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UNESCO HIV and Health Education Clearinghouse

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  1. How reliable are reports of early adolescent reproductive and sexual health events in demographic and health surveys?

    CONTEXT: Age at sexual debut, age at first marriage or first union and age at first birth are among the most widely used indicators of health and well-being for female adolescents. However, the accuracy of estimates for these indicators, particularly for younger adolescents, is poorly understood. METHODS: For each of nine countries in Africa and Latin America, Demographic and Health Survey (DHS) data from two surveys conducted five years apart were used to examine women’s reports of age at sexual debut, marriage or first union, and first birth. …

  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. The shrinking world of girls at puberty: violence and gender-divergent access to the public sphere among adolescents in South Africa

    Participatory mapping was undertaken with single-sex groups of grade 5 and grade 8–9 children in KwaZulu-Natal. Relative to grade 5 students, wide gender divergence in access to the public sphere was found at grade 8–9. With puberty, girls' worlds shrink, while boys' expand. At grade 5, female-defined community areas were equal or larger in size than those of males. Community area mapped by urban grade 8–9 girls, however, was only one-third that of male classmates and two-fifths that of grade 5 girls. Conversely, community area mapped by grade 8–9 boys was twice that of grade 5 boys. …

  4. Sexual and reproductive health and rights of adolescent girls: Evidence from low- and middle-income countries

    This paper reviews the evidence on sexual and reproductive health and rights (SRHR) of adolescent girls in low-income and middle-income countries (LMIC) in light of the policy and programme commitments made at the International Conference on Population and Development (ICPD), analyses progress since 1994, and maps challenges in and opportunities for protecting their health and human rights. …

  5. Risk for coerced sex among female youth in Ghana: Roles of family context, school enrollment and relationship experience

    CONTEXT: A better understanding is needed of the variables that may influence the risk of experiencing coerced sex among adolescent females in Sub-Saharan Africa. METHODS: Data were collected from 700 female respondents who were interviewed in 2010 and 2012 waves of a longitudinal study of behavioral risk for HIV infection among youth aged 13–14 or 18–19 and living in two towns in southeastern Ghana. …

  6. 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. …

  7. The start of the sexual transition in Mali: risks and opportunities

    This study is an article extracted from "Studies in Family Planning" published in December 2008. The objective of this study is to analyse the sexual transition in Mali, and more precisely in a poor zone of Bamako. It is based mainly on a survey (a questionnaire ) conducted in 2002 to 2000 young people from urban and rural area. The analysis consisted of descriptive statistics, survival curves and logistic regressions. The study provided indicators of the links between sexual transition, the modernization of Malian society, and sociocultural and economic trends. …

  8. Aborting and suspending pregnancy in rural Tanzania: an ethnography of young people's beliefs and pratices

    This study is an article extracted from "Studies in family Planning" published in December 2008. The objective of this study is to analyse abortion practices and beliefs among adolescents and young adults in Tanzania, where abortion is illegal. From 1999 to 2002, six researchers carried out participant observation in nine villages and conducted group discussions and interviews in three others. Most informants opposed abortion as illegal, immoral, dangerous, or unacceptable without without the man's consent, and many reported that ancestral spirits killed women who aborted clan descendants. …

  9. Exploring the socioeconomic dimension of adolescent reproductive health: a multicountry analysis

    Published by the Alan Guttmacher Institute (AGI), this article focuses on socio-economic factors influencing reproductive health needs and service use among young women in 12 developing countries. Findings showed that, in most countries, young women from the poorest households were more likely than those from the richest to be married and have at least one child by the age of 18, and to lack financial independence. …

  10. Reaching the youngest adolescents with reproductive health programs and services

    An article focuses on the emerging needs in providing information and reproductive health services to youth aged 10-14, one of the underserved groups and most subject to abuse and coerced sex. Included also in the paper are suggestions on effective approaches to reach these younger adolescents.

  11. Induced abortions among adolescent women in rural Maharashtra, India

    The paper presents a result of the study undertaken among both married and unmarried rural Maharashtra (India) adolescents who had undergone in the same geographic area. The study aimed to explore their access to services, decision-making on determinants of provider choice and extent of morbidity experienced.

  12. Reproductive health-seeking by married adolescent girls in Maharashtra, India

    In India, most adolescent girls 15-19 years old are married. A study was conducted in 1995-97 in Ahmednagar district of Maharashtra, India to gain insight into whether and how their reproductive health needs are met, especially for gynaecological problems, family planning and perceived fertility problems. It included a survey among 302 married girls of this age, and in-depth interviews with 74 girls, 37 husbands and 53 mothers-in-law. Girls were treated quickly for illnesses interfering with domestic work and were expected to conceive in the first year of marriage. …

  13. Why Nigerian adolescents seek abortion rather than contraception: evidence from focus-group discussions

    The need to educate adolescents about the mechanism of action of contraceptive agents and about their side effects in relation to unsafe sex is paramount if contraceptive use is to be improved among Nigerian adolescents.

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