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UNESCO HIV and Health Education Clearinghouse

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  1. Adaptation in practice: lessons from teenage pregnancy programmes in Sierra Leone

    This brief discusses initial learning emerging from the Adaptive approaches to reducing teenage pregnancy in Sierra Leone action research project. The project is accompanying three international NGOs - Concern, International Rescue Committee (IRC), and Save the Children - as they trial adaptive approaches to addressing teenage pregnancy in Sierra Leone. Key messages: 1) Partners under this action research project are trialling alternative approaches to preventing teenage pregnancy, focusing on social norms change. …

  2. The effects of adolescent childbearing on literacy and numeracy in Bangladesh, Malawi, and Zambia

    Global investments in girls’ education have been motivated, in part, by an expectation that more-educated women will have smaller and healthier families. However, in many low- and middle-income countries, the timing of school dropout and first birth coincide, resulting in a rapid transition from the role of student to the role of mother for adolescent girls. Despite growing interest in the effects of pregnancy on levels of school dropout, researchers have largely overlooked the potential effect of adolescent childbearing on literacy and numeracy. …

  3. Bullying and school attendance: a case study of senior high school students in Ghana

    This paper focuses on senior high school students and the ways that bullying affects their school attendance. Selected items from the 2008 Ghana Global School-based Student Health Survey are analysed first to explore the relationships between the duration and type of bullying and school attendance. Second, the authors investigate whether having emotional problems, in addition to being bullied, incrementally affects the relationship between bullying and school attendance. Third, the authors explore the mitigating influence of peer friendships on these relationships. …

  4. Girls' empowerment through Education and Health (ASPIRE) Activity: final report, December 17, 2014-December 16, 2018

    USAID/Malawi launched the Girls’ Empowerment through Education and Health (ASPIRE) Activity in December 2014, beginning a bold cross-sector investment to improve the achievement of girls in upper primary and secondary school in Malawi. USAID’s investment in ASPIRE recognized that for girls’ to achieve academic success, they must enter and stay in school, be learning and safe while in school, and be healthy and supported by their community at all times. Output 1: Reading skills for girls in upper primary school improved. …

  5. Violence against adolescent girls: trends and lessons for East Africa

    This report seeks to explore the unique experience of adolescent girls by examining the types of gender-based violence affecting this group as well as drivers of this violence, within the frame of high levels of gender inequality in South Sudan. Data for this study was collected as part of the research program of the What Works to Prevent Violence Against Women and Girls (‘What Works’) Consortium funded by the government of the United Kingdom (UK)’s Department for International Development (DfID). …

  6. Violence against adolescent girls: trends and lessons for East Africa; policy brief

    This brief highlights research that examines the unique experience of adolescent girls by specifically exploring the types of gender-based violence and the drivers of this violence affecting this group within the context of South Sudan, where women and girls experience high levels of gender inequality and subordination. Key findings from this mixed-methods research can inform policymakers, UN agencies and donors as they identify and support programs that will effectively prevent and respond to violence against adolescent girls in conflict and humanitarian settings.

  7. The effects of school violence on education in Malawi: brief

    In response to a global policy effort to increase school enrollment, in 1994 Malawi became one of the first low-income countries to eliminate primary school fees. Since then, Malawi has achieved nearly universal primary enrollment, however enrolling young Malawians in school has not translated into keeping them in school. This policy brief describes the nature and consequences of school violence in rural Malawi - a common experience for both girls and boys. …

  8. Curriculum on adolescent-friendly health services and health voucher mechanisms: facilitator's training manual

    The Adolescent Girls Empowerment Program (AGEP) in rural and urban Zambia aims to build social, health, and economic assets of adolescent girls. A safe spaces component is at the core of AGEP. Girls groups, under the guidance of a female mentor from the same community, provide a safe and supportive learning environment. The meetings are critical in building social assets for vulnerable girls - including friendships, self-esteem, trusting relationships with adults, and social support. …

  9. 25 years after Cairo: accelerating Africa's promise; fast-tracking progress in achieving good sexual reproductive health and rights outcomes and achievement of Sustainable Development Goals

    This issue of the African Development Perspectives addresses sexual and reproductive health and rights (SRHR) in Africa, with the backdrop of the International Conference on Population and Development (ICPD) Programme of Action (PoA), signed by 179 governments twenty-five years ago, in 1994, in Cairo, Egypt, and the Nairobi Summit in November 2019, where delegates will converge to reaffirm the commitments to accelerate the promises made at the 1994 Conference. …

  10. Adolescent Girls Empowerment Program (AGEP): sexual and gender-based violence; brief, March 2018

    Acceptability and experience of sexual and gender-based violence is alarmingly high among adolescent girls in Zambia. Even more striking is the very young age from which notions of violence are ingrained and experience with violence begins. This brief summarizes the Adolescent Girls Empowerment Program (AGEP) evaluation which demonstrated that in the Zambian context, a program focused on changing norms among girls themselves is not enough to impact attitudes toward and experience of violence. …

  11. The association between being currently in school and HIV prevalence among young women in nine eastern and southern African countries

    Interventions to keep adolescent girls and young women in school, or support their return to school, are hypothesised to also reduce HIV risk. Such interventions are included in the DREAMS combination package of evidence-based interventions. Although there is evidence of reduced risky sexual behaviours, the impact on HIV incidence is unclear. We used nationally representative surveys to investigate the association between being in school and HIV prevalence.

  12. Expanding the evidence base and networks for sexual violence response in East and Southern Africa: completion report for the period May 2014–February 2018

    The Population Council’s cooperation with Regional Team for Sexual and Reproductive Health and Rights (SRHR), and Embassy of Sweden, Lusaka (‘the Team’) on sexual and gender-based violence (SGBV) in East and Southern Africa has spanned over a decade, emerging in late 2006 in response to high levels of SGBV in the region, coupled with minimal understanding of how to respond to the issue in the low-resource settings that this region includes. …

  13. The effectiveness of a model for addressing school-related gender-based violence in South Africa: An evaluation of the Zero Tolerance School Alliance

    This study fostered the prevention of, and strengthened response to, school-related gender-based violence (SRGBV) in South African schools, by adapting an effective, adult-centric, community-based GBV prevention— the Zero Tolerance Village Alliance—to help mitigate SRGBV among children in secondary school. This adapted, child-centric version—the ‘Zero Tolerance School Alliance” (ZTSA)—was implemented in 2016 and 2017 in one public secondary school in Vhembe district, Limpopo province, South Africa.

  14. Adolescent schoolgirls’ experiences of menstrual cups and pads in rural western Kenya: a qualitative study

    Poor menstrual hygiene management (MHM) among schoolgirls in low income countries affects girls' dignity, self-esteem, and schooling. Hygienic, effective, and sustainable menstrual products are required. A randomized controlled feasibility study was conducted among 14-16-year-old girls, in 30 primary schools in rural western Kenya, to examine acceptability, use, and safety of menstrual cups or sanitary pads. Focus group discussions (FGDs) were conducted to evaluate girls' perceptions and experiences six months after product introduction. …

  15. Early marriage, pregnancy and girl child school dropout

    The aim of this review was to present the recent evidence on the impact of early marriage and/or pregnancy on the rates of girl child drop out. It also synthesises evidence that focus on laws, policies and practices that force pregnant girls or new mothers out of school. Although early marriage and pregnancy are often linked to school dropout, evidence proving a direct and causal link is limited. This is because early marriage and pregnancy can be both the cause and consequence of dropping out of school. …

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