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UNESCO HIV and Health Education Clearinghouse

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  1. The revised international technical guidance on sexuality education - a powerful tool at an important crossroads for sexuality education

    In January 2018, UNESCO, together with UNAIDS, UNFPA, UNICEF, UN Women, and the WHO, completed the substantial technical and political process of updating the International Technical Guidance on Sexuality Education, thereby unifying a UN position on rationale, evidence, and guidance on designing and delivering comprehensive sexuality education (CSE).

  2. 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. …

  3. 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.

  4. 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. …

  5. Searching for the second R in sexual and reproductive health and … rights

    Sexual and reproductive health and rights have gained prominence in the HIV response. The role of sexual and reproductive health in underpinning a successful approach to HIV prevention, treatment, care, and services has increasingly been recognized. However, the “second R,” referring to sexual and reproductive rights, is often neglected. This leads to policies and programs which both fail to uphold and fulfill these rights and which fail to meet the needs of those most affected by HIV by neglecting to take account of the human right-based barriers and challenges they face. …

  6. Punitive laws, key population size estimates, and Global AIDS Response Progress Reports: an ecological study of 154 countries

    UN global plans on HIV/AIDS have committed to reducing the number of countries with punitive laws criminalizing key populations. This study explores whether punitive laws are associated with countries’ performance on targets set in the global plans. As a result, it states that a significantly larger proportion of countries that criminalize same-sex sexual behaviour reported implausibly low size estimates or no size estimates for MSM. …

  7. Interventions to prevent child marriage among young people in low- and middle-income countries: a systematic review of the published and gray literature

    Child marriage, defined as marriage before the age of 18 years, is a human rights violation that can have lasting adverse educational and economic impacts. The objective of this review was to identify high-quality interventions and evaluations to decease child marriage in low- and middle-income countries. PubMed, Embase, PsycInfo, CINAHL Plus, Popline, and the Cochrane Databases were searched without language limitations for articles published through November 2015. Gray literature was searched by hand. Reference tracing was used, as well as the unpacking of systematic reviews. …

  8. The unfinished nature of rights-informed HIV- and AIDS-related education: an analysis of three school-based initiatives

    Over the past 25 years, there has been growing investment in concepts of rights in the areas of HIV prevention, care and treatment, including HIV- and AIDS-related education delivered in schools. Despite this increasing commitment to the notion of rights, few efforts appear to have been made to understand the varying conceptions of rights that underpin different kinds of initiatives. …

  9. Sexual and reproductive health and rights are key to global development: The case for ramping up investment

    Over the last three years, the international community of civil society advocates, policymakers, donors and multilateral agencies has devoted enormous resources to negotiate and shape a new global development agenda for adoption at the United Nations (UN) General Assembly in September 2015. This post-2015 development framework will build on the Millennium Development Goals, the current UN roadmap for tackling the world’s problems related to poverty, development and sustainability set to expire later this year. …

  10. Twenty years after International Conference on Population and Development: Where are we with adolescent sexual and reproductive health and rights?

    The International Conference on Population and Development in Cairo in 1994 laid out a bold, clear, and comprehensive definition of reproductive health and called for nations to meet the educational and service needs of adolescents to enable them to deal in a positive and responsible way with their sexuality. …

  11. 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. …

  12. Sexual politics and sexual rights in Brazil: An overview

    The objective of this text is to survey the political construction of sexual rights in Brazil working on themes that are especially relevant to the configuration of these rights (reproduction/abortion, STDs/AIDS and sexual diversity), and mapping the main actors, the legal instruments now in place or still being discussed and, lastly, the public policies that have been adopted in the last two decades. …

  13. An overview of gay, lesbian and bisexual issues in Botswana

    In Botswana, homosexuality is criminalized, stigmatized, and considered by some to be “un-African.” Unsurprisingly in this context there has been scant research on lesbian, gay, and bisexual (LGB) issues. This paper reviews what research has been done in the areas of HIV risk, substance abuse, and mental health; explores the issues facing LGBs in Botswana; and offers recommendations for policy and future research. …

  14. HIV/AIDS and the South African Bill of Rights, with specific reference to the approach and role of the courts

    An outstanding feature of the 1996 South African Constitution is the inclusion of a Bill of Rights, which contains all the categories of human rights that are ordinarily included in most international human rights instruments. Section 27 provides for, among other things, the right to health care services and the right to emergency medical treatment. Several other provisions in the Bill of Rights are quite relevant to the fight against HIV/AIDS and to protecting the rights of those who are infected. …

  15. Intersexuality and sexual rights in southern Brazil

    This paper reports of the socio‐medical management of intersexuality in a teaching hospital in southern Brazil. Findings reveal that the ‘search for sex’ in the body treats sex as a medical‐diagnostic category constructed during decision‐making negotiations. In the course of the various bodily ‘regulations’ and ‘corrections’ imposed, the insufficiency of a model in which categories are based around a sexual dichotomy is revealed. …

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