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UNESCO HIV and Health Education Clearinghouse

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  1. Teenage pregnancy prevention framework: supporting young people to prevent unplanned pregnancy and develop healthy relationships

    The international evidence is clear. Building the knowledge, skills, resilience and aspirations of young people, and providing easy access to welcoming services, helps them to delay sex until they are ready to enjoy healthy, consensual relationships and to use contraception to prevent unplanned pregnancy. …

  2. 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. …

  3. Love them. Talk about sex. A guide to help parents communicate with their children on sexuality issues

    This booklet is intended for parents who wish to know more about how they can better communicate with their children on sexuality issues. It was jointly produced by the then Ministry of Community Development, Youth and Sports (MCYS) and Health Promotion Board (HPB), first published in March 2008.

  4. Strengthening sexual and reproductive health and HIV prevention among children and young people through promoting comprehensive sexuality education in Eastern and Southern Africa: End-term evaluation report 2013-2015

    Increasing children’s and young people’s knowledge on sexual and reproductive health and rights (SRHR) is seen as a critical component in reducing a large number of challenges in Eastern and Southern Africa (ESA), including HIV and AIDS, teenage marriage, and teenage pregnancy in particular. While access to education remains a challenge for many children in the region, the provision of comprehensive sexuality education (CSE) in school settings is considered an effective way to educate children and young people on SRHR. …

  5. HIV and education: Guaranteeing lessons for all. Research into the provision of relationships and sexual health education in Scotland

    There is now consensus among Scotland's third sector children's rights, women's rights and young people's and equality organisations that RSHP lessons urgently need to be improved. Comprehensive sexuality education is essential for young people to be able to protect themselves from unwanted pregnancy, HIV and sexually transmitted infections, to Evidence emonstrates that young gay and bisexual men in Scotland are at higher risk of HIV as a consequence of having poor knowledge about HIV risk. …

  6. DBE draft national policy on the prevention and management of learner pregnancy in schools

    The rate of learner pregnancy in South Africa, highlighted by improved reporting in the Department of Basic Education (DBE), has become a major social, systemic and fiscal challenge not only for the basic education sector, but crucially, for national development in general and for the basic education system in particular. It impacts the lives of thousands of young people, often limiting their personal growth, the pursuit of rewarding careers and their ambitions, with incalculable impact on South Africa's socioeconomic systems. …

  7. 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. …

  8. Interventions for preventing unintended, rapid repeat pregnancy among adolescents: A review of the evidence and lessons from high-quality evaluations

    In 2017, of the 22.5 million parenting adolescents (ages 15–19) in 60 countries, approximately 4.1 million gave birth to a second or higher-order child. Adolescent pregnancy in general, and rapid repeat pregnancies specifically, expose young mothers and their children to multiple health and socioeconomic risks. The purpose of this article is to review the impact of interventions designed to prevent unintended, rapid repeat pregnancies among adolescents, including those aimed at changing norms to postpone "intended" closely spaced pregnancies to promote healthy spacing.

  9. Global, regional, and subregional trends in unintended pregnancy and its outcomes from 1990 to 2014: estimates from a Bayesian hierarchical model

    Estimates of pregnancy incidence by intention status and outcome indicate how effectively women and couples are able to fulfil their childbearing aspirations, and can be used to monitor the impact of family-planning programmes. We estimate global, regional, and subregional pregnancy rates by intention status and outcome for 1990–2014.

  10. A sexual and reproductive health peer education programme for girls in grades 7 to 9. Mentor’s manual

    This sexual and reproductive health (SRH) peer education programme was developed as part of the Department of Basic Education’s (DBE) Leveraging Partnerships to Achieve the Goals of South Africa’s HIV & AIDS and STI National Strategic Plan 2012–16, otherwise known as Keeping Girls in School. The aim of this component of the programme is to shift social norms and change sexual behaviour by reinforcing and supporting the SRH messages received via the curriculum in order to increase retention and reduce the risk of HIV infection and teenage pregnancy.

  11. Interventions for preventing unintended pregnancies among adolescents (Review)

    Background: Unintended pregnancy among adolescents represents an important public health challenge in high-income countries, as well as middle and low-income countries. Numerous prevention strategies such as health education, skills-building and improving accessibility to contraceptives have been employed by countries across the world, in an effort to address this problem. However, there is uncertainty regarding the effects of these interventions, hence the need to review the evidence-base. …

  12. 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. …

  13. Les déterminants socioculturels et communautaires des grossesses non désirées et des avortements. Rapport final

    C’est dans le cadre de son intervention en faveur de la promotion des DSSR des jeunes en République Démocratique du Congo que MdM a commandité cette étude dont l’objectif global est d’analyser les barrières à l’utilisation des contraceptifs chez les jeunes de 15-24 ans et les déterminants des grossesses non désirés et des avortements clandestins particulièrement chez ces jeunes filles et en général chez les femmes en âge de procréer.

  14. Learners’ perspectives on the provision of condoms in South African public schools

    A stubborn health challenge for learners in South African public schools concerns sexual and reproductive health and rights (SRHR). In 2015, the Department of Basic Education (DBE) proposed the provision of condoms and SRHR-services to learners in schools. This study aimed to contribute to the finalisation and implementation of DBE’s policy by exploring learners’ perspectives on the provision of condoms and SRHR-services in schools. …

  15. Education, HIV, and early fertility: experimental evidence from Kenya

    A seven-year randomized evaluation suggests education subsidies reduce adolescent girls’ dropout, pregnancy, and marriage but not sexually transmitted infection (STI). The government’s HIV curriculum, which stresses abstinence until marriage, does not reduce pregnancy or STI. Both programs combined reduce STI more, but cut dropout and pregnancy less, than education subsidies alone. …

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