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UNESCO HIV and Health Education Clearinghouse

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  1. Food for thought? Experimental evidence on the learning impacts of a large-scale school feeding program

    There is limited experimental evidence of the impact of large-scale, government-led school meals programs on educational achievements. The authors report results from a nationwide randomized trial of the Government of Ghana’s school feeding program. After two years, program availability led to moderate increases in test scores for the average pupil, and to remarkable learning and cognitive gains for girls, and children from the poorest households and regions. Increases in enrolment, attainment, and shifts in time spent at school constituted mechanisms for impact. …

  2. Food for thought? Experimental evidence on the learning impacts of a large-scale school feeding program in Ghana

    There is very limited experimental evidence of the impact of large-scale, government-led school meals programs on child educational achievements in Sub-Saharan Africa. The authors address this gap by reporting treatment effects from a nationwide randomized trial of the Government of Ghana’s school feeding program (GSFP) on children’s math and literacy, cognition (problem-solving ability and working memory), and composite scores of overall attainments. …

  3. Leaving no one behind in the health and education sectors: an SDG stocktake in Ghana

    Ghana has been widely acknowledged as one of sub-Saharan Africa’s ‘rising stars’ during the era of the Millennium Development Goals, and has made substantial progress in improving access to health care and education over the past two decades. However, a step change is now needed to ‘reach the furthest behind first’, as committed in Agenda 2030, if Ghana is to leave no one behind in its progress towards the Sustainable Development Goals. …

  4. The Health of educators in public schools in South Africa

    The provision of good quality education in public sector schools in South Africa is intrinsically linked to the health, wellbeing and productivity of educators employed in this sector. …

  5. HIV/AIDS and teacher absenteeism: implications for attainment of quality education in Uganda

    This powerpoint presents a qualitative study carried out in the districts of Bushenyi (rural without civil conflict), Katakwi (rural and affected by armed conflict) and Kampala (urban). It looks at the nature and magnitude of teachers’ absenteeism and the extent to which HIV/AIDS has escalated it and assesses the impact of HIV/AIDS-based teachers’ absenteeism on the attainment of the quality of education. The study also proposes functional solutions to address the causes and effects of teachers absenteeism with specific emphasis on HIV/AIDS-based absenteeism.

  6. 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. …

  7. An inventory of alcohol-related questions in the demographic and health surveys and an analysis of alcohol use and unsafe sex in Sub-Saharan Africa

    This report provides an overview of Demographic and Health Surveys (DHS) survey questions related to alcohol consumption and an analysis of outcomes from these questions in DHS surveys. It first examines the questions on alcohol use and the response categories in all surveys that included questions about ever, typical, or current alcohol consumption. The inventory found that alcohol questions were included in 65 surveys in 42 developing countries between 1987 and 2014, and 19 different questions related to alcohol consumption were identified. …

  8. HIV and sexual and reproductive health programming: innovative approaches to integrated service delivery

    This compendium has profiled and analysed 11 case studies on integrated service delivery in the context of EMTCT from 9 countries in sub-Saharan Africa. All of the examples demonstrate a general trend towards the implementation of integrated service delivery models supported by policy frameworks adopted in country and by service organizations at the facility level. These promising practices are by no means exhaustive or geographically representative. They do, however, contain valuable and practical vignettes of integrated service delivery in countries with generalized HIV epidemics. …

  9. 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). …

  10. Length of secondary schooling and risk of HIV infection in Botswana: evidence from a natural experiment

    Background An estimated 2.1 million individuals are newly infected with HIV every year. Cross-sectional and longitudinal studies have reported conflicting evidence for the association between education and HIV risk, and no randomised trial has identified a causal effect for education on HIV incidence. We aimed to use a policy reform in secondary schooling in Botswana to identify the causal effect of length of schooling on new HIV infection. …

  11. Children’s multidimensional health and medium-run cognitive skills in low- and middle-income countries

    This paper engages in the debate on the effects of children’s health on their education in later life stages in low- and middle-income countries. Using three rounds from the rich panel data of the Young Lives study in Ethiopia, India, Peru and Vietnam, it endorses a multidimensional approach to health (and poverty in general). …

  12. Young people today, time to act now: why adolescents and young people need comprehensive sexuality education and sexual and reproductive health services in Eastern and Southern Africa. Summary

    This report is the summary of an in-depth Regional Report into the education and sexual reproductive health status of adolescents and young people in Eastern and Southern Africa. The full report (Young People Today. Time to Act Now) was developed in support of the ESA commitment process, to provide a regional assessment of the current status of HIV and sexuality education and SRH services for adolescents and young people, and to provide an evidence base for discussion related to policy change and programming for adolescents and young people in the Eastern and Southern Africa (ESA) region. …

  13. A review of generalist and specialist community health workers for delivering adolescent health services in sub-Saharan Africa

    The health of adolescents is increasingly seen as an important international priority because the world’s one point eight billion young people (aged 10 to 24 years) accounts for 15.5% of the global burden of disease and are disproportionately located in low- and middle-income countries (LMICs). Furthermore, an estimated 70% of premature adult deaths are attributable to unhealthy behaviors often initiated in adolescence (such as smoking, obesity, and physical inactivity). …

  14. Mixed method evaluation of a passive mHealth sexual information texting service in Uganda

    The authors evaluate the impact of a health information intervention implemented through mobile phones, using a clustered randomized control trial augmented by qualitative interviews. The intervention aimed to improve sexual health knowledge and shift individuals towards safer sexual behavior by providing reliable information about sexual health. The novel technology designed by Google and Grameen Technology Center provided automated searches of an advice database on topics requested by users via SMS. It was offered by MTN Uganda at no cost to users.

  15. An innovative online HIV/STI prevention programme in higher education: preliminary results NMMU

    The objectives were to determine risky sexual behavioural trends and health promotion needs among students, to develop an online HIV/STI prevention programme utilising the NMMU intranet portal. Descriptive data regarding demographics, sexual behaviour, internet usage and the relevance of various health promotion messages were included in an online questionnaire. Participants' attitude towards risk behaviour was also assessed using ten outcome questions rated on a five-point Likert scale. …

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