of integrating comprehensive sexuality education into the formal curricula of schools. …

  11. A novel economic intervention to reduce HIV risks among school-going AIDS orphans in rural Uganda

    This study tested an economic intervention to reduce HIV risks among AIDS-orphaned adolescents. Adolescents (n = 96) were randomly assigned to receive the intervention or usual care for orphans in Uganda. All adolescents in the study received usual care for AIDS orphans in Uganda, which included peer counseling, health education, and scholastic materials. In addition, experimental adolescents received a family economic intervention, which included a Child/Youth Development Account (CDA) and six 2-hour classes on career planning, career goals, microfinance, and financial well-being. …

  12. HIV prevention for South African youth: which interventions work? A systematic review of current evidence

    South Africa's HIV prevalence among 15-24 year olds is one of the highest in the world. This systematic review looks at the evidence for youth HIV prevention in the country since 2000 and critically assesses interventions across four domains: study design and outcomes; intervention design; thematic focus and HIV causal pathways; and intervention delivery. Eight interventions were included in the review, all similar regarding content and objectives, but with variouis thematic foci, causal pathways, theoretical bases, delivery methods, intensity and duration. …

  13. Working towards better youth sex education in Europe

    This article describes Germany's approach to youth sex education. It starts with a discussion of the fact that sex education is viewed as a national responsibility, then goes into findings of the 2005 youth scientific foundation study on youth sexuality related to sex education at home and in the family; sex education in schools: widespread and well-received; first sexual intercourse; contraception andáuse of the media. The study concludes by saying that a clear relationships exists between sex education at home and positive contraceptive behavior. …

  14. Does Peer Education Work in Europe?

    This publication deals with current sexual and reproductive health issues. In this issue, a range of themes related to peer education are tackled, including its theoretical foundations and models; its role in battling STIs/HIV/AIDS in Denmark and the Russian Federation; theatre as a peer-led approach in central and eastern Europe; Hungary's approach to sex education; and the role of medical students in providing peer education.

  15. Reproductive health programs for young adults: school-based programs

    There is an urgent need for the global community to act on the preceding principles and recommendations. Currently comprising more than 1.5 billion people, young adults, defined by the World Health Organization (WHO) as those individuals aged 10 to 24, face considerable threats to their reproductive health. …

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