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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. Facing the challenge of adolescent pregnancy in Zimbabwe

    This booklet presents the current status of adolescent pregnancy in Zimbabwe; explains the drivers and psycho-social, economic, development and health costs of adolescent pregnancy; offers recommendations for addressing adolescent pregnancy and leveraging demographic dividend in promoting socio-economic growth.

  3. Understanding child marriage: insights from comparative research

    This is the first policy brief produced by the Young Marriage and Parenthood Study (YMAPS), looking at research findings from Young Lives (Ethiopia, Peru, Vietnam and the Indian states of Andhra Pradesh and Telangana) and Child Frontiers (Zambia).

  4. Marital and fertility decision-making. The lived experiences of adolescents and young married couples in Andhra Pradesh and Telangana, India

    This report presents findings from a qualitative sub-study exploring adolescent girls and young couples’ experiences of marital and fertility decision-making in two southern Indian states (Andhra Pradesh and Telangana). Andhra Pradesh and Telangana are among the top states reporting high adolescent fertility: 12 and 11 per cent of young women age 15-19 in Andhra Pradesh and Telangana, respectively, were already mothers or pregnant when surveyed in 2015/16. …

  5. Leave no girl behind in Africa: discrimination in education against pregnant girls and adolescent mothers

    This report provides information on the status of laws, policies, and practices that block or support pregnant or married girls’ access to education. It also provides recommendations for much-needed reforms.

  6. Early marriage and sexual and reproductive health vulnerabilities of young women: a synthesis of recent evidence from developing countries

    Purpose of review: To review current evidence on the links between early marriage and health-related outcomes for young women and their children. Recent findings: Every third young woman in the developing countries excluding China continues to marry as a child, that is before age 18. Recent studies reiterate the adverse health consequences of early marriage among young women and their children even after a host of confounding factors are controlled. …

  7. Creating village champions for girls’ education

    Families, communities and village governments are often the key decision-makers regarding girls’ lives. They can also be the most difficult to persuade in terms of delaying girls’ marriages. Their support can ensure that changes initiated by Samata are sustained well after the end of the programme.

  8. Understanding teenage fertility, cohabitation, and marriage: the case of Peru

    This paper intends to contribute to the economic literature that investigates the origins of teenage pregnancy and early marriage/co habitation in Peru and to improve understanding of the risk factors of one important gender-related issue that has historically provoked asymmetric costs for boys and girls. …

  9. Sexual and reproductive health of adolescents and youth in Cambodia: analysis of 2000-2014 Cambodia Demographic and Health survey data

    This report presents findings from a secondary analysis of four waves of the Cambodia Demographic and Health Surveys, 2000 to 2014, with support from the United Nations Population Fund (UNFPA) and Australian in Cambodia. One aim of this report was to describe the current state of the sexual and reproductive health of adolescents and youth in Cambodia and this was achieved through the analysis of data on young women aged 15-24 years from the four Cambodian Demographic and Health Surveys (CDHS) conducted in 2000, 2005, 2010 and 2014. …

  10. Teenage marriage, fertility, and well-being: panel evidence from India

    This paper uses a unique dataset from Andhra Pradesh, tracking a cohort of children who were born in 1994–95 from the ages of 8 to 19 years, to ask three key questions about teenage marriage and fertility in India. First, what predicts getting married during the teen years? Second, what predicts having given birth by 19? …

  11. Factors shaping trajectories to child and early marriage: evidence from Young Lives in India

    The 2011 Census in India reported that nearly 17 million children between the ages of 10 and 19 –6% of the age group – are married, with girls constituting the majority (76 per cent), although there has been a significant relative reduction in the marriage of girls under 14. The aim of this paper is to better understand the individual, household and community factors that explain the different pathways to marriage among Young Lives children, drawing upon both descriptive statistics from the household survey as well as in-depth qualitative research with the study children.

  12. Tackling child marriage and early childbearing in India: lessons from Young Lives

    The Government of India has made combatting child marriage and early childbearing a priority. This brief uses data collected from 1,000 19-year-olds in Andhra Pradesh and Telangana to help inform policy and programming efforts. In Young Lives survey, 28% of girls and just 1% of boys married before the age of 18. By the age of 19, a majority (59%) of married young women had already given birth. Young Lives has been following the lives of these young people and their families since 2002. …

  13. Detailed methodology for systematic reviews of interventions to improve the sexual and reproductive health of young people in low- and middle-income countries

    The goal of this project was to systematically review and compile evidence on interventions in low- and middle-income countries, which targeted three adverse health-related outcomes for young people (ages 10–24): (1) early pregnancy and repeat pregnancy; (2) child marriage; and (3) sexually transmitted infections including human immunodeficiency virus. The authors searched the gray and published literature to identify interventions and developed a scoring system to assess whether these interventions and their evaluations were of high quality. …

  14. 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. …

  15. Adolescent women’s need for and use of sexual and reproductive health services in developing countries

    With this report, the authors aim to provide an up-to-date and comprehensive overview of the use of sexual and reproductive health services by adolescent women aged 15–19 in the developing world. Using reliable nationally representative surveys in 70 countries, the report presents 30 indicators that cover a wide range of topics related to the sexual and reproductive health of adolescent women. Chapter 2 outlines the methods and data sources used for this report. Chapter 3 focuses on marriage, sexual activity and contraception. …

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