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UNESCO HIV and Health Education Clearinghouse

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  1. Pupil absenteeism, measurement, and menstruation: Evidence from Kenya

    Impact evaluations focused on school absenteeism commonly use school records of untested quality or expensive spot-check data. We use a large dataset on more than 30,000 unannounced random spot-checks for 6,000 female and male students across 30 schools in Western Kenya, with equivalent school record entries. First, we confirm that while absenteeism is common overall, pubescent girls miss more schooldays than boys because of high incidence of school transfers. …

  2. Policy outcome and challenges of sexual and reproductive health and rights in Ghana: what is the role of parliament?

    While considerable progress has been made in the development of policies, legislations and outcome, significant gaps in ensuring universal access to reproductive health and rights still remain. The inconsistency in the Children's Act which stipulates the marriage age at 18 and the Criminal Code which also specifies the legal age of consent regarding sex at age 16 may be a reflection of the increasing numbers of early pregnancies, infant and child mortalities, and high prevalence of HIV among girls and women among others. …

  3. Increasing investments in the sexual and reproductive health and wellbeing of adolescents and young people in Ghana

    Young people in every society constitute both the current and potential human capital of a nation’s development. In order to ensure that young people have a fulfilling sexual and reproductive life, appropriate investments must be made in their health and socio-economic well-being.

  4. Learners’ perspectives on the provision of condoms in South African public schools

    A stubborn health challenge for learners in South African public schools concerns sexual and reproductive health and rights (SRHR). In 2015, the Department of Basic Education (DBE) proposed the provision of condoms and SRHR-services to learners in schools. This study aimed to contribute to the finalisation and implementation of DBE’s policy by exploring learners’ perspectives on the provision of condoms and SRHR-services in schools. …

  5. The demographic dividend in Africa relies on investments in the reproductive health and rights of adolescents and youth: policy brief

    A demographic dividend can occur during a window of opportunity created by reductions in child mortality and a demographic shift to fewer dependent people relative to working-age individuals. The full realization of the sexual and reproductive health and rights (SRHR) of adolescents and youth (ages 10 to 24) can facilitate gains in their health, well-being, and educational attainment. …

  6. Scaling up comprehensive sexuality education in Nigeria: from national policy to nationwide application

    Nigeria is one of few countries that reports having translated national policies on school-based comprehensive sexuality education (CSE) into near-nationwide implementation. We analysed data using the World Health Organization-ExpandNet framework, which provides a systematic structure for planning and managing the scaling up of health innovations. We examined how Nigeria's nationwide programme was designed and executed. Since 2002, Nigeria has developed a well thought through strategy to scale up CSE. …

  7. Policy scripts and students' realities regarding sexuality education in secondary schools in Kenya

    This paper explores the sexual and reproductive health (SRH) policy context and the realities facing in-school young people in Kenya. It is based on a review of the health and education sector policy documents as well as data from self-administered questionnaires with 3624 male and female students from eight secondary schools in Nairobi. Findings show that although the policies emphasise the right to access accurate SRH information, there are restrictions on the content of messages that can be provided to in-school young people. …

  8. Nigeria Demographic and Health Survey 2013

    This report summarises the findings of the 2013 Nigeria Demographic and Health Survey (NDHS), implemented by the National Population Commission (NPC). The 2013 NDHS is a national sample survey that provides up-to-date information on background characteristics of the respondents. …

  9. Assessment of the Policy Environment for the Integration of Reproductive Health and HIV&AIDS Services in Ghana

    The objectives of this assessment are to: Identify and assess current policies on reproductive health (RH) and HIV&AIDS services that support integration; Assess key stakeholders' current understanding of “integration of RH and HIV&AIDS services.” This includes their understanding of who is (are) the target population(s) in need of services, the kinds of services needed, and service delivery strategies for best meeting those needs; Identify operational challenges to providing integrated RH and HIV&AIDS services; Identify examples of integrated RH and HIV&AIDS services, if possible, and assess  …

  10. Situational analysis on SRH/HIV integration in Zambia

    To contribute to the achievement of RH and HIV integration, SAfAIDS and Youth Vision Zambia in partnership with Population Action International commissioned a 15 days rapid situation analysis to establish the current national baseline of existing national policies, HIV and RH integration programmes and opportunities for advocacy for increased integration. …

  11. Adolescent sexual and reproductive health in Malawi: a synthesis of research evidence

    The primary goal of this report is to summarize what is known about adolescent sexual and reproductive health in Malawi and to identify knowledge and program gaps requiring further research and program action. …

  12. Using research to influence sexual and reproductive health practice and implementation in Sub-Saharan Africa: a case-study analysis

    Research institutions and donor organizations are giving growing attention to how research evidence is communicated to influence policy. In the area of sexual and reproductive health (SRH) and HIV there is less weight given to understanding how evidence is successfully translated into practice. Policy issues in SRH can be controversial, influenced by political factors and shaped by context such as religion, ethnicity, gender and sexuality. …

  13. Social outcome expectations regarding delayed sexual debut among adolescents in Mankweng, South Africa

    Aims: To describe outcome expectations related to delayed sexual transition, to examine the dimensionality and internal consistency of such expectations, and to examine variations in social outcome expectations across subgroups defined by demographic variables, indicators of socioeconomic status and predictors related to school and educational ambitions. Methods: Data stem from a survey among school students (grades 8-12) in Mankweng, Limpopo, South Africa (n=5,697). …

  14. Leveraging Opportunities to Integrate Reproductive Health Services Into HIV and AIDS Programming. Integrated HIV and AIDS Response in Manica Province, Mozambique: Project Lessons Learned and Models of Promising Practice

    Oxfam GB, in partnership with the Ministry of Health in Mozambique and with support from the William and Flora Hewlett Foundation, launched a two-year project in August 2007 that aimed to increase access to and the quality of sexual and reproductive health (SRH) and HIV and AIDS services, and to reduce the vulnerabilities associated with sexual and reproductive ill-health and HIV and AIDS, in Machaze and Mossurize Districts of Manica Province, Mozambique. …

  15. Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study

    Cross-sectional studies have shown that intimate partner violence and gender inequity in relationships are associated with increased prevalence of HIV in women. Yet temporal sequence and causality have been questioned, and few HIV prevention programmes address these issues. The article assessed whether intimate partner violence and relationship power inequity increase risk of incident HIV infection in South African women. …

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