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UNESCO HIV and Health Education Clearinghouse

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  1. Leaving no one behind in the health and education sectors: an SDG stocktake in Ghana

    Ghana has been widely acknowledged as one of sub-Saharan Africa’s ‘rising stars’ during the era of the Millennium Development Goals, and has made substantial progress in improving access to health care and education over the past two decades. However, a step change is now needed to ‘reach the furthest behind first’, as committed in Agenda 2030, if Ghana is to leave no one behind in its progress towards the Sustainable Development Goals. …

  2. Menstruation and the cycle of poverty: a cluster quasi-randomised control trial of sanitary pad and puberty education provision in Uganda

    Background: Poor menstrual knowledge and access to sanitary products have been proposed as barriers to menstrual health and school attendance. In response, interventions targeting these needs have seen increasing implementation in public and private sectors. However, there has been limited assessment of their effectiveness. …

  3. Accessing the ‘right’ kinds of material and symbolic capital: the role of cash transfers in reducing adolescent school absence and risky behaviour in South Africa

    This article investigates how well South Africa’s Child Support Grant (CSG) responds to the material and psychosocial needs of adolescents, and the resultant effects on schooling and risky behaviour. One driver of schooling decisions is shame related to poverty and the ‘social cost’ of school, where a premium must often be paid for fashionable clothes or accessories. The other driver relates to symbolic and consumptive capital gained through engaging in sexual exchange relationships. The anticipated impacts from the CSG are partial because of these non-material drivers of adolescent choices. …

  4. Structural drivers and social protection: mechanisms of HIV risk and HIV prevention for South African adolescents

    Social protection is high on the HIV-prevention agenda for youth in sub-Saharan Africa. However, questions remain: How do unconditional cash transfers work? What is the effect of augmenting cash provision with social care? And can “cash plus care” social protection reduce risks for adolescents most vulnerable to infection? This study tackles these questions by first identifying mediated pathways to adolescent HIV risks and then examining potential main and moderating effects of social protection in South Africa.

  5. 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. …

  6. Gender tales from Africa: voices of children and women against discrimination

    The collection of these tales aims to provide relevant and experiential case studies for participants in gender-related courses in schools, colleges and universities, as well as in non-formal education settings. Most of the tales were written and tested by facilitators and learners during the annual 'Gender and Development in Southern Africa' course between 1998 and 2000. Several were also tested in a UNICEF workshop on 'Gender, Sexuality and HIV/ AIDS in Education', which was held in Malawi in July 2001. …

  7. Population Brief

    Articles from this issue : Making sexuality and HIV education programs more effective | Reducing adolescent girls’ vulnerability to sexual violence in sub-Saharan Africa | Developing a highly acceptable contraceptive vaginal ring | Creating a database of HIV prevention clinical trial terminology and translations.

  8. 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. …

  9. Children’s multidimensional health and medium-run cognitive skills in low- and middle-income countries

    This paper engages in the debate on the effects of children’s health on their education in later life stages in low- and middle-income countries. Using three rounds from the rich panel data of the Young Lives study in Ethiopia, India, Peru and Vietnam, it endorses a multidimensional approach to health (and poverty in general). …

  10. 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. …

  11. 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. …

  12. Sexual exploitation of adolescent girls in Uganda. The drivers, consequences and responses to the ‘sugar daddy’ phenomenon

    Cross-generational sex and transactional sexual relations are of significant public concern in Uganda where 11.8% of girls across the country are affected. The phenomenon can be linked to immediate and life-long consequences for both girls and boys who are affected. This study looks closely at the extent to which income poverty relates to social pressures to commit or not commit a certain behavior, which is found to contribute to this particular violation of child rights.

  13. Strengthening the protection of sexual and reproductive health and rights in the African region through human rights

    Strengthening the protection of sexual and reproductive health and rights in the African region through human rights uses rights-based frameworks to address some of the serious sexual and reproductive health challenges that the African region is currently facing. More importantly, the book provides insightful human rights approaches on how these challenges can be overcome. The book is the first of its kind. …

  14. The African report on violence against children

    The report aims to inform and accelerate pan-African, regional and national efforts to prevent and respond to the violence perpetrated against children. its continent-wide focus on the experiences of African children is unique, as is its analysis of the interaction and effect of African beliefs, behaviours and attitudes on violence committed against children. The report also aims to recognise and highlight progress achieved to date not only in the evolving understanding of the problem, but also in relation to improved actions for prevention and response. …

  15. Child-focused state cash transfers and adolescent risk of HIV infection in South Africa: a propensity-score-matched case-control study

    Background: Effective and scalable HIV prevention for adolescents in sub-Saharan Africa is needed. Cash transfers can reduce HIV incidence through reducing risk behaviours. However, questions remain about their effectiveness within national poverty-alleviation programmes, and their effects on different behaviours in boys and girls. Methods: In this case-control study, we interviewed South African adolescents (aged 10–18 years) between 2009 and 2012. …

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