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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. 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. …

  3. Assessment of knowledge and practice of menstrual hygiene among high school girls in Western Ethiopia

    Background: The issue of menstrual hygiene is inadequately acknowledged and has not received proper attention. Use of sanitary pads and washing the genital area are essential practices to keep the menstrual hygiene. Unhygienic menstrual practices can affect the health of the girls and there is an increased vulnerability to reproductive tract infections and pelvic inflammatory diseases and other complications. Therefore, the objective of this study was to assess the knowledge and practice of menstrual hygiene among high school girls at Nekemte town, Oromia region, Western Ethiopia. …

  4. Unintended pregnancy and abortion in Uganda

    Unintended pregnancy is common in Uganda, leading to high levels of unplanned births, unsafe abortions, and maternal injury and death. Because most pregnancies that end in abortion are unwanted, nearly all ill health and mortality resulting from unsafe abortion is preventable. This report summarizes evidence on the context and consequences of unintended pregnancy and unsafe abortion in Uganda, points out gaps in knowledge, and highlights steps that can be taken to reduce levels of unintended pregnancy and unsafe abortion, and, in turn, the high level of maternal mortality.

  5. Are there any disparities between girls and boys in the response of the education sector to HIV and AIDS? Assessment of educational HIV/AIDS prevention programmes applied by SACMEQ III countries

    This paper aims to assess whether the goals of the in-school programmes on prevention of HIV and AIDS that are taught in primary schools of 15 national ministries of education in Southern and Eastern Africa have been reached equitably between boys and girls by the end of primary education. One feature of most of these ministries is that they are in countries that are the hardest hit by a general HIV epidemic. More specifically, the paper aims to analyse schoolboys’ and schoolgirls’ general knowledge about HIV and AIDS. …

  6. HIV prevalence among high school learners - opportunities for schools-based HIV testing programmes and sexual reproductive health services

    Young girls in sub Saharan Africa are reported to have higher rates of human immunodeficiency virus (HIV) infection compared to boys in the same age group. Knowledge of HIV status amongst high schools learners provides an important gateway to prevention and treatment services. This study aimed at determining the HIV prevalence and explored the feasibility of HIV testing among high school learners. Between September 2010 and February 2011, a linked, anonymous cross-sectional survey was conducted in two public sector high schools in the rural KwaZulu-Natal midlands. …

  7. Self-reported sexual behaviour among adolescent girls in Uganda: reliability of data debated

    The objective of this study was to compare self-reported information about sexual behavior in a research interview to information retrieved during a clinical consultation. Social workers interviewed 595 sexually experienced women below 20 years about genital symptoms and sexual behavior. A midwife interviewed and examined the women and took vaginal samples for gonorrhea and chlamydia. Four questions were embedded in both the social workers' interviews and among the midwife's questions. …

  8. Sports for adolescent girls

    Adolescence is a time when gender disparities between boys and girls become more pronounced. While many boys stay focused on school, girls often have more responsibilities at home. These responsibilities limit girls’ opportunities for maintaining social networks, and social isolation can contribute to increasing the risk of dropping out of school, marrying early, and being in situations that leave them vulnerable to pregnancy and HIV infection. At their most recent annual meeting, the Interagency Youth Working Group focused on protecting and empowering adolescent girls. …

  9. Education and vulnerability: the role of schools in protecting young women and girls from HIV in southern Africa

    Education has a potentially important role to play in tackling the spread of HIV, but is there evidence that this potential is realized? This analysis combines the results of previous literature reviews and updates them with the findings of recent randomized controlled trials and a discussion of possible mechanisms for the effect of schooling on vulnerability to HIV infection. There is a growing body of evidence that keeping girls in school reduces their risk of contracting HIV. …

  10. Go Girls! Visual Briefs

    This booklet contains flipcharts on a variety of topics to help communities identify ways to make environment safer for girls.

  11. Understanding adolescent girls' protection strategies against HIV: an exploratory study in urban Lusaka

    Being young and female are two central aspects of vulnerability to HIV which intersect in the lives of adolescent girls. Both before and within marriage, girls and young women are especially vulnerable to contracting HIV as a result of both their biological susceptibility as well as their relative powerlessness within sexual relationships, the primary means of transmission. Girls and young women are disproportionally infected and affected by HIV and AIDS. …

  12. A multi-level model of condom use among male and female upper primary school students in Nyanza, Kenya

    Although several studies have emphasized the relevance of community level variables to AIDS prevention among young people in sub-Saharan Africa, few have tested the empirical connections between such variables and sexual behaviors. Using data from 3645 sexually experienced grade 6 and 7 students from 160 schools, this study applies hierarchical linear models to estimate the effects of individual and community level variables on condom use among youth in Nyanza Province, Kenya. Four separate models were fit for both males and females. …

  13. Me, You and AIDS: a product of a UNESCO/DANIDA workshop for the preparation of post-literacy materials and radio programmes for women and girls in Africa (Kenya)

    Me, You and AIDS is one of an ever-growing series of learning materials produced under a UNESCO-DANIDA workshop for the preparation of post-literacy materials and radio programmes for women and girls in Africa, in 2000. Written by Africans for Africans, this booklet aims to produce gender-sensitive material in the context of the DANIDA-UNESCO Special Project for Education of Girls and Women in Africa. There is an effort to respond to urgent issues and problem facing African women and men today. …

  14. Education and HIV/AIDS prevention: evidence from a randomized evaluation in Western Kenya

    We report results from a randomized evaluation comparing three school-based HIV/AIDS interventions in Kenya: 1) training teachers in the Kenyan Government's HIV/AIDS-education curriculum; 2) encouraging students to debate the role of condoms and to write essays on how to protect themselves against HIV/AIDS; and 3) reducing the cost of education. Our primary measure of the effectiveness of these interventions is teenage childbearing, which is associated with unprotected sex. We also collected measures of knowledge, attitudes, and behavior regarding HIV/AIDS. …

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