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UNESCO HIV and Health Education Clearinghouse

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  1. Creating an enabling environment for adolescent sexual and reproductive health: a framework and promising approaches

    This article provides a conceptual framework and points out the key elements for creating enabling environments for adolescent sexual and reproductive health (ASRH). An ecological framework is applied to organize the key elements of enabling environments for ASRH. At the individual level, strategies that are being implemented and seem promising are those that empower girls, build their individual assets, and create safe spaces. …

  2. Sexual and reproductive health and rights for the next decades: What's been achieved? What lies ahead?

    This Global Public Health Special Issue ‘SRHR for the next decades: What's been achieved? What lies ahead?’ assesses progress 20 years after the 1994 International Conference on Population and Development (ICPD), which established the sexual and reproductive health and rights framework for population and health policy (United Nations [UN], 1995). …

  3. Adolescence: building solid foundations for lifelong flourishing

    Adolescence is a decisive age for girls and boys around the world. What they experience during their teenage years shapes the direction of their lives and that of their families. Investments in adolescents’ education and health are life-time investments that are likely to have positive effects on behaviours and lifestyles during their entire life course. For many young people the mere onset of puberty that occurs during adolescence marks a time of heightened vulnerability. …

  4. Invited commentary: Broadening the evidence for adolescent sexual and reproductive health and education in the United States

    Scientific research has made major contributions to adolescent health by providing insights into factors that influence it and by defining ways to improve it. However, US adolescent sexual and reproductive health policies-particularly sexuality health education policies and programs-have not benefited from the full scope of scientific understanding. From 1998 to 2009, federal funding for sexuality education focused almost exclusively on ineffective and scientifically inaccurate abstinence-only-until-marriage (AOUM) programs. …

  5. A review of interventions addressing structural drivers of adolescents' sexual and reproductive health vulnerability in sub-Saharan Africa: implications for sexual health programming

    Background: Young people particularly women are at increased risk of undesirable sexual and reproductive health (SRH) outcomes. Structural factors have been reported as driving some of these risks. Although several interventions have targeted some of the structural drivers for adolescent’s SRH risk, little has been done to consolidate such work. This would provide a platform for coordinated efforts towards adolescent’s SRH. …

  6. Twenty years after International Conference on Population and Development: Where are we with adolescent sexual and reproductive health and rights?

    The International Conference on Population and Development in Cairo in 1994 laid out a bold, clear, and comprehensive definition of reproductive health and called for nations to meet the educational and service needs of adolescents to enable them to deal in a positive and responsible way with their sexuality. …

  7. New outcomes for sexual health promotion

    Numerous definitions of sexual health have been developed over the past few years. Perhaps the best known and most widely accepted of them is the World Health Organization’s (WHO) working definition, which reads as follows: ". . . a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. …

  8. Investing in very young adolescents' sexual and reproductive health

    Very young adolescents (VYAs) between the ages of 10 and 14 represent about half of the 1.2 billion adolescents aged 10–19 in the world today. In lower- and middleincome countries, where most unwanted pregnancies, unsafe abortions, maternal deaths and sexually transmitted infections occur, investment in positive youth development to promote sexual and reproductive health (SRH) is increasing. Most interventions, though, focus on older adolescents, overlooking VYAs. …

  9. Programas de Salud y Género. Mujeres con VIH/SIDA

    La proliferación de trabajos biológicos sobre el proceso del VIH/Sida contrasta con el abordaje de la problemática desde la experiencia de los que lo viven. De entre los involucrados, la mujer se vio implicada desde el comienzo como una de las poblaciones de riesgo de contagiar y de enfermarse. …

  10. Sexual/gender minorities in Thailand: Identities, challenges, and voluntary-sector counseling

    This article has 3 objectives: (a) to chart current Thai sexual/gender-minority terminology and identities, (b) to identify challenges in the lives of sexual/gender minorities in Thailand, and (c) to evaluate how both identities and challenges are reflected in voluntary-sector counseling. The author summarizes terminology and issues from existing Thai and foreign studies and reports the results of a qualitative inquiry into the state of counseling in 3 Thai nongovernmental organizations. …

  11. The sexual behaviour of adolescents in sub-Saharan Africa: patterns and trends from national surveys

    Objectives: To describe the sexual and reproductive behaviour of adolescents in sub-Saharan Africa, particularly 15- to 19-year-olds. Methods: Using DHS/AIS data (2000–2010), nine indicators of adolescent behaviour and one of adult attitudes towards condom education for adolescents were described for 24 countries. Indicators were disaggregated by gender, urban/rural residency and educational status, and time trends were described. Results: Up to 25% of 15- to 19-year-olds reported sex before age 15; this proportion shrank over time in many countries. …

  12. Psychosocial processes and sexual initiation among Ghanaian youth

    This study modeled primary abstinence and age at first sex in a cross-sectional sample of Ghanaian youth ages 17 to 22 years. The aim was to examine how reproductive knowledge and social cognitive factors jointly affect the choice to initiate sex. Among males, the authors found that reproductive knowledge is negatively associated with abstinence. Its negative association, however, is moderated by the extent of adult support a respondent receives. Among females, reproductive knowledge is positively associated with abstinence. …

  13. Improving the HIV response for women in Latin America: barriers to integrated advocacy for sexual and reproductive health and rights

    Civil society plays an important health governance role by influencing international sexual, reproductive health and HIV agendas as expressed in international conferences; monitoring and evaluating implementation; and holding governments accountable for their commitments. Integration of sexual and reproductive health (SRH) and HIV services to achieve the health-related MDGs would seem to be a strategic joint advocacy agenda for the women's sexual and reproductive health movement and HIV activists, particularly women living with HIV. …

  14. Adolescents' reports of reproductive health education, 1988 and 1995

    This study used formal reproductive health education and communication with parents on reproductive health among 15-19 year old males from the National Survey of Adolescent Males (1988 and 1995). Female adolescent reports were taken from the 1995 National Survey of Family Growth. During this period, reproductive health education became almost universal among adolescent males. The percentage of males receiving information on HIV and AIDS rose from 73% to 97% and percentage receiving instruction on saying no to sex rose from 58% to 75%. Those who dropped out of school received less education. …

  15. Social outcome expectations regarding delayed sexual debut among adolescents in Mankweng, South Africa

    Aims: To describe outcome expectations related to delayed sexual transition, to examine the dimensionality and internal consistency of such expectations, and to examine variations in social outcome expectations across subgroups defined by demographic variables, indicators of socioeconomic status and predictors related to school and educational ambitions. Methods: Data stem from a survey among school students (grades 8-12) in Mankweng, Limpopo, South Africa (n=5,697). …

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