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UNESCO HIV and Health Education Clearinghouse

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  1. The adolescent experience in-depth: using data to identify and reach the most vulnerable young people: Tanzania 2009-2012

    This report presents a secondary data analysis and triangulation of the Tanzania Demographic and Health Survey (DHS) 2010, the Tanzania HIV and Malaria Indicator Survey (THMIS) 2011-12, and the Violence Against Children in Tanzania Survey (VACS) 2009. Its objectives are to analyse approximately 40 key indicators related to knowledge, attitudes, behaviours and outcomes (e.g. …

  2. 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. …

  3. 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.

  4. What they really want to know. Developing booklets for young people on growing up and sexuality

    A large proportion of young people worldwide are sexually active, and this exposes them to the risk of contracting sexually transmitted infections (STIs), including HIV, and to the risk of unintended pregnancies. In 2008, 16 million girls aged 15 to 19 gave birth and approximately 40% of these pregnancies were unintended. Young people between the ages of 15 and 24 years account for more than one third of all new HIV infections, with some 3,000 young people becoming infected with HIV each day. …

  5. Psychosocial processes and sexual initiation among Ghanaian youth

    This study modeled primary abstinence and age at first sex in a cross-sectional sample of Ghanaian youth ages 17 to 22 years. The aim was to examine how reproductive knowledge and social cognitive factors jointly affect the choice to initiate sex. Among males, the authors found that reproductive knowledge is negatively associated with abstinence. Its negative association, however, is moderated by the extent of adult support a respondent receives. Among females, reproductive knowledge is positively associated with abstinence. …

  6. The impact of television and radio on reproductive behavior and on HIV/AIDS knowledge and behavior

    This is a study of the association of radio and television exposure with different aspects of reproductive behavior and with knowledge, attitudes, and behavior in connection with HIV/AIDS. The measures of mass media are limited to the frequency that women and men report listening to the radio and watching television, which are standard questions in the Demographic and Health Surveys (DHS). Only the frequency is assessed; the DHS does not obtain information on programmatic content. …

  7. The Relationship History Calendar: Improving the Scope and Quality of Data on Youth Sexual Behavior

    Most survey data on sexual activities are obtained via face-to-face interviews, which are prone to misreporting of socially unacceptable behaviors. Demographers have developed various private response methods to minimize social desirability bias and improve the quality of reporting; however, these methods often limit the complexity of information collected. We designed a life history calendar - the Relationship History Calendar (RHC) - to increase the scope of data collected on sexual relationships and behavior while enhancing their quality. …

  8. National plan of action for scaling up SRH and HIV prevention initiatives for young people

    This plan provides a framework for improving the sexual reproductive health of young people, and protecting them from HIV. The plan consists of five sections: background, policy and programming, goals and guiding principles, institutional framework and monitoring and evaluation. A detailed list of likely activities and budgets is proposed. The overall goal of the National Plan of Action is improved sexual and reproductive health and prevention of new HIV infections among young people aged 10-24 in Malawi. The plan is organized around six strategic objectives. …

  9. The impact of life skills education on adolescent sexual risk and behaviors

    To measure the effects of exposure to topics within the life skills curriculum on sexual and reproductive health knowledge and behaviors among youth, the University of Natal-Durban School of Development Studies, Horizons, The Population Council's Policy Research Division, and Tulane University undertook a prospective study in KwaZulu Natal Province, South Africa, from 1999 to 2001. This summary considers the impact of the life skills program on a population-based sample of youth in two districts in the province.

  10. Influence of religious affiliation and education on HIV knowledge and HIV-related sexual behaviors among unmarried youth in rural central Mozambique

    The interactions among religious affiliation, education, HIV knowledge, and HIV-related sexual behaviors among African church youth are poorly understood. In this sociodemographic study, 522 unmarried youth 12-28 years old in rural central Mozambique were surveyed with a structured questionnaire. Using binary logistic regression analysis, the authors used religious affiliation and education to measure influence on (1) HIV transmission and prevention knowledge and attitudes and (2) HIV-related sexual behaviors among youth. …

  11. Overlooked and Uninformed: Young Adolescents' Sexual and Reproductive Health and Rights

    Overlooked and Uninformed: Young Adolescents' Sexual and Reproductive Health and Rights is a short informational brief focusing on young adolescents across the world and their needs to know about their bodies and their sexual rights and responsibilities. It aims to inform policymaking on the importance to include 10-14 years old adolescents in programs and policy regarding sexual and reproductive health and rights. The document states that all young people need information and skills to protect themselves from harm and to make free, informed, and responsible sexual and reproductive decisions. …

  12. Sexual and Reproductive Health /HIV/AIDS/ Project for Adolescents and Youth

    Sexual and Reproductive Health /HIV/AIDS/Project for Adolescents and Youth is a small magazine developed by Geração Biz, a national, multi-sectoral adolescent program, including the Ministries of Health, Youth and Sports, and Education, and local NGOs, in Zambezia, Mozambique in 2001. It presents articles written to recall the importance to improve sexual and reproductive health among youth. It describes briefly the situation of the province of Zambezia, where the HIV prevalence is 13%, regarding early marriages, pregnancies, school attendance or knowledge of contraception. …

  13. Levels and spread of HIV seroprevalence and associated factors: evidence from national household surveys

    This report summarizes HIV prevalence and the associations between HIV serostatus and key characteristics and behaviors of adult women and men in 22 developing countries, primarily in sub- Saharan Africa. Data come from Demographic and Health Surveys (DHS) and AIDS Indicator Surveys (AIS) conducted between 2001 and 2006. In most of these surveys, nationally representative samples of women age 15-49 and men age 15-59 were tested for HIV. …

  14. Protecting the next generation in Malawi. New evidence on adolescent sexual and reproductive health needs

    This report presents key findings from a new body of research that describes the sexual and reproductive health needs of Malawi's youth. The information was gathered from young Malawians themselves through focus group discussions, in-depth interviews and a nationally representative survey on sex, relationships, marriage, HIV/AIDS and pregnancy among young women and men aged 12-19. This report discusses in detail some of the challenges in and opportunities for improving the sexual and reproductive health of adolescents in Malawi. …

  15. Abstinence and delayed sexual initiation

    Promoting abstinence is an important strategy that can help delay sexual activity, but complementary messages are needed for those who are sexually active.

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