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UNESCO HIV and Health Education Clearinghouse

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  1. Interventions for preventing unintended pregnancies among adolescents (Review)

    Background: Unintended pregnancy among adolescents represents an important public health challenge in high-income countries, as well as middle and low-income countries. Numerous prevention strategies such as health education, skills-building and improving accessibility to contraceptives have been employed by countries across the world, in an effort to address this problem. However, there is uncertainty regarding the effects of these interventions, hence the need to review the evidence-base. …

  2. Scaling up of life skills based education in Pakistan: a case study

    Young people between the ages of 10 and 19 make up 23% of Pakistan's population. In Pakistan, young people face many challenges in terms of sexual and reproductive health (SRH) issues. These include early marriage and pregnancy, low use of contraception, use of unsafe abortion, lack of relevant information and poor knowledge about bodily development including puberty and menstruation, sexuality, reproduction and HIV. …

  3. Interventions for preventing unintended pregnancies among adolescents

    Interventions for preventing unintended pregnancy include any activity (health education or counselling only, health education plus skills-building, health education plus contraception education, contraception education and distribution, faith-based group or individual counselling designed to: increase adolescents' knowledge and attitudes relating to risk of unintended pregnancies; promote delay in initiation of sexual intercourse; encourage consistent use of birth control methods and reduce unintended pregnancies. …

  4. Teen pregnancy and education: politics of knowledge, research, and practice

    This article explores the politics surrounding the education of pregnant/mothering students. Utilizing Title IX, which guarantees the rights of pregnant/mothering students to an education equal to her peers, as an analytical lens, the author specifically identifies how absences in knowledge, research, and practice about the education of pregnant/mothering students are constructed. These absences, which are not neutral, construct discourses that affect the provision of education to pregnant/mothering students. …

  5. WHO guidelines on preventing early pregnancy and poor reproductive outcomes among adolescents in developing countries

    Adolescent pregnancy and its consequences represent a major public health concern in many low-middle income countries of the world. The World Health Organization has recently developed evidence-based guidelines addressing six areas: preventing early marriage; preventing early pregnancy through sexuality education, increasing education opportunities and economic and social support programs; increasing the use of contraception; reducing coerced sex; preventing unsafe abortion; and increasing the use of prenatal care childbirth and postpartum care. …

  6. The influence of early sexual debut and sexual violence on adolescent pregnancy: a matched case-control study in Jamaica

    CONTEXT: Contraceptive knowledge and use at first sex have increased over time among Jamaican adolescents, yet high unintended pregnancy rates persist. More information on risk factors for adolescent pregnancy is needed to inform programs. METHODS: Structured interviews were conducted with 15–17-year-old females—250 who were currently pregnant and 500 sexually experienced, but never-pregnant, neighborhood-matched controls. …

  7. Unintended pregnancy and abortion in Uganda

    Unintended pregnancy is common in Uganda, leading to high levels of unplanned births, unsafe abortions, and maternal injury and death. Because most pregnancies that end in abortion are unwanted, nearly all ill health and mortality resulting from unsafe abortion is preventable. This report summarizes evidence on the context and consequences of unintended pregnancy and unsafe abortion in Uganda, points out gaps in knowledge, and highlights steps that can be taken to reduce levels of unintended pregnancy and unsafe abortion, and, in turn, the high level of maternal mortality.

  8. West African youth initiative: Outcome of a reproductive health education program

    Purpose: To describe the implementation and evaluation of an adolescent reproductive health peer education program in West Africa. The program, known as the West African Youth Initiative (WAYI), was developed to improve knowledge of sexuality and reproductive health, and promote safer sex behaviors and contraceptive use among sexually active adolescents in Nigeria and Ghana. …

  9. Teacher training and HIV/AIDS prevention in West Africa: regression discontinuity design evidence from the Cameroon

    The authors assess the impact on teenage childbearing as well as student knowledge, attitudes, and behavior of a typical HIV/AIDS teacher training program in the Cameroon. Applying a regression discontinuity design identification strategy based on the key administrative criterion that determined program deployment, they find that 15–17 year old girls in teacher training schools are between 7 and 10 percentage points less likely to have started childbearing, an objective proxy for the incidence of unprotected sex. …

  10. Assessing knowledge, attitude, and practice of emergency contraception: a cross-sectional study among Ethiopian undergraduate female students

    The importance of Emergency contraception (EC) is evident in preventing unintended pregnancies and its ill consequences like unintended child delivery or unsafe abortion, which are the most common causes of maternal mortality. Knowing that Ethiopia is one of the countries with highest maternal mortality rate, this study aimed to assess the knowledge, attitude and practice of EC, and to further elucidate the relationship between these factors and some socioeconomic and demographic characteristics among female undergraduate students of Addis Ababa University. …

  11. Assessing young unmarried men's access to reproductive health information and services in rural India

    The authors conducted a cross-sectional study using both qualitative and quantitative methods. Participants included 38 unmarried rural men in four focus-group discussions and a representative sample of 316 similarly profiled men, ages 17-22 years. Information was collected via survey on the men's socioeconomic characteristics; awareness, knowledge, and perceptions of family planning; attitudes toward future contraceptive use; intra-family communication; knowledge about STIs/HIV/AIDS; and access and use of condoms. …

  12. The sexual and reproductive health of younger adolescents. Research issues in developing countries

    This paper reviews quantitative and qualitative evidence on adolescents' sexual and reproductive health from a number of developing countries and, where possible, highlights findings for boys and girls aged under 15 years in those studies where findings are disaggregated by age and sex (which is not always the case). The evidence is sporadic, however, and is by no means representative of all developing countries. …

  13. Cost and cost effectiveness analysis of school-based sexuality education in six countries: full report + School-based sexuality education programmes: a cost and cost-effectiveness analysis in six countries. Executive summary

    Costing and cost-effectiveness data for HIV prevention programmes are important tools for decision-makers. In many countries, HIV prevention efforts for young people have increasingly focused on schools, with many ministries of education in the process of scaling up school-based sexuality education programmes. However, most ministries of education are implementing programmes without an adequate understanding of how much the programmes cost per learner or per HIV/STIs or unintended pregnancy averted. …

  14. Preventing teen pregnancy among marginalized youth: Developing a policy, program, and research agenda for the future

    The document is a report produced by Healthy Teen Networks in September 2008. Its vision is that all young people make responsible decisions regarding their sexual, reproductive, and parenting behaviors. The document focuses on improving the effective transition to adulthood among all young by examining how to be more effective in reducing their risk of early pregnancy. …

  15. Knowledge, Attitude and Practices Study on Reproductive Health Among Secondary School Students in Bolgatanga, Upper East Region, Ghana

    This study was conducted within the secondary school student population of the Bolgatanga community, in Northern Ghana, to learn about knowledge, attitude and practices of reproductive health of this adolescent student population. Both quantitative and qualitative data were collected on adolescence perception, STIs and HIV/AIDS, family planning, male-female relationship, and vulnerability to sexual violence. …

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