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UNESCO HIV and Health Education Clearinghouse

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  1. Desarrollo humano en República Dominicana: el embarazo en adolescentes: un desafío multidimensional para generar oportunidades en el ciclo de vida

    Teenage pregnancy in the Dominican Republic is a complex problem and of high concern to the national agenda. Available data indicate that 22% of women between 12-19 years have been pregnant. This rate is 34% higher than the average for Latin America and the Caribbean. Teenage pregnancy is concentrated in specific areas of the country – the southern provinces and central Cibao - as well as among poorer people. The fact that the indicator (adolescent fertility rate) has shown little variation in the last three decades makes the picture complex. …

  2. 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. …

  3. Making the case for investing in adolescent reproductive health: a review of evidence and PopPov research contributions

    Solid evidence on the links between preventing adolescent childbearing and alleviating poverty can motivate policymakers and donors to invest in reproductive health and family planning programs for youth. Research that documents the clear cause-and-effect relationship between program interventions and outcomes, such as better health and delayed childbearing among teens, can guide decisions about investments in research or programs. …

  4. Embarazo adolescente y oportunidades en América Latina y el Caribe: sobre maternidad temprana, pobreza y logros económicos

    El presente informe examina los factores asociados con el embarazo adolescente y la maternidad temprana y crea un marco para explorar estos temas de forma sistemática hacia el diseño de intervenciones efectivas en el marco de políticas en América L atina. El mensaje principal que este reporte pretende divulgar es que la pobreza y la falta de oportunidades son factores clave asociados a la maternidad temprana. …

  5. 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. …

  6. Sexual and reproductive health rights and information and communications technologies: A policy review and case study from South Africa

    This report examines the linkages between policies on, and implementation of, sexual and reproductive health rights (SRHR) and ICT in rural and peri-urban spaces in South Africa. South Africa is renowned for its legal provisions addressing SRHR yet also experiences barriers to adolescent sexual health. SRHR programming is politically complex and often ambivalent; as a result less contentious aspects which emphasise maternal health get prioritised. …

  7. Coping with unintended pregnancies: Narratives from adolescents in Nairobi’s slums

    The health and other risks associated with early pregnancy and sexual activity raise urgent need for appropriate interventions and programs to address adolescent reproductive behaviors. It is important to understand the circumstances surrounding, and factors associated with unintended pregnancies among young people, the challenges that limit their ability to protect their sexual and reproductive health, and how they deal with the outcomes of unintended pregnancy. …

  8. Cross-generational and transactional sexual relations in Uganda: Income poverty as a risk factor for adolescents

    The phenomenon of cross-generational sex – defined as sexual relationships between an adolescent girl and a partner who is older, usually by 10 or more years – can be linked to many life-long consequences. …

  9. Motherhood in Childhood: Facing the challenge of adolescent pregnancy. State of world population 2013

    Every day in developing countries, 20,000 girls below age 18 give birth. Nine in 10 of these births occur within marriage or a union. This has consequences on the health, education, employment and rights of an untold millions of girls. What are the challenges of adolescent pregnancy, and what can we do to ensure girls have a healthy and safe transition into adulthood?

  10. Adolescent Fertility in Low-and Middle-Income Countries: Effects and Solutions

    Adolescent fertility in low- and middle-income countries presents a severe impediment to development and can lead to school dropout, lost productivity, and the intergenerational transmission of poverty. However, there is debate about whether adolescent pregnancy is a problem in and of itself or merely symptomatic of deeper, ingrained disadvantage. To inform policy choices and create a revised research agenda for population and development, this paper aggregates recent quantitative evidence on the socioeconomic consequences of and methods to reduce of teenage pregnancy in the developing world. …

  11. A measure of commitment: women's sexual and reproductive health risk index for Sub-Saharan Africa

    In 2008 the number of African women who died from pregnancy and child birth was much higher than the number of casualties from all the major conflicts in Africa combined. Maternal mortality continues to be the major cause of death among women of reproductive age (15-49) in Sub-Saharan Africa (SSA). This report looks at the performance of sub Saharan African countries in meeting reproductive health targets in 47 countries and ranks them using a set of ten indicators in order of the highest to lowest risk. …

  12. Protéger la prochaine génération au Burkina Faso. Nouvelle évidence sur les besoins de santé sexuelle et reproductive des adolescents

    Les jeunes burkinabè se heurtent à des difficultés majeures en termes de santé sexuelle et de reproduction. Dans un contexte où il est difficile d'accéder à des informations et à des soins adaptés, un grand nombre d'entre eux doivent faire face à des grossesses non désirées et à risques ou encore aux infections sexuellement transmissibles (IST) dont le VIH/sida. Si dans leur très grande majorité, les adolescents ont déjà entendu parler du VIH/sida et de la contraception, leur niveau d'information est très bas et peu d'entre eux disposent des aptitudes nécessaires pour se protéger. …

  13. Children having children. State of the World's Mothers 2004

    The report focuses on girls around the world who marry and have babies while they are still children themselves, resulting in maternal and child mortalities and for those who survive, a struggle to overcome poor health, limited education, and grinding poverty. The report recommends ways to help girls delay marriage and motherhood until they are emotionally and physically ready to give birth and raise children and suggests programmatic and policy solutions to help child mothers and their babies survive and thrive. …

  14. Actions that protect: promoting sexual and reproductive health and choice among young people in India

    This paper synthesises the evidence on the sexual and reproductive health situation of young people in India, and explores what we know about underlying factors that place them at risk of or protect them from unsafe and unwanted sexual and reproductive health experiences. The picture that emerges suggests that substantial proportions of young people experience risky or unwanted sexual activity, do not receive prompt or appropriate care, and experience adverse reproductive health outcomes. …

  15. Building better health: a handbook for behavioral change

    The handbook, meant for health workers, community health promoters, nurses and family physicians as well as social workers and teachers, provides step-by-step instruction in behavioural change techniques to use at the society, community, family, and individual levels to promote health and prevent disease. …

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