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UNESCO HIV and Health Education Clearinghouse

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  1. 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. …

  2. Factors shaping trajectories to child and early marriage: evidence from Young Lives in India

    The 2011 Census in India reported that nearly 17 million children between the ages of 10 and 19 –6% of the age group – are married, with girls constituting the majority (76 per cent), although there has been a significant relative reduction in the marriage of girls under 14. The aim of this paper is to better understand the individual, household and community factors that explain the different pathways to marriage among Young Lives children, drawing upon both descriptive statistics from the household survey as well as in-depth qualitative research with the study children.

  3. Tackling child marriage and early childbearing in India: lessons from Young Lives

    The Government of India has made combatting child marriage and early childbearing a priority. This brief uses data collected from 1,000 19-year-olds in Andhra Pradesh and Telangana to help inform policy and programming efforts. In Young Lives survey, 28% of girls and just 1% of boys married before the age of 18. By the age of 19, a majority (59%) of married young women had already given birth. Young Lives has been following the lives of these young people and their families since 2002. …

  4. Change the context not the girls: improving efforts to reduce teenage pregnancy in Sierra Leone

    Concerns about significant increases in Sierra Leone’s already high rates of teenage pregnancy during the Ebola crisis have led to redoubled efforts among policy-makers and development practitioners to address this problem. The startling health and education impacts on teenage girls -twice as many mothers aged 15-19 die in childbirth compared to those over 20 while teen pregnancy is one of the leading causes of school dropouts - underline the importance of these efforts. …

  5. Menstrual hygiene in schools in two countries of francophone West Africa: Burkina Faso and Niger. Case studies in 2013

    Menstrual hygiene management (MHM) has been under-researched by the WASH, health and education sectors. Menstruation is a sensitive subject and remains a taboo in many societies. Some cultural beliefs about menstruation reinforce gender inequities and have negative impact on the dignity, health and education of women and girls. There is a need to gather more information on MHM to improve WASH in schools programming and create more equal, safe and healthy school environments. …

  6. Menstrual hygiene management impacts girls’ school experience in the Bolivian Amazon

    The purpose of this study on menstrual hygiene management (MHM) in the Beni department of Bolivia was to better understand the challenges girls face due to menstruation; describe factors which influence girls’ experiences during menstruation; and present recommendations to create a supportive school environment for adolescent girls in Bolivia. This study complements the findings of the first MHM study undertaken in Cochabamba, Bolivia in 2012, by providing information specific to the Amazonian population of the eastern lowlands of Bolivia. …

  7. 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. …

  8. WASH in schools empowers girls’ education in rural Cochabamba, Bolivia: an assessment of menstrual hygiene management in schools

    The experiences girls face at school in Bolivia during menstruation had never been formally researched before this project. Data collection in Bolivia was part of a multi-country assessment of the challenges girls face in schools that included the Philippines, Rwanda and Sierra Leone. The overarching aim of this collaboration was to understand the range of challenges faced by schoolgirls during menstruation, as well as the determinants of those challenges, and to provide recommendations for stakeholders. …

  9. Aahung – empowering adolescents in Pakistan through life skills-based education

    Aahung, a Karachi-based sexual and reproductive health non-profit organization, has developed a life skills-based education (LSBE) program for school-going adolescent girls and boys. This intervention provides young people with skills and knowledge related to adolescent reproductive health, such as accurate information about puberty and related changes, marital rights, peer pressure, sexual harassment and body protection, gender inequities, early marriage, nutrition, self-confidence, decision-making, and communication skills. …

  10. Menstrual hygiene management among adolescent schoolgirls in low- and middle-income countries: research priorities

    A lack of adequate guidance on menstrual management; water, disposal, and private changing facilities; and sanitary hygiene materials in low- and middle-income countries leaves schoolgirls with limited options for healthy personal hygiene during monthly menses. …

  11. Expanding access to secondary school education for teenage mothers in Kenya: a baseline study report

    The objectives of this study were to: 1) foster an understanding of the current situation and context in regard to out-of-school teenage mothers and their potential support systems for school re-entry at the household and school levels in Homa Bay County, 2) clarify possible solutions for promoting school re-entry on the part of out-of-school girls, their families, and the education sector, and 3) provide a benchmark against which changes resulting from an intervention to promote school re-entry may be measured by the endline period.

  12. Education sector response to early and unintended pregnancy: a policy dialogue in Homa Bay County, Kenya

    In collaboration with the Strengthening Evidence for Programming on Unintended Pregnancy (STEP UP) Research Programme Consortium, the Population Council has implemented a project since 2014 to increase the demand for secondary school education in Homa Bay County, Kenya – an area characterized by high, unintended teenage pregnancy and female school drop-out rates.

  13. Girlhood, not motherhood: preventing adolescent pregnancy

    When a girl becomes pregnant, her present and future change radically, and rarely for the better. Pregnancy before a girl is physically, developmentally and socially ready jeopardizes her right to a safe, successful transition into adulthood. This publication presents strategic thinking and reviews the best available evidence on effective strategies and interventions to empower girls and reduce their vulnerability to adolescent pregnancy. …

  14. Education sector response to early and unintended pregnancy: a review of country experiences in sub-Saharan Africa

    In Sub-Saharan Africa (SSA), early and unintended pregnancy leads to a colossal loss of educational opportunities for girls: A high proportion of pregnancies among adolescent girls aged 15-19 years in the region are unintended, and nearly all adolescent girls who have ever been pregnant are out of school in most SSA countries. Existing studies that show associations between early/unintended pregnancy and school dropout lead to critical questions about how the education sector is responding to the issue in SSA. …

  15. Teenage childbearing and educational attainment in South Africa

    Teenage childbearing and attainment at school in South Africa are investigated using nationally-representative data from the National Income Dynamics Study. The analysis focuses on the outcomes by 2010 of a panel of 673 childless young women aged 15–18 in 2008. Girls who had their first birth by 2010 had 4.4 times the odds of leaving school and 2.2 times the odds of failing to matriculate, controlling for other factors. Girls from the highest-income households were unlikely, and girls who were behind at school relatively likely, to give birth. …

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