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UNESCO HIV and Health Education Clearinghouse

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  1. Interventions for preventing unintended pregnancies among adolescents (Review)

    Background: Unintended pregnancy among adolescents represents an important public health challenge in high-income countries, as well as middle and low-income countries. Numerous prevention strategies such as health education, skills-building and improving accessibility to contraceptives have been employed by countries across the world, in an effort to address this problem. However, there is uncertainty regarding the effects of these interventions, hence the need to review the evidence-base. …

  2. Adolescent friendly health corners (AFHCS) in selected government health facilities in Bangladesh: an early qualitative assessment. Research report

    With high rates of early marriage, especially among girls, a significant proportion of adolescents in Bangladesh need sexual and reproductive health services (SRH), including contraceptive information and services. Married women, including married adolescents, currently have access to these services through public sector. Unmarried adolescents do not have access to SRH information and services through public sector facilities. …

  3. 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. …

  4. 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. …

  5. 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. …

  6. Interventions for preventing unintended pregnancies among adolescents

    Interventions for preventing unintended pregnancy include any activity (health education or counselling only, health education plus skills-building, health education plus contraception education, contraception education and distribution, faith-based group or individual counselling designed to: increase adolescents' knowledge and attitudes relating to risk of unintended pregnancies; promote delay in initiation of sexual intercourse; encourage consistent use of birth control methods and reduce unintended pregnancies. …

  7. 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.

  8. 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. …

  9. 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. …

  10. 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. …

  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. Early marriage : a harmful traditional practice

    This publication, "child marriage is a violation of human rights, compromising the development of girls and often resulting in early pregnancy and social isolation. Young married girls face onerous domestic burdens, constrained decision-making and reduced life choices. Using data from the Demographic and Household Surveys, this publication estimates the prevalence of child marriage and seeks to identify and understand the factors associated with child marriage and cohabitation. …

  13. Nepal: support communication to enhance young mothers' reproductive health

    This study was undertaken as part of a reproductive health project implemented by the Nepal Red Cross Society (NRCS) and the Center for Development and Population Activities (CEDPA), sought to improve social norms that leave young women vulnerable to health risks related to early marriage and childbearing and limited access to reproductive health services. It was found that communication-based support to mothersÆ groups and newly formed youth communication groups improved reproductive health knowledge and behavior among young married women in Nepal.

  14. India : enhancing grils' life skills recquires long-term commitment

    This study shows that interventions to improve girlsÆ life skills are feasible. However, effecting significant improvements in girlsÆ skills and economic advancement would require a longer-term intervention that nurtures skills while building relationships with parents and communities. It is suggested that the vocational training programs should take a long-term approach to facilitate partnerships with parents and communities in support of adolescent girlsÆ economic participation in India. This document is available online at http://www.popcouncil.org/frontiers/orsummaries/ors52.html

  15. Do empowered mothers foster gender equity and better reproductive health in the next generation? : a quality analysis from rural Bangladesh

    This policy brief describes qualitative research conducted in three rural Bangladeshi villages between 2001 and 2003. Particular attention was paid to both mothers and mothers-in-law, as women in the study areas tend to live with their mothers-in-law who, therefore, have a strong influence on their daughters' lives. The authors conclude that women "who were relatively empowered seemed to have a greater motivation and capacity" to improve the lives of their daughters and daughters-in-law. …

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