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UNESCO HIV and Health Education Clearinghouse

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  1. I felt like the world was falling down on me. Adolescent girls’ sexual and reproductive health and rights in the Dominican Republic

    Adolescent girls in the Dominican Republic are being denied their sexual and reproductive rights, including access to safe abortion. “I Felt Like the World Was Falling Down on Me” documents how authorities have stalled the rollout of a long-awaited sexuality education program, leaving hundreds of thousands of adolescent girls and boys without scientifically accurate information about their health. The country has the highest teen pregnancy rate in Latin America and the Caribbean, according to the Pan American Health Organization (PAHO). …

  2. Women’s sexual and reproductive health and rights in Europe

    Despite considerable progress, women in Europe continue to face widespread denials and infringements of their sexual and reproductive health and rights. Laws, policies and practices still curtail and undermine women’s sexual and reproductive health, autonomy, dignity, and decision-making and pervasive gender inequality continues to have profound effects on their sexual and reproductive health and rights. Moreover, in recent years, resurgent threats to these rights have emerged jeopardising longstanding commitments to gender equality and women’s rights. …

  3. Status of sexual and reproductive health and rights in Zambia: contraception and family planning, preventing unsafe abortion and accessing postabortion care, and maternal health

    This policy brief is Part 1 of a three-part series entitled “Status of Sexual and Reproductive Health and Rights in Zambia,” reporting on progress, gaps, and existing challenges in SRH&R related to achieving Sustainable Development Goals (SDGs).

  4. Young persons with disabilities: global study on ending gender-based violence, and realising sexual and reproductive health and rights

    This study contains new qualitative, global research and provides an analysis on the situation of young persons with disabilities concerning discrimination and gender-based violence, including the impact on their sexual and reproductive health and rights. It also provides an assessment of legal, policy and programming developments and specific good practices in service delivery as well as best-standard prevention and protection measures. …

  5. Menstruation and menstrual hygiene management in selected KwaZulu-Natal schools

    The focus of this study was on the impact of menstruation and menstrual hygiene management on girl learners in schools in the Province of KwaZulu-Natal, South Africa. Issues related to cultural practices, teachings about menstruation, access to sanitary supplies necessary during menstruation and to sanitation, as well as psychological trauma, particularly at menarche (the time of their first menstruation), were looked at. The study also attempted to capture the feelings and experiences of learners and their knowledge at menarche.

  6. 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. …

  7. Creating an enabling environment for adolescent sexual and reproductive health: a framework and promising approaches

    This article provides a conceptual framework and points out the key elements for creating enabling environments for adolescent sexual and reproductive health (ASRH). An ecological framework is applied to organize the key elements of enabling environments for ASRH. At the individual level, strategies that are being implemented and seem promising are those that empower girls, build their individual assets, and create safe spaces. …

  8. Short-term effects of a rights-based sexuality education curriculum for high-school students: a cluster-randomized trial

    An emerging model for sexuality education is the rights-based approach, which unifies discussions of sexuality, gender norms, and sexual rights to promote the healthy sexual development of adolescents. A rigorous evaluation of a rights-based intervention for a broad population of adolescents in the U.S. has not previously been published. This paper evaluates the immediate effects of the Sexuality Education Initiative (SEI) on hypothesized psychosocial determinants of sexual behavior.

  9. Integrating gender and rights into sexuality education: field reports on using It's All One

    International policy agreements, along with emerging evidence about factors influencing programme effectiveness, have led to calls for a shift in sexuality education toward an approach that places gender norms and human rights at its heart. Little documentation exists, however, about the degree to which this shift is actually taking place on the ground or what it entails. Field experiences in using new curriculum tools, such as It's All One, offer one lens onto these questions. To gain a sense of practitioners' experience with this tool, a two-part exercise was conducted. …

  10. Her body, her rights: making sex education work for young women with intellectual disabilities. A case study from Ethiopia

    Community Based Rehabilitation Network Ethiopia (CBRNE) and Light for the World partnered together to learn how best to provide CBR professionals, service providers and parents the skills they need to reach, teach, inform and discuss with girls with intellectual disabilities about sexuality. As part of the project, CBR organisations attended a three day sensitization workshop, where they discussed the need and possible methodologies to address the sexual and reproductive health needs of women with intellectual disabilities. …

  11. Public support for transgender rights: a twenty-three country survey

    Transgender rights have emerged as a central feature in the discourse on LGBT rights in many countries; however, little is known about public support for such rights around the globe. This report presents findings from a ground-breaking survey of 17,105 adults across 23 countries about their attitudes towards transgender people and transgender rights.

  12. Vanuatu: sexual and reproductive health rights needs assessment

    The purpose of this SRHR Needs Assessment was to review progress on Vanuatu’s ICPD and MDG commitments to achieving universal access to reproductive health (MDG Target 5B), with particular focus on ensuring Vanuatu citizens’ SRHR are prioritised and maintained through all aspects of service planning and delivery. Areas of focus included access to family planning information and services, and to a range of appropriate commodities to meet the needs of all groups within communities. …

  13. Kiribati: sexual and reproductive health rights needs assessment

    The purpose of this needs assessment is to establish the level to which the SRP rights and needs of the population of Kiribati have been met and to assess what needs have not been met. This report provides an overview of the existing available sexual and reproductive health services in Kiribati, identifies the gaps, issues and challenges that exist and provides recommendations to improve rights based sexual and reproductive health services in Kiribati. The SRHR Needs Assessment included a comprehensive literature review and in-country qualitative and quantitative data collection. …

  14. Kingdom of Tonga: sexual and reproductive health rights needs assessment

    The purpose of this needs assessment is to establish the level to which the SRP rights and needs of the population of Tonga have been met and to assess what needs have not been met. This report provides an overview of the existing available sexual and reproductive health services in Tonga, identifies the gaps, issues and challenges that exist and provides recommendations to improve rights based sexual and reproductive health services in Tonga.

  15. Solomon Islands: sexual and reproductive health rights needs assessment

    The purpose of this needs assessment is to establish the level to which the SRP rights and needs of the population of Solomon Islands have been met and to assess what needs have not been met. This report provides an overview of the existing available sexual and reproductive health services in Solomon Islands, identifies the gaps, issues and challenges that exist and provides recommendations to improve rights based sexual and reproductive health services in Solomon Islands. …

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