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UNESCO HIV and Health Education Clearinghouse

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  1. Unintended pregnancies among young women living in urban slums: Evidence from a prospective study in Nairobi City, Kenya

    Background: Despite the significant proportion of young people residing in slum communities, little attention has been paid to the sexual and reproductive health (SRH) challenges they face during their transition to adulthood within this harsh environment. Little is known about the extent to which living in extreme environments, like slums, impact SRH outcomes, especially during this key developmental period. …

  2. You still need to give her a token of appreciation: the meaning of the exchange of money in the sexual relationships of out-of-school adolescents in rural southwest Uganda

    This article challenges the pervasive assumption that exchanging gifts and money in adolescent sexual relationships is transactional. Data were derived from a multi-method, qualitative sexual health needs assessment of 31 out-of-school adolescents in rural southwest Uganda. Grounded theory analysis allows contextual meanings of exchange to emerge. Adolescents have developed gendered courting and exchange models that parallel marital relationships in this cultural context. …

  3. Delaying sexual debut amongst out-of-school youth in rural southwest Uganda

    This paper focuses on sexual debut among out-of-school youth in Masaka District, Uganda; factors influencing its timing; and assistance young people feel they need to delay sexual initiation. Data were drawn from a needs assessment using applied anthropological techniques with young people ages 13-19 years. Parents, guardians, and community leaders were also consulted. All participants felt that young people begin their sexual lives too early. Young men feel under pressure from friends and older men to prove their masculinity. …

  4. The start of the sexual transition in Mali: risks and opportunities

    This study is an article extracted from "Studies in Family Planning" published in December 2008. The objective of this study is to analyse the sexual transition in Mali, and more precisely in a poor zone of Bamako. It is based mainly on a survey (a questionnaire ) conducted in 2002 to 2000 young people from urban and rural area. The analysis consisted of descriptive statistics, survival curves and logistic regressions. The study provided indicators of the links between sexual transition, the modernization of Malian society, and sociocultural and economic trends. …

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